Progression of Stenosis Into Occlusion of the Distal Posterior Cerebral Artery Supplying an Occipital Arteriovenous Malformation Manifesting as Multiple Ischemic Attacks:—Case Report—
スポンサーリンク
概要
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A 31-year-old healthy male presented with a rare case of cerebral arteriovenous malformation (AVM) manifesting as repeated ischemic attacks and cerebral infarction causing left sensori-motor disturbance. Neuroimaging revealed cerebral infarction in the right thalamus as well as right occipital AVM without bleeding. The AVM was mainly fed by the right angular artery, and the right posterior cerebral artery (PCA) showed mild stenosis and segmental dilation at the P2-P3 portion. After referral to our hospital, transient ischemic attacks causing left homonymous hemianopsia, and left arm and leg numbness were frequently recognized. Additional imaging revealed a new ischemic lesion in the occipital lobe, and repeated cerebral angiography showed right PCA occlusion at the P2-P3 segment. Cerebral AVM presenting with cerebral infarction due to occlusion of feeding arteries is rare. In our case, intimal injury due to increased blood flow or spontaneous dissection of the artery were possible causes. We should monitor any changes in the architecture and rheology of the feeding vessels during the clinical course to prevent ischemic complications.
著者
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Fujii Masami
Department Of Neurosurgery Clinical Neuroscience Yamaguchi University School Of Medicine
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Yoneda Hiroshi
Department Of Neuropsychiatry Osaka Medical College
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Goto Hisaharu
Department Of Neurosurgery Yamaguchi University School Of Medicine
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Kajiwara Koji
Department Of Electrical Engineering And Information System School Of Engineering The University Of
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Akimura Tatsuo
Department Of Neurosurgery Clinical Neuroscience Yamaguchi University School Of Medicine
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Fujisawa Hirosuke
Department Of Biology Faculty Of Education Saitama University
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Oka Fumiaki
Department Of Neurosurgery Tohoku University Graduate School Of Medicine
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Kato Shoichi
Department Of Applied Biological Science Faculty Of Science And Technology Tokyo University Of Science
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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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OKA Fumiaki
Department of Neurosurgery, Yamaguchi University School of Medicine
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