External Carotid Artery Aneurysm Developing After Embolization of a Buptured Posterior Inferior Cerebellar Artery Aneurysm in a Patient With Cervicocephalic Fibromuscular Dysplasia
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概要
- 論文の詳細を見る
A 30-year-old man presented with an aneurysm of the left posterior inferior cerebellar artery manifesting as subarachnoid hemorrhage and cerebellar infarction. Angiography demonstrated string-of-beads sign typical of fibromuscular dysplasia (FMD) in the extracranial carotid and vertebral arteries. The aneurysm and the parent artery were successfully embolized with Guglielmi detachable coils. Severe vasospasm developed 1 week after admission, and was treated several times by selective injection of vasodilator. A new aneurysm of the left external carotid artery became evident 1 month later, whereas only slight dilation had previously been apparent. This angiographic sequence demonstrated a new arterial dissection. Despite the possibility of damage to the artery during multiple catheterizations, arterial wall changes caused by FMD appear to have been primarily responsible. This case emphasizes the need for particular care in performing vascular interventional procedures in the presence of FMD.
- 社団法人 日本脳神経外科学会の論文
- 2006-06-15
著者
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Nishikawa Yusuke
Department Of Neurosurgery National Hospital Organization Shizuoka Medical Center
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YAMAMOTO Mitsuharu
Department of Mechanical Engineering and Materials Science, Kumamoto University
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Yamamoto Mitsuharu
Department Of Neurosurgery National Hospital Organization Shizuoka Medical Center
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UMEZU Masanari
Departments of Neurosurgery, Kakegawa City General Hospital
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FUSE Takahisa
Department of Neurosurgery, National Hospital Organization Shizuoka Medical Center
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DEMURA Koichiro
Department of Neurosurgery, National Hospital Organization Shizuoka Medical Center
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NIWA Yuji
Department of Neurosurgery, National Hospital Organization Shizuoka Medical Center
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Fuse Takahisa
Department Of Neurosurgery National Hospital Organization Shizuoka Medical Center
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Fuse Takahisa
Department Of Neurosurgery Fukuroi Municipal Hospital
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Demura Koichiro
Department Of Neurosurgery National Hospital Organization Shizuoka Medical Center
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Umezu Masanari
Department Of Neurosurgery National Hospital Organization Shizuoka Medical Center
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Niwa Yuji
Department Of Neurosurgery National Hospital Organization Shizuoka Medical Center
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Niwa Yuji
Department Of Control Engineering Faculty Of Engineering Science Osaka University:(present Address)t
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