Multiple Dural Arteriovenous Fistulas
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概要
- 論文の詳細を見る
多発性頭蓋内硬膜動静脈瘻の4症例を報告する。部位は前頭蓋底部+左横静脈洞、上矢状洞+右横静脈洞+右S状静脈洞、上矢状洞+右S状静脈洞+左横静脈洞、左横-S状静脈洞+大脳鎌であった。それぞれ病態に応じて血管内手術(経動脈的あるいは経静脈的塞栓術)、外科手術、放射線治療あるいはその組み合わせにて治療され、2例で全病変の完治が得られ、他の2例では皮質静脈への逆流を伴わない病変の残存のあるものの臨床症状の改善が認められた。多発性硬膜動静脈瘻の成因として静脈洞血栓症および静脈圧亢進が関与しているものと推察された。その治療においては、循環動態、特に病変部および正常脳組織の静脈灌流動態の検討が重要である。
- 日本脳神経外科学会の論文
- 1998-08-15
著者
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牛越 聡
北海道大学放射線科
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Abe Hiroshi
Department Of Cardiology National Cardiovascular Center
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牛越 聡
北海道大学 医学部 放射線科
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HOUKIN Kiyohiro
Department of Neurosurgery, Sapporo Medical University
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KIKUCHI Yoichi
Departments of Radiology, Hokkaido University School of Medicine
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牛越 聡
札幌麻生脳神経外科病院
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SAITO Hisatoshi
Sapporo Azabu Neurosurgical Hospital
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Saito Hisatoshi
Sapporo Azabu Neurosurgery Hospital
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Houkin Kiyohiro
Departments Of Neurosurgery University Of Hokkaido School Of Medicine
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Kikuchi Yoichi
Department Of Chemistry Faculty Of Education Iwate University
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Kikuchi Yoichi
Departments Of Radiology University Of Hokkaido School Of Medicine
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Abe Hiroshi
Department Of Anatomy Akita University School Of Medicine
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Houkin Kiyohiro
Department Neurosurgery Sapporo Medical University School Of Medicine
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Abe Hiroshi
Department Of Agricultural Chemistry Faculty Of Agriculture Tohoku University
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Abe Hiroshi
Departments Of Neurosurgery University Of Hokkaido School Of Medicine
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