Occlusion of the Vertebral Artery Secondary to Dissection of the Subclavian Artery : Case Report
スポンサーリンク
概要
- 論文の詳細を見る
A 34-year-old man presented with occlusion of the left vertebral artery (VA) secondary to dissection of the left subclavian artery manifesting as vertigo, nausea, vomiting, and neck pain. On admission, he was alert with left limb and truncal ataxia. Magnetic resonance (MR) imaging and MR angiography showed left cerebellar infarction and occlusion of the left VA. Conventional angiography and threedimensional computed tomography (3D-CT) angiography showed stenosis with thrombosed pseudolumen of the left subclavian artery, and occlusion of the left VA. Presumably the idiopathic dissection of the left subclavian artery had reached the orifice of the left VA, and an embolism from the dissection had caused occlusion of the VA, leading to cerebellar infarction. After one month, he was discharged without severe neurological deficits. Idiopathic dissection of the subclavian artery is very rare. 3D-CT angiography is very useful for the diagnosis of arterial dissection.
- 日本脳神経外科学会の論文
- 2005-02-15
著者
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Watanabe Yoshihiko
Department of Internal Medicine, Fujita-Gakuen Health University School of Medicine
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TANAKA Masato
Department of Chemistry and Chemical Engineering, Niigata University
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NAKAHARA Ichiro
Department of Neurosurgery, National Cardiovascular Center
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Nakahara Ichiro
Department Of Neurosurgery Kokura Memorial Hospital
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Nakahara Ichiro
Department Of Mechanical Engineering Tokyo Institute Of Technology
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Watanabe Yoshihiko
Department Of Neurosurgery Kokura Memorial Hospital
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Watanabe Yoshihiko
Department Of Anesthesia Tokyo Metropolitan Hiroo General Hospital
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Oku Takayuki
Department Of Neurosurgery Kokura Memorial Hospital Kitakyushu Fukuoka
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FUJIMOTO Motoaki
Department of Neurosurgery, Kokura Memorial Hospital
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HARADA Kei
Department of Neurosurgery, Kokura Memorial Hospital
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Harada Kei
Department Of Neurosurgery Kokura Memorial Hospital
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Tanaka Masato
Department Of Neurosurgery Kokura Memorial Hospital
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Fujimoto Motoaki
Department Of Neurosurgery Kokura Memorial Hospital
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IWAMURO Yasushi
Department of Neurosurgery,Kokura Memorial Hospital,Kitakyushu,Fukuoka
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HIGASHI Toshio
Department of Neurosurgery,Kokura Memorial Hospital,Kitakyushu,Fukuoka
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Iwamuro Yasushi
Department Of Neurosurgery Kokura Memorial Hospital
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Iwamuro Yasushi
Department Of Neurosurgery Fukui Red Cross Hospital
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Higashi Toshio
Department Of Neurosurgery Kokura Memorial Hospital
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Tanaka Masato
Department Of Chemical Engineering Faculty Of Engineering Niigata University
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Fujimoto Motoaki
Department Of Neurosurgery Baba Memorial Hospital
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Oku Takayuki
Department Of Neurosurgery Graduate School Of Medicine Yamaguchi University
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Tanaka Masato
Department of Applied Chemistry, Waseda University
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