Ruptured Vertebral Artery Dissecting Aneurysm Followed by Spontaneous Acute Occlusion and Early Recanalization
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概要
- 論文の詳細を見る
A 47-year-old man presented with a ruptured vertebral artery dissecting aneurysm manifesting as subarachnoid hemorrhage followed by acute occlusion and early recanalization of the affected artery. Cerebral angiography 2 hours after the onset of the symptom showed pearl-and-string sign in the right vertebral artery. Serial angiography showed that the affected artery was occluded at 12 hours but was recanalized on the 4th day. The disseoting aneurysm was resected with side-to-side anastomosis between the bilateral posterior inferior cerebellar arteries. Postoperative cerebral angiography demonstrated disappearance of the lesion and patency of the right posterior inferior cerebellar artery via the anastomosis. Histological examination of the lesion showed hematoma between the media and adventitia, disrupting the internal elastica and intima. Acute occlusion and early recanalization of the affected artery may occur in ruptured vertebral artery dissecting aneurysms. Serial neurological and neuroradiological examinations are essential to decide the timing and method of treatment.
- 日本脳神経外科学会の論文
- 2005-08-15
著者
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OGAWA Akira
Department of Neurosurgery, Iwate Medical University School of Medicine
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OGASAWARA Kuniaki
Department of Neurosurgery, Iwate Medical University School of Medicine
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Ogasawara Kuniaki
岩手医科大学 脳神経外科
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Ogasawara Kuniaki
Department Of Neurosurgery Iwate Medical University
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OTAWARA YASUNARI
Department of Neurosurgery, Iwate Prefectural Central Hospital
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Ogawa Akira
Department Of Neurosurgery Iwate Medical University
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ENDO Hidehiko
Department of Neurosurgery, Central Clinical Laboratory, Iwate Medical University
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NAKAMURA Shin-ichi
Division of Pathology, Central Clinical Laboratory, Iwate Medical University
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Nakamura Shin-ichi
Division Of Pathology Central Clinical Laboratory Iwate Medical University
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Endo Hidehiko
Department Of Neurosurgery Central Clinical Laboratory Iwate Medical University
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Ogawa Akira
Department Of Biochemistry Gunma University Graduate School Of Medicine
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Ogawa Akira
Department Of Neurosurgery Iwate Medical University School Of Medicine
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Otawara Yasunari
Department Of Neurosurgery Iwate Medical University
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Ogawa Akira
Department Of Applied Chemistry Graduate School Of Engineering The University Of Tokyo
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Ogawa Akira
Department Of Neurosurgery Central Clinical Laboratory Iwate Medical University
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OGAWA Akira
Department of Neurosurgery, Iwate Medical University
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OGASAWARA Kuniaki
Department of Neurosurgery, Iwate Medical University
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