Dissecting Aneurysm of the Anterior Temporal Artery : Case Report
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概要
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A 65-year-old woman presented a rare dissecting aneurysm of the anterior temporal artery (ATA) manifesting as headache. Computed tomography and magnetic resonance imaging revealed a mixed-density mass in the horizontal segment of the middle cerebral artery. Emergent angiography demonstrated aneurysmal dilatation and a thrombosed mass in the sylvian fissure. Infectious aneurysm was excluded. She underwent emergent surgery to reduce the risk of repeated infarction and hemorrhage. The distal side of the ATA manifested occlusive changes suggestive of arterial dissection. The proximal side of the ATA was ligated and the lesion was excised. Histological examination confirmed that the aneurysmal dilatation was attributable to arterial dissection due to disruption of the internal elastic lamina. Distal dissecting aneurysms may occur in the absence of infectious disease. We recommend that ruptured distal dissecting aneurysms be treated surgically in the acute stage immediately after detection.
- 2011-11-15
著者
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MIZUNARI Takayuki
Department of Neurosurgery, Neurological Institute, Chiba Hokuso Hospital, Nippon Medical School
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Teramoto Akira
The Department Of Neurosurgery Nephrology And Rheumatology Nippon Medical School
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Kominami Shushi
Department Of Neurosurgery Chiba Hokusoh Hospital Nippon Medical School
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Kobayashi Shiro
Department Of Neurosurgery Chiba Hokuso Hospital Nippon Medical School
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Kitamura Shin
The Second Department Of Internal Medicine Nippon Medical School
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Kobayashi Shiro
Department Of Material Chemistry Graduate School Of Engineering Kyoto University
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Teramoto Akira
Department Of Functional Polymer Science Shinshu University
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Mizunari Takayuki
Department Of Neurosurgery. Neurosurgical Institute Chiba Hokuso Hospital Nippon Medical School
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UMEOKA Katsuya
Department of Neurosurgery, Nippon Medical School Chiba Hokusoh Hospital
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SHIROKANE Kazutaka
Department of Neurosurgery, Nippon Medical School Chiba Hokusoh Hospital
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Umeoka Katsuya
Department Of Neurosurgery Nippon Medical School Chiba Hokusoh Hospital
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Shirokane Kazutaka
Department Of Neurosurgery Nippon Medical School Chiba Hokusoh Hospital
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Mizunari Takayuki
Department Of Neurosurgery Nippon Medical School Chiba-hokusoh Hospital
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