Subarachnoid Hemorrhage After an Ischemic Attack Due to a Bacterial Middle Cerebral Artery Dissecting Aneurysm: Case Report and Literature Review
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概要
- 論文の詳細を見る
A 78-year-old woman suffered sudden-onset left hemiparesis. There were no remarkable infectious findings. Computed tomography (CT) demonstrated a low-intensity area supplied by the right middle cerebral artery (MCA). The diagnosis was cerebral ischemia and she was conservatively treated with hyperosmotic fluids. Two days after the ischemic stroke she suddenly became comatose. CT showed diffuse subarachnoid hemorrhage (SAH) in the basal cistern associated with a right intra-Sylvian and a right frontal subcortical hematoma. Three-dimensional (3D)-CT angiography demonstrated occlusion of the M2 portion of the right MCA. Four days after the ischemic onset she died of brain herniation. Autopsy revealed arterial dissection in the intermediate membrane of the right MCA bifurcation and occlusion of the M2 portion of the thrombosed right MCA. Gram staining showed remarkable bacterial infection in the thrombus. SAH after an ischemic attack due to MCA dissection is extremely rare. We suspect that bacterial infection was involved in the formation of her fragile dissecting aneurysm.
- 社団法人 日本脳神経外科学会の論文
著者
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Hori Emiko
Department Of Neurosurgery Aomori Prefectural Central Hospital
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Sannohe Seiya
Department Of Forensic Medicine Hirosaki University School Of Medicine
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Kanamori Masayuki
Department Of Neurosurgery Tohoku University Graduate School Of Medicine
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Nishimura Shinjitsu
Department Of Neurosurgery Aomori Prefectural Central Hospital
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Kawaguchi Tomohiro
Department Of Applied Chemistry Faculty Of Engineering Osaka Institute Of Technology
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Kaimori Mitsuomi
Department Of Clinical Pathology Aomori Prefectural Central Hospital
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Nishijima Michiharu
Department Of Neurosurgery Aomori Prefectural Central Hospital
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Sasaki Tatsuya
Department Of Aeronautics And Space Engineering Tohoku University
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Saito Atsushi
Department Of Biochemistry Graduate School Of Biomedical Sciences Hiroshima University
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SAITO Atsushi
Department of Neurosurgery, Aomori Prefectural Central Hospital
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KANAMORI Masayuki
Department of Neurosurgery, Aomori Prefectural Central Hospital
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