書誌事項
- タイトル別名
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- A case of severe intracranial perfusion failure after a unilateral radical neck dissection
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Intracranial perfusion failure is one of the well-documented complications of bilateral radical neck dissection, but rarely occurs after unilateral radical neck dissection. We describe a male patient who had intracranial perfusion failure after unilateral radical dissection of the right side of the neck. Three days after the dissection, he complained of severe headache and nausea and then had increased blood and intracranial pressures. Carotid angiograms showed dominant right transverse sinus drainage probably because of hypoplastic left transverse sinus drainage. Furthermore, dissection of the right internal jugular vein caused occlusion at the superior bulb of the right jugular vein, leading to intracranial perfusion failure. The patient was treated by drainage of cerebrospinal fluid and a dehydrator and became asymptomatic. In our patient radical neck dissection done on the side of the dominant transverse sinus drainage, caused intracranial perfusion failure followed by severe headache and nausea, possibly because of the hypoplastic contralateral transverse sinus drainage.
収録刊行物
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- 日本口腔外科学会雑誌
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日本口腔外科学会雑誌 49 (12), 678-681, 2003
社団法人 日本口腔外科学会
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詳細情報 詳細情報について
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- CRID
- 1390001206533397632
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- NII論文ID
- 10012630401
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- NII書誌ID
- AN00189163
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- ISSN
- 21861579
- 00215163
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
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- CiNii Articles
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- 使用不可