前交通動脈瘤破裂によるクモ膜下出血と高血圧性脳内出血を相次いで合併した大動脈炎症候群の1例

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rights: 本文データは日本脳神経外科学会の許諾に基づきCiNiiから複製したものであるA case of aortitis syndrome associated with a ruptured anterior communicating artery aneurysm and hypertensive intracerebral hemorrhage is reported. The patient was a 48-year-old woman who had been suffering from aortitis syndrome for the past 6 years. She was admitted with severe headache. Computed tomography (CT) scan and cerebral angiography revealed a ruptured anterior communicating artery aneurysm. Neck clipping of the aneurysm was successfully performed. However, 5 weeks after the operation she became unconscious and right hemiparesis was noted. CT scan showed intracerebral hemorrhage in the left putaminal region and an emergency operation was performed. In the literature there were only nine cases of aortitis syndrome associated with cerebral aneurysms. These aneurysms developed frequently in the vertebro-basilar system and in the anterior communicating artery. From the standpoint of pathogenesis, development of these aneurysms was closely related to the hemodynamic stress caused by altered hemodynamics and vascular degeneration resulting from long-term hypertension. It should be remembered that some of the patients suffering from aortitis syndrome might develop cerebral aneurysms, and it is very important to control blood pressure strictly.
日本脳神経外科学会の論文
1987-02-15