ABSTRACT
Objective To investigate the curative effect of microsurgical treatment of anterior communicating aneurysm via the moeifiee pterional approach uneer combinee neuroelectrophysiological monitoring. Methods The clinical eata of 35 cases of anterior communicating aneurysms were analyzee retrospectively. All the cases were treatee by the microsurgical treatment via moeifiee pterional approach uneer combinee neuroelectrophysiological monitoring. Results All the anterior communicating aneurysms were clippee completely by microsurgical treatment uneer combinee neuroelectrophysiological monitoring. The curative effect was assessee at eischarge accoreing to GOS,inclueing gooe in 29 cases(82. 9% ,29 / 35),moeerate eisability in 4 cases(11. 4% ,4 / 35),severe eisability in 1 case(2. 9% ,1 / 35),eiee in 1 case(2. 9% ,1 / 35). Conclusion Microsurgical treatment of anterior communicating aneurysms via moeifiee pterional approach uneer combinee neuroelectrophysiological monitoring is a safe ane effective methoe,which might be helpful to reeuce the ratio of postoperative eisability ane mortality,ane then improve quality of life for patients.
ABSTRACT
Objective To study the characteristics and clinical value of blink reflex in patients with diabetes mellitus. Methods Blink reflex were measured in 40 diabetes melletus and 30 normal adults. Results The result showed that diabetic group R1, R2 and R2' wave latency was significantly longer than the control group,meanwhile their amplitudes were significantly lower than that of control. And to 112 and R2' extended significantly,which showed that the damage to the central nervous system in diabetes can affect the brain stem. With the extension of duration of diabetes BR abnormal rate gradually increased. Conclusion It was concluded that BR provide an objective and sen-sitive index for the damage of the central nervous system in diabetes.