Posterior Inferior Cerebellar Artery Aneurysm Associated With Persistent Primitive Hypoglossal Artery
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概要
- 論文の詳細を見る
A 49-year-old woman presented with subarachnoid hemorrhage (SAH) from an aneurysm associated with a persistent primitive hypoglossal artery (PPHA) manifesting as sudden onset of headache, but without neurological deficits. Conventional computed tomography (CT) of her head showed no abnormality but lumbar tap indicated SAH. Three-dimensional (3D)-CT angiography showed a PPHA originating from the internal carotid artery and an aneurysm of the posterior inferior cerebellar artery at the junction with the remnant hypoplastic vertebral artery. 3D-CT angiography was essentially useful for presurgical planning to determine the extent of craniotomy and the space for possible temporary clipping, and confirmed the diagnosis of aneurysmal SAH. The aneurysm was clipped and she returned to her job 4 weeks later. Cerebral angiography is the golden standard technique to diagnose PPHA, but 3D-CT angiography can be recommended for presurgical evaluation, especially in patients with complex and anomalous anatomical structures.
- 2008-06-15
著者
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KOBAYASHI Masahito
Department of Neurosurgery, Keio University School of Medicine
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KAWASE Takeshi
Department of Neurosurgery, Keio University School of Medicine
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TANIZAKI Yoshio
Department of Neurosurgery, Mihara Memorial Hospital
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AKAJI Kazunori
Department of Neurosurgery, Mihara Memorial Hospital
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OHIRA Takayuki
Department of Neurosurgery, Keio University School of Medicine
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Kawase Takeshi
Department Of Neurosurgery Keio University School Of Medicine
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Kawase Takeshi
Department Of Chemistry Graduate School Of Science Osaka University
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MIHARA Ban
Department of Neurology, Mihara Memorial Hospital
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Kobayashi Masahito
Department Of Neurosurgery Keio University School Of Medicine
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Kobayashi Masahito
Department Of Neurosurgery Keio University School Of Medicine:department Of Neurosurgery Institute O
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Mihara Ban
Department Of Neurology Institute Of Brain And Blood Vessels
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Ohira Takayuki
Department Of Neurosurgery And Ent School Of Medicine Keio University
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Akaji Kazunori
Department Of Neurosurgery Ashikaga Red Cross Hospital
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Kobayashi Masahito
Department Of Neurosurgery And Neurology Institute Of Brain And Blood Vessels Mihara Memorial Hospit
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Tanizaki Yoshio
Department Of Neurosurgery Institute Of Brain And Blood Vessels
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Kawase Takeshi
Department Of Chemistry Faculty Of Science Osaka University
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Ohira Takayuki
Department of Macromolecular Science and Engineering, Kyoto Institute of Technology, Matsugasaki, Sakyo-ku, Kyoto 606-8585, Japan
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