多発性脳動脈瘤急性期の処置:-脳梁周囲動脈および椎骨動脈に発生した多発性動脈瘤症例における破裂部位診断の反省-

スポンサーリンク

概要

• 論文の詳細を見る

• A case of multiple intracranial aneurysms was reported. Their locations were the right pericallosal artery and the left vertebral artery. The patient died from the second attack of subarachnoid hemorrhage.<BR>A 48-year-old male had an attack of subarachnoid hemorrhage on July 21, 1972 and he was admitted to the Toranomon Hospital on July 24, 1972.<BR>Neurological findings: He was drowsy and confused with stiff neck, and showed motor weakness of right upper extremity and left lower extremity. Babinki's was positive on the right side. Fundi oculi showed papilledema and pre-retinal hemorrhage.<BR>Among these neurological findings, we considered that motor weakness of the left lower extremity was worthy mentioning. Then, right carotid angiography was performed, and a small arterial loop was found at the right peripheral pericallosal artery. But, as a results of repeated angiography, it was diagnosed a saccular aneurysm. During 4 vessel study, we found another saccular aneurysm arising from the left vertebral artery at the junction of the posterior inferior cerebellar artery. However, we considered that the initial rupture of aneurysm was that of pericallosal artery, mainly from the neurological findings.<BR>As the level of consciousness was recovering gradually, we were preparing the direct attack to the aneurysm of the pericallosal artery. But he had the second attack of the subarachnoid hemorrhage and rapidly died on September 9, 1972. Autopsy showed the rupture of vertebral aneurysm. No rupture of the pericallosal aneurysm was confirmed. <BR>-Conclusion-<BR>(1) At the acute stage of ruptured intracranial aneurysm, we must evaluate the neurological symptoms, when they exist. <BR>(2) when the location of angiographically detected aneurysm does not explain the neurological symptoms, we must perform a complete 4 vessel study.

• The Japanese Society on Surgery for Cerebral Strokeの論文

著者

• 竹内 一夫

  虎の門病院・脳神経外科

• 前田 隆寛

  虎の門病院脳神経外科

• 原 充弘

  虎の門病院一般外科

• 竹内 一夫

  虎の門病院脳神経外科

• 原 充弘

  虎の門病院脳神経外科

関連論文

• 脳転移が先行した扁平上皮癌の1症例 : I症例発表 : 主題 肺結核を合併せる肺癌症例 : 第31回関東支部会
• 先天性第XIII因子欠乏症に伴った頭蓋内出血 : 1手術治験例と文献的考察
• 肺癌の脳膜転移に関する研究 : 増殖転移
• 発表形式の統一を(1969年度版「医科器械図録」診断)
• 日本の医科器械の発達をねがって(本学会第41回総会特別講演)
• 手術器械について
• 注射器の問題点 : 特にルーアー先の統一をめぐって(注射器)
• 187. 仙尾部に発生した "embryonal carcinoma" の一例(腫瘍 III)
• 脳下垂体転移による尿崩症を合併した原発性肺癌の2例 : 症例
• 副腎皮質機能亢進を伴つた末端肥大症の1例
• 多発性脳動脈瘤急性期の処置:-脳梁周囲動脈および椎骨動脈に発生した多発性動脈瘤症例における破裂部位診断の反省-

もっと見る 閉じる

スポンサーリンク