Internal Trapping Following Proximal Clipping for a Ruptured Partially Thrombosed Giant Aneurysm of the Vertebral Artery
スポンサーリンク
概要
- 論文の詳細を見る
A 52-year-old woman presented with a partially thrombosed giant aneurysm of the vertebral artery (VA) manifesting as a 3-month history of left hemiparesis. She developed subarachnoid hemorrhage during hospitalization and underwent emergency surgery for surgical proximal clipping and ventricular drainage with decompressive suboccipital craniectomy. She underwent additional surgery for endovascular coil embolization of the aneurysm and the affected distal VA on the 7th postoperative day. Although she suffered transient lower cranial nerve pareses and respiratory failure, her neurological condition improved gradually and she returned home with only slight ataxia and hoarseness 3 months after surgery. Magnetic resonance imaging obtained 28 months postoperatively revealed a remarkable decrease in the size of the aneurysm as well as reduction of the mass effect on the brainstem. Combined proximal clipping and internal trapping can solve the problems associated with treatment of giant aneurysms of VA by either direct surgery or endovascular surgery, and should be considered as a therapeutic option for giant aneurysms of the VA.
- 社団法人日本脳神経外科学会の論文
- 2008-11-15
著者
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TERAKAWA Yuzo
Department of Neurosurgery, Osaka City University Graduate School of Medicine
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OGAWA Daisuke
Department of Medicine and Clinical Science (Internal Medicine III), Okayama University Graduate Sch
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KIMURA Hitomi
Department of Physics, University of Tokyo
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HASHI Kazuo
Department of Neurosurgery,Osaka City University Medical School
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NAKAGAWA Toshio
Department of Business Administration, Aichi Institute of Technology
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Kimura Hitomi
Department Of Anesthesiology Shinsapporo Neurosurgical Hospital
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NUNOMURA Katsuyuki
Department of Neurosurgery, Sapporo Medical University School of Medicine
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YAMAMURA Akinori
Department of Neurosurgery, Shinsapporo Neurosurgical Hospital
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MURAYAMA Naoaki
Department of Neurosurgery, Shinsapporo Neurosurgical Hospital
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FUJISHIGE Masahito
Department of Neurosurgery, Shinsapporo Neurosurgical Hospital
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Nunomura Katsuyuki
Department Of Neurosurgery Shinsapporo Neurosurgical Hospital
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Nunomura Katsuyuki
Department Of Neurosurgery Sapporo Medical University School Of Medicine
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Ogawa Daisuke
Department Of Neurological Surgery Faculty Of Medicine Kagawa University
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Ogawa Daisuke
Department Of Medicine And Clinical Science (internal Medicine Iii) Okayama University Graduate Scho
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Hashi Kazuo
Department Of Neurosurgery Shinsapporo Neurosurgical Hospital
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Hashi Kazuo
Department Of Neurosurgery Osaka City University Medical School
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Terakawa Yuzo
Department Of Neurosurgery Osaka City University Graduate School Of Medicine
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Terakawa Yuzo
Department Of Neurosurgery Graduate Of Medicine Osaka City University
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Nakagawa Toshio
Department Of Neurosurgery Shinsapporo Neurosurgical Hospital
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Murayama Naoaki
Department Of Neurosurgery Shinsapporo Neurosurgical Hospital
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Fujishige Masahito
Department Of Neurosurgery Shinsapporo Neurosurgical Hospital
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Nakagawa Toshio
Department Of Business Administration Aichi Institute Of Technology
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Yamamura Akinori
Department Of Neurosurgery Shinsapporo Neurosurgical Hospital
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