Bow Hunter's Stroke Associated with an Aberrant Course of the Vertebral Artery : Case Report
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概要
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A 53-year-old male presented with repeated vertebrobasilar insufficiency on turning the head to the left.Angiography revealed severe stenosis of the dominant right vertebral artery at the atlantoaxial level in this position.Decompression surgery for the affected vertebral artery at the transverse foramen of the atlas was planned.However,surgery revealed an aberrant course of the artery,turning at the orifice of the transverse foramen of the atlas and perforating the dura at the occipitoatlantal level after passing through the bony canal of the atlas.Therefore,decompression was performed at the bony canal,which was the contributing site,and the symptoms improved.Bow hunter's stroke may be caused by atlantoaxial arterial anomalies,so accurate preoperative evaluation of the region is necessary to avoid anatomical confusion at surgery.
- 1999-11-15
著者
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SHIMIZU Satoru
Departments of Neurosurgery Kitasato University School of Medicine
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FUJII Kiyotaka
Departments of Neurosurgery Kitasato University School of Medicine
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TAKAGI Hiroshi
Department of Surgery II, University School of Medicine
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Shimizu Satoru
Department Of Neurosurgery Kitasato University School Of Medicine
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Kan Shinichi
Radiology Kitasato University School Of Medicine
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Kan Sinichi
北里大学 医学部放射線科学
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Kan Sinichi
Radiology
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Kan Shinichi
Department Of Radiology Kitasato University School Of Medicine
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YAMADA Masaru
Department of Neurosurgery,Yamato City Hospital
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Yamada Masaru
Department Of Neurosurgery Kitasato University School Of Medicine
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Takagi Hiroshi
Department Of Neurosurgery Yamato City Hospital
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Fujii Kiyotaka
Department Of Brain Sugery School Of Medicine Kitasato University
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Takagi Hiroshi
Department Of Medicine And Molecular Science Gunma University Graduate School Of Medicine
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Suzuki Sachio
Department Of Neurosurgery Kitasato University School Of Medicine
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Takagi Hiroshi
Department Of Neurosurgery Yamato Municipal Hospital
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Miyajima Yoshiteru
北里大学 医学部脳神経外科
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Miyajima Yoshiteru
Department Of Neurosurgery Kitasato University School Of Medicine
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Shimizu Satoru
Department Of Neurosurgery Yokohama Stroke And Brain Center
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Yamada Masaru
Department Of Neurosurgery Yamato City Hospital
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Yamada Masaru
Department Of Environmental Urban Engineering Faculty Of Engineering Osaka City University
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Takagi Hiroshi
Department Of Bioscience Fukui Prefectural University
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Yamada Masaru
Department Of Civil Engineering Osaka City University
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Shimizu Satoru
Department Of Hygiene And Public Health I Tokyo Women's Medical University
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Shimizu Satoru
Kitasato Univ. School Of Medicine Kanagawa Jpn
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Takagi Hiroshi
Department Of Bioscience Faculty Of Bioscience Fukui Prefectural University
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清水 暁
Department of Neurosurgery,Yamato City Hospital
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