Middle Cerebral Artery Thrombolysis Through the Contralateral Internal Carotid Artery : Case Report
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概要
- 論文の詳細を見る
A 63-year-old male presented with sudden onset of right hemiplegia and global aphasia. On admission he was stuporous. Computed tomography (CT) revealed no abnormalities except for right intraventricular meningioma found incidentally. Emergency angiography confirmed complete occlusion of the left internal carotid artery (ICA) and left M! trunk whereas the left ICA bifurcation remained patent. The ipsilateral ICA was permanently occluded with two detachable balloons to prevent thrombus migration into the distal ICA and middle cerebral artery (MCA), followed by thrombolysis of the clot in the ipsilateral M! through the contralateral ICA with urokinase (total dose 420,000 U) under systemic heparinization. Partial recanalization of the ipsilateral MCA was accomplished. The time interval from onset to recanalization was about 3 hours. Postoperative CT showed no hemorrhagic transformation. Slight right paresis and mild motor aphasia persisted 2 months later and he was transferred to a rehabilitation facility. Thrombolysis of the MCA embolism can be performed through the contralateral ICA in the presence of ipsilateral ICA occlusion.
- 日本脳神経外科学会の論文
- 2004-07-15
著者
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TERAMOTO Akira
Departments of Neurosurgery, Nippon Medical School
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Yoshida Yoichi
Department of Electrical and Electronic Engineering Keio University
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Teramoto Akira
Department Of Neurosurgery Nippon Medical School
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KOBAYASHI Shiro
Department of Neurosurgery, Chiba Hokusoh Hospital, Nippon Medical School
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KANAZAWA Ryuzaburo
Department of Neurosurgery, Nippon Medical School
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KOMINAMI Shushi
Department of Neurosurgery, Nippon Medical School
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Kanazawa Ryuzaburo
Department Of Neurosurgery Nippon Medical School
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Teramoto Akira
The Department Of Neurosurgery Nephrology And Rheumatology Nippon Medical School
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Yoshida Yoichi
Department Of Neurosurgery 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 Neurological Institute Chiba Hokuso Hospital Nippon Medical School
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Kominami Shushi
Department Of Neurology Nephrology And Rheumatology 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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Kobayashi Shiro
Department Of Neurosurgery Nippon Medical School
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Kanazawa Ryuzaburo
Department Of Neurosurgery Nagareyama Central Hospital
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