Dissecting Aneurysm of the Vertebral Artery Causing Subarachnoid Hemorrhage After Non-hemorrhagic Infarction

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概要

• 論文の詳細を見る

• A 45-year-old male presented with lateral medullary infarction. Cerebral angiography showed dissecting aneurysn as pearl and string sign in the right vertebral artery(VA). Conservative treatment was administered with antiplatelet agent. However, subarachnoid hemorrhage occurred 2 days after admission, inducing coma. Intraaneurysmal embolization and proximal occlusion of the right VA by intravascular surgery resulted in only mild neurological deficits. Conservative treatment including strict control of blood pressure is the first choice of treatment. Antiplatelet thempy and anticoagulant therapy should not be administered. Patients must be followed up by serial angiography and surgery considered if signs of aneurysmal progression are seen.

• 日本脳神経外科学会の論文
• 2000-12-15

著者

• KANEKO Yoshirou

  Department of Anesthesiology, Nihon University Nerimahikarigaoka Hospital

• Tsutsumi Masanori

  Department Of Neurosurgery Fukuoka University Chikushi Hospital

• Tsutsumi Masanori

  Departments Of Neurosurgery Fukuoka Tokushukai Hospital Kasuga Fukuoka

• Kawano Teruaki

  Department Of Neurosurgery Fukuoka Tokushukai Hospital

• Ooigawa Hidetoshi

  Department Of Neurosurgery Fukuoka Tokushukai Hospital

• Kawaguchi Tsutomu

  Department Of Animal Husbandry Faculty Of Agriculture Tohoku University

• Kaneko Yoshirou

  Department Of Neurosurgery Fukuoka Tokushukai Hospital

• Kaneko Yoshirou

  Department Of Anesthesiology Nihon University Nerimahikarigaoka Hospital

• KAWANO Teruaki

  Department of Neurosurgery, Fukuoka Tokushukai Hospital

• Tsutsumi Masanori

  Department of Neurosurgery and Neuroradiology, Fukuoka University Chikushi Hospital

• OOIGAWA Hidetoshi

  Department of Cerebrovascular Surgery, International Medical Center, Saitama Medical University

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