19. 海綿静脈洞部巨大動脈瘤に対する Trapping あるいは carotid ligation とSTA-MCA 吻合術の併用

DOI

書誌事項

タイトル別名
  • Trapping or Internal Carotid Ligation with STA-MCA Anastomosis for Intracavernous Giant Aneurysm
公開日
1984
DOI
  • 10.14878/scs1973.13.0_111
公開者
一般社団法人 日本脳卒中の外科学会

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説明

For cerebral aneurysm, the approved method of treatment is to clip the neck of the sac, but for aneurysm in certain positions or of large size, this method may prove impracticable.<BR>Three such cases of giant aneurysm at the cavernous portion of the internal carotid artery have recently been treated at this hospital.<BR>The initial symptom in all cases was disturbance of the ocular movement. Neurological findings on admission showed abducens nerve palsy in two cases and oculomotor nerve palsy in the third.<BR>CT scan after infusion of contrast media revealed a high-density area at the cavernous portion of the internal carotid artery in each case, and cerebral carotid angiography demonstrated a giant aneurysm at the cavernous portion with a diameter more than 25 mm.<BR>Gradual ligation of the internal carotid artery was performed with STA-MCA anastomosis in two cases and a trapping of the internal carotid artery with STA-MCA anastomosis in one.<BR>In two cases, the operation results were excellent and in the third quite good. Postoperative CT scan showed the formation of a thrombus in the cavernous portion.<BR>Finally, the pathogenesis of late ischemic events after trapping of the internal carotid artery with STA-MCA anastomosis was discussed.

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詳細情報 詳細情報について

  • CRID
    1390282680398157440
  • NII論文ID
    130001932669
  • DOI
    10.14878/scs1973.13.0_111
  • ISSN
    2187185X
    03878031
  • 本文言語コード
    ja
  • データソース種別
    • JaLC
    • CiNii Articles
  • 抄録ライセンスフラグ
    使用不可

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