De Novo Vertebral Artery Dissecting Aneurysm After Contralateral Vertebral Artery Occlusion : Two Case Reports
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概要
- 論文の詳細を見る
Two patients developed de novo vertebral artery dissecting aneurysm after contralateral vertebral artery occlusion. A 36-year-old man presented with brainstem ischemia and was treated non-surgically. Subsequent angiography showed spontaneous vertebral artery occlusion at the site of dissection. A 45-year-old man developed subarachnoid hemorrhage due to vertebral artery dissecting aneurysm. He underwent endovascular occlusion of the vertebral artery proximal to the dissecting aneurysm. These patients developed de novo dissecting aneurysm on the contralateral vertebral artery at 13 months and 11 days after unilateral vertebral artery occlusion, respectively. These cases strongly suggest that changes in hemodynamic stress due to unilateral vertebral artery occlusion are related to de novo dissecting aneurysm on the contralateral side. The risk of de novo dissecting aneurysm may be increased by proximal occlusion or trapping of dissecting aneurysm of the contralateral vertebral artery.
- 日本脳神経外科学会の論文
- 2006-01-15
著者
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Kamei Ichiro
Department of Forest and Forest Products Sciences, Faculty of Agriculture, Kyushu University
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HAYASHI Seiji
Department of Earth and Planetary Sciences, Graduate School of Science, Nagoya University
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Terada Tomoaki
Department Of Neurological Surgery Wakayama Medical University
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Kamei Ichiro
Department Of Neurosurgery Japanese Red Cross Society Wakayama Medical Center
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Kamei Ichiro
Department Of Forest And Forest Products Sciences Faculty Of Agriculture Kyushu University
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NAKAKITA Kazuo
Department of Neurosurgery, Kinki University Medical School
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Hayashi Seiji
Department Of Anatomy And Neurobiology Kyoto Prefectural University Of Medicine
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Nakakita Kazuo
Department Of Neurosurgery Minami-wakayama Medical Center
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Nakakita Kazuo
Department Of Emergency And Critical Care Medicine Kawasaki Medical School
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Terada Tomoaki
Department Of Neurological Surgery Wakayama Medicaj University
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INUI Yoshiro
Department of Neurosurgery, Minami-wakayama Medical Center
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OIWA Yoshitsugu
Department of Neurological Surgery, Wakayama Medical University
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Inui Yoshiro
Department Of Neurosurgery Minami-wakayama Medical Center
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Hayashi Seiji
Department Of Neurosurgery Minami-wakayama Medical Center
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Oiwa Yoshitsugu
Department Of Neurological Surgery Wakayama Medical University
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Oiwa Yoshitsugu
Department Of Neurological Surgery Hidaka General Hospital
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Kamei Ichiro
Department Of Forest And Environmental Sciences Faculty Of Agriculture University Of Miyazaki
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