[症例報告]小児における上小脳動脈末梢部動脈瘤の1手術例

概要

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A 13-Year-old girl suffered suddenly from an attack of SAH on March 27, 1984. On admission, she remained comatose, and neurological examination revealed stiff neck, right hemiplegia and left oculomotor palsy. CT scan revealed high density areas around the midbrain and the upper surface of the cerebellum. Left vertebral angiogram showed a saccular aneurysm, 4×4×5mm in size, locating in peripheral portion of the left superior cerebellar artery. Three weeks later, the aneurysm was surgically clipped through subtemporal transtentorial approach. The aneurysm of this location seems quite rare; reviewing the literature only 11 cases were reported, including 2 cases under the age of 15 years. Symptoms and operative procedures are discussed in this paper.
琉球大学医学部の論文
1986-00-00