Hemispheric Laminar Necrosis as a Complication of Traumatic Carotid-Cavernous Sinus Fistula
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概要
- 論文の詳細を見る
A 43-year-old woman presented with a very rare case of hemispheric laminar necrosis as a complication of traumatic carotid-cavernous sinus fistula (CCF). The patient suffered head injury and extensive burns following a car accident. Oral intubation was performed under sedation. When sedation was discontinued 17 days after injury, the patient demonstrated left hemiparesis. Magnetic resonance imaging showed laminar necrosis affecting the right cerebral hemisphere. Angiography revealed a right highflow direct CCF. Transarterial embolization of the fistula using a detachable balloon achieved complete occlusion of the fistula. However, the left hemiparesis persisted following this intervention. Traumatic CCF may be missed in patients with disturbed consciousness, so clinicians should not overlook possibility of the triad of symptoms of CCF in patients with head injury.
- 2009-01-15
著者
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池亀 由香
岐阜大学医学部附属病院高次救命治療センター
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池亀 由香
岐阜大学医学部脳神経外科
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YOSHIMURA Shinichi
Department of Neurosurgery, Graduate School of Medicine, Gifu University
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IWAMA Toru
Department of Neurosurgery, Graduate School of Medicine, Gifu University
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Kato Masayasu
Advanced Critical Care Center Gifu University Hospital:department Of Neurosurgery Gifu University Gr
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Yoshimura Shinichi
Department Of Neurosurgery Gifu University Graduate School Of Medicine
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Iwama Toru
Department Of Cardiology Tokyo Metropolitan Bokutoh General Hospital
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Ikegame Yuka
Department Of Neurosurgery Gifu University Graduate School Of Medicine
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Ikegame Yuka
Advanced Critical Care Center Gifu University Hospital:department Of Neurosurgery Gifu University Gr
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Ogura Shinji
Advanced Critical Care Center Gifu University Hospital
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Toyoda Izumi
Advanced Critical Care Center Gifu University Hospital
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Yoshimura Shinichi
Department Of Molecular Life Science Tokai University School Of Medicine
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KITAJIMA Hideomi
Department of Neurosurgery, Gifu University Graduate School of Medicine
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Kitajima Hideomi
Department Of Neurosurgery Gifu University Graduate School Of Medicine
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Yoshimura Shinichi
Department Of Molecular Life Science (cell Biology) Tokai University School Of Medicine
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Kato Masayasu
Advanced Critical Care Center Gifu University Hospital
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Ikegame Yuka
Advanced Critical Care Center Gifu University Hospital
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IWAMA Toru
Department of Neurosurgery, Gifu University Graduate School of Medicine
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Yoshimura Shinichi
Department of Molecular Life science (Cell Biology Division), Tokai University School of Medicine
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