neurosurgeryНейрохирургияRussian journal of neurosurgery1683-32952587-7569Издательский дом "МедИНК"neurosurgery-33Research ArticleНАБЛЮДЕНИЕ ИЗ ПРАКТИКИFROM PRACTICEХирургическое лечение пациентки с аневризмой задней ворсинчатой артерии в остром периоде кровоизлиянияSurgical treatment of female patient with aneurysm of posterior choroids artery in acute period of hemorrhageКолотвиновВладимир СергеевичKolotvinovV. S.kolotvinov@gkb40.ur.ruСаковичВладимир ПетровичSakovichV. P.noemail@neicon.ruШамовАлександр ЮрьевичShamovA. Ju.noemail@neicon.ruСтраховАндрей АлександровичStrakhovA. A.noemail@neicon.ruАсташовАлександр СергеевичAstashovA. S.noemail@neicon.ruМарченкоОльга ВикторовнаMarchenkoO. V.noemail@neicon.ruМАУ «Городская клиническая больница № 40»Russian FederationГБОУ ВПО УГМАRussian Federation201305102017029597Copyright © Колотвинов В.С., Сакович В.П., Шамов А.Ю., Страхов А.А., Асташов А.С., Марченко О.В., 20172017Колотвинов В.С., Сакович В.П., Шамов А.Ю., Страхов А.А., Асташов А.С., Марченко О.В.Kolotvinov V.S., Sakovich V.P., Shamov A.J., Strakhov A.A., Astashov A.S., Marchenko O.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.therjn.com/jour/article/view/33

Описано наблюдение хирургического лечения пациентки в остром периоде кровоизлияния из аневризмы задней ворсинчатой артерии (ЗВА). В клинику госпитализирована 17-летняя девушка с симптомами субарахноидально-паренхиматозного кровоизлияния. Компьютерная томография головного мозга с внутривенным усилением, выполненная при поступлении, выявила кровоизлияние в медиальные отделы левой височной доли и позволила заподозрить наличие сосудистой мальформации. Церебральная ангиография показала источник кровоизлияния - им оказалась аневризма ЗВА. Применение безрамочной навигации позволило спланировать и осуществить наименее травматичный доступ к аневризме, удалить внутримозговую гематому и клипировать аневризму. В послеоперационном периоде - полный регресс неврологической симптоматики.

This case report describes the surgical treatment of female patient in acute period of hemorrhage from ruptured aneurysm of posterior choroid artery (PChA).This 17 years old female patient was admitted into our hospital with clinical signs of subarachnoid-parenchymal hemorrhage. Brain CT with intravenous contrast revealed the hemorrhage into medial parts of left temporal lobe and allowed surmising the vascular malformation. Cerebral angiography showed the cause of hemorrhage - aneurysm of PChA. The usage of frameless neuronavigation system allowed planning and accomplishing the least traumatic approach to aneurysm with removal of intracerebral hematoma and clipping of aneurysm. The full regress of neurological signs was seen in postoperative period.

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The authors declare that there are no conflicts of interest present.