An autopsy case of cerebellar hemorrhagic infarction in the region of the bilateral superior cerebellar arteries
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概要
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The authors describe an autopsy case of cerebellar hemorrhagic infarction in the region of the bilateral superior cerebellar arteries (SCA). A 79-year-old woman suddenly developed dysarthria, bilateral blepharoptosis, external ophthalmoplegia, left hemiparesis, dysphagia and dysuria. CT scan revealed low density in the bilateral cerebellar hemisphere. Angiography revealed narrowing of the distal portion of the basilar artery. The patient made a gradual recovery in the first two weeks, but she died of hyperglycemic non-ketotic diabetic coma on the 32nd day. Autopsy disclosed recent hemorrhagic infarctions of the bilateral SCA regions and of right Ammon's horn and numerous softenings of the brain stem, together with an old cystic infarction in the region of the middle cerebral artery. There were no occlusions in either the basilar or superior cerebellar arteries. It was suggested that an embolization due to severe atherosclerosis of the distal portion of basilar artery affected its pontine branches and bilateral SCA.
- 日本脳神経外科学会の論文
- 1984-01-15
著者
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KAWABATA Masahiko
Department of Internal Medicine, Toyama Prefectural Central Hospital
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YAMASHIMA Tetsumori
Department of Restorative Neurosurgery, Kanazawa University Graduate School of Medical Science
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Kawabata Masahiko
Department Of Internal Medicine Toyama Prefectural Central Hospital
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Kawabata Masahiko
Departments Of Internal Medicine School Of Medicine University Of Kanazawa
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Yamashima Tetsumori
Department Of Neurosurgery Kanazawa University School Of Medicine
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Yamashima Tetsumori
Departments Of Neurosurgery School Of Medicine University Of Kanazawa
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Yamashima Tetsumori
Department of Neurosurgery
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