Наш опыт оказания нейрохирургической помощи пациентам с артериальными аневризмами головного мозга

Abstract

Aim. Evaluation of the results of neurosurgical care for patients with arterial cerebral aneurysms at RRCEM.
Material and methods. The results of surgical treatment of 282 patients examined and operated on for arterial
aneurysms of the brain in the period from 2001 to 2020 in the Department of Neurosurgery of the RRCEM were
studied.
Results. Arterial aneurysms of the brain are more often localized in the basins of the middle cerebral artery
(182 patients; 64.5%) with a predominance of saccular forms (263; 93.3%) of medium size (195; 69.1%),
with a prevalence of rupture in the basins of the middle cerebral and anterior cerebral arteries. arteries (32.9
and 32.1%, respectively). The use of focal clipping in the surgical treatment of arterial aneurysms allowed to
achieve a favorable outcome (GOS I, II) in 160 (56.7%) patients.
Conclusion. Focal aneurysm clipping, based on three-dimensional MSCT modeling with visualization of
angioarchitectonics of the cerebral vascular bed, allows purposefully opening an aneurysm, minimizing
traumatization of surrounding tissues in the surgical corridor while maintaining radicality and increasing the
safety of intervention.