Tentorial Vascularization in Solid Hemangioblastoma : Case Report
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概要
- 論文の詳細を見る
A 40-year-old female was admitted to the hospital with complaints of headache worsening gradually over a 1-month duration. Her past history included surgery to treat a left cerebellar cystic lesion 3 years before, and an untreated small solid right supracerebellar lesion of 1 cm diameter. On admission, magnetic resonance imaging showed that the right cerebellar lesion had grown to approximately 4 cm diameter abutting the tentorium and causing obstructive hydrocephalus. She also had two more small lesions, a right supratentorial solid lesion with cystic component near the splenium and an intramedullary cystic lesion at the C-2 level. Right suboccipital craniectomy was done. The vascular attachments between the superior aspect of the Rumor and the tentorium were coagulated and the tumor was totally removed. C1-2 laminectomy was also performed to drain the intramedullary cyst. The patient deteriorated and lost consciousness with respiratory arrest 6 hours postoperatively and was reoperated for intracerebellar hematoma due to oozing from the tentorial vessels. Histological investigation revealed hemangioblastoma. Dural tentorial vascular attachments in solid hemangioblastomas located subjacent to the tentorium may cause early postoperative complications of hematoma at the site of vascular attachment following the resection. Computed tomography study in the early postoperative period is helpful to identify this problem.
- 日本脳神経外科学会の論文
- 2001-04-15
著者
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Uchida Koichi
Department Of Neurosurgery Keio University Medical School
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Uchida Koichi
Department Of Gastroenterology And Hepatology Graduate School Of Medicine Yamaguchi University
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OZVEREN M.
Departments of Neurosurgery, Firat University Medical Faculty
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KAPLAN Metin
Departments of Neurosurgery, Firat University Medical Faculty
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TOPSAKAL Cahide
Departments of Neurosurgery, Firat University Medical Faculty
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EROL Fatih
Departments of Neurosurgery, Firat University Medical Faculty
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TANIK Canan
Department of Pathology, Sisli Etfal State Hospital
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Kaplan Metin
Departments Of Neurosurgery Firot University School Of Medicine
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Erol Fatih
Departments Of Neurosurgery Firat University School Of Medicine Elazig Turkey
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Erol Fatih
Department Of Neurosurgery Firat University Medical School
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Ozveren M.
Departments Of Neurosurgery Firat University School Of Medicine Elazig Turkey
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Topsakal Cahide
Departments Of Neurosurgery Firot University School Of Medicine
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Topsakal Cahide
Departments Of Neurosurgery Firat University School Of Medicine
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Tanik Canan
Department Of Pathology Sisli Etfal State Hospital
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Ozveren M.
Department Of Neurosurgery Firat University Medical School
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Kaplan Metin
Department Of Neurosurgery Firat University Medical School
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Topsakal Cahide
Department Of Neurosurgery Firat University School Of Medicine
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