Discrepancy between Preoperative Imaging and Postoperative Pathological Finding of Ruptured Intracranial Dissecting Aneurysm, and Its Surgical Treatment: Case Report
-
- OTA Nakao
- Stroke Center, Department of Neurosurgery, Teishinkai Hospital
-
- TANIKAWA Rokuya
- Stroke Center, Department of Neurosurgery, Teishinkai Hospital
-
- KAMIYAMA Hiroyasu
- Stroke Center, Department of Neurosurgery, Teishinkai Hospital
-
- MIYAZAKI Takanori
- Department of Neurosurgery, Abashiri Neurosurgical Rehabilitation Hospital
-
- NODA Kosumo
- Stroke Center, Department of Neurosurgery, Teishinkai Hospital
-
- KATSUNO Makoto
- Department of Neurosurgery, Abashiri Neurosurgical Rehabilitation Hospital
-
- IZUMI Naoto
- Department of Neurosurgery, Abashiri Neurosurgical Rehabilitation Hospital
-
- HASHIMOTO Masaaki
- Department of Neurosurgery, Abashiri Neurosurgical Rehabilitation Hospital
この論文をさがす
抄録
The choice of therapeutic strategy for intracranial dissecting aneurysm is often based on radiographic features, including characteristic geometry (e.g., irregular stenosis, segmental stenosis, aneurysm formation [pearl-and-string sign]), irregular fusiform or aneurysmal dilation, double lumen, and tapering occlusion. However, there is often a discrepancy between preoperative radiographic data and actual dissecting length. The present report describes three cases in which there was a discrepancy between preoperative radiographic data and actual dissecting length in patients undergoing direct trapping with or without revascularization. All three cases experienced good outcomes, but these cases underscore the fact that open surgery is a good option for management of ruptured intracranial dissecting aneurysms for determination of the rupture point, dissecting length, and the relationship between dissecting area and small arteries arising from the associated vessel.
収録刊行物
-
- Neurologia medico-chirurgica
-
Neurologia medico-chirurgica 54 (3), 219-226, 2014
一般社団法人 日本脳神経外科学会