Susceptibility-Weighted Magnetic Resonance Imaging Detects Impaired Cerebral Hemodynamics in the Superior Sagittal Sinus Thrombosis : Case Report
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概要
- 論文の詳細を見る
An 11-year-old female receiving treatment for acute lymphoblastic leukemia presented with superior sagittal sinus (SSS) thrombosis. T1-weighted, T2-weighted, and fluid-attenuated inversion recovery magnetic resonance (MR) imaging, and MR venography showed that the SSS was totally occluded by thrombus. Susceptibility-weighted MR imaging showed hypointense thrombus in the SSS and markedly dilated cortical veins over the bilateral cerebral hemispheres. Two days later, her symptoms had slightly resolved. Iodine-123 N-isopropyl-p-iodoamphetamine single photon emission computed tomography showed marked decrease of cerebral blood flow in the bilateral frontal lobes, indicating that venous congestion had disturbed the cerebral hemodynamics. MR venography showed that the SSS was still mostly occluded, but susceptibility-weighted imaging showed that the dilation of the cortical veins was less marked, suggesting that collateral venous routes had gradually developed. The finding of dilated cortical veins had almost disappeared at 28 days after the onset. Susceptibility-weighted imaging can be used as a non-invasive method to monitor the severity of venous congestion caused by cerebral venous sinus thrombosis.
- 社団法人 日本脳神経外科学会の論文
- 2009-06-15
著者
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中山 若樹
北海道大学 神経外科
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KANEDA MAKOTO
Department of Pediatrics, Hokkaido University Graduate School of Medicine
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Nakayama Naoki
Department Of Neurosurgery Hokkaido University Graduate School Of Medicine
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中山 若樹
北海道大学医学部付属病院脳神経外科
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中山 若樹
札幌麻生脳神経外科病院
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KURODA Satoshi
Department of Neurosurgery, Hokkaido University Graduate School of Medicine
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IWASAKI Yoshinobu
Department of Neurosurgery, Hokkaido University Graduate School of Medicine
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Kaneda Makoto
Department Of Pediatrics Hokkaido University Graduate School Of Medicine
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Kaneda Makoto
Department Of Chemistry Faculty Of Science Kagoshima University
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Nakayama Naoki
Department Of Neurosurgery Kushiro Rousai Hospital
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Nakayama Naoki
Department Of Ecosystem Studies Graduate School Of Agricultural And Life Sciences The University Of
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Nakayama Naoki
Department Of Neurosurgery Hokkaido University
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KAWABORI Masahito
Department of Neurosurgery, Hokkaido University Graduate School of Medicine
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KURODA Satoshi
Sapporo Azabu Neurosurgical Hospital
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TERAE Satoshi
Department of Radiology, Hokkaido University Graduate School of Medicine
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Kudou Kousuke
Department Of Radiology Iwate Medical University
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Iwasaki Yoshinobu
Department Of Neurosurgery Hokkaido University Graduate School Of Medicine
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Iwasaki Y
Miyagi National Hospital
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Terae Satoshi
Department Of Radiology Hokkaido University Graduate School Of Medicine
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Kuroda Satoshi
Department Of Neurosurgery Hokkaido University Graduate School Of Medicine
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Kuroda Satoshi
Department Of Neurosurgery Hokkaido University School Of Medicine
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Kuroda Satoshi
Department Of Biology Faculty Of Science Yamagata University
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KUDO Kohsuke
Department of Radiology, Iwate Medical University
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Kuroda Satoshi
Department Of Neurosurgery Hokkaido University Graduate School Of Medicine Sapporo And The Chemo-ser
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IWASAKI Yoshinobu
Sapporo Azabu Neurosurgical Hospital
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Kawabori Masahito
Department Of Neurosurgery Hokkaido University Graduate School Of Medicine
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Terae Satoshi
Department Of Diagnostic And Interventional Radiology Hokkaido University Hospital
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Nakayama Naoki
Hokkaido University Graduate School Of Medicine Department Of Neurosurgery
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Iwasaki Yoshinobu
Department Of Neurosurgery Sapporo Azabu Neurosurgical Hospital
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中山 若樹
Department of Neurosurgery, Hokkaido University Graduate School of Medicine
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Nakayama Naoki
Department of Cardiovascular Medicine, Faculty of Life Sciences, Kumamoto University
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