急性硬膜下血腫で発症した脳動脈りゅうと脳動静脈異常の併存症例

• 中洲 庸子

  滋賀医科大学脳神経外科

• 竹市 康裕

  滋賀医科大学脳神経外科

• 五十棲 孝裕

  滋賀医科大学脳神経外科

• 半田 譲二

  滋賀医科大学脳神経外科

書誌事項

タイトル別名

• Association of cerebral aneurysms and an intracranial arteriovenous malformation. Report of a case presenting with an acute subdural hematoma.

抄録

Intracranial aneurysms may rupture to cause an acute subdural haematoma, but intracranial arteriovenous malformations (AVMs) hardly cause it. A case is described in which bilateral internal carotid artery aneurysms and a small temporal arteriovenous malformation (AVM) were found following an episode of unconsciouness. CT scan and MRI revealed an acute subdural haematoma in the posterior fossa and over the left supratentorial convexity. The right irregular-shaped aneurysm was attributed to cause the subdural haematoma and was first clipped three weeks following the episode. The other aneurysm and AVM were later treated on the second stage. None of three could be confirmed to be the source of subdural haematoma.<BR>Larger aneurysms, either ruptured or unruptured, are apt to bleed giving a high mortality rate in comparison with AVMs. If the source of intracranial haemorrhage is uncertain in cases with aneurysms associated with AVMs, aneurysms must be planned for the first radical surgery.

収録刊行物

• 脳卒中

  脳卒中 13 (4), 315-320, 1991

  一般社団法人 日本脳卒中学会

キーワード

• 脳動脈瘤
• 脳動静脈異常
• 硬膜下血腫

詳細情報

• CRID: 1390282679614983936
• NII論文ID: 130003630941
• DOI: 10.3995/jstroke.13.315
• ISSN: 18831923
• ISSN: 09120726
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可