Use of STA-MCA Anastomosis for Clipping of Giant Middle Cerebral Artery Aneurysm : Case Report
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概要
- 論文の詳細を見る
A 50-year-old female developed subarachnoid hemorrhage due to rupture of a giant aneurysm in the left middle cerebral artery (MCA). One month later, direct surgery was performed on the aneurysm. The superficial temporal artery was anastomosed to the cortical artery of the parietal MCA segment. The MCA was exposed and trapped for 40 minutes during barbiturate infusion, with electroencephalographic and somatosensory evoked potential monitoring. During MCA trapping, the aneurysm was collapsed by dome puncture and obliterated by neck clipping. After surgery, she had only mild amnestic aphasia and an infarct in the medial temporal lobe demonstrated by computed tomography. However, cerebral angiography disclosed complete occlusion of the MCA by the displaced aneurysm clip, and perfusion of the distal MCA segments through the anastomosis. The initial bypass procedure prevented a disastrous outcome in this patient and is recommended for direct surgery on MCA aneurysms.
- 日本脳神経外科学会の論文
- 1993-11-15
著者
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Tanaka Akira
Department of Health and Nutrition, College of Human and Environmental Studies, Kanto-Gakuin Univers
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Nagata Shinji
Department Of Neurosurgery Iizuka Hospital
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Nagata Shinji
Department Of Applied Biological Chemistry Graduate School Of Agricultural And Life Sciences The Uni
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Matsuno Haruo
Department Of Neurosurgery Iizuka Hospital
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Kimura Masato
Department Of Neurosurgery Fukuoka University Chikushi Hospital:m.d. Department Of Neurosurgery Haku
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Kimura Masato
Department Of Neurosurgery Fukuoka University Chikushi Hospital
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Tanaka Akira
Department Of Diagnostic Pathology Jichi Medical University
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KIMURA MASATO
Department of Internal Medicine, Osaka Kosei-Nenkin Hospital
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TANAKA Akira
Department of Agricultural Chemistry, Faculty of Agriculture, Tohoku University
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