Spontaneous Regression of a Spinal Extradural Arteriovenous Fistula After Delivery by Cesarean Section : Case Report
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概要
- 論文の詳細を見る
A 23-year-old Japanese woman presented with a newly developed spinal extradural arteriovenous fistula (AVF) during pregnancy. She had been followed up for a suspected spinal cavernous angioma and became unable to walk during the 29th week of her pregnancy. Magnetic resonance (MR) imaging showed a spinal extradural AVF at the T3 to T4 levels compressing the spinal cord. After delivery by cesarean section, her neurological symptoms gradually began to resolve, and she was able to resume walking without assistance. MR imaging confirmed spontaneous regression of the AVF. This case suggests that exacerbated neurological symptoms and AVF growth triggered by pregnancy can improve after delivery without interventional treatment. Careful follow up of neurological findings is required to prevent unnecessary interventional procedures in pregnant women with spinal AVF.
- 社団法人 日本脳神経外科学会の論文
- 2009-07-15
著者
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KINOSHITA Manabu
Department of Immunology and Microbiology, National Defense Medical College
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ASAI Akio
Department of Neurosurgery, Metropolitan Komagome Hospital
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Asai Akio
Department Of Neurosurgery Kansai Medical University Hirakata Hospital
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KANZAKI Hideharu
Department of Obstetrics and Gynecology, Kansai Medical University School of Medicine
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KAWAMOTO Keiji
Departments of Neurosurgery, Kansai Medical University
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KOMEDA Shoko
Department of Obstetrics and Gynecology, Kansai Medical University Hirakata Hospital
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YOSHIMURA Kunikazu
Department of Neurosurgery, Kansai Medical University Hirakata Hospital
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TAKEDA Junichi
Department of Neurosurgery, Kansai Medical University Hirakata Hospital
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UESAKA Tatsuo
Department of Neurosurgery, Kansai Medical University Hirakata Hospital
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YAMANOUCHI Yasuo
Department of Neurosurgery, Kansai Medical University Takii Hospital
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Kinoshita Manabu
Department Of Cardiology Komatsushima Red Cross Hospital
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Kinoshita Manabu
Department Of Neurosurgery Kansai Medical University Hirakata Hospital
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Komeda Shoko
Department Of Obstetrics And Gynecology Kansai Medical University Hirakata Hospital
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Uesaka Tatsuo
Department Of Neurosurgery Kansai Medical University Hirakata Hospital
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Takeda Junichi
Department Of Neurosurgery Kansai Medical University Hirakata Hospital
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Kawamoto Keiji
Department Of Neurosurgery Kansai Medical University Takii Hospital
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Kawamoto Keiji
Department Of Neurosurgery Kansai Medical School
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Kanzaki Hideharu
Department Of Obstetrics And Gynecology Kansai Medical University
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Kanzaki Hideharu
Department Of Obstetrics And Gynecology Kansai Medical University Hirakata Hospital
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Yamanouchi Yasuo
Department Of Neurosurgery Kansai Medical University
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Yamanouchi Yasuo
Department Of Neurosurgery Kansai Medical University Takii Hospital
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Yoshimura Kunikazu
Department Of Neurosurgery Kansai Medical University Hirakata Hospital
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Yamanouchi Yasuo
Department Of Brain Surgery Kansai Medical University
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Kanzaki Hideharu
Department of Obstetrics & Gynecology, Kansai Medical University Hirakata Hospital
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Kawamoto Keiji
Department of Chemical Engineering, Faculty of Engineering Science, Osaka University
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