๐ง ใใใใ็ ใจๅ่็คใฎ้ขไฟ
ใใใใ็ ใฏใ่ณใฎ่ก็ฎกใ็ญใใชใใ่กๆตใๆชๅใใ็ ๆฐใงใใใใฎ็ ๆฐใซ้ข้ฃใใๅ่็ค๏ผAA-MMA๏ผใฏใไธ่ฌ็ใชไบบๅฃใซๆฏในใฆ็บ็็ใ5ๅ้ซใใ็ ด่ฃใฎใชในใฏใ้ๅธธใซ้ซใใใจใ็ฅใใใฆใใพใใไปๅใฎ็ ็ฉถใงใฏใAA-MMAใซ้ขใใ่จๅบ็ไพใๅ ฑๅใใใฆใใใๆ่กใฎ็นๅพดใๆฒป็ใขใซใดใชใบใ ใซใคใใฆใฎ่ๅฏใใชใใใฆใใพใใ
๐ ็ ็ฉถๆฆ่ฆ
ๆฌ็ ็ฉถใงใฏใใใใใ็ ใซ้ข้ฃใใๅ่็คใฎ่จๅบไพใ2ไพ็ดนไปใใฆใใพใใไธกไพใจใใๅ่็คใฎ็ ด่ฃใใใใๆ่กๆฒป็ใ่กใใใพใใใใใใซใใใAA-MMAใฎๆฒป็ใซใใใๆ่กใฎ้ธๆ่ขใจใใฎ็ตๆใซใคใใฆ่ๅฏใใชใใใฆใใพใใ
๐ ๏ธ ๆนๆณ
็ ็ฉถใงใฏใไปฅไธใฎ2ไพใฎๆฃ่ ใๅฏพ่ฑกใจใชใใพใใใ
- ๆฃ่ 1: ๅณๅดใฎใฌใณใบ็ถ็ทๆกๅ่ใฎ้ ไฝๅ่็ค๏ผSuzuki III๏ผใไผดใใใใใ็ ใๅ่็คใฎๅกๆ ่กใ่กใใ3ใถๆๅพใซๅ่ก่กๅๅปบใๅฎๆฝใ
- ๆฃ่ 2: ๅๅฏพๅดใฎใใใใ็ ใซ้ข้ฃใใๅๅคง่ณๅ่-ๅ่้ฃ็ต๏ผACA-AcomA๏ผๅ่็คใๅ่็คใฎ้กๅพฎ้กไธใฏใชใใใณใฐใ่กใใ1.5ใถๆๅพใซๅ่ก่กๅๅปบใๅฎๆฝใ
๐ ไธปใชใใคใณใ
| ๆฃ่ | ๅ่็คใฎ็จฎ้ก | ๆฒป็ๆณ | ็ตๆ |
|---|---|---|---|
| ๆฃ่ 1 | ๅณๅดใฌใณใบ็ถ็ทๆกๅ่ใฎ้ ไฝๅ่็ค | ๅ่็คๅกๆ ่ก + ๅ่ก่กๅๅปบ | ๅ่็คใฎ้คๅปใ2ๅนด้ใฎๅ็บใชใ |
| ๆฃ่ 2 | ๅๅคง่ณๅ่-ๅ่้ฃ็ตๅ่็ค | ้กๅพฎ้กไธใฏใชใใใณใฐ + ๅ่ก่กๅๅปบ | ๅ่็คใฎ้คๅปใ9ๅนด้ใฎๅ็บใชใ |
๐ญ ่ๅฏ
AA-MMAใฏ่ค้ใช็ ๆ ใงใใใ็นๅฅใชๆณจๆใๅฟ ่ฆใงใใๆจๆบ็ใชๆ่กๆนๆณใฏใใใฐใใฐ้ซใใชในใฏใไผดใใใใๆ่กๅใฎ่จ็ปใใใใใ็ ใฎ็ ๅ ็็นๅพดใ่ๆ ฎใใใใจใ้่ฆใงใใไปๅใฎ็ไพใงใฏใๅ่็คใฎๆๅใใ้คๅปใจๅ่ก่กๅๅปบใ็คบใใใฆใใใไปๅพใฎๆฒป็ๆน้ใซใใใฆใ้่ฆใช็ฅ่ฆใจใชใใพใใ
๐ ๅฎ็ๆดปใขใใใคใน
- ใใใใ็ ใฎ็็ถ๏ผ้ ญ็ใใใพใใๆ่ญ้ๅฎณใชใฉ๏ผใซๆณจๆใๆใใๆฉๆใซๅป็ๆฉ้ขใๅ่จบใใใ
- ๅฎๆ็ใช่ณใฎๆคๆปใๅใใๅ่็คใฎๆ็กใ็ขบ่ชใใใ
- ๅฅๅบท็ใช็ๆดป็ฟๆ ฃใ็ถญๆใใ่กๅงใใณใฌในใใญใผใซๅคใ็ฎก็ใใใ
- ๅปๅธซใจ็ธ่ซใใๅฟ ่ฆใซๅฟใใฆๆฒป็ๆณใๆค่จใใใ
โ ๏ธ ้็/่ชฒ้ก
ๆฌ็ ็ฉถใฎ้็ใจใใฆใ็ไพๆฐใๅฐใชใใใจใๆใใใใพใใใใๅคใใฎ็ไพใ้ใใใใจใงใAA-MMAใฎๆฒป็ใซ้ขใใ็ฅ่ฆใๆทฑใใๅฟ ่ฆใใใใพใใใพใใๆ่กๅพใฎ้ทๆ็ใชใใฉใญใผใขใใใๆฑใใใใพใใ
ใพใจใ
ใใใใ็ ใจๅ่็คใฎ้ข้ฃๆงใฏๆทฑใใๆฒป็ใซใฏ็นๅฅใช้ ๆ ฎใๅฟ ่ฆใงใใไปๅพใฎ็ ็ฉถใซใใฃใฆใใใๅฎๅ จใงๅนๆ็ใชๆฒป็ๆณใ็ขบ็ซใใใใใจใๆๅพ ใใใพใใ
๐ ้ข้ฃใชใณใฏ้
ๅ่ๆ็ฎ
| ๅ้ก | [Aneurysms associated with moyamoya angiopathy (clinical cases)]. |
|---|---|
| ๆฒ่ผ่ช(ๅนด) | Zh Vopr Neirokhir Im N N Burdenko (2025) |
| DOI | doi: 10.17116/neiro20258906196 |
| PubMed URL | https://pubmed.ncbi.nlm.nih.gov/41307979/ |
| PMID | 41307979 |
ๆธ่ชๆ ๅ ฑ
| DOI | 10.17116/neiro20258906196 |
|---|---|
| PMID | 41307979 |
| PubMed URL | https://pubmed.ncbi.nlm.nih.gov/41307979/ |
| ็บ่กๅนด | 2025 |
| ่่ ๅ | Amiralieva M Sh, Ovsyannikov K S, Orlov K Yu, Somova A I, Sosnov A O, Dolgushin M B, Patsap O I, Senko I V |
| ่่ ๆๅฑ | Federal Center of Brain Research and Neurotechnology, Moscow, Russia. / Federal Neurosurgical Center, Novosibirsk, Russia. |
| ้่ชๅ | Zhurnal voprosy neirokhirurgii imeni N. N. Burdenko |