In September of the golden autumn, the neurosurgery department admitted several patients with intracranial aneurysm in succession. In the spirit of respecting science and being responsible for patients, all doctors discussed each patient’s condition carefully and made a comprehensive analysis according to the patient’s age, the site, size and shape of the aneurysm, the amount of intracranial bleeding, the preoperative grading of the aneurysm and the economic status of the patient’s family, etc., and determined a personalized treatment plan for each patient. In addition, we have achieved very good treatment results for each patient, including embolization for intervention and clamping for surgery. Meng Xiangjing, Department of Neurosurgery, Shandong Qianfo Mountain Hospital
Case 1: Liu Moumou, female, 67 years old. He was admitted to the hospital in an emergency due to sudden headache and coma. CT showed a large subarachnoid hemorrhage, and CTA showed a left anterior communicating artery aneurysm with Hunt-Hass grading of 4-5. The emergency surgery was difficult, and combined with the patient’s age and other comprehensive analysis, it was decided to perform endovascular embolization treatment. So, 24 hours after the onset of the disease, Director Meng Xiangjing led attending physician Guo Jian and graduate student Li Xiangkun to perform interventional embolization treatment for this patient under general anesthesia, and the procedure was successfully completed. The patient is now awake and is undergoing further recovery.
Case 2: Dong, female, 38 years old, had cerebral hemorrhage 5 years ago, which was not treated. Recently, the headache worsened, and the imaging suggested a right posterior communicating artery aneurysm with possible intra-aneurysm thrombus and Hunt-Hass classification grade 1. Although the neck of the aneurysm was not wide, considering that embolization might induce thrombus detachment and cause cerebral infarction, and taking into account the patient’s age and family economy and other circumstances, a comprehensive analysis was made, and the decision was made to perform craniotomy to clip the aneurysm. The surgical team consisting of Director Meng Xiangjing, attending physician Guo Jian and Dr. Zhang Yuzhen completed the exposure and clamping of the aneurysm in only 20 minutes, and the patient was completely awake after the operation without any uncomfortable reaction.
According to the results of a trial published in The Lancet in 2009, which lasted 15 years and involved 43 neurosurgical centers, the authors recommended that only departments that can perform both embolization and surgery should receive patients with aneurysms for treatment, that the decision to treat should be made jointly by experienced neurosurgeons and endovascular therapists, and that only one method to inform families of the choice of aneurysm treatment , are incomplete. Some experts point out that doctors who can open the skull know what kind of aneurysm is easy to operate; doctors who can intervene know what kind of aneurysm is easy to embolize; only doctors who can operate and embolize know what kind of aneurysm is easy to embolize and what kind of aneurysm is easy to operate. All along, the neurosurgery department of our hospital has been treating aneurysms with both embolization and surgery, formulating individualized treatment plans for each aneurysm patient and providing the best treatment to patients and their families, achieving satisfactory results and receiving recognition and praise from patients and families.
Neurosurgery
September 28, 2010