Severe Subarachnoid Hemorrhage With Pulmonary Edema Successfully Treated by Intra-aneurysmal Embolization Using Guglielmi Detachable Coils : Two Case Reports
スポンサーリンク
概要
- 論文の詳細を見る
A 48-year-old male and a 39-year-old female presented with subarachnoid hemorrhage (SAH) due to ruptured anterior communicating artery aneurysms. Both patients were comatose on admission. Chest radiography disclosed pulmonary edema. They were conservatively treated under controlled ventilation, but cardiopulmonary dysfunction persisted over 2 days. The patients were then treated by intra-aneurysmal embolization with Guglielmi detachable coils (GDCs) 2 days after the onset. The postoperative courses were uneventful, and the patients showed full recovery from pulmonary edema and were discharged without neurological deficits. Neurogenic pulmonary edema is one of the serious complications of SAH, and is a leading cause of poor clinical outcome. The favorable outcomes of the present cases suggest that intra-aneurysmal embolization with GDCs is an excellent choice for the patients with severe aneurysmal SAH complicated with pulmonary edema, in whom conventional surgical treatment under general anesthesia is difficult to perform in the acute stage.
- 日本脳神経外科学会の論文
- 2001-03-15
著者
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NISHIJIMA Michiharu
Department of Neurosurgery, Aomori Prefectural Central Hospital
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FUJIMURA Miki
Department of Neurosurgery, Kohnan Hospital
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Fujimura Miki
Departments Of Neurosurgery Aomori Prefectural Central Hospital:department Of Neurosurgery Tohoku Un
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Fujimura Miki
Department Of Neurosurgery Iwate Prefectural Central Hospital:(present Address)cns Injury And Edema
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MIDORIKAWA Hiroshi
Department of Radiology, Aomori Prefectural Central Hospital
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UMEZAWA Kunihiko
Department of Neurosurgery, Aomori Prefectural Central Hospital
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KON Hiroyuki
Departments of Neurosurgery, Aomori Prefectural Central Hospital
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TANAKA Teruhiko
Departments of Neurosurgery, Aomori Prefectural Central Hospital
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Kon Hiroyuki
Departments Of Neurosurgery Aomori Prefectural Central Hospital:department Of Neurosurgery Tohoku Un
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Tanaka Teruhiko
Department Of Neurosurgery Aomori Prefectural Central Hospital
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Tanaka Teruhiko
Departments Of Neurosurgery Aomori Prefectural Central Hospital
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Nishijima Michiharu
Department Of Neurosurgery Aomori Prefectural Central Hospital
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Nishijima Michiharu
Departments Of Neurosurgery Aomori Prefectural Central Hospital
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Umezawa Kunihiko
Departments Of Neurosurgery Aomori Prefectural Central Hospital
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Midorikawa Hiroshi
Department Of Radiology Aomori Prefectural Central Hospital
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Midorikawa Hiroshi
Departments Of Radiology Aomori Prefectural Central Hospital
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Midorikawa Hiroshi
Department of Chemical Technology, Kanagawa Institute of Technology
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TANAKA Teruhiko
Department of Materials Science and Engineering, Faculty of Engineering, Fukui University
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KON Hiroyuki
Department of Neurosurgery, Aomori Prefectural Central Hospital
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