Unilateral Middle Cerebral Artery Stenosis in an Adult with Down's Syndrome : Case Report
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概要
- 論文の詳細を見る
A 29-year-old male with Down's syndrome presented with severe headache and vomiting.Computed tomography demonstrated subarachnoid hemorrhage.Left carotid angiography showed severe stenosis of the middle cerebral artery 2 cm distal to its origin, as well as abnormal hypervascularization near the stenosis site similar to that seen in moyamoya disease.Right carotid angiography showed no abnormalities.However, slight stenosis of the distal part of the bilateral vertebral arteries was noted.There was no aneurysm.We judged that the subarachnoid hemorrhage had been caused by rupture of the moyamoya-like vessel.Some patitents with Down's syndrome have anatomical vascular abnormality and vascular fragility.The cerebral vascular abnormality found in this case may be part of the systemic vascular abnormalities associated with Down's syndrome.The vascular changes in some adult patients with Down's syndrome may be a sign of premature aging, and long-term studies with periodic vascular examination of patients with Down's syndrome need to be performed.
- 日本脳神経外科学会の論文
- 2000-04-15
著者
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SAMESHIMA Tetsuro
Department of Pathology and Neurosurgery, Miyazaki Medical College
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WAKISAKA Shinichiro
Department of Neurosurgery, Neurological Institute, Kyushu University
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NAKANO Shinichi
Department of Neurosurgery, Miyazaki Medical College
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GOYA Tomokazu
Department of Neurosurgery Miyazaki medical college
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Wakisaka Shinichiro
Department Of Faculty Of Medicine University Of Miyazaki
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Wakisaka Shinichiro
Department Of Neurosurgery Miyazaki Medical College
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Goya Tomokazu
Department Of Neurosurgery Faculty Of Medicine Kumamoto University
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Nakano Shinichi
Department Of Faculty Of Medicine University Of Miyazaki
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Nakano Shinichi
Department Of Computer Science Gunma University
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MORITA Yoshihiro
Department of Neurosurgery, Miyazaki Prefectural Nichinan Hospital
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YANAGITA Mitsuro
Department of Neurosurgery, Miyazaki Prefectural Nichinan Hospital
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Yanagita Mitsuro
Department Of Neurosurgery Miyazaki Prefectural Nichinan Hospital
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Yanagita Mitsuro
Department Of Neurosurgery Kawasaki Medical School
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Sameshima Tetsuro
Department Of Neurosurgery Miyazaki Prefectural Nichinan Hospital
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Nakano Shinichi
Department Of Neurosurgery Miyazaki Medical College
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Morita Yoshihiro
Department Of Neurosurgery Miyazaki Prefectural Nichinan Hospital
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