Impaired Cognitive Function Due to Cerebellar Infarction and Improvement After Stent-Assisted Angioplasty for Intracranial Vertebral Artery Stenosis : Case Report
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概要
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A 69-year-old female presented with multiple cerebellar infarctions and mild cognitive dysfunction. Cerebral angiography revealed severe right vertebral artery (VA) stenosis just proximal to the origin of the posterior inferior cerebellar artery. Neuropsychology tests showed the mini-mental state examination (MMSE) score was 21, and the Wechsler Adult Intelligence Scale-Revised (WAIS-R) score was 70. Cerebrovascular reactivity (CVR) was decreased in the bilateral cerebral and cerebellar hemispheres. Stent-assisted angioplasty of the right VA was performed to prevent recurrence of the cerebellar infarction. Post-procedure, the neuropsychology tests showed cognitive improvement to MMSE score of 26 and WAIS-R score of 84. CVR had also improved in the bilateral cerebral hemispheres. Cerebellar hypoperfusion due to VA stenosis had probably caused functional depression of the cerebello-cerebral pathway, a condition referred to as crossed cerebello-cerebral diaschisis. In this case, cognitive dysfunction was reversed due to recovery of the cerebello-cerebral pathway.
- 社団法人 日本脳神経外科学会の論文
- 2010-02-15
著者
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SUZUKI Kensuke
Department of Neurosurgery, Graduate School of Comprehensive Human Sciences, University of Tsukuba
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MATSUMURA Akira
Department of Neurosurgery, Graduate School of Comprehensive Human Sciences, University of Tsukuba
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ITO Yoshiro
Department of Mechanical Engineering Nagaoka University of Technology
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MATSUMARU Yuji
Department of Endovascular Neurosurgery, Toranomon Hospital
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Ito Yoshiro
Department Of Neurosurgery Institute Of Clinical Medicine University Of Tsukuba
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Matsumaru Yuji
Department Of Interventional Neuroradiology Toranomon Hospital
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Matsumaru Yuji
Department Of Endovascular Neurosurgery Toranomon Hospital
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Matsumura Akira
Department Of Neurosurgery Graduate School Of Comprehensive Human Sciences University Of Tsukuba
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Suzuki Kensuke
Department Of Neurosurgery Institute Of Clinical Medicine University Of Tsukuba
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Suzuki Kensuke
Department Of Mathematics And Physics Grad School Of Natural Science And Technology Kanazawa Univ
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Ito Yoshiro
Department Of Applied Chemistry School Of Engineering Nagoya University
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Matsumura Akira
Department Of Gastroenterology Dokkyo Medical University
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Suzuki Kensuke
Department Of Internal Medicine (1) University Of Toyama
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Matsumura Akira
Department Of Neurosurgery Institute Of Clinical Medicine Graduate School Of Comprehensive Human Science University Of Tsukuba
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Matsumura Akira
Department Of Forest Resources Science Shizuoka University
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SUZUKI Kensuke
Department of High Energy Astrophysics, Institute of Space and Astronautical Science, Japan Aerospace Exploration Agency
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MATSUMURA Akira
Department of Electronic Science and Engineering, Faculty of Engineering, Kyoto University
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Suzuki Kensuke
Department of Applied Physics, Graduate School of Engineering, Tohoku University, 6-6-05 Aoba, Aramaki, Aoba-ku, Sendai 980-8579, Japan
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