Cerebral Arteritis With Extremely Late Onset Secondary to Bacterial Meningitis -Case Report-
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- KAWAGUCHI Tomohiro
- Department of Neurosurgery, Kohnan Hospital Department of Neurosurgery, Tohoku University Graduate School of Medicine
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- OGAWA Yoshikazu
- Department of Neurosurgery, Kohnan Hospital
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- INOUE Takashi
- Department of Neurosurgery, Kohnan Hospital
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- TOMINAGA Teiji
- Department of Neurosurgery, Tohoku University Graduate School of Medicine
書誌事項
- タイトル別名
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- —Case Report—
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説明
A 59-year-old woman presented with bacterial meningitis causing arterial narrowing in the very late stage. She initially underwent transsphenoidal surgery for massive non-functioning pituitary adenoma resulting in gross total removal. The postoperative course was uneventful, and she was discharged 12 days after surgery. Fourteen months later, she presented with bacterial meningitis due to streptococcus. Administration of multiple antibiotics resulted in normalization of cerebrospinal fluid findings. Forty days after meningitis onset, she suddenly suffered motor weakness of the right extremities. Magnetic resonance (MR) angiography revealed multiple intracranial arterial narrowings. Despite intensive treatment, no improvement of arterial narrowing was seen, and she suffered cerebral infarction. Six months after the onset of meningitis, MR angiography still showed multiple arterial narrowings, and MR plaque imaging of the stenotic vessel disclosed thickened arterial wall. This case illustrates the complex time course of arteritis caused by severe bacterial meningitis, and the intractability to treatment.<br>
収録刊行物
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- Neurologia medico-chirurgica
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Neurologia medico-chirurgica 51 (4), 302-305, 2011
一般社団法人 日本脳神経外科学会
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詳細情報 詳細情報について
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- CRID
- 1390282680034504064
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- NII論文ID
- 10028105286
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- NII書誌ID
- AN00358613
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- ISSN
- 13498029
- 04708105
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- PubMed
- 21515955
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- 本文言語コード
- en
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- データソース種別
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- JaLC
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