前交通动脉瘤直接手术效果最好,处置该瘤的手术入路较多。近来我们采用横切口、环钻开颅,经半球间入路处置前交通动脉瘤,损伤小,显露满意,现报告如下。 例1 男,51岁。突发头痛、呕吐,抽搐,意识障碍9天于1990年9月22日入院。检查:半昏迷,颈强直,两侧视乳头水肿,右侧偏瘫,肌力0级。脑CT扫描示额底正中,纵裂内长条状高密度影,两侧脑室内积血。腰椎 Direct anterior communicating artery aneurysm surgery the best, more surgical treatment of the tumor approach. Recently, we use transverse incision, trephine craniotomy, the interhemispheric approach to the traffic artery aneurysm before treatment, injury is small, revealed satisfactory, are as follows. Example 1 Male, 51 years old. Sudden headache, vomiting, convulsions, disturbance of consciousness 9 days in September 22, 1990 admission. Check: semi-coma, neck stiffness, bilateral papilledema, hemiplegia on the right, muscle strength 0. Brain CT scan at the bottom of the median, longitudinal strip of high-density film, both intracerebral hemorrhage. Lumbar