Intrasyringal Hemorrhage of the Cervical Cord Associated with Chiari Type I Malformation : Case Report
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概要
- 論文の詳細を見る
A 34-year-old male presented with intrasyringal hemorrhage associated with Chiari type I malformation manifesting as a history of repetitive severe pain around his neck and back and progressive sensory disturbance. Magnetic resonance imaging clearly demonstrated syringomyelia at the cervical region associated with Chiari type I malformation and hemorrhage in the syrinx which was strongly suggestive of bleeding into pre-existing syringomyelia or Gowers' syringal hemorrhage. Irrigation of the syrinx and syringosubarachnoid shunting were performed, but rebleeding occurred causing shunt malfunction. Shunt revision was performed, but a new cavity developed above the original syrinx. Foramen magnum decompression resulted in successful reduction of the new syrinx and subsequent neurological improvement. Simultaneous foramen magnum decompression and syrinx irrigation may be a better approach to treat this disease.
- 日本脳神経外科学会の論文
- 1995-04-15
著者
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Yamada Takashi
Department of Molecular Biotechnology, Graduate School of Advanced Sciences of Matter, Hiroshima Uni
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MATSUMURA Akira
Department of Neurosurgery, Graduate School of Comprehensive Human Sciences, University of Tsukuba
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Matsumura A
茨城西南医療センター病院 脳神経外科
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NOSE Tadao
Department of Neurosurgery, Institute of Clinical Medicine, University of Tsukuba
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UEMURA Kazuya
Department of Neurosurgery, Graduate School of Comprehensive Human Sciences, University of Tsukuba
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TSUKADA Atsuro
Department of Neurosurgery, Kennan Hospital
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Matsumura Akira
Departments Of Neurosurgery Institute Of Clinical Medicine University Of Tsukuba
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ENOMOTO Takao
Department of Neurosurgery, Tsukuba Central Hospital
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Enomoto Takao
Department Of Neurosurgery Institute Of Clinical Medicine University Of Tsukuba
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YASUDA Susumu
Department of Neurosurgery, Institute of Clinical Medicine, University of Tsukuba
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YOSHIZAWA Takashi
Department of Neurosurgery, Institute of Clinical Medicine, University of Tsukuba
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AYUZAWA Satoshi
Department of Neurosurgery, Institute of Clinical Medicine, University of Tsukuba
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Yamada Takashi
Department Of Chemistry Faculty Of Science And Engineering Konan University
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Nose Tadao
Department Of Neurosurgery Institute Of Clinical Medicine University Of Tsukuba
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Nose Tadao
Department Of Neurological Surgery Insititute Of Clinical Medicine University Of Tsukuba
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Yasuda Susumu
Department Of Civil And Environmental Engineering Tokyo Denki University
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Yasuda Susumu
Department Of Neurosurgery Institute Of Clinical Medicine University Of Tsukuba
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Uemura Kazuya
Department Of Neurosurgery Graduate School Of Comprehensive Human Sciences University Of Tsukuba
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Tsukada Atsuro
Department Of Neurological Surgery Kennan Hospital
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Ayuzawa Satoshi
Department Of Neurosurgery Institute Of Clinical Medicine University Of Tsukuba
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Matsumura Akira
Department Of Gastroenterology Dokkyo Medical University
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Yoshizawa Takashi
Department Of Neurosurgery Institute Of Clinical Medicine University Of Tsukuba
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Yamada Takashi
Department Of Animal Science Graduate School Of Agricultural Science Kobe University
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Ayuzawa Satoshi
Department Of Neurosurgery Graduate School Of Comprehensive Human Sciences University Of Tsukuba
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Matsumura Akira
Department Of Forest Resources Science Shizuoka University
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MATSUMURA Akira
Department of Electronic Science and Engineering, Faculty of Engineering, Kyoto University
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