Giant Internal Carotid Aneurysm at the Cavernous Portion with Abrupt Disappearance of N20 100 Minutes after Carotid Occlusion : Case Report
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概要
- 論文の詳細を見る
A 69-year-old female with bilateral giant internal carotid aneurysms at the cavernous portion was admitted with complaints of diplopia and radiating pain. The aneurysm on the left side was larger and symptomatic, and treated with the internal carotid artery ligation and the superficial temporal artery-middle cerebral artery (STA-MCA) double bypasses. However, intraoperative somatosensory evoked potential (SEP) monitoring revealed the disappearance of N20 100 minutes after the carotid occlusion and rapid recovery of N20 following flow restoration. Therefore, a high-flow bypass using radial artery grafting was installed, and carotid ligation was performed again without any change in SEP. Postoperative angiograms demonstrated complete disappearance of the aneurysm and sufficient blood supply through a patent high-flow bypass. Although both STA-MCA double bypasses were occluded, no change in cerebral blood flow was detected by single photon emission computed tomography. Her neurological deficits improved, and she is being followed as an outpatient with a plan of second surgery for the remaining aneurysm.
- 日本脳神経外科学会の論文
- 1990-06-15
著者
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Ihara Tatsuo
Department Of Neurosurgery Hokkaido University School Of Medicine
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Tada Mitsuhiro
Department Of Neurosurgery Hokkaido University School Of Medicine
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Tada Mitsuhiro
Department Of Chemistry Faculty Of Science Kochi University
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Abe Hiroshi
Department Of Neurosurgery Hokkaido University School Of Medicine
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Abe Hiroshi
Department Of Anatomy Akita University School Of Medicine
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Ishikawa Tatsuya
Department Of Neonatology And Pediatrics Nagoya City University Graduate School Of Medical Sciences
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Kamiyama Hiroyasu
Department Of Neurosurgery Asahikawa Red Cross Hospital
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Ishikawa Tatsuya
Department Of Civil Engineering Nagoya University
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Ishikawa Tatsuya
Department Of Neurosurgery Hokkaido University School Of Medicine
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Ishikawa Tatsuya
Department Of Applied Chemistry Faculty Of Science Science University Of Tokyo
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Abe Hiroshi
Department Of Agricultural Chemistry Faculty Of Agriculture Tohoku University
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Kamiyama Hiroyasu
Department Of Neurosurgery Asahiakawa Red Cross Hospital
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TADA Mitsuhiro
Department of Neurosurgery, Hokkaido University School of Medicine
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