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Successful Microvascular Decompression of the Medulla Oblongata for a Case with Respiratory Failure: Case Report Motofumi KOGUCHI 1 , Yukiko NAKAHARA 1 , Masatou KAWASHIMA 1 , Yukinori TAKASE 1 , Toshio MATSUSHIMA 1 1Department of Neurosurgery,Faculty of Medicine,Saga University Keyword: microvascular decompression , medulla oblongata , vertebral artery , respiratory failure pp.1085-1089
Published Date 2011/11/10
DOI https://doi.org/10.11477/mf.1436101571
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 We report a case of the medulla oblongata syndrome successfully treated by microvascular decompression surgery. The patient was a 75-year-old woman and had been suffering from gradual progressive dyspnea since July,2009. Two month later,intubation and medial ventilator treatments were began because of severe respiratory problems. The central respiratory problems were considered in extensive testing by the physician. The head MR imaging showed that the left vertebral artery had markedly compressed the medulla oblongata. We thought that her respiratory problems were associated with this vertebral artery compression of the medulla oblongata. We performed the microvascular decompression surgery by left trans-condylar fossa approach. Her hypoventilation graduately improved after the surgery and she needed neither ventilator nor oxygen in several months. She is able to perform daily activities by herself. We report the case,and discuss the cause of respiratory problems especially by compression of the medulla oblongata.


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電子版ISSN 1882-1251 印刷版ISSN 0301-2603 医学書院

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