Anterior Cerebral Artery Dissections Manifesting as Cerebral Hemorrhage and Infarction, and Presenting as Dynamic Angiographical Changes
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概要
- 論文の詳細を見る
A 65-year-old woman presented with multiple dissecting aneurysms of the anterior cerebral artery (ACA) manifesting as hemiparesis on the right with dominance in the lower extremity. Computed tomography revealed hematoma in the left frontal lobe, corresponding to the area perfused by the callosomarginal artery. Initial angiography showed string sign and occlusion in the distal portion of the left callosomarginal artery and abnormal feeding suggesting double lumen of the A_2 portion of the left ACA. The patient was treated conservatively under a diagnosis of multiple spontaneous dissecting aneurysms of the left ACA. Repeat angiography on Day 8 showed improvement of the string sign and occlusion in the left callosomarginal artery, and change of the double lumen of the A_2 portion into string sign. Further angiography on Day 36 showed normalization of the left callosomarginal artery and improvement of the string sign in the A_2 portion. Multiple spontaneous dissecting aneurysms of the ACA are extremely rare. Serial angiography beginning in the early stage will be important for correct diagnosis.
- 日本脳神経外科学会の論文
- 2002-06-15
著者
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SAKAMOTO Shigeyuki
Department of Neurosurgery, Graduate School of Biomedical Sciences, Hiroshima University
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INAGAWA Tetsuji
Department of Neurosurgery, Shimane Prefectural Central Hospital
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IKAWA Fusao
Department of Neurosurgery, Shimane Prefecturel Central Hospital
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OHBAYASHI Naohiko
Department of Neurosurgery, Shimane Prefecturel Central Hospital
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KAWAMOTO Hitoshi
Department of Neurosurgery, Hiroshima University, School of Medicine
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Kawamoto Hitoshi
Department Of Neurosurgery Shimane Prefectural Central Hospital
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Kawamoto Hitoshi
Department Of Neurosurgery Hiroshima University School Of Medicine
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Kawamoto Hitoshi
Agricultural Engineering Department University Of Manitoba:(present Address)agriculture Canada Resea
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Kawamoto Hitoshi
Department Of Neurosurgery Hiroshima University School Of Medicine Hiroshima
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Sakamoto Shigeyuki
Department Of Neurosurgery Shimane Prefectural Central Hospital
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Sakamoto Shigeyuki
Department Of Neurosurgery Mazda Hospital Hiroshima
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Ikawa Fusao
Department Of Neurosurgery Shimane Prefectural Central Hospital
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Ikawa Fusao
Department Of Neurosurgery Hiroshima University School Of Medicine
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Inagawa Tetsuji
Department Of Neurosurgery Shimane Prefectural Central Hospital
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Ohbayashi Naohiko
Department Of Neurosurgery Shimane Prefectural Central Hospital
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Sakamoto Shigeyuki
Department Of Neurosurgery Graduate School Of Biomedical Sciences Hiroshima University
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