STA-MCA吻合術を行ったのちにtrappingを行った細菌性脳動脈瘤の1例

概要

論文の詳細を見る
We report the case of a 37-years-old female with a bacterial aneurysm successfully treated. She suffered from infectious endocarditis and presented with a severe headache and convulsion. CT scans demonstrated subarachnoid hemorrhage, and cerebral angiograms showed a fusiform aneurysm at the proximal portion of the superior trunk of left middle cerebral artery. She had right hemiparesis, motor aphasia and disturbance of consciousness due to infectious vasculitis and vasospasm. We trapped the aneurysm right after STA-MCA anastomosis following the recovery from infectious vasculitis and vasospasm. At the operation, we found some subarachnoid empyema on the brain surface. The pathological findings revealed destruction of the elastic band and inflammatory change in the aneurysmal wall. We discuss pathogenesis of bacterial aneurysm and proper timing of surgical treatment.
日本脳卒中の外科学会の論文
2000-09-30