Cerebral Venous Sinus Thrombosis Associated with Systemic Multiple Hemangiomas Manifesting as Chronic Subdural Hematoma —Case Report—
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- TAKAMURA Yukio
- Department of Neurosurgery, Kushiro City General Hospital
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- MORIMOTO Shigefumi
- Department of Neurosurgery, Kushiro City General Hospital
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- UEDE Teiji
- Department of Neurosurgery, Kushiro City General Hospital
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- YAMAKI Toshiaki
- Division of Neurosurgery, Shinsapporo Neurosurgical Hospital
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- MINAMIDA Yoshihiro
- Division of Neurosurgery, Shinsapporo Neurosurgical Hospital
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- YAMAMURA Akinori
- Division of Neurosurgery, Shinsapporo Neurosurgical Hospital
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- NAKAGAWA Toshio
- Division of Neurosurgery, Shinsapporo Neurosurgical Hospital
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A 35-year-old male was admitted with headache, nausea, and vomiting persisting for 2 days. Computed tomography (CT) revealed a left chronic subdural hematoma. Cerebral angiography demonstrated cerebral venous sinus thrombosis (CYST). He had presented with a subcutaneous mass involving the neck at age 2 years, which was shown to be a cavernous angioma, and thereafter shown signs of consumptive coagulopathy with systemic multiple hemangiomas. Burr hole aspiration of the hematoma was performed. Seventy-two hours later, he developed clouding of consciousness and right hemiparesis. CT revealed a fresh hematoma in the operated subdural cavity and hemorrhagic diathesis manifested. A frontotemporoparietal large craniotomy was performed to remove the hematoma. Extensive electrocauterization was required. He had a satisfactory postoperative course. Collateral venous pathways, resulting from the CYST due to systemic multiple hemangiomas, may have caused hemodynamic stress in the bridging veins which subsequently induced chronic subdural hematoma.
収録刊行物
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- Neurologia medico-chirurgica
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Neurologia medico-chirurgica 36 (9), 650-653, 1996
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
- 1390282680027997952
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- NII論文ID
- 110002278837
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- NII書誌ID
- AN00358613
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- ISSN
- 13498029
- 04708105
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- PubMed
- 8913083
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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
- Crossref
- PubMed
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- 使用不可