Aneurysmal Subarachnoid Hemorrhage in a Patient With Human Immunodeficiency Virus Type 1 Infection : Case Report
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概要
- 論文の詳細を見る
A 54-year-old human immunodeficiency virus type 1 (HIV-1)-infected homosexual Japanese male was found to have collapsed in his bathroom and was brought to our facility with diminished level of consciousness. Computed tomography showed subarachnoid hemorrhage (SAH). He was severely dehydrated with unstable general status that deterred us from performing emergent surgery. Cerebral angiography performed on the 18th hospital day revealed bilateral distal anterior cerebral artery aneurysms. Clipping of these aneurysms was performed on the 30th hospital day and no postoperative complications were experienced. The scalp wound showed no delayed healing, whereas the tracheostomy wound showed repeated wound dehiscence and delayed healing. Postoperative highly active antiretroviral therapy with antibiotic treatment gradually improved his general and immunological conditions. The patient was finally discharged as independent with mild muscle weakness in the bilateral lower extremities. HIV-1 infection should not be the guiding factor in the decision to aggressively treat concomitant aneurysmal disease. Clipping of cerebral aneurysms with full craniotomy or endovascular obliteration should be considered even in HIV-1-infected patients with SAH.
- 社団法人 日本脳神経外科学会の論文
- 2006-07-15
著者
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MIYAMOTO Shinya
Department of Neurosurgery, Ibaraki Prefectural Central Hospital
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Oka Shinichi
AIDS Clinical Center, National Center for Global Health and Medicine, Japan
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Oka Shinichi
Aids Clinical Center International Medical Center Of Japan
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Kondo Tatsuya
Department of Metabolic Medicine, Faculty of Life Sciences, Kumamoto University, Japan
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HONMA Hideki
Department of Neurosurgery, Showa University School of Medicine
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Kondo Tatsuya
Department Of Developmental Genetics Kumamoto University
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Miyamoto Shinya
Department Of Neurosurgery International Medical Center Of Japan:department Of Neurosurgery Graduate
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Miyamoto Shinya
Department Of Chemistry Faculty Of Science Tokyo Metropolitan University
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Hara Tetsuo
Department of Biotechnology, Faculty of Agriculture, Gifu University
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Honma Hideki
Department Of Neurosurgery International Medical Center Of Japan
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Hara Tetsuo
Department Of Neurosurgery International Medical Center Of Japan
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TABEI Yusuke
Department of Neurosurgery, International Medical Center of Japan
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Tabei Yusuke
Department Of Neurosurgery International Medical Center Of Japan
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Hara Tetsuo
Department Of Biotechnology Faculty Of Agriculture Gifu University
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Oka Shinichi
AIDS Clinical Center, International Medical Center of Japan
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KONDO Tatsuya
Department of Neurosurgery, International Medical Center of Japan
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