Ｖａｓｃｕｌａｒ　ｄｅｐｒｅｓｓｉｏｎを呈したｒａｄｉａｔｉｏｎ　ｉｎｄｕｃｅｄ　ａｒｔｅｒｉａｌ　ｉｎｊｕｒｙによる総頚動脈閉塞症の１例

スポンサーリンク

概要

• 論文の詳細を見る

• A 71-year-old woman was admitted to our hospital with depression that had begun 1 month prior to admisson. Eight years before, she had received radiation therapy (total 60 Gy) for laryngeal cancer. Neurological examination on the admission was normal, but self-rating depression scale (SDS) score showed severe depression. Magnetic resonance imagings demonstrated a small old cerebral infarction in the right cingulate gyrus and multiple lacunar infarctions in subcortical regions. Angiography revealed complete occlusion of the right common carotid artery (CCA) and severe stenotic lesions of the left CCA. Positron emission tomography (PET) showed a decrease of cerebral blood flow (CBF) in the bilateral cerebral hemispheres. The patient underwent a reconstructive surgery for the right CCA. There was no adhesion of skin and subcutaneous tissue, and after arteriotomy the atheromatous plaque was easily removed. After the operation, she was relieved of depression and her SDS score remarkably improved. Postoperative angiography showed the recanalization of the right CCA, and PET revealed an increase of CBF of bilateral cerebral hemispheres. Vascular depression (VD) is a mood disorder caused by cerebrovascular disease, especially cerebral infarctions. In this case, the depression improved remarkably after the carotid endarterectomy, which resulted in an increase of CBF. This case suggests that there may be CBF-dependent and surgically treatable VD in patients with major depressive disorder.

• 一般社団法人 日本脳卒中の外科学会の論文

一般社団法人 日本脳卒中の外科学会 | 論文

• 頸部内頸動脈のｎｅａｒ　ｏｃｃｌｕｓｉｏｎに対するＳＴＡ‐ＭＣＡ吻合術
• 未破裂脳動脈瘤の外科手術の合併症とその対策―慢性硬膜下血腫および後頭蓋窩出血の発生予防―:―慢性硬膜下血腫および後頭蓋窩出血の発生予防―
• 周術期管理指針に基づいたもやもや病に対する血行再建術:―急性期脳血流評価と予防的降圧の効果と限界―
• 未破裂脳動脈瘤クリッピング術の治療成績‐脳動脈瘤手術初心者の経験‐:―脳動脈瘤手術初心者の経験―
• 脳底動脈上小脳動脈分岐部動脈りゅう５８手術例の検討

もっと見る

スポンサーリンク