Background: The goal of this paper is to summarize the pupillary changes after papaverine application in intracranial aneurysms surgeries. Methods: We retrospectively analyzed the clinical data of six intracranial ane...Background: The goal of this paper is to summarize the pupillary changes after papaverine application in intracranial aneurysms surgeries. Methods: We retrospectively analyzed the clinical data of six intracranial aneurysm patients who were treated with papaverine application during surgery. Results: Two cases of ipsilateral papillary dilation, two cases of contralateral pupillary dilation, one case of bilateral pupillary dilation, and one case of asymmetric pupils were observed after craniotomy. All of these pupillary changes resolved in one-half to three hours without neurological deficits. Conclusions: Pupillary changes after the use of papaverine in intracranial aneurysm surgeries may be an instantaneous reaction to papaverine. Most cases can return to normal after close observation.展开更多
Chronic internal carotid artery occlusion(CICAO)is a chronic cerebrovascular disease which,from various causes,leads to progressive stenosis of the internal carotid artery lumen and finally to complete occlusion.With ...Chronic internal carotid artery occlusion(CICAO)is a chronic cerebrovascular disease which,from various causes,leads to progressive stenosis of the internal carotid artery lumen and finally to complete occlusion.With an aging society,the detection rate of CICAO is increasing year by year,with the highest incidence of CICAO in elderly men.The main clinical manifestations of CICAO are ischemic stroke and transient ischemic attack.Drug therapy is the first choice for asymptomatic CICAO,and surgical treatment is an optional means of improving prognosis for symptomatic CICAO that cannot be controlled by drugs.The selection of indications needs further study.This article reviews the latest research progress in the epidemiology,etiology,clinical features,imaging analysis,and treatment of CICAO in order to guide clinical diagnosis and treatment.展开更多
文摘Background: The goal of this paper is to summarize the pupillary changes after papaverine application in intracranial aneurysms surgeries. Methods: We retrospectively analyzed the clinical data of six intracranial aneurysm patients who were treated with papaverine application during surgery. Results: Two cases of ipsilateral papillary dilation, two cases of contralateral pupillary dilation, one case of bilateral pupillary dilation, and one case of asymmetric pupils were observed after craniotomy. All of these pupillary changes resolved in one-half to three hours without neurological deficits. Conclusions: Pupillary changes after the use of papaverine in intracranial aneurysm surgeries may be an instantaneous reaction to papaverine. Most cases can return to normal after close observation.
文摘Chronic internal carotid artery occlusion(CICAO)is a chronic cerebrovascular disease which,from various causes,leads to progressive stenosis of the internal carotid artery lumen and finally to complete occlusion.With an aging society,the detection rate of CICAO is increasing year by year,with the highest incidence of CICAO in elderly men.The main clinical manifestations of CICAO are ischemic stroke and transient ischemic attack.Drug therapy is the first choice for asymptomatic CICAO,and surgical treatment is an optional means of improving prognosis for symptomatic CICAO that cannot be controlled by drugs.The selection of indications needs further study.This article reviews the latest research progress in the epidemiology,etiology,clinical features,imaging analysis,and treatment of CICAO in order to guide clinical diagnosis and treatment.