Giant Middle Cerebral Artery Aneurysm with Parent Artery Occlusion : Case Report
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概要
- 論文の詳細を見る
A 54-year-old female was admitted with consciousness disturbance and right hemiparesis. Computed tomographic (CT) scans and angiograms revealed diffuse subarachnoid hemorrhage, a partially thrombosed, giant middle cerebral artery aneurysm (5 × 5 × 4 cm), and occlusion of the parent artery at the aneurysm site. Despite conservative treatment, a generalized convulsion occurred. Emergency CT scans revealed irregular enlargement of the left temporal high-density mass and severe mass effect due to cerebral infarction. Barbiturate coma therapy was administered, but she did not recover and died 9 days after admission. Only two cases of ruptured aneurysm with simultaneous occlusion of the major cerebral vessels have been reported, both with poor outcome. In this case, the mechanism of parent artery occlusion is unclear, but thrombus protrusion from the giant aneurysm into the parent artery may have been involved.
- 日本脳神経外科学会の論文
- 1991-01-15
著者
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Sugita Masao
Department Of Neurosurgery Yamanashi Medical University
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Sugita Masao
Department Of Neurosurgery University Of Yamanashi Faculty Of Medicine
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Nukui H
Department Of Neurosurgery Yamanashi Medical University
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Nukui Hideaki
Department Of Neurosurgery And Radiology Yamanashi Medical University And Department Of Radiology To
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Sasaki Hideo
Department Of Cardiology Pulmonology And Nephrology Yamagata University School Of Medicine
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KAKIZAWA Toshiyuki
Department of Neurosurgery,Kanto Neurosurgical Hospital
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Kimura Ryoichi
Department Of Neurosurgery Yamanashi Medical College
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Sasaki Hideo
Department Of Neurosurgery Yamanashi Medical College
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Fukamachi A
Department Of Neurosurgery Yamanashi Medical College
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Fukamachi Akira
Department Of Neurosurgery Gunma University
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Kakizawa Toshiyuki
Department Of Neurosurgery Kanto Neurosurgical Hospital
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Fukamachi Akira
Department of Neurosurgery, Yamanashi Medical College
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