BRAIN and NERVE－神経研究の進歩63巻6号

2011年06月発行

症例報告

進行する脊髄症を呈したテント部硬膜動静脈瘻の1例

著者： 竹下朝規¹ 豊田啓介¹ 宗剛平¹ 諸藤陽一¹ 堀江信貴¹ 林健太郎¹ 北川直毅¹ 陶山一彦¹ 永田泉¹

所属機関： ¹長崎大学脳神経外科

ページ範囲：P.611 - P.615

文献概要

はじめに

　テント部の硬膜動静脈瘻の多くは静脈洞を介さずに直接脳皮質静脈に還流するため頭蓋内出血や小脳・脳幹症状などの明瞭な臨床症状を呈することが多いが^1，2），脊髄症で発症する例は比較的稀である^3，4）。今回われわれは，進行する脊髄症を呈したテント部硬膜動静脈瘻の症例に対し血管内治療に続く直達手術を行い良好な結果を得た1例を経験したので，文献的考察を加え報告する。

参考文献

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