Post-irradiation Vasculopathy of Intracranial Major Arteries in Children : Report of Two Cases
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概要
- 論文の詳細を見る
We report two rare cases of post-irradiation vasculopathy of intracranial major arteries in children. A 13-year-old girl suffered from transient right hemiparesis 1 year after irradiation for suprasellar germinoma. Left carotid angiograms revealed marked stenoses of the intracranial internal carotid, middle cerebral, and anterior cerebral arteries, which were previously normal, and moyamoya vessels. A 2.5-year-old girl underwent internal irradiation with ^<198>Au colloid for cystic craniopharyngioma. At the age of 10 years, she suddenly became unconscious after vomiting. Computed tomographic scans showed a right frontal intracerebral hematoma. Right carotid angiograms disclosed complete obstruction of the intracranial internal carotid, middle cerebral, and anterior cerebral arteries and moyamoya vessels, previously not present. The danger of radiation therapy causing occlusive vasculopathy in small and major cerebral arteries in children is emphasized. To prevent permanent ischemic neurological deficits, vasculopathy should be treated either medically or surgically as early as possible.
- 日本脳神経外科学会の論文
- 1991-06-15
著者
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横山 徹夫
浜岡総合病院 脳神経外科
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YAMAMOTO Seiji
Department of Radiology, Chiba University Graduate School of Medicine
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NISHIZAWA Shigeru
Department of Neurosurgery, University of Occupational and Environmental Health
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YOKOYAMA Tetsuo
Department of Neurosurgery, Hamamatsu University School of Medicine
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UEMURA Kenichi
Department of Neurosurgery, Hamamatsu University School of Medicine
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Ryu Hiroshi
Department Of Neurosurgery Hamamatsu University School Of Medicine
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Ryu Hiroshi
Department Of Computer Science Tokyo Institute Of Technology:(present) Nec
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Shimoyama Ichiro
Department of integrative neurophysiology, Chiba University Graduate School of Medicine
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横山 徹夫
浜松医科大学脳外科
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Yamamoto Seiji
Department Of Neurosurgery Hamamatsu University School Of Medicine
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NINCHOJI Toshiaki
Department of Neurosurgery, Hamamatsu University School of Medicine
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Shimoyama Ichiro
Department Of Neurosurgery Hamamatsu University School Of Medicine
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Shimoyama Ichiro
Department Of Integrative Neurophysiology Chiba University Graduate School Of Medicine
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Nishizawa Shigeru
Department Of Neurosurgery University Of Occupational And Environmental Health
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Nishizawa Shigeru
Department Of Neurosurgery Hamamatsu University School Of Medicine
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Nishizawa Shigeru
Departments Of Neurosurgery
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Yamamoto Seiji
Department Of General Medicine Toyama University Hospital
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Uemura Kenichi
Department Of Neurosurgey Hamamatsu University School Of Medicine
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Uemura Kenichi
Department Of Neurological Surgery Chiba Unibersity
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Yokoyama Tetsuo
Department Of Neurosurgery Hamamatsu University School Of Medicine
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Ninchoji Toshiaki
Department Of Neurosurgery Hamamatsu University School Of Medicine
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Ninchoji Toshiaki
Department Of Neurological Surgery School Of Medicine Chiba University
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Yamamoto Seiji
Department of Chemistry, Faculty of Science, Tohoku University
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