Orthostatic Hypotension Improved After Bilateral Carotid Endarterectomy : Case Report
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概要
- 論文の詳細を見る
60歳男性が度重なる失神発作を主訴として来院した. head up tllt testで起立性低血圧を認めた. また、両側頚部頚動脈に高度狭窄病変を認め, 脳血流の低下を認めた. 両疾患の合併により失神発作を生じたと考えられた. 両側頚部頚動脈狭窄病変に対して血栓内膜剥離術を施行した. 術後、起立性低血圧も改善し、失神発作はまったく生じなくなった. このことから、この症例における起立性低血圧の発症機序として、athero-sclerotic plaquesによってcarotid baroreceptorsが圧迫されることにより生じたvasodepressor-typeのcarotid sinus syndromeが考えられた.
- 日本脳神経外科学会の論文
- 1999-02-15
著者
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秋山 義典
国立循環器病センター脳血管外科
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HASHIMOTO Nobuo
Department of Neurosurgery, Kyoto University Graduate School of Medicine
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秋山 義典
滋賀県立成人病センター脳神経外科
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MORIMOTO Masafumi
Department of Cerebrovascular Surgery, National Cordiovascular Center
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Morimoto Masafumi
Department Of Cerebrovascular Surgery National Cordiovascular Center
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Morimoto Masafumi
Department Of Anatomy And Neurobiology Kyoto Prefectural University Of Medicine
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Hashimoto Nobuo
Department Of Cerebrovascular Surgery National Cordiovascular Center
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秋山 義典
国立循環器病センター 脳神経外科
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