Subarachnoid Hemorrhage Caused by Ruptured Dissecting Aneurysm Arising From the Extracranial Distal Posterior Inferior Cerebellar Artery : Case Report
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概要
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A 50-year-old man presented with a dissecting aneurysm arising from the extracranial portion of the right posterior inferior cerebellar artery (PICA) causing subarachnoid hemorrhage (SAH) and manifesting as sudden onset of disturbed consciousness. Computed tomography showed SAH with ventricular reflux predominantly in the posterior fossa. Angiography revealed a fusiform aneurysm of the right PICA originating extracranially from the right vertebral artery. The aneurysm was isolated and excised. Histological examination showed dissection of the aneurysm wall. Dissecting aneurysm arising from the extracranial portion of the PICA is extremely rare.
- 2010-01-15
著者
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TANAKA Toshihide
Department of Neurosurgery, Jikei University School of Medicine Kashiwa Hospital
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NAKAMURA Homare
Department of Neurosurgery, Ishioka Cardiology and Neurosurgery Hospital
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HIYAMA Takami
Department of Neurosurgery, Ishioka Cardiology and Neurosurgery Hospital
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OKUBO Shinji
Department of Neurosurgery, Ishioka Cardiology and Neurosurgery Hospital
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KUDO Tadashi
Department of Neurosurgery, Ishioka Cardiology and Neurosurgery Hospital
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KOBAYASHI Hiroo
Department of Neurosurgery, Ishioka Cardiology and Neurosurgery Hospital
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ODANAKA Mieko
Department of Pathology, St. Marianna University School of Medicine
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Kudo Tadashi
Department Of Neurosurgery Ishioka Cardiology And Neurosurgery Hospital
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Okubo Shinji
Department Of Neurosurgery Ishioka Cardiology And Neurosurgery Hospital
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Hiyama Takami
Department Of Neurosurgery Ishioka Cardiology And Neurosurgery Hospital
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Odanaka Mieko
Department Of Pathology St. Marianna University School Of Medicine
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Odanaka Mieko
Department Of Pathology Department Of Internal Medicine St Marianna University School Of Medicine
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Tanaka Toshihide
Department Of Neurosurgery Jikei University School Of Medicine Kashiwa Hospital
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Tanaka Toshihide
Department Of Neurosurgery Jikei University School Of Medicine
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Okubo Shinji
Department Of Cardiology Kanazawa Medical University
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Nakamura Homare
Department Of Neurosurgery Ishioka Cardiology And Neurosurgery Hospital
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Kobayashi Hiroo
Department Of Neurosurgery Ishioka Cardiology And Neurosurgery Hospital
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Tanaka Toshihide
Department Of Neurosurgery Jikei University Kashiwa Hospital
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