Endoscopic Fenestration of Posterior Fossa Arachnoid Cyst for the Treatment of Presyrinx Myelopathy : Case Report
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概要
- 論文の詳細を見る
A 32-year-old man presented with an arachnoid cyst of the posterior fossa manifesting as cervical syringomyelic myelopathy. Magnetic resonance (MR) imaging demonstrated edematous enlargement and T2 prolongation of the cervical spinal cord, indicating a “presyrinx” state. MR imaging showed the inferior wall of the cyst, which disturbed cerebrospinal fluid (CSF) pulsatile movement between the intraspinal and intracranial subarachnoid spaces. The cyst wall was fenestrated with a neuroendoscope. The presyrinx state and the CSF movement improved. Posterior fossa arachnoid cyst, as well as Chiari malformation, can cause CSF flow disturbance at the craniocervical junction and syringomyelia. Endoscopic fenestration is less invasive than foramen magnum decompression and should be the procedure of choice.
- 社団法人 日本脳神経外科学会の論文
- 2002-10-15
著者
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AKIMURA Tatsuo
Department of Neurosurgery, Saiseikai Yamaguchi General Hospital
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SUZUKI Michiyasu
Department of Neurosurgery, Iwate Medical University
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NOMURA Sadahiro
Department of Neurosurgery, Clinical Neuroscience, Yamaguchi University School of Medicine
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NISHIZAKI Takafumi
Department of Neurosurgery, Yamaguchi University School of Medicine
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Nomura Sadahiro
Department Of Neurosurgery Yamaguchi University School Of Medicine
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Nomura Sadahiro
Department Of Neurosurgery Institute Of Neuroscience St. Mary's Hospital
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IMOTO Hirochika
Department of Neurosurgery, Yamaguchi University School of Medicine
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Imoto Hirochika
Department Of Neurosurgery Yamaguchi University School Of Medicine
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Imoto Hirochika
Departments Of Neurosurgery Yamaguchi University School Of Medicine
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Akimura Tatsuo
Department Of Neurosurgery Clinical Neuroscience Yamaguchi University School Of Medicine
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Nishizaki Takafumi
Department Of Neurosurgery Yamaguchi University School Of Medicine
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Suzuki Michiyasu
Departments Of Neurosurgery Yamaguchi University School Of Medicine
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Suzuki Michiyasu
Department Of Neurosurgery Clinical Neuroscience Yamaguchi University School Of Medicine
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Imoto Hirochika
Department Of Neurosurgery Graduate School Of Medicine Yamaguchi University
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Nomura Sadahiro
Department Of Neurosurgery Clinical Neuroscience Higher Biointegration Yamaguchi University Graduate School Of Medicine
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Suzuki Michiyasu
Department Of Neurosurgery Clinical Neuroscience Higher Biointegration Yamaguchi University Graduate School Of Medicine
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Suzuki Michiyasu
Department of Neurosurgery and Clinical Neuroscience, Yamaguchi University Graduate School of Medicine, Japan
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