Ruptured Vertebral Artery Dissecting Aneurysm Associated With Parent Artery Occlusion : Case Report
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概要
- 論文の詳細を見る
A 63-year-old hypertensive man presented with vertebral artery (VA) dissection manifesting as subarachnoid hemorrhage located mainly in the posterior fossa. Left vertebral angiography on the day of hemorrhage showed complete occlusion of the left VA. Right vertebral angiography showed retrograde filling of the distal portion of the left VA and the left posterior inferior cerebellar artery, and a "double lumen"-like finding in the left VA. He was managed conservatively. Follow-up angiography on Day 29 showed spontaneous recanalization of the occlusive lesion and an almost normal arterial configuration. T_2-weighted magnetic resonance (MR) imaging on Day 45 revealed multiple infarctions in the brainstem. T_1-weighted MR imaging showed a high intensity area, suggestive of intramural hematoma, in the left VA. He was transferred to another hospital in a persistent vegetative state.
- 日本脳神経外科学会の論文
- 2003-06-15
著者
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Higashi Toru
Department Of Neurosurgery Himeji Central Hospital
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TANIMOTO Takaho
Department of Neurological Surgery, Kobe West Municipal Hospital
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Sakai Kyoji
Department Of Neurosurgery Himeji Central Hospital
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Sakai Kyoji
Department Of Neurological Surgery Okayama University Medical School:m.d. Department Of Neurobiology
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KAMEDA MASAHIRO
Department of Orthopaedic Surgery, Dokkyo Medical University School of Medicine
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TERASAKA Kaoru
Department of Neurosurgery, Himeji Central Hospital
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SUGATANI Hiroshi
Department of Neurosurgery, Himeji Central Hospital
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Tanimoto Takaho
Department Of Neurological Surgery Kobe West Municipal Hospital
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Tanimoto Takaho
Department Of Neurosurgery Himeji Central Hospital
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Terasaka Kaoru
Department Of Neurosurgery Himeji Central Hospital
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Sugatani Hiroshi
Department Of Neurosurgery Himeji Central Hospital
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Kameda Masahiro
Department Of Neurosurgery Himeji Central Hospital
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