Ruptured Vertebral Artery-Posterior Inferior Cerebellar Artery Aneurysm Associated with Facial Nerve Paresis Successfully Treated with Interlocking Detachable Coils : Case Report
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概要
- 論文の詳細を見る
An 81-year-old female presented with severe headache.Computed tomography revealed subarachnoid hemorrhage.She developed right facial nerve paresis on the next day.Angiography revealed a right vertebral artery-posterior inferior cerebellar artery aneurysm.The aneurysm was successfully occluded with interlocking detachable coils(IDCs)on the 7th day.Magnetic resonance(MR)imaging 1 month after IDC placement showed partially thrombosed aneurysm near the internal acoustic meatus.Ten months after the ictus,MR imaging revealed marked resolution of the intra-aneurysmal thrombus and reduction of the aneurysm size.Her facial nerve function gradually recovered during this period.Her facial nerve paresis was probably caused by acute stretching of the facial nerve by the ruptured aneurysm that was in direct contact with the nerve.Intra-aneurysmal thrombosis using coils can reduce aneurysm size and alleviate cranial nerve symptoms.
- 日本脳神経外科学会の論文
- 1999-11-15
著者
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SAITO Ryoichi
Department of Neurosurgery, National Hospital Organization Kanagawa Hospital
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NAKAMURA Yoshiki
Department of Neurosurgery, National Hospital Organization Tokyo Medical Center
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ICHIKIZAKI Kiyoshi
Department of Neurosurgery, National Hospital Organization Kanagawa Hospital
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Saito Ryoichi
Department Of Neurosurgery National Hospital Organization Kanagawa Hospital
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KAGAMI Hiroshi
Department of Neurosurgery, Keio University School of Medicine
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Kagami Hiroshi
Department Of Food Production Science Faculty Of Agriculture Shinshu University
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Kagami Hiroshi
Department Of Neurosurgery National Tokyo Medical Center
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KUROKAWA Ryu
Department of Neurosurgery,National Tokyo Medical Center
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Kurokawa Ryu
Department Of Neurological Surgery Dokkyo University School Of Medicine
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Kurokawa Ryu
Department Of Neurosurgery National Tokyo Medical Center:department Of Neurosurgery Keio University
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Ichikizaki Kiyoshi
Department Of Neurosurgery National Hospital Organization Kanagawa Hospital
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Ichikizaki Kiyoshi
Department Of Neurosurgery Keio University School Of Medicine
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Saito Ryoichi
Department Of Infection Control And Prevention The University Of Tokyo Hospital
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Nakamura Yoshiki
Department Of Neurosurgery National Hospital Organization Tokyo Medical Center
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Nakamura Yoshiki
Department Of Built Environment Interdisciplinary Graduate School Of Science And Engineering Tokyo I
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黒川 龍
Department of Neurosurgery,National Tokyo Medical Center
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ICHIKIZAKI KIYOSHI
Department of Neurological Surgery, School of Medicine, Keio University
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