Primitive Trigeminal Artery Variant Aneurysm Treated With Guglielmi Detachable Coils : Case Report
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概要
- 論文の詳細を見る
A 69-year-old woman had suffered from diplopia on right lateral gaze fo the last 4 months due to right abducens nerve paresis. Right carotid angiography showed a cavernous internal carotid artery (ICA) aneurysm of 17×16×14 mm size and a primitive trigeminal artery (PTA) variant supplying the territory of the posterior inferior cerebellar artery. Intraluminal occlusion of the aneurysm was performed with 15 Guglielmi detachable coils. The flow of the PTA variant and the ICA was preserved. Right abducens nerve paresis improved partially. PTA variant is a primitive artery originating from the cavernous ICA supplying the cerebellum without opacification of the basilar artery. Only four of the 67 cases of PTA variant were associated with an aneurysm of the PTA variant. The possibility of this rare association should be considered when treating cavernous portion aneurysm because of the risk of cerebellar ischemia.
- 日本脳神経外科学会の論文
- 2001-09-15
著者
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NISHIO Akimasa
Department of Neurosurgery, Osaka City University Graduate School of Medicine
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KOMIYAMA Masaki
Department of Neurosurgery,Osaka City General Hospital
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Nishio Akimasa
大阪市立大学 医学研究科脳神経外科学
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Nishio Akimasa
Department Of Neurosurgery Osaka City University Graduate School Of Medicine
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HARA Mitsuhiro
Department of Neurosurgery, Osaka City University Graduate School of Medicine
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Hara Mitsuhiro
Department Of Neurosurgery Osaka City University Graduate School Of Medicine
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Hara Mitsuhiro
Department Of Neurosurgery Kyorin University School Of Medicine
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NISHIJIMA Yoshihiko
Department of Neurosurgery, Osaka City University Medical School
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Hara Mitsuhiro
Department Of Neurosurgery Osaka City University Medical School
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Komiyama Masaki
Department Of Neurosurgery Baba Memorial Hospital
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Nishijima Yoshihiko
Department Of Neurosurgery Osaka City University Medical School
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Hara Mitsuhiro
Departments Of Neurosurgery Neurology And Pediatrics Osaka City University Graduate School Of Medici
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KOMIYAMA Masaki
Department of Neurosurgery, Osaka City General Hospital
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