Ruptured Aneurysm of the Orbitofrontal Artery Associated With Dural Arteriovenous Malformation in the Anterior Cranial Fossa : Case Report
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概要
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前頭蓋窩硬膜動静脈奇形を合併した前頭眼窩動脈末梢部破裂動脈瘤の1例を報告した。症例は27歳男性で、くも膜下出血を伴った前頭葉脳内出血で発症した。血管撮影では前頭蓋窩硬膜動静脈奇形と前頭眼窩動脈末梢部動脈瘤が確認された。造影CTでは、動脈瘤と血種の連続性が存在したため動脈瘤の破裂と判断し急性期に動脈瘤のclipping術を行い、術中所見もこれを支持するものであった。硬膜動静脈奇形に対しては、radiosurgeryを選択した。破裂時に類似したCT所見を呈すると考えられる両者の出血側の判定は困難なものと思われた。脳動脈瘤を伴った硬膜動静脈奇形について、その合併要因、治療方針等に関して検討を加えた。
- 1999-02-15
著者
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村井 保夫
日本医科大学 脳神経外科
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YAMASHITA Yoichi
Departments of Neurosurgery, Nippon Medical School
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IKEDA Yukio
Critical Core Medicine, Nippon Medical School
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NODE Yoji
Departments of Neurosurgery, Nippon Medical School
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TERAMOTO Akira
Departments of Neurosurgery, Nippon Medical School
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Teramoto Akira
Department Of Neurosurgery Nippon Medical School
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Teramoto Akira
Departments Of Neurosurgery Nippon Medical School
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Node Yoji
Department Of Neurosurgery Nippon Medical School Tama Nagayama Hospital
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Node Yoji
Departments Of Neurosurgery Nippon Medical School
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Yamashita Yoichi
Department Of Gastroenterological Surgery National Kyushu Cancer Center
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Teramoto Akira
Department Of Functional Polymer Science Shinshu University
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Yamashita Yoichi
Department Of Cardiovascular Surgery Faculaty Of Medicine Kagawa University
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Yamashita Yoichi
Departments Of Neurosurgery Nippon Medical School
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Ikeda Yukio
Critical Core Medicine Nippon Medical School
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