脳動静脈奇形のガンマナイフ後に生じた血管腫様病変の3手術例

DOI 被引用文献1件 参考文献24件

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  • Three Case Reports of Direct Surgery for Angiomatous Lesion Developing after Gamma Knife Radiosurgery for Arteriovenous Malformation

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We evaluated surgical treatment for angiomatous lesion developing after gamma knife radiosurgery (GKS) for arteriovenous malformation (AVM) by retrospectively examining the medical records of 3 female patients aged 20 to 52 years (mean 31.3 years) at the time of GKS, who developed symptomatic angiomatous lesion associated with severe surrounding brain edema 9-11 years after GKS. Angiomatous lesions were dark red and well demarcated from the brain. Bleeding during resection was slight and easily controlled, but the angiomatous lesions were very fragile and difficult to remove en bloc. Therefore, total removal is not easy in the case of angiomatous lesions in deep locations such as interhemispheric sites with lateral extension. Angiomatous lesion developing after GKS for AVM is rare but becomes progressively symptomatic with severe surrounding brain edema, and the only treatment is surgery.<br>

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  • 脳卒中の外科

    脳卒中の外科 39 (5), 347-352, 2011

    一般社団法人 日本脳卒中の外科学会

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