Treatment Strategy for Severe Subarachnoid Hemorrhage in an Older Adult Patient Complicated by Casting Intraventricular Hematoma
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- Nishino Akio
- Department of Neurosurgery, Kinki Central Hospital
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- Mori Kousuke
- Department of Neurosurgery, Toyonaka Municipal Hospital
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- Yano Yoshihiro
- Department of Neurosurgery, Hanwa Memorial Hospital
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- Yamada Shuhei
- Department of Neurosurgery, Osaka University
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- Nakajima Nobuhiko
- Department of Neurosurgery, Osaka University
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- Koyama Takashi
- Department of Neurosurgery, Hanwa Memorial Hospital
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- Taniwaki Kouichi
- Department of Neurosurgery, Hanwa Memorial Hospital
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- Fujita Toshiaki
- Department of Neurosurgery, Hanwa Memorial Hospital
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- Taneda Mamoru
- Department of Neurosurgery, Hanwa Memorial Hospital
Bibliographic Information
- Other Title
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- 鋳型状脳室内血腫を合併した高齢者重症くも膜下出血に対する治療戦略
- イガタジョウ ノウ シツナイ ケッシュ オ ガッペイ シタ コウレイシャ ジュウショウ クモマクカ シュッケツ ニ タイスル チリョウ センリャク
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Abstract
<p> Favorable outcomes have recently been reported regarding coil embolization for acute cerebral aneurysms, even in cases of severe subarachnoid hemorrhage in older adults. Several reports have demonstrated that neuroendoscopic hematoma evacuation is better than ventricular drainage alone in patients with massive intraventricular hemorrhaging. In the present older adult patient with a casting intraventricular hematoma, we performed a combined treatment of cerebral aneurysm coil embolization and neuroendoscopic hematoma evacuation for acute severe subarachnoid hemorrhage, which has a particularly poor prognosis. Aggressive treatment is often avoided in older adult patients due to the risks posed by surgical invasiveness and disease severity. There are only a few reports of surgery for managing similar cases, and those reports identified the safety of the surgical procedures as an area of concern.</p>
Journal
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- NEUROSURGICAL EMERGENCY
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NEUROSURGICAL EMERGENCY 27 (1), 72-78, 2022
Japan Society of Neurosurgical Emergency
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Keywords
Details 詳細情報について
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- CRID
- 1390011231105329664
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- NII Book ID
- AA11553357
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- NDL BIB ID
- 032306556
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- ISSN
- 13426214
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- Text Lang
- ja
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- Data Source
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- JaLC
- NDL
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- Abstract License Flag
- Disallowed