Neurological Surgery 脳神経外科38巻12号

2010年12月発行

症例

体重の増減に伴い移植大網の体積変化を認めたもやもや病の1例

著者： 東保肇¹ 柳川伸子¹ 黒岩敏彦²

所属機関： ¹医療法人孔明会東保脳神経外科 ²大阪医科大学脳神経外科

ページ範囲：P.1109 - P.1113

　もやもや病の間接吻合術のなかで大網移植術は特に前大脳動脈あるいは後大脳動脈領域の虚血発作に対して施行されている。

　24年間で67件の大網移植術を施行したが，そのうち1例で体重の増加に伴い移植した大網の体積が増加し頭痛を認めた．食事摂取量の制限による体重減少に伴い大網体積も減少し頭痛の消失を認めた．もやもや病に対する大網移植術後，患者の体重管理にも留意する必要が生じることもあり得ると考えられた．

参考文献

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