Neurological Surgery 脳神経外科51巻2号

2023年03月発行

特集 新時代を迎えた脳血管内治療—文献レビューで学ぶ進歩とトレンド Ⅱ 出血性病変

未破裂脳動脈瘤〈適応と成績編〉

著者： 石橋敏寛¹

所属機関： ¹東京慈恵会医科大学脳神経外科

ページ範囲：P.201 - P.212

Point
・未破裂脳動脈瘤は原則無症候性疾患であるため，治療適応の見極めが大切である．
・治療の目的は破裂予防と患者の精神的負担の軽減である．そのため，手術適応の1つの指標は医師-患者間の良好な関係を築くことが大前提である．また，脳血管内治療は再発・再治療の可能性がある治療のため，長期的に患者をフォローできることが必要である．
・脳血管内治療が「可能」であることと「向いている」ということは相違するため，根治的な視点で治療方針を決定する必要がある．

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