<b>頭部外傷後の多発脳血管攣縮に対し経皮的血管形成術および局所動注療法を施行して良好な結果を得た一例 </b>

DOI
  • 五十嵐 豊
    Department of Emergency and Critical Care Medicine, Nippon Medical School Hospital
  • 松本 学
    Department of Emergency and Critical Care Medicine, Nippon Medical School Hospital
  • 池田 司
    Department of Emergency and Critical Care Medicine, Nippon Medical School Hospital
  • 佐藤 慎
    Department of Emergency and Critical Care Medicine, Nippon Medical School Hospital
  • 渡邊 顕弘
    Department of Emergency and Critical Care Medicine, Nippon Medical School Hospital
  • 和田 剛志
    Department of Emergency and Critical Care Medicine, Nippon Medical School Hospital
  • 鈴木 剛
    Department of Emergency and Critical Care Medicine, Nippon Medical School Hospital
  • 橋詰 哲広
    Department of Emergency and Critical Care Medicine, Nippon Medical School Hospital
  • 関 厚二朗
    Department of Emergency and Critical Care Medicine, Nippon Medical School Hospital
  • 恩田 秀賢
    Department of Emergency and Critical Care Medicine, Nippon Medical School Hospital
  • 布施 明
    Department of Emergency and Critical Care Medicine, Nippon Medical School Hospital
  • 川井 真
    Department of Emergency and Critical Care Medicine, Nippon Medical School Hospital
  • 横田 裕行
    Department of Emergency and Critical Care Medicine, Nippon Medical School Hospital

書誌事項

タイトル別名
  • Endovascular treatments for multiple severe vasospasms in traumatic brain injury: a case report

この論文をさがす

抄録

Background: Cerebral vasospasm following severe traumatic brain injury contributes to a significant rise in morbidity and mortality rate. Japanese and US guidelines for the management of severe traumatic brain injury do not specify any treatments for post-traumatic vasospasm; therefore, patients with cerebral vasospasm following severe traumatic brain injury are administered endovascular treatment in line with that administered for vasospasm following aneurysmal subarachnoid hemorrhage.<br>Clinical presentation: Following a fall, a 21-year-old woman presented to us with traumatic subarachnoid hemorrhage, basal skull fracture, multiple trauma with hemorrhagic shock, and an initial Glasgow Coma Scale score of 6.<br>Intervention: Eight days after the injury, the patient developed left hemiparesis with disturbed consciousness. An angiogram revealed severe vasospasm of basilar artery (BA) and the bilateral internal carotid arteries (ICAs), middle cerebral arteries (MCAs), and anterior cerebral arteries (ACAs). She underwent transluminal balloon angioplasty and intra-arterial infusion of nicardipine in BA, ICAs, MCAs and BA. Significant clinical improvement was observed following this endovascular treatment. A follow-up angiogram did not reveal any sings of vasospasm, and the patient was discharged 53 days after injury for further rehabilitation.<br>Conclusion: Endovascular treatment, including transluminal balloon angioplasty and intra-arterial infusion of a vasodilator is safe and efficient treatment for symptomatic post-traumatic vasospasm.

収録刊行物

キーワード

詳細情報 詳細情報について

問題の指摘

ページトップへ