Fatal Bleeding From Arterial Dissection After Clipping of a Ruptured Aneurysm : Case Report
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概要
- 論文の詳細を見る
A 67-year-old man died of subarachnoid hemorrhage (SAH) resulting from dissection of the distal part of the anterior cerebral artery (ACA). A saccular aneurysm in the anterior communicating artery had ruptured and was successfully clipped on Day 0. The patient recovered consciousness after surgery but his condition deteriorated due to another SAH on Day 1. A second surgical procedure disclosed bleeding from a laceration in the opposite wall of the ACA distal to the clipped aneurysm. Histological examination of the autopsy specimens revealed damage to the internal elastic lamina and inflammatory infiltration of leukocytes. The fatal dissection may have resulted from atherosclerosis, hemodynamic stress caused by hypertension, or trauma due to surgical manipulation.
- 日本脳神経外科学会の論文
- 2003-12-15
著者
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YAMAGATA Sen
Departments of Neurosurgery, Faculty of Medicine, Kyoto University
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Hojo Masato
Department of Neurosurgery, Graduate School of Medicine, Kyoto University
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KIKUTA Ken-ichiro
Department of Neurosurgery, Kyoto University Graduate School of Medicine
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Kikuchi Kenji
Department Of Neurosurgery Kyoto University Graduate School Of Medicine
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Yamagata Sen
Department Of Neurosurgery Kurashiki Central Hospital
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GOTO Yasunobu
Department of Neurosurgery, Faculty of Medicine, Kyoto University
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Goto Yasunobu
Department Of Neurosurgery Kyoto University Graduate School Of Medicine
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Goto Yasunobu
Department Of Neurosurgery Faculty Of Medicine Kyoto University
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Hojo Masato
Department Of Neurosurgery Kurashiki Central Hospital
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Kikuta Ken-ichiro
Department Of Neurosurgery Kyoto University Graduate School Of Medicine
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Kikuta Ken-ichiro
Department Of Neurosurgery Kurashiki Central Hospital
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Kikuta Ken-ichiro
Department Of Neurosurgery Faculty Of Medical Sciences University Of Fukui
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HOJO Masato
Department of Neurosurgery, Kurashiki Central Hospital
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