Cerebral Infarction Following Pituitary Apoplexy : Case Report
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概要
- 論文の詳細を見る
A 29-year-old man presented with lethargy, headache, high fever, and visual disturbance. Neurological examination showed mydriatic pupil, ptosis, diminished light reflex, and ophthalmoplegia on the left. Magnetic resonance (MR) imaging showed the typical findings of pituitary apoplexy, and cerebral angiography disclosed mild narrowing of the A_1 segment of the left anterior cerebral artery (ACA). Transsphenoidal tumor resection was performed. Transient severe right hemiparesis occurred directly after the operation. Computed tomography demonstrated cerebral infarction in the territory of the left Heubner's and medial lenticulostriate arteries. Pituitary apoplexy followed by cerebral infarction is very rare. Vasospasm of the perforating arteries of the ACA probably caused the cerebral infarction. Subarachnoid blood or vasoactive agents released from the tumor were the most likely cause of the vasospasm. MR imaging findings of contrast enhancement around the vessels may indicate reactive processes around the vessels.
- 日本脳神経外科学会の論文
- 2004-09-15
著者
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MATSUMURA Akira
Department of Neurosurgery, Graduate School of Comprehensive Human Sciences, University of Tsukuba
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AKUTSU Hiroyoshi
Department of Neurosurgery, Graduate School of Comprehensive Human Sciences, University of Tsukuba
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NOGUCHI Shozo
Department of Neurosurgery, Ibaraki Prefectural Central Hospital
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TSUNODA Takashi
Department of Neurosurgery, Ibaraki Prefectural Central Hospital
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SASAKI Mamoru
Department of Neurosurgery, Ibaraki Prefectural Central Hospital
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Noguchi Shozo
Department Of Neurosurgery Ibaraki Prefectural Central Hospital
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Sasaki Mamoru
Department Of Neurosurgery Ibaraki Prefectural Central Hospital
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Matsumura Akira
Department Of Neurosurgery Graduate School Of Comprehensive Human Sciences University Of Tsukuba
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Akutsu Hiroyoshi
Department Of Neurosurgery Ibaraki Prefectural Central Hospital
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Akutsu Hiroyoshi
Department Of Neurosurgery Graduate School Of Comprehensive Human Sciences University Of Tsukuba
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Tsunoda Takashi
Department Of Neurosurgery Ibaraki Prefectural Central Hospital
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Tsunoda Takashi
Department Of Neurological Surgery Institute Of Clinical Medicine
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Sasaki Mamoru
Department Of Electrical Engineering And Computer Science Faculty Of Engineering Kumamoto University
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Matsumura Akira
Department Of Gastroenterology Dokkyo Medical University
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Matsumura Akira
Department Of Forest Resources Science Shizuoka University
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MATSUMURA Akira
Department of Neurosurgery, Institute of Clinical Medicine, University of Tsukuba
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MATSUMURA Akira
Department of Electronic Science and Engineering, Faculty of Engineering, Kyoto University
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