書誌事項
- タイトル別名
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- Successful Treatment of Ruptured Dissecting Vertebral Artery Aneurysms through Proximal Occlusion of the Vertebral Artery along with Reconstruction of the Posterior Inferior Cerebellar Artery: Two Case Reports
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<p>We report two cases of ruptured dissecting aneurysms of the vertebral artery (VA) involving the origin of the posterior inferior cerebellar artery (PICA), which were successfully managed thorugh proximal occlusion (PO) of the VA and PICA along with reconstruction of the PICA. Case 1: A 43-year-old male presented with subarachnoid hemorrhage (SAH) that was caused by a PICA-involved type of VA dissection. A PO along with the reconstruction of the PICA was performed because a massive and hard hematoma involving the lower cranial nerves (LCN) prevented the distal end of the dissection from being secured safely. Case 2: A 54-year-old male presented with SAH that was caused by a PICA-involved type of VA dissection was operated upon with this method because the anterior spinal artery (ASA) originating at the end of the dissection made it difficult to trap the entire lesion without compromising the ASA. Both patients eventually recovered without ischemic complications or LCN palsy (LCNP). Postoperative computed angiography demonstrated the disappearance of the dissection and good patency of the bypass.</p><p>;Although trapping of the entire lesion along with the reconstruction of the PICA is the first line of surgical management for PICA-involved type of VA dissections, high frequency of LCNP, and ischemic complications in the brain stem have been reported. PO with the reconstruction of the PICA is an effective alternative in cases with a high risk of LCNP or ischemic complications.</p>
収録刊行物
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- 脳卒中の外科
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脳卒中の外科 49 (5), 401-407, 2021
一般社団法人 日本脳卒中の外科学会
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詳細情報 詳細情報について
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- CRID
- 1390571581048259328
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- NII論文ID
- 130008118803
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- ISSN
- 18804683
- 09145508
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
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- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可
