Neurological Surgery 脳神経外科50巻5号

2022年09月発行

特集 感染症—脳神経外科医のためのエッセンス Ⅰ中枢神経における感染性疾患

血管と感染症

著者： 鹿毛淳史¹ 遠藤英徳¹ 冨永悌二²

所属機関： ¹広南病院脳神経外科 ²東北大学大学院医学系研究科神経外科学分野

ページ範囲：P.961 - P.968

Point
・細菌性脳動脈瘤は稀ではあるが脳卒中として遭遇することがあり，通常の囊状動脈瘤と異なり，末梢血管の小型紡錘状動脈瘤が多い．
・細菌性脳動脈瘤は，破裂の有無，部位，血腫の有無，心臓手術の要否などを総合的に勘案して治療方針（開頭手術，血管内治療，複合治療）を決定する．
・感染性静脈洞血栓症は抗菌薬や抗ウイルス薬による治療と抗凝固療法が行われるが，確立したエビデンスはない．

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