Unusual angiographic changes in an internal carotid artery pseudoaneurysm after infection in the deep neck space - Case report
スポンサーリンク
概要
- 論文の詳細を見る
A 48-year-old man presented with a pseudoaneurysm at the cervical portion of the left internal carotid artery (ICA) secondary to infection in the deep neck space. Magnetic resonance (MR) imaging demonstrated enhancement of the wall of the ICA and a pseudoaneurysm, considered to be sequelae of infection spread. ICA occlusion occurred on the next day resulting in sudden onset of right hemiparesis and motor aphasia. The ICA pseudoaneurysm shrank gradually and his neurological deficits improved with conservative therapy. One month later, he presented with aneurysm regrowth. The common carotid artery was occluded with Guglielmi detachable coils to block arterial flow into the pseudoaneurysm. There were no neurological complications. Marked enhancement of the ICA wall on computed tomography and MR imaging may indicate the possibility of vascular complications such as rupture, pseudoaneurysm development, or ICA occlusion, and consequent neurological deficits. ICA occlusion caused by spread of infection in the deep neck space may cause accelerated coagulopathy due to ICA wall inflammation.
- 社団法人 日本脳神経外科学会の論文
- 2008-05-15
著者
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HAYASHI Yutaka
Department of Neurosurgery, Graduate School of Medical Science, Kanazawa University
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HAMADA Jun-ichiro
Department of Neurosurgery, Graduate School of Medical Science, Kanazawa University
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Hayashi Yasuhiko
Department Of Cardiovascular Physiology And Medicine Hiroshima University Graduate School Of Biomedi
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Hamada Jun-ichiro
Department Of Neurosurgery Graduate School Of Medical Science Kanazawa University
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Kida Shinya
Department Of Neurosurgery Kanazawa University School Of Medicine
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Kida Shinya
Department Of Neurosurgery Graduate School Of Medical Science Kanazawa University
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SHIMA Hiroshi
Department of Neurosurgery, Graduate School of Medical Science, Kanazawa University
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MIYASHITA Katsuyoshi
Department of Neurosurgery, Graduate School of Medical Science, Kanazawa University
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KINOSHITA Masashi
Department of Neurosurgery, Graduate School of Medical Science, Kanazawa University
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NAKADA Mitsutoshi
Department of Neurosurgery, Graduate School of Medical Science, Kanazawa University
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Hamada Junichiro
Department Of Histology And Neurobiology And Orthopedics Dokkyo University School Of Medicine
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Hayashi Yasuhiko
Department Of Neurosurgery Graduate School Of Medical Science Kanazawa University
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Nakada Mitsutoshi
Department Of Neurosurgery Graduate School Of Medical Science Kanazawa University
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Miyashita Katsuyoshi
Department Of Neurosurgery Graduate School Of Medical Science Kanazawa University
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Hamada Jun-ichiro
Department Of Neurosurgery Kanazawa University Hospital Kanazawa University
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Hayashi Yasuhiko
Department Of Cardiology Tsuchiya General Hospital
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Hamada Jun-ichiro
Department Of Neurosurgery Faculty Of Medical And Pharmaceutical Sciences Kumamoto University Gradua
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Shima Hiroshi
Department Of Neurosurgery Graduate School Of Medical Science Kanazawa University
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Shima Hiroshi
Department Of Civil Engineering The University Of Tokushima
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Kida Shinya
Department Of Neurosurgery Fukui Prefectural Hospital
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Hayashi Yasuhiko
Department Of Cardiology Cardiovascular Center Tsuchiya General Hospital
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Shima Hiroshi
Department of Biological Safety Research, Japan Food Research Laboratories
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