Extensive Edema in the Thalamus Caused by Thrombosed Basilar Artery Aneurysm : Case Report
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概要
- 論文の詳細を見る
脳動脈瘤は一般に周囲脳組織に浮腫は伴わないが、動脈瘤が急速に増大した際は浮腫を伴う事が知られている。今回我々は、血栓化した動脈瘤壁内に出血を来し急速に増大し、両側視床に浮腫を伴った69歳女性の血栓化巨大脳底動脈瘤の例を経験した。来院時、意識障害とパリノー徴候を認めたが、保存的治療で改善した。経時的にMRIで壁内出血の消退と浮腫の軽減が確認され、XeCTで両側視床の脳血流と血管反応性の低下および、その後の改善が証明された。動脈瘤の急速な増大が両側視床の浮腫を引き起こし、この部位の脳血流と血管反応性を低下させ、これが神経症状の発現に関与していた事が示唆された。
- 1998-05-15
著者
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中山 義也
福岡大学筑紫病院 脳神経外科
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Tanaka Akira
Department of Health and Nutrition, College of Human and Environmental Studies, Kanto-Gakuin Univers
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YOSHINAGA Shinya
Department of Neurosurgery, Fukuoka University, Chikushi Hospital
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中山 義也
福岡大学筑紫病院脳神経外科
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Yoshinaga Shinya
Department Of Neurosurgery Fukuoka University Chikushi Hospital
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Ohshiro Shinya
Department Of Neurosurgery Fukuoka University Chikushi Hospital
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Tanaka Akira
Department Of Diagnostic Pathology Jichi Medical University
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TANAKA Akira
Department of Agricultural Chemistry, Faculty of Agriculture, Tohoku University
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