Dissecting Basilar Artery Aneurysm Growing During Long-term Follow Up
スポンサーリンク
概要
- 論文の詳細を見る
A 58-year-old male presented with a dissecting aneurysm of the basilar artery manifesting as dysarthria, left hemiparesis, and numbness of the left side. Angiography revealed a double lumen at the midportion of the basilar artery which was consistent with a diagnosis of dissecting basilar artery aneurysm. The patient was treated conservatively, and remained neurologically stable for a 5-year period following initial presentation, but serial magnetic resonance imaging revealed growth of the aneurysm compressing the brain stem. His condition then worsened. Computed tomography revealed obstructive hydrocephalus. Ventriculoperitoneal shunting was performed and the patient's symptoms improved. However, he died of subarachnoid hemorrhage. Autopsy showed the patient had had a type 3 "dolichoectatic dissecting aneurysm." Surgical treatment should be seriously considered for treating the patients with dissecting basilar artery aneurysm causing brain stem ischemia, especially if the aneurysm is growing. High-flow bypass and proximal occlusion may be the choice in patients with poor collateral circulations.
- 日本脳神経外科学会の論文
- 2002-12-15
著者
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Migita Keisuke
Department of Neurophysiology, Hirosaki University Graduate School of Medicine
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Hayashi Yuzo
Department of Pharmaceutical Sciences, Kitasato University, 5-9-1, Shirogane, Minato-ku, Tokyo 108-0
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Hayashi Yuzo
Department Of Cardiology Nagoya University Graduate School Of Medicine
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Kurisu Kaoru
Department of Neurosurgery, Graduate School of Biomedical Sciences, Hiroshima University
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Kurisu Kaoru
Department Of Neurosurgery
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OKAZAKI Takahito
Department of Neurosurgery, Graduate School of Biomedical Sciences, Hiroshima University
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Migita Keisuke
Department Of Neurophysiology Hirosaki University Graduate School Of Medicine
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Migita Keisuke
Department Of Neurosurgery Hiroshima City Asa Hospital
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NABIKA Shinya
Department of Neurosurgery, Hiroshima City Asa Hospital
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OKI Shuichi
Department of Neurosurgery, Hiroshima City Asa Hospital
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ISOBE Naoyuki
Department of Neurosurgery, Hiroshima City Asa Hospital
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WATANABE Yosuke
Department of Neurosurgery, Hiroshima City Asa Hospital
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Watanabe Yosuke
Department Of Neurosurgery Hiroshima City Asa Hospital
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Okazaki Takahito
Department Of Neurosurgery Hiroshima City Asa Hospital
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Watanabe Yosuke
Department Of Mathematical Sciences College Of Engineering Osaka Prefecture University
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Oki Shuichi
Department Of Neurosurgery Hiroshima City Asa Hospital
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Nabika Shinya
Department Of Neurosurgery Hiroshima City Asa Hospital
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Isobe Naoyuki
Department Of Neurosurgery Hiroshima City Asa Hospital
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Okazaki Takahito
Department Of Neurosurgery Graduate School Of Biomedical Sciences Hiroshima University
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Hayashi Yuzo
Departments Of Pathology Hiroshima City Asa Hospital
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Hayashi Yuzo
Department Of Cardiology Kasugai Municipal Hospital
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Watanabe Yosuke
Department Of Internal Medicine Ii University Of Yamanashi Faculty Of Medicine
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Oki Shuichi
Department of Applied Chemistry, Faculty of Engineering, Keio University
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