Acute Obstructive Hydrocephalus due to an Unruptured Basilar Bifurcation Aneurysm Associated with Bilateral Internal Carotid Occlusion. A Case Report.:A Case Report
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概要
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A patient with a higherly positioned and large basilar bifurcation aneurysm associated with bilateral internal carotid occlusion was described. A 63 year-old man was admitted to Yokokura Hospital with disturbed consciousness and mild left hemiparesis. On admission, an initial plain CT-scan showed an acute obstructive hydrocephalus with periventricular lucency caused by an abnormal lesion in the anterior part of the third ventricle. An emergency ventriculo-peritoneal shunt was inserted. The postoperative course was uneventful. The patient regained his consciousness with normal motor function by the following day. Postoperative cerebral angiography disclosed a large basilar bifurcation aneurysm at a higher position, 19 mm from the dorsum sellae. Bilateral internal carotid occlusion had occurred, but rich collateral blood supply from the vertebrobasilar artery via the bilaterally enlarged posterior communicating arteries to the anterior circulation was observed. This rich collateral blood supply to the vertebrobasilar artery might be responsible for the development of the aneurysmal formation due to the increased hemodynamic stress.
- 久留米大学医学部 The Kurume Medical Journal 編集部の論文
著者
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Abe Toshi
Department Of Radilogy School Of Medicine Kurume University
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Yokokura Yoshitake
Department Of Cardiovascular Surgery Koukeikai Yokokura Hospital
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Kojima Kazuyuki
Department Of Mechano-robotics Graduate School Of Science And Engineering Saitama University
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ISHIBASHI Akira
Department of Chemical Pharmacology, Faculty of Pharmaceutical Sciences, University of Tokyo
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YOKOKURA YOSHITAKE
Departments of Neurosurgery and Surgery, Yokokura Hospital
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