Hemorrhagic Infarction Originating From Vertebral Artery Stenosis Caused by an Osteophyte at the C5 Superior Articular Process
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概要
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A 62-year-old man presented with right upper homonymous quadrihemianopsia. Magnetic resonance imaging showed hemorrhagic infarctions in the bilateral occipital lobes and infarction in the left cerebellar hemisphere. Digital subtraction angiography and three-dimensional computed tomography angiography revealed right vertebral artery (VA) stenosis caused by an osteophyte at the C5 superior articular process. The VA stenosis was aggravated by neck extension. The brain infarctions were attributed to embolism from the right VA stenosis. Unroofing of the anterior root of the right C4 transverse foramen, removal of the osteophyte at the superior articular process of C5, and anterior fusion at C4-5 were performed. His postoperative course was uneventful.
- 社団法人日本脳神経外科学会の論文
- 2009-03-15
著者
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Takeuchi Satoru
Department Of Neurosurgery National Hospital Organization Disaster Medical Center
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Isu Toyohiko
Department Of Neurosurgery Hokkaido University School Of Medicine
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Kawaguchi Tsutomu
Department Of Animal Husbandry Faculty Of Agriculture Tohoku University
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Kawaguchi Tsutomu
Department Of Neurosurgery Hakodate Red Cross Hospital
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NAKATANI Mitsuru
Department of Neurosurgery, Hakodate Red Cross Hospital
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Takeuchi Satoru
Department Of Gynecology And Obstetrics Kochi Health Sciences Center
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Takeuchi Satoru
Department Of Neurosurgery Hakodate Red Cross Hospital:(present Office)department Of Neurosurgery Na
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Nakatani Mitsuru
Department Of Neurosurgery Hakodate Red Cross Hospital
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