Chiasmal and/or Optic Nerve Apoplexy Due to Rupture of Vascular Malformation
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概要
- 論文の詳細を見る
An 8-year-old boy presented with a rare case of optic nerve apoplexy caused by an arteriovenous malformation (AVM) manifesting as severe headache and blurred vision. Computed tomography (CT) showed a hyperdense suprasellar mass. Magnetic resonance (MR) imaging indicated a hematoma in the right optic nerve. MR angiography showed normal vessels. Right fronto-temporal craniotomy identified an aggregate of abnormal, nidus-like vessels adhering to the medial surface of the swollen right optic nerve and a drainer-like ectatic red vein. The diagnosis was probable AVM. To avoid optic nerve damage, the malformation was left intact. Two years later, the boy was readmitted with headache. CT showed bleeding, and angiography revealed feeder arteries and nidus in the suprasellar lesion. The diagnosis was optic nerve apoplexy due to AVM. His symptoms improved without intervention within days. He has not experienced any recurrence of the bleeding for 2 years.
- 社団法人日本脳神経外科学会の論文
- 2008-10-15
著者
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Sasaki Takashi
Department of Cardiothoracic Surgery, Nippon Medical School
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AKAI Takuya
Department of Neurosurgery, Toyama Medical and Pharmaceutical University, Toyama
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Akai Takuya
Department Of Neurosurgery Kanazawa Medical University
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Sasaki Takashi
Department Of Bioregulation. Institute For Medical Genetics Kumamoto University Medical School
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Iizuka Hideaki
Department Of Neurosurgery Kanazawa Medical University
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SASAGAWA Yasuo
Department of Neurosurgery, Kanazawa Medical University
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Sasagawa Yasuo
Department Of Neurosurgery Tonami General Hospital Tonami
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Sasagawa Yasuo
Department Of Neurosurgery Kanazawa Medical University
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Akai Takuya
Department Of Neurosurgery Faculty Of Medicine University Of Toyama
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Sasaki Takashi
Department Of Applied Biological Chemistry Graduate School Of Agricultural And Life Sciences The Uni
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IIZUKA Hideaki
Department of Analytical Chemistry, Faculty of Pharmaceutical Sciences, Toho University
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