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雑誌文献

Neurological Surgery 脳神経外科37巻11号

2009年11月発行

文献概要

症例

中大脳動脈末梢部紡錘状未破裂脳動脈瘤の1例

著者: 池永透1 多根一之1 小川竜介1 高瀬卓志1

所属機関: 1多根総合病院脳神経外科

ページ範囲:P.1099 - P.1103

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Ⅰ.はじめに

 紡錘状脳動脈瘤は,囊状動脈瘤に比べ稀で,椎骨脳底動脈系に多くみられる.中大脳動脈の紡錘状動脈瘤に関してはspontaneous fusiform middle cerebral artery aneurysmという概念が存在する2)が,報告は少なく,自然歴,治療方法ともに不明な点が多い.今回,われわれは短期間で急速に発生,増大した中大脳動脈末梢部の紡錘状未破裂脳動脈瘤の1例を経験したので報告する.

参考文献

1)Biondi A, Jean B, Vivas E, Le Jean LL, Boch AL, Chiras J, Effenterre VR:Giant and large peripheral aneurysm;etiopathologic considerations, endovascular treatment, and long-term-follow-up. AJNR Am J Neuroradiol 27:1685-1692, 2006
2)Day AL, Gaposchkin CG, Yu CJ, Rivet DJ, Dacey RG:Spontaneous fisiform middle cerebral artery aneurysm:characteristics and a proposed mechanism of formation. J Neurosurg 99:228-240, 2003
3)Drake CG, Peerless SJ:Giant fusiform intracranial aneurysm:review of 120 patients treated surgically from 1965 to 1992. J Neurosurg 87:141-162, 1997
4)Endo S, Nishijima M, Nomura H, Takaku A, Okada E:A pathological study of intracranial posterior circulation dissecting aneurysms with subarachnoid hemorrhage:report of three autopsied cases and review of literature. Neurosurgery 33:732-738, 1993
5)後藤剛夫,大畑建治,西尾明正,内藤健太郎,原 充弘:穿通枝梗塞で発症した右中大脳動脈M1部紡錘状動脈瘤の治療.脳卒中の外科34:59-63, 2006
6)Hoh BL, Putman CM, Budzik RF, Carter BS, Ogilvy CS:Combined surgical and endovascular techniques of flow alteration to treat fusiform and complex wide-necked intracranial aneurysms that are unsuitable for clipping or coil embolization. J Neurosurg 95:24-35, 2001
7)Little JR, Louis PS, Weinstein M, DOHN DF:Giant fusiform aneurysm of the cerebral arteries. Stroke 12:183-188, 1981
8)Ning L, Kato Y, Sano H, Nair RBR, Yoneda M, Watanabe S, Kanno T:Spontaneous dissecting aneurysm of middle cerebral artery:A case report with review of the literature. Minim Invasive Neurosurg 46:357-360, 2003
9)Sakamoto S, Ikawa F, Kawamoto H, Ohbayashi N, Inagawa T:Subsequent rupture after clip on wrap method for ruptured dissecting aneurysm of the distal middle cerebral artery:A case report and review of the literature. Hiroshima J Med Sci 52:15-19, 2003
10)Steinberg GK, Drake CG, Peerless SJ:Deliberate basilar or vertebral artery occlusion in the treatment of intracranial aneurysms. Immediate results and long-term outcome in 201 patients. J Neurosurg 79:161-173, 1993
11)Suzuki S, Takahashi T, Ohkuma H, Shimizu T, Fujita S:Management of giant serpentine aneurysm of middle cerebral artery-Review of literature and report of a case successfully treated by STA-MCA anastomosis only. Acta Neurochir (Wien) 117:23-29, 1992
12)長久 功,寺田友和,松田芳和,奥村浩隆,新谷亜紀,中村善也:血栓化が急激に進行した中大脳動脈M2部紡錘状動脈瘤の1例.No Shinkei Geka 35:1109-1113, 2007

掲載誌情報

出版社:株式会社医学書院

電子版ISSN:1882-1251

印刷版ISSN:0301-2603

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