Neurological Surgery 脳神経外科46巻2号

2018年02月発行

症例

頚椎骨折に伴う非出血性椎骨動脈解離に対してステント併用経皮的血管形成術が有用であった1例

著者： 川口美里¹ 新居浩平¹ 坂本王哉¹ 川原加苗¹ 井上律郎¹ 平岡史大¹ 森永裕介¹ 光武尚史¹ 花田迅貫¹ 堤正則¹

所属機関： ¹福岡大学筑紫病院脳神経外科

ページ範囲：P.133 - P.138

Ⅰ．緒言
　非出血性椎骨動脈解離の治療は，抗血小板療法または抗凝固療法などの内科的治療が第一選択であり，出血リスクが高い場合や進行性脳虚血病変に対して外科的治療が考慮される^2,16,17)．しかしながら，外傷性椎骨動脈解離に対する内科的治療は他部位の出血リスクが高くなり，解離病変の進行に伴う遅発性進行性脳虚血症状を来す危険もあるため，治療手段は確立されていない^10,19)．今回，われわれは脳梗塞で発症した頚椎骨折に伴う外傷性椎骨動脈解離に対して亜急性期にステント併用経皮的血管形成術を施行し，進行性脳梗塞の予防と頚椎疾患を良好に管理できた症例を経験した．本稿では，外傷性椎骨動脈解離に対する血管内治療の詳細と有効性に関して，文献的考察を加えて報告する．

参考文献

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