Subarachnoid Hemorrhage Caused by Aspergillus Aneurysm as a Complication of Transcranial Biopsy of an Orbital Apex Lesion : Case Report
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概要
- 論文の詳細を見る
眼窩先端部の腫瘍性病変に対し経頭蓋的に生検を行った後アスペルギルス脳動脈瘤が生じ、致死的なくも膜下出血を来たした症例を報告する。症例は、右視力障害と同眼窩部の痛みを主訴とし、MRIにて右眼窩先端部に小腫瘍が抽出された62歳の男性である。経頭蓋的性検により腫瘍性病変にはアスペルギルスがみられた。1カ月目に重篤なくも膜下出血を来たした。脳血管撮影にて右内頚動脈一後交通動脈動脈瘤を認め、剖検によりアスペルギルス動脈瘤を確認した。渉猟した30例の破裂アスペルギルス脳動脈瘤は、全例死亡しており、12例が脳神経外科手術による感染であった。以上より眼窩副鼻腔近傍病変の確定診断は、extradural approachによる生検の重要性が示唆される。
- 日本脳神経外科学会の論文
- 1998-07-15
著者
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岡田 芳和
島根医科大学脳神経外科
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YOSHIDA AKIRA
Department of Radiological Sciences, Hiroshima Prefectural College of Health Science
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SHIMA Takeshi
Department of Neurosurgery, Chugoku Rouse Hospital
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NISHIDA Masahiro
Department of Neurosurgery, Chugoku Rouse Hospital
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YAMANE Kanji
Department of Neurosurgery, Chugoku Rouse Hospital
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岡田 芳和
Department Of Neurosurgery Tokyo Women's Medical University
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Yamane Kanji
Departments Of Neurosurgery Chugoku Rousai Hospital
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Yamane Kanji
Department Of Neurosurgery Chugoku Rosai Hospital
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Shima Takeshi
Departments Of Neurosurgery Chugoku Rousai Hospital
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Nishida Masahiro
Departments Of Neurosurgery Chugoku Rousai Hospital
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Nishida Masahiro
Department Of Information And Computer Science Faculty Of Science And Technology Keio University
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Shima Takeshi
Department Of Electronics And Informatics Frontiers Faculty Of Engineering Kanagawa University
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Okada Yoshikazu
Department Of Neurosurgery Neurological Institute Tokyo Women's Medical University
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Yoshida Akira
Department Of Cardiology Mitsubishi Kyoto Hospital
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Nishida Masahiro
Department Of Engineering Physics Electronics And Mechanics Graduate School Nagoya Institute Of Tech
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Yoshida Akira
Department Of Cardiology Kyoto National Hospital
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Yoshida Akira
Department Of Agricultural Chemistry Nagoya University
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Yoshida Akira
Departments Of Intensive Care Medicine Chugoku Rousai Hospital
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YAMANE Kanji
Departments of Neurosurgery, Chugoku Rousai Hospital
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