63. 内方に向くC<SUB>3</SUB>portion aneurysmのcontra-lateral approachによるneck clippingの1例 (ビデオ供覧)

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概要

• 論文の詳細を見る

• Neck clipping of an aneurysm of the internal carotid artery situated in the cavernous sinus is difficult because of the anatomical features. Thus common carotid ligation or trapping with STA-MCA anastomosis is the usual choice for such an aneurysm. We succeeded in clipping the aneurysmal neck situated in this portion through a contralateral pterional approach.<BR>A 65-year-old man suffered from severe headache and epistaxis. He was nearly alert and had signs of meningeal irritation. CT scanning revealed subarachnoid hemorrhage. Left CAG demon-strated a C3 portion aneurysm projecting medially. The aneurysm, 5mm in diameter, was located proximally apart from the origin of the ophthalmic artery. On the 26th hospital day, a direct ap-proach was successfully undertaken.<BR>The technical procedure of the operation in this case was demonstrated on video and discussed in this paper.

• The Japanese Society on Surgery for Cerebral Strokeの論文

著者

• 寺坂 薫

  総合病院岡山協立病院 脳神経外科

• 岩槻 清

  総合病院岡山協立病院 脳神経外科

• 小林 純

  総合病院岡山協立病院 内科

関連論文

• 63. 内方に向くC3portion aneurysmのcontra-lateral approachによるneck clippingの1例 (ビデオ供覧)

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