Intracerebral Hemorrhage Caused by Ruptured Intracavernous Carotid Artery Aneurysm : Case Report
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概要
- 論文の詳細を見る
A 76-year-old woman presented with an enlarged right intracavernous carotid artery aneurysm first identified incidentally when she was hospitalized for thalamic hemorrhage. She was managed conservatively for 1 year, then suffered right total ophthalmoplegia associated with enlargement of the aneurysm. Two months later, she became comatose due to intracerebral hemorrhage in the right temporal lobe. Magnetic resonance imaging demonstrated further enlargement of the aneurysm. Emergency craniotomy found the lateral dural wall of the cavernous sinus was markedly expanded and torn by compression from the aneurysm. Rupture of the aneurysm into the intradural space through this dural defect was confirmed. The aneurysm was trapped after high-flow bypass, but the patient did not recover and died. Symptomatic enlarged intracavernous carotid artery aneurysm is potentially fatal and may indicate prompt surgical management.
- 社団法人 日本脳神経外科学会の論文
- 2009-04-15
著者
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TOYOTA Shingo
Department of Neurosurgery, Osaka Neurological Institute
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YOSHIMINE Toshiki
Department of Neurosurgery, Osaka University Medical School
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ISHIHARA Masahiro
Department of Neurosurgery, Osaka University Graduate School of Medicine
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IWATSUKI Koichi
Department of Neurosurgery, Osaka University Graduate School of Medicine
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IWAISAKO Kousuke
Department of Neurosurgery, Osaka Neurological Institute
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Yoshimine Toshiki
Department Of Neurosurgery Osaka University Graduate School Of Medicine
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Yoshimine Toshiki
Department Of Neurosurgery Osaka University Medical School
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Iwatsuki Koichi
Department Of Neurosurgery Osaka University Graduate School Of Medicine
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SHIBANO Katsuhiko
Department of Neurosurgery, Osaka Neurological Institute
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HARADA Yu
Department of Neurosurgery, Osaka Neurological Institute
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Toyota Shingo
Department Of Neurosurgery Osaka Neurological Institute
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Yoshimine Toshiki
Department Of Neurosurgery Course Of Interventional Medicine (e1) Osaka University Graduate School O
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TOYOTA Shingo
Center for Endovascular Neurosurgery, Osaka Neurological Institute
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Harada Yu
Department Of Neurosurgery Osaka Neurological Institute
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Harada Yu
Department Of Molecular Medicine Osaka University Graduate School Of Medicine
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Iwaisako Kousuke
Department Of Neurosurgery Osaka University Medical School
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Ishihara Masahiro
Department Of Neurosurgery Osaka University Graduate School Of Medicine
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Ishihara Masahiro
Department Of Advanced Nuclear Heat Technology Japan Atomic Energy Research Institute
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Shibano Katsuhiko
Department Of Neurosurgery Osaka Neurological Institute
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