A case of pseudoxanthoma elasticum with carotid rete mirabile
-
- Yamamoto Yu
- Department of Neurosurgery, Inazawa Municipal Hospital
-
- Nishimura Yusuke
- Department of Neurosurgery, Nagoya University, Graduate School of Medicine
-
- Araki Yoshio
- Department of Neurosurgery, Nagoya University, Graduate School of Medicine
-
- Ikeda Akira
- Department of Neurosurgery, Japan Community Healthcare Organization Chukyo Hospital
-
- Maeda Kenko
- Department of Neurosurgery, Japan Community Healthcare Organization Chukyo Hospital
-
- Takemoto Masaya
- Department of Neurosurgery, Japan Community Healthcare Organization Chukyo Hospital
-
- Eguchi Kaoru
- Department of Neurosurgery, Nagoya University, Graduate School of Medicine
-
- Wakabayashi Toshihiko
- Department of Neurosurgery, Nagoya University, Graduate School of Medicine
Bibliographic Information
- Other Title
-
- Carotid rete mirabile を伴った弾性線維性仮性黄色腫の1 例
Search this article
Abstract
<p>We here report a very rare case of a 54-year-old man presenting with pseudoxanthoma elasticum (PXE), a primary metabolic disorder characterized by the progressive accumulation of calcium phosphate and proteoglycan deposits in the connective tissues and fragmentation of the elastic fibers, along with concomitant carotid rete mirabile (CRM), an abnormal collateral anastomosis between the internal and external carotid arteries, generally located around the cavernous sinus. At the 19-month follow-up, angiography revealed that the flow of the CRM in the left internal carotid artery was decreased; accordingly, cerebral revascularization surgery with superficial temporal artery and middle cerebral artery anastomosis was successfully performed. There is currently no report on superficial temporal artery to middle cerebral artery (STA-MCA) anastomosis for PXE with CRM, and this is the first report of the midterm outcomes of revascularization surgery for such a patient. The STA may be used as the donor artery for revascularization surgery; however, the effects of harvest and anastomosis on the disease process of PXE in the STA and long-term patency of the STA graft remain unknown. The histological findings in the STA of the present case revealed no apparent impairment and accumulation of calcium phosphate, indicating that the STA is a suitable donor artery.</p>
Journal
-
- Japanese Journal of Stroke
-
Japanese Journal of Stroke 40 (1), 29-34, 2018
The Japan Stroke Society
- Tweet
Keywords
Details 詳細情報について
-
- CRID
- 1390001204638124416
-
- NII Article ID
- 130006320253
-
- ISSN
- 18831923
- 09120726
-
- Text Lang
- ja
-
- Data Source
-
- JaLC
- Crossref
- CiNii Articles
-
- Abstract License Flag
- Disallowed