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occipital artery bypass importance in unsuitable superficial temporal artery:Two case reports

World Journal of Clinical Cases 2023年第9期11卷 2091-2097页

作者： Jong-Hwan Hong Sung-Chan Jung Han-Seung Ryu Tae-Sun Kim Sung-Pil Joo Department of Neurosurgery Chonnam National University Hospital and Medical SchoolGwangju 61469South Korea

BACKGROUND Superficial temporal artery-middle cerebral artery(STA-MCA)bypass helps treat cerebral ***,the STA is not available for bypass in some ***,with some technical tips,the authors introduced a bypass technique using the occipital artery(OA).CASE SUMMARY Two female patients complained of *** magnetic resonance imaging(MRI)indicated contralateral infarction from the MCA *** Diamox single photon emission computed tomography or perfusion MRI,the contralateral front parietotemporal reserve was *** transfemoral cerebral angiography,the STA was thin with a weak flow;however,the OA was *** OA-MCA end-to-side extracranial-intracranial bypass surgery was implemented instead of STA because the caliber was too *** postoperative course was uneventful in both cases,with well-maintained bypass patency and neurological stability during *** OA might be an acceptable alternative for MCA cerebral ischemic cases with an unsuitable STA.

关键词： Bypass occipital artery Superficial temporal artery Cerebral ischemia Case report

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Traumatic pseudoaneurysms of external carotid artery branch: case series, and treatment considerations

Traumatic pseudoaneurysms of external carotid artery branch:...

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2020年浙江省神经外科学学术大会

作者：王耿焕褚正民沈建国周海航嘉兴学院附属第二医院

Aim To explore the diagnosis and treatment of traumatic external carotid branch *** and Methods Eleven cases of traumatic external carotid artery branch pseudoaneurysms were admitted in our *** subtraction angiography (DSA) was performed in all *** revealed the pseudoaneurysms originated from the internal maxillary artery in 5 cases,superficial temporal artery in 5 cases and occipital artery in 1 *** cases of internal maxillary artery pseudoaneurysms and 2 cases of superficial temporal artery pseudoaneurysms were treated by embolization,the other 3 cases were surgically *** Complete cessation of nasal bleeding was achieved in all the 5 pseudoaneurysms of internal maxillary artery after the endovascular *** Bleeding stopped and scalp defect healed up in 2 patients with superficial temporal artery pseudoaneurysms treated by interventional *** patients were followed up for 0.5-2 year without recurrence of nosebleed and scalp *** For patients with repeated severe epistaxis after craniocerebral injury,DSA should be performed as soon as possible to confirm traumatic *** therapy is an effective method for traumatic internal maxillary artery *** patients with scalp injuries and pulsatile lumps,further examinations including DSA should be performed to conform the *** treatment or endovascular therapy for scalp traumatic pseudoaneurysm is effective.

关键词： Traumatic pseudoaneurysm Endovascular therapy Internal maxillary artery Superficial temporal artery occipital artery External carotid artery

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颅骨修补术后癫痫发作的相关因素Logistic分析

颅骨修补术后癫痫发作的相关因素Logistic分析

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2020年浙江省神经外科学学术大会

作者：王耿焕褚正民沈建国褚闻来朱坤灿嘉兴学院附属第二医院

目的 :探索颅骨修补术后癫痫发作的相关因素。方法:回顾性分析2009年1 月至2019年12 月我院神经外科收治的470例颅骨修补术患者的临床资料,术后随访0.5-2.5年,按术后癫痫发作情况,分为癫痫发作组和无癫痫发作组,比较两组患者各种因素的... 详细信息

目的 :探索颅骨修补术后癫痫发作的相关因素。方法:回顾性分析2009年1 月至2019年12 月我院神经外科收治的470例颅骨修补术患者的临床资料,术后随访0.5-2.5年,按术后癫痫发作情况,分为癫痫发作组和无癫痫发作组,比较两组患者各种因素的差异,以探寻癫痫发作的影响因素。结果:470例患者中颅骨修补术后出现癫痫发作76例(16.2%)。单因素分析显示,皮瓣凹陷,大骨瓣,术前昏迷,双侧修补,围手术期使用抗癫痫药物有统计学意义 (均P<0.05)。多因素Logistic分析显示皮瓣凹陷,大骨瓣,围手术期使用抗癫痫药物有统计学差异(均P<0.05)。

关键词： Traumatic pseudoaneurysm Endovascular therapy Internal maxillary artery Superficial temporal artery occipital artery External carotid artery

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