颅内壁间动脉瘤,在椎基底动脉系统相当常见。过去认为该病应尽可能手术治疗。新近文献揭 示了其良性自然发展史,对于该病的手术指征提出了质疑。本文通过6例本病临床观察说明非手术治疗的可能性。 临床资料与方法:本组6例,男4例、女2例,年龄33～64岁(平均51.5岁)。4例位于椎动脉,2例位于基底动脉。均有脑缺血症状。4例有高血压史。CT及CSF检查排除SAH。6例均采取非手术治疗。包括控制血压和卧床休息数周。5例经系列脑血管造影追踪观察,直至病灶消失或稳定。 Intracranial aneurysms, vertebrobasilar system is quite common. In the past that the disease should be treated as much as possible. Recent literature reveals the history of its benign and natural development, which has challenged the indication of the disease. This article through 6 clinical observation of this disease shows the possibility of non-surgical treatment. Clinical data and methods: The group of 6 patients, 4 males and 2 females, aged 33 to 64 years (mean 51.5 years). Four cases were located in the vertebral artery and two in the basilar artery. Have symptoms of cerebral ischemia. 4 cases had a history of hypertension. CT and CSF examination to exclude SAH. 6 cases were taken non-surgical treatment. Including controlling blood pressure and bed rest for several weeks. Five cases were followed up by series of cerebrovascular angiography until the lesion disappeared or was stable.