Early Revascularization in a Patient With Perfusion Computed Tomography/Diffusion-Weighted Magnetic Resonance Imaging Mismatch Secondary to Acute Vertebral Artery Occlusion

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概要

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• A 67-year-old woman with a recent history of recurrent ischemic stroke secondary to right vertebral artery stenosis suffered acute onset of left homonymous hemianopsia and the medial longitudinal fasciculus syndrome, which resolved with hyperdynamic therapy. However, consciousness deteriorated 6 hours later. Perfusion computed tomography (CT) revealed regions of prolonged mean transit time in the bilateral cerebellar hemispheres, vermis, brainstem, and right occipital lobe, which were more extensive than the ischemic lesions demonstrated by diffusion-weighted magnetic resonance (MR) imaging. Subsequent cerebral angiography showed occlusion of the right vertebral artery. The patient underwent emergent left superficial temporal artery to left superior cerebellar artery bypass. Postoperatively she demonstrated resolution of the preoperative perfusion CT/diffusion-weighted MR imaging mismatch and improved neurological deficits. Early revascularization in a patient with perfusion CT/diffusion-weighted MR imaging mismatch following acute vertebrobasilar stroke can lead to improvement in cerebral perfusion and neurological function.

• 日本脳神経外科学会の論文
• 2005-06-15

著者

• OGAWA Akira

  Department of Neurosurgery, Iwate Medical University School of Medicine

• OGASAWARA Kuniaki

  Department of Neurosurgery, Iwate Medical University School of Medicine

• INOUE Takashi

  Department of Neurosurgery, School of Medicine, Iwate Medical University

• 佐々木 真理

  岩手医科大学放射線科

• Ogasawara Kuniaki

  岩手医科大学 脳神経外科

• Ogasawara Kuniaki

  Department Of Neurosurgery Iwate Medical University

• SASAKI Makoto

  Department of Radiology, Iwate Medical University

• Sasaki Makoto

  Department Of Radiology Iwate Medical University

• KUBO Yoshitaka

  Department of Neurosurgery, Iwate Medical University School of Medicine

• Ogawa Akira

  Department Of Neurosurgery Iwate Medical University

• TOMITSUKA Nobuhiko

  Department of Neurosurgery, Iwate Medical University

• Sasaki Makoto

  Department Of Gastroenterology And Metabolism Nagoya City University Graduate School Of Medical Scie

• Sasaki Makoto

  Departments Of Neurosurgery Iwate Medical University School Of Medicine

• Kubo Yoshitaka

  Departments Of Neurosurgery Iwate Medical University School Of Medicine

• Ogawa Akira

  Department Of Biochemistry Gunma University Graduate School Of Medicine

• Kubo Yoshitaka

  Department Of Neurosurgery Iwate Medical University School Of Medicine

• Tomitsuka Nobuhiko

  Department Of Neurosurgery Iwate Medical University

• Kubo Yoshitaka

  Department Of Neurosurgery Iwate Medical University

• Ogawa Akira

  Department Of Applied Chemistry Graduate School Of Engineering The University Of Tokyo

• Sasaki Makoto

  Department Of Biochemistry Ii Nagoya City University Medical School

• Ogawa Akira

  Department Of Neurosurgery Central Clinical Laboratory Iwate Medical University

• Sasaki Makoto

  Deparment Of Mathematical System Science Faculty Of Science And Technology Hirosaki University

• Inoue Takashi

  Department Of Neurosurgery Iwate Medical University

• Inoue Takashi

  Department Of Neurosurgery Kohnan Hospital

• Inoue Takashi

  Department Of Anatomy Kyoto Prefectural University Of Medicine

• Inoue Takashi

  Department Of Agricultural Engineering Faculty Of Agriculture Hokkaido University

• OGAWA Akira

  Department of Neurosurgery, Iwate Medical University

• OGASAWARA Kuniaki

  Department of Neurosurgery, Iwate Medical University

• INOUE Takashi

  Department of Agricultural Chemistry, Faculty of Agriculture, The University of Tokyo

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