Thrombosed Unruptured Cerebral Aneurysm Causing Brain Infarction Followed by Subarachnoid Hemorrhage : Case Report
スポンサーリンク
概要
- 論文の詳細を見る
A 71-year-old man presented with right hemiparesis and aphasia due to cerebral infarction in the frontal lobe. Computed tomography (CT) revealed a high-density mass, 12mm in diameter, in the stem of the left sylvian fissure. Carotid angiography demonstrated occlusion of the left ascending frontal artery complex and retention of contrast medium at the bifurcation of the left middle cerebral artery (MCA). The diagnosis was cerebral infarction caused by occlusion of the ascending frontal artery complex resulting from thrombosed left MCA aneurysm. The patient was managed conservatively and his neurological symptoms gradually improved. One month later, he lapsed into a coma. CT revealed subarachnoid hemorrhage. Carotid angiography showed a large left MCA aneurysm with branch occlusion of the left ascending frontal artery complex. A left frontotemporal craniotomy was performed. The MCA aneurysm was opened and the intramural thrombi removed, and finally neck clipping was performed. The patient made a good postoperative recovery.
- 日本脳神経外科学会の論文
- 2005-09-15
著者
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KAKU Yasuhiko
Department of Neurosurgery, Asahi University Murakami Memorial Hospital
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KATO Masayasu
Department of Neurosurgery, Gifu Prefectural General Medical Center
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SAKAI Noboru
Department of Neurosurgery,Gifu University School of Medicine
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IWAMA Toru
Department of Neurosurgery, Graduate School of Medicine, Gifu University
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Kato Masayasu
Department Of Neurosurgery Gifu Prefectural General Medical Center
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Kato Masayasu
Department Of Neurosurgery Gifu University Graduate School Of Medicine
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Sakai N
Department Of Neurosurgery Gifu University Graduate School Of Medicine
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Iwama Toru
Department Of Cardiology Tokyo Metropolitan Bokutoh General Hospital
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Iwama Toru
Department Of Neurosurgery Gifu University Graduate School Of Medicine
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Sakai N
Department Of Neurosurgery Gifu University School Of Medicine
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Sakai Noboru
Department Of Food Engineering Tokyo University Of Fisheries
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Kaku Yasuhiko
Department Of Neurosurgery Gifu University Graduate School Of Medicine
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Kaku Yasuhiko
Department Of Electronics Kyushu Institute Of Technology
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OKUMURA Ayumi
Department of Neurosurgery, Gifu University Graduate School of Medicine
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Okumura Ayumi
Department Of Neurosurgery Gifu University Graduate School Of Medicine
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