Aneurismas gigantes da artéria cerebral média. Revisão de literatura

Autores

  • Nathalia Akemi Vignoli
  • Marcos Roberto Furlan
  • Samuel Damin Carr De Muzio

DOI:

https://doi.org/10.22290/jbnc.v32i4.1992

Palavras-chave:

Aneurismas intracranianos gigantes, Artéria cerebral média, Desordens vasculares, Trombose, Tratamento combinado

Resumo

Aneurismas cerebrais gigantes de artéria cerebral média (ACM) possuem características particulares relacionadas não só à morfologia, predominantemente sacular, como também à topografia. Apesar de constituir uma porcentagem pequena em relação aos aneurismas intracranianos, há alta taxa de ruptura relacionada com alta mortalidade (maior que 60% em dois anos). As abordagens do tratamento são baseadas primariamente na microcirurgia por clip reconstruction. No entanto, a técnica endovascular e a revascularização por bypass podem ser associadas. Dessa forma, o tratamento visa alcançar melhores desfechos clínicos e melhores taxas de sobrevida. Como contribuição ao tema, essa revisão de literatura feita em bases de dados, considerando o intervalo entre 1997 e 2017 e teve como objetivo apresentar e discutir os principais tratamentos desses aneurismas e analisar as propriedades que o levaram a ser tão importante para a neurocirurgia vascular. Como conclusão, verifica-se que é imprescindível o estabelecimento da abordagem multidisciplinar no tratamento de aneurismas gigantes de ACM, além de mais estudos, com intuito de criar novas perspectivas.

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Biografia do Autor

Nathalia Akemi Vignoli

Student of Medicine, Medicine Department, Universidade de Taubaté. Taubaté, São Paulo, Brazil

Marcos Roberto Furlan

Professor of Scientific Methodology, Medicine Department, Universidade de Taubaté. Taubaté, São Paulo, Brazil

Samuel Damin Carr De Muzio

MD, Neurosurgeon, Professor at the Neurology and Neurosurgery Department, Universidade Nove de Julho, São Paulo, São Paulo, Brazil

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Publicado

2022-01-06

Como Citar

1.
Vignoli NA, Furlan MR, Damin Carr De Muzio S. Aneurismas gigantes da artéria cerebral média. Revisão de literatura. jbnc [Internet]. 6º de janeiro de 2022 [citado 26º de maio de 2022];32(4):395-40. Disponível em: https://jbnc.emnuvens.com.br/jbnc/article/view/1992