Ruptured Distal Anterior Inferior Cerebellar Artery Aneurysm Following Stereotactic Irradiation for Vestibular Schwannoma -Case Report-
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- YAMAGUCHI Shigeru
- Department of Neurosurgery, Hakodate Central Hospital
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- KATO Tsutomu
- Department of Neurosurgery, Hakodate Central Hospital
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- TAKEDA Makoto
- Department of Neurosurgery, Hakodate Central Hospital
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- IKEDA Hitoshi
- Department of Pathology, Hakodate Central Hospital
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- KITAMURA Kei
- Department of Radiology, Hakodate Municipal Hospital
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- タイトル別名
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- —Case Report—
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A 73-year-old woman presented with diffuse subarachnoid hemorrhage from a ruptured fusiform aneurysm directly arising from the right distal anterior inferior cerebellar artery. Six years before admission, she had undergone stereotactic irradiation for right vestibular schwannoma, under a diagnosis based on neuroimaging. The aneurysm was located within the radiation field. We performed trapping and resection of the aneurysm via a right lateral suboccipital craniotomy, and the patient made a good recovery. Histological examination revealed no evidence of elastic lamina in the aneurysm wall, suggesting pseudoaneurysm caused by radiation-induced vascular injury. Aneurysm formation after radiotherapy is relatively rare and often manifests as fatal hemorrhage. Long-term surviving patients who have received intracranial irradiation should undergo sequential follow up for possible vascular involvement.<br>
収録刊行物
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- Neurologia medico-chirurgica
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Neurologia medico-chirurgica 49 (5), 202-205, 2009
一般社団法人 日本脳神経外科学会
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詳細情報 詳細情報について
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- CRID
- 1390282680030045312
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- NII論文ID
- 10025947705
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- NII書誌ID
- AN00358613
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- COI
- 1:STN:280:DC%2BD1MzmslOqsg%3D%3D
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- ISSN
- 13498029
- 04708105
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- PubMed
- 19465790
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- 本文言語コード
- en
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- データソース種別
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- JaLC
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- PubMed
- CiNii Articles
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- 使用不可