članak: 1 od 1  
Acta chirurgica iugoslavica
2008, vol. 55, br. 2, str. 33-39
jezik rada: srpski
stručni članak
doi:10.2298/ACI0802033J

Morfološka analiza koegzistirajućih anomalija arterija baze mozga i aneurizme - klinička studija
KCS, Institut za neurohirurgiju, Beograd

Sažetak

Na operacijama aneurizmi je prikazivanje anatomskih detalja je sredstvo koje vodi cilju, a ne samo sebi svrha. Podatke o onim detaljima sa kojima se hirurzi sreću u toku rada i koji im ponekad čine poteškoće prilikom tumačenje angiografskih nalaza i planiranje operacije, kao i intraoperativne orijentacije i identifikacije elemenata. Učestalost pojave ovakvih anatomskih detalja i anomalija može da bude sasvim drugačija od one koju nam pokazuju obdukcione serije. Njihovo poznavanje, hirurzima olakšava i daje potrebnu dozu sigurnosti prilikom operacija. Stoga smo se opredelili da sprovedemo kliničku, morfološku studiju na osnovu angiografskih i operativnih analiza eksplorisanih segmenata Wilisovog kruga. Studija je sprovedena na 344 bolesnika Instituta za neurohirurgiju tokom 2 godine koji su imali kompletnu angiografsku dijagnostiku i operativnu eksploraciju. Naši nalazi potvrđuju razlike u lokalizaciji aneurizmi po polu. Aneurizme na prednjem komunikantnom kompleksu su u velikoj meri udružene sa anomalijama prednjeg dela Willisovog kruga.

Ključne reči

intrakranijalna aneurizma; anomalije Willisovog kruga; intraoperativni nalazi

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