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

• TOMINAGA Teiji

  Department of Neurosurgery, Tohoku University Graduate School of Medicine

• SATO Kenichi

  Department of Medical Genetics, Tohoku University School of Medicine

• OGAWA Yoshikazu

  Departments of Neurosurgery, Iwate Prefectural Central Hospital

• Matsumoto Yasushi

  Department Surgery (I), Kanazawa University School of Medicine

• Ogawa Yoshikazu

  Department Of Neurosurgery Kohnan Hospital

• NISHIJIMA Yasuo

  Department of Neurosurgery, Tohoku University School of Medicine

• Tominaga Teiji

  Department Of Neurosurgery Tohoku University Graduate School Of Medicine

• Tominaga Teiji

  Department Of Neurosurgery Tohoku Graduate School Of Medicine

• Tominaga Teiji

  Neurosurgery Tohoku University Graduate School Of Medicine

• Tominaga Teiji

  Departments Of Neurosurgery

• Nishijima Yasuo

  Department Of Neurosurgery Tohoku University Graduate School Of Medicine

• Matsumoto Yasushi

  Department Of Cardiovascular Surgery National Hospital Organization Kanazawa Medical Center

• Matsumoto Yasushi

  Department Of Cardiovascular Surgery Kanazawa Medical Center

• Sato Kenichi

  Department Of Neurosurgery Kohnan Hospital

• Sato Kenichi

  Department Of Civil Engineering Fukuoka University

• Sato Kenichi

  Department Of Chemistry The University Of Tokyo

• Matsumoto Yasushi

  Department Of Neuroendovascular Treatment Kohnan Hospital

• Sato Kenichi

  Department of Applied Chemistry, Faculty of Engineering, Utsunomiya University

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