Cushing's Disease Associated With Unruptured Large Internal Carotid Artery Aneurysm : Case Report
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概要
- 論文の詳細を見る
A 40-year-old woman with Cushings disease presented with hypertensive cerebral hemorrhage. Neuroimaging detected an unruptured large intracavernous aneurysm, which projected beyond the midline, and thin crescent-shaped adenoma along the aneurysm wall. The aneurysm was treated with endovascular tight packing with coils. Transsphenoidal adenomectomy was then safely performed. The signs of Cushings disease were resolved, and she was discharged without deficits. The first line therapy for Cushings disease is transsphenoidal adenomectomy. However, the therapeutic strategy and optimal timing of treatment are unclear for Cushings disease with large intracavernous aneurysm. The present case shows that transsphenoidal surgery was safely possible with minimal invasiveness after embolization of the intracavernous aneurysm.
- 社団法人 日本脳神経外科学会の論文
- 2010-08-15
著者
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TOMINAGA Teiji
Department of Neurosurgery, Tohoku University Graduate School of Medicine
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SATO Kenichi
Department of Medical Genetics, Tohoku University School of Medicine
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OGAWA Yoshikazu
Departments of Neurosurgery, Iwate Prefectural Central Hospital
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Matsumoto Yasushi
Department Surgery (I), Kanazawa University School of Medicine
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Ogawa Yoshikazu
Department Of Neurosurgery Kohnan Hospital
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NISHIJIMA Yasuo
Department of Neurosurgery, Tohoku University School of Medicine
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Tominaga Teiji
Department Of Neurosurgery Tohoku University Graduate School Of Medicine
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Tominaga Teiji
Department Of Neurosurgery Tohoku Graduate School Of Medicine
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Tominaga Teiji
Neurosurgery Tohoku University Graduate School Of Medicine
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Tominaga Teiji
Departments Of Neurosurgery
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Nishijima Yasuo
Department Of Neurosurgery Tohoku University Graduate School Of Medicine
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Matsumoto Yasushi
Department Of Cardiovascular Surgery National Hospital Organization Kanazawa Medical Center
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Matsumoto Yasushi
Department Of Cardiovascular Surgery Kanazawa Medical Center
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Sato Kenichi
Department Of Neurosurgery Kohnan Hospital
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Sato Kenichi
Department Of Civil Engineering Fukuoka University
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Sato Kenichi
Department Of Chemistry The University Of Tokyo
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Matsumoto Yasushi
Department Of Neuroendovascular Treatment Kohnan Hospital
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Sato Kenichi
Department of Applied Chemistry, Faculty of Engineering, Utsunomiya University
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