Ruptured Distal Anterior Inferior Cerebellar Artery Aneurysm Following Stereotactic Irradiation for Vestibular Schwannoma : Case Report
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概要
- 論文の詳細を見る
A 73-year-old woman presented with diffuse subarachnoid hemorrhage from a ruptured fusiform aneurysm directly arising from the right distal anterior inferior cerebellar artery. Six years before admission, she had undergone stereotactic irradiation for right vestibular schwannoma, under a diagnosis based on neuroimaging. The aneurysm was located within the radiation field. We performed trapping and resection of the aneurysm via a right lateral suboccipital craniotomy, and the patient made a good recovery. Histological examination revealed no evidence of elastic lamina in the aneurysm wall, suggesting pseudoaneurysm caused by radiation-induced vascular injury. Aneurysm formation after radiotherapy is relatively rare and often manifests as fatal hemorrhage. Long-term surviving patients who have received intracranial irradiation should undergo sequential follow up for possible vascular involvement.
- 社団法人 日本脳神経外科学会の論文
- 2009-05-15
著者
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YAMAGUCHI Shigeru
Department of Physics, Tokai University
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KATO Tsutomu
Department of Neurosurgery, Hokkaido University Graduate School of Medicine
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Kitamura Kei
Department Of Radiology Hakodate Municipal Hospital
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IKEDA Hitoshi
Department of Pathology/Pathophysiology, Division of Pathophysiological Science, Hokkaido University
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Yamaguchi Shigeru
Department Of Physics School Of Science Tokai University
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TAKEDA Makoto
Department of Neurosurgery, Hakodate Central Hospital
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Kato Tsutomu
Department Of Neurosurgery Hakodate Central Hospital
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Kato Tsutomu
Department Of Chemical And Biochemical Engineering Faculty Of Engineering Toyama University
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Takeda Makoto
Department Of Neurosurgery Hakodate Central Hospital
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Yamaguchi Shigeru
Department Of Neurosurgery Graduate School Of Medicine Hokkaido University
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Yamaguchi Shigeru
Department Of Neurosurgery Hakodate Central Hospital
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Ikeda Hitoshi
Department Of Clinical Laboratory Medicine The University Of Tokyo
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Ikeda Hitoshi
Department Of Pathology Hakodate Central Hospital
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Takeda Makoto
Department Of Cardiovascular Surgery Teikyo University Ichihara Hospital
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Yamaguchi Shigeru
Department Of Applied Chemistry Faculty Of Engineering Ehime Universiry
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IKEDA Hitoshi
Department of Animal Physiology, Faculty of Agriculture, Nagoya University
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