| Item type |
デフォルトアイテムタイプ_（フル）(1) |
| 公開日 |
2006-03-21 |
| タイトル |
|
|
タイトル |
A Ruptured Distal Posterior Inferior Cerebellar Aneurysm Our Case and Review of the Literature |
|
言語 |
en |
| 作成者 |
Nabika, Shinya
Oki, Shuichi
Migita, Keisuke
Isobe, Naoyuki
Okazaki, Takahito
Watanabe, Yosuke
|
| 寄与者 |
|
|
|
姓名 |
国立情報学研究所 |
| アクセス権 |
|
|
アクセス権 |
open access |
|
アクセス権URI |
http://purl.org/coar/access_right/c_abf2 |
| 主題 |
|
|
主題Scheme |
Other |
|
主題 |
Distal posterior inferior cerebellar artery |
| 主題 |
|
|
主題Scheme |
Other |
|
主題 |
Aneurysm |
| 主題 |
|
|
主題Scheme |
Other |
|
主題 |
Thrombosis |
| 主題 |
|
|
主題Scheme |
Other |
|
主題 |
Angiography |
| 主題 |
|
|
主題Scheme |
Other |
|
主題 |
Aneurysm at the turning point of the vessel |
| 主題 |
|
|
主題Scheme |
NDC |
|
主題 |
490 |
| 内容記述 |
|
|
内容記述 |
We present a case of ruptured distal posterior inferior cerebellar artery (PICA) aneurysm, and review the literature and discuss the treatment strategy. A 77-year-old woman presented with the sudden onset of severe headache, nausea and vomiting. Computed tomography revealed an intraventricular hemorrhage, predominantly in the fourth ventricle and hydrocephalus with a thin subarachinoid hemorrhage (SAH). Angiography revealed an aneurysm arising at the turning point of the vessel, from the telovelotonsillar segment of the right PICA. On the 17 day after the onset, repeated angiography revealed a smaller aneurysm than the one detected on the first day at the same place and with no spasm. On the 22 day, the aneurysm was proved to be partially thrombosed and was safely clipped via a right lateral suboccipital approach. SAH with a fourth ventricular hemorrhage or an isolated fourth ventricle hemorrhage should raise the suspicion of a distal PICA aneurysm. Aneurysms of the distal PICA have often been reported to arise at a turning point of the artery rather than at a junction of the vessel. It is suggested that the pathogenesis could be hemodynamic stress that has developed due to embryological factors. Distal PICA aneurysms have often gone detected in many previous cases because of thrombosis inside the aneurysms. Thus, particularly in the case of intentionally delayed surgery, we recommend repeated angiography under various conditions to identify how the aneurysm develops just before surgery. |
|
言語 |
en |
| 出版者 |
|
|
出版者 |
Hiroshima University Medical Press |
| 日付 |
|
|
日付 |
2006-03-21 |
|
日付タイプ |
Created |
| 言語 |
|
|
言語 |
eng |
| 資源タイプ |
|
|
資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
|
資源タイプ |
departmental bulletin paper |
| 出版タイプ |
|
|
出版タイプ |
VoR |
|
出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
| 収録物識別子 |
|
|
収録物識別子タイプ |
ISSN |
|
収録物識別子 |
0018-2052 |
| 収録物識別子 |
|
|
収録物識別子タイプ |
NCID |
|
収録物識別子 |
AA00664312 |
| 開始ページ |
|
|
開始ページ |
93 |
| 書誌情報 |
Hiroshima Journal of Medical Sciences
Hiroshima Journal of Medical Sciences
巻 51,
号 4,
p. 93-96,
発行日 2002-10
|
| 旧ID |
898 |
KJ00000705970.pdf (1.2 MB)
