Intracerebral Hemorrhage From a Ruptured Aneurysm at the Site of Anastomosis 27 Years After Superficial Temporal Artery-Middle Cerebral Artery Bypass : Case Report
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概要
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A 77-year-old female presented with a very rare case of intracerebral hemorrhage (ICH) from a ruptured aneurysm at the site of the anastomosis 27 years after superficial temporal artery-middle cerebral artery (STA-MCA) bypass manifesting as sudden onset of unconsciousness and right hemiparesis. Computed tomography (CT) on admission demonstrated massive ICH in the left frontoparietal region. Magnetic resonance angiography showed good patency of the anastomosis and no obvious aneurysm, but three-dimensional CT (3D-CT) angiography revealed a small aneurysm at the site of the left STA-MCA anastomosis. Emergency evacuation of the hematoma was performed, and the aneurysm was trapped and resected after ligation. After the operation, she continued to exhibit deep consciousness disturbance. Unfortunately, her general condition grew steadily worse and she died 3 months later. Patients who undergo STA-MCA anastomosis should be carefully followed up by periodical imaging examinations. 3D-CT angiography is very useful to detect aneurysm formation at the anastomosis site.
- 2010-11-15
著者
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KURODA Satoshi
Department of Neurosurgery, Hokkaido University Graduate School of Medicine
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SAITOH Hisatoshi
Sapporo Azabu Neurosurgical Hospital
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YASUDA Hiroshi
Sapporo Azabu Neurosurgical Hospital
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Kuroda Satoshi
Department Of Neurosurgery Hokkaido University Graduate School Of Medicine
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Kuroda Satoshi
Department Of Biology Faculty Of Science Yamagata University
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Hokari Masaaki
Sapporo Azabu Neurosurgical Hospital
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IWASAKI Motoyuki
Sapporo Azabu Neurosurgical Hospital
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KAWABORI Masahito
Sapporo Azabu Neurosurgical Hospital
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ABE Satoru
Sapporo Azabu Neurosurgical Hospital
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