Congestive Myelopathy Due to Cervical Perimedullary Arteriovenous Fistula Evaluated by Apparent Diffusion Coefficient Values : Case Report
スポンサーリンク
概要
- 論文の詳細を見る
A 22-year-old woman presented with a cervical perimedullary arteriovenous fistula (AVF) manifesting as right upper and lower extremity weakness. T_2-weighted magnetic resonance (MR) imaging showed intramedullary hyperintensity believed to be caused by venous congestion. Preoperative diffusion-weighted MR imaging showed increased apparent diffusion coefficient (ADC) value. Spinal angiography demonstrated an AVF fed mainly by the right C-5 radicular artery. Complete obliteration of AVF was achieved by endovascular embolization and microsurgical shunt occlusion. The ADC value was normalized and her neurological deficits improved after endovascular surgery, whereas T_2-weighted MR imaging still demonstrated the lesion. The high preoperative ADC value probably indicated reversible vasogenic edema and immediate normalization of the ADC value suggests a good clinical outcome.
- 社団法人 日本脳神経外科学会の論文
- 2006-11-15
著者
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SHIMIZU Hiroaki
Department of Neurosurgery, Tohoku University Graduate School of Medicine
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TOMINAGA Teiji
Department of Neurosurgery, Tohoku University Graduate School of Medicine
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Takahashi Toshiyuki
Department of Cardiology, JR Tokyo General Hospital
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INOUE TOMOO
Department of Surgical Oncology, Osaka University, Medical School
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TAKAHASHI Akira
Department of Dermatology, School of Medicine, Fukuoka University
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Matsumoto Yasushi
Department Surgery (I), Kanazawa University School of Medicine
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Inoue Tomoo
Department Of Neurosurgery Aomori Prefectural Central Hospital
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Inoue Tomoo
Departments Of Neurosurgery Tohoku University Graduate School Of Medicine
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TAKAHASHI Akira
Neuroendovascular Therapy, Tohoku University School of Medicine
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Takahashi Toshiyuki
Department Of Neurosurgery Kohnan Hospital
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Shimizu Hiroaki
Department Of Neurosurgery Kohnan Hospital
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Shimizu Hiroaki
Department Of Neurosurgery Tohoku University School Of Medicine
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Shimizu Hiroaki
Department Of Electrical And Computer Engineering Nagoya Institute Of Technology
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Shimizu Hiroaki
Departments Of Neurosurgery
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Tominaga Teiji
Department Of Neurosurgery Tohoku University Graduate School Of Medicine
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Tominaga Teiji
Department Of Neurosurgery Tohoku Graduate School Of Medicine
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Tominaga Teiji
Neurosurgery Tohoku University Graduate School Of Medicine
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Takahashi Toshiyuki
Department Of Biology Keio University
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Takahashi Akira
Neuroendovascular Therapy Tohoku University School Of Medicine
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Takahashi Akira
Department Of Neuroendovascular Therapy Tohoku University Graduate School Of Medicine
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Takahashi Akira
Department Of Advanced Materials Science And Engineering Faculty Of Engineering Yamaguchi University
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Takahashi Toshiyuki
Department Of Biological Science Graduate School Of Science Hiroshima University
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Matsumoto Yasushi
Department Of Cardiovascular Surgery National Hospital Organization Kanazawa Medical Center
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Matsumoto Yasushi
Department Of Cardiovascular Surgery Kanazawa Medical Center
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Matsumoto Yasushi
Department Of Neuroendovascular Treatment Kohnan Hospital
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TAKAHASHI Akira
Tohoku University Graduate School of Medicine
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Takahashi Toshiyuki
Department of Applied Chemistry, Faculty of Science and Engineering, Kinki University
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SHIMIZU Hiroaki
Department of Applied Chemistry, Faculty of Engineering, Osaka University
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