両側内頚動脈閉塞に合併した椎骨脳底動脈系脳動脈りゅうの１例

DOI

書誌事項

タイトル別名
  • A case of cerebral aneurysms of the vertebrobasilar system associated with bilateral internal carotid occlusion.

抄録

A patient with multiple aneurysms of posterior circulation associated with bilateral carotid occlusion is presented.<BR>A 59-year-old man was hospitalized for sudden onset of loss of consciousness.<BR>The patient was semicomatose but marked motor paresis was not present. CT scan showed a subarachnoid hemorrhage and the obstructive hydrocephalus. Cerebral angiogram demonstrated bilateral internal carotid occlusion and multiple saccular aneurysms at the top of the basilar artery and right posterior cerebellar artery (P3). After external ventricular drainage, consciousness gradually improved to become stupor. However, he died in 14th day due to rerupture of aneurysm.<BR>He had history of transient right hemiparesis 10 years ago and left carotid occlusion was suspected. The time of right carotid occlusion was unknown.<BR>In aneurysmal formation, we know hemodynamic stress plays an important role from many literatures. In this case, increase of posterior circulation through bilateral internal carotid occlusion caused hemodynamic stress on basilar and posterior cerebellar arteries and became a factor of aneurysmal formation.

収録刊行物

  • 脳卒中

    脳卒中 11 (3), 255-258, 1989

    一般社団法人 日本脳卒中学会

キーワード

詳細情報 詳細情報について

  • CRID
    1390282679614028928
  • NII論文ID
    130003630793
  • DOI
    10.3995/jstroke.11.255
  • ISSN
    18831923
    09120726
  • 本文言語コード
    ja
  • データソース種別
    • JaLC
    • Crossref
    • CiNii Articles
  • 抄録ライセンスフラグ
    使用不可

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