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文献詳細

雑誌文献

Neurological Surgery 脳神経外科44巻10号

2016年10月発行

文献概要

症例

出血発症急性期に進行性脳梗塞を呈し緊急バイパス術を施行したもやもや病の1例

著者: 畠山潤也1 柳澤俊晴1 工藤絵里奈1 富樫俊太郎1 清水宏明1

所属機関: 1秋田大学大学院医学系研究科脳神経外科

ページ範囲:P.843 - P.849

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Ⅰ.はじめに
 出血発症のもやもや病においては,さまざまな程度で脳虚血がみられることが多く,脳循環予備能が低下している症例も少なくないと報告されている4).しかし,出血発症急性期に続発する脳梗塞は稀で,病態や治療法は確立していない4,13)
 今回われわれは,出血発症急性期に進行性脳梗塞を呈した成人もやもや病に対して,急性期に緊急バイパス術を施行し,良好な結果を得た1例を経験したので,若干の文献的考察を加えて報告する.

参考文献

1) Fujimura M, Mugikura S, Shimizu H, Tominaga T:Asymptomatic moyamoya disease subsequently manifesting as transient ischemic attack, intracerebral hemorrhage, and subarachnoid hemorrhage in a short period:case report. Neurol Med Chir(Tokyo)50:316-319, 2010
2) Funaki T, Takahashi JC, Takagi Y, Kikuchi T, Yoshida K, Mitsuhara T, Kataoka H, Okada T, Fushimi Y, Miyamoto S:Unstable moyamoya disease:clinical features and impact on perioperative ischemic complications. J Neurosurg 122:400-407, 2015
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13) Su IC, Yang CC, Wang WH, Lee JE, Tu YK, Wang KC:Acute cerebral ischemia following intraventricular hemorrhage in moyamoya disease:early perfusion computed tomography findings. J Neurosurg 109:1049-1051, 2008
14) Suyama K, Yoshida K, Takahata H, Toda K, Baba H, Ishikawa Y, Hirose M, Nagata I:Pediatric moyamoya disease presenting with intracerebral hemorrhage--report of three cases and review of the literature. Clin Neurol Neurosurg 110:270-275, 2008
15) Tada Y, Uno M, Matsubara S, Suzue A, Shimada K, Morita N, Harada M, Nagahiro S:Reversibility of ischemic findings on 3-T T2*-weighted imaging after emergency superficial temporal artery-middle cerebral artery anastomosis in patients with progressive ischemic stroke. Neurol Med Chir(Tokyo)50:1006-1011, 2010
16) 冨井雅人,西野晶子,平野仁崇,松島忠夫,水野順一:脳出血に脳梗塞を続発したもやもや病の1例.No Shinkei Geka 39:871-875, 2011
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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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