Functional Prognosis after Treatment of Spinal Dural Arteriovernous Fistulas
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概要
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過去5年間に治療した脊髄硬膜動静脈痩(SDAVF)の13例の機能予後を検討した。NBCAを用いた塞栓術が6例に施行され4例で完全閉塞が得られた。不完全閉塞の2例を含め9例で外科手術が施行され全例SDAVFは消失した。歩行障害、排尿障害は治療後にそれぞれ60%、50%の症例で改善が認められたが、発症から治療までの期間の長いもの、治療前重症度の高いもの、高齢者で機能予後不良の傾向が認められた。SDAVFの治療方針としては、その非侵襲性、安全性からNBCAを用いた塞栓術を第一選択とすべきであるが、不完全閉塞となった場合には可及的早期の外科手術が必要である。
- 日本脳神経外科学会の論文
- 1999-03-15
著者
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牛越 聡
北海道大学放射線科
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牛越 聡
北海道大学 医学部 放射線科
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Hida Kazutoshi
Neurosurgery Hokkoido University School Of Medicine
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KIKUCHI Yoichi
Departments of Radiology, Hokkaido University School of Medicine
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MIYASAKA Kazuo
Departments of Radiology, Hokkaido University School of Medicine
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IWASAKI Toshinobu
Neurosurgery, Hokkoido University School of Medicine
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ABE Hiroshi
Neurosurgery, Hokkoido University School of Medicine
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Miyasaka Kazuo
Department Of Radiology Hokkaido University School Of Medicine
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Kikuchi Yoichi
Department Of Chemistry Faculty Of Education Iwate University
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Kikuchi Yoichi
Departments Of Radiology Hokkoido University School Of Medicine
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Miyasaka Kazuo
Department Of Neurosurgery Hokkaido University School Of Medicine
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Miyasaka Kazuo
Departments Of Radiology Hokkoido University School Of Medicine
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Iwasaki Toshinobu
Neurosurgery Hokkoido University School Of Medicine
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Abe Hiroshi
Neurosurgery Hokkaido University
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