Aggravation of Brainstem Symptoms Caused by a Large Superior Cerebellar Artery Aneurysm after Embolization by Guglielmi Detachable Coils
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概要
- 論文の詳細を見る
症例は81才男性で、脳底動脈-上小脳動脈分岐部large aneurysmによるmass effectで発症した。はじめにGuglielmi detachable coilを用いた瘤内塞栓術を施行したが、3週間後にmass effectの増悪による臨床症状の悪化をきたした、血管撮影上は、coil compactionによる再開通が認められた。血管内手術による両側椎骨動脈の閉塞を施行し、画像上はmass effectの軽減が得られたが臨床症状に著明な改善は認められなかった。脳幹圧迫症状で発症した大-巨大動脈瘤の瘤内塞栓術の結果は不良であり、直達手術が困難である場合には母動脈閉塞を第一に考えるべきである。
- 日本脳神経外科学会の論文
- 1999-07-15
著者
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牛越 聡
北海道大学放射線科
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Abe Hiroshi
Department Of Cardiology National Cardiovascular Center
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牛越 聡
北海道大学 医学部 放射線科
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HOUKIN Kiyohiro
Department of Neurosurgery, Sapporo Medical University
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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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Houkin Kiyohiro
Departments Of Neurosurgery Hokkaido 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 Hokkaido University School Of Medicine
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Abe Hiroshi
Department Of Anatomy Akita University School Of Medicine
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Houkin Kiyohiro
Department Neurosurgery Sapporo Medical 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 Hokkaido University School Of Medicine
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Abe Hiroshi
Department Of Agricultural Chemistry Faculty Of Agriculture Tohoku University
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Abe Hiroshi
Departments Of Neurosurgery Hokkaido University School Of Medicine
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