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Neurological Surgery No Shinkei Geka Volume 12, Issue 12 （November 1984）

Neurological Surgery 脳神経外科 12巻12号（1984年11月発行）

Japanese English

症例

脳動脈瘤に多発性嚢胞腎を合併した2症例 Two Cases of Cerebral Aneurysms Combined with Polycystic Kidneys 津波満 ¹ , 湧田幸雄 ¹ , 岡村知實 ¹ , 阿美古征生 ¹ , 青木秀夫 ¹ Mitsuru TSUHA ¹ , Yukio WAKUTA ¹ , Tomomi OKAMURA ¹ , Seisho ABIKO ¹ , Hideo AOKI ¹ ¹山口大学脳神経外科 ¹Department of Neurosurgery, Yamaguchi University School of Medicine キーワード： Intaacranial aneurysm , Polycystic kidneys , Subarachnoid hemorrhage , Terson’s syndrome , Hypertension Keyword: Intaacranial aneurysm , Polycystic kidneys , Subarachnoid hemorrhage , Terson’s syndrome , Hypertension pp.1433-1438

発行日 1984年11月10日 Published Date 1984/11/10

DOI https://doi.org/10.11477/mf.1436201944

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Abstract 文献概要
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I．はじめに

　多発性嚢胞腎（以下PCKと略）は，その発生機序は不明であるが^3,25），先天性とする考え方が多く^9,21,23），中年に発症し，家族発生の傾向がある^23）．

　症状としては，ほとんどは無症状であり^26），ときに腰痛，血尿，高血圧，蛋白尿などを呈する^5）．

Two cases of cerebral aneurysm combined with polycystic kidneys (PCKs) were presented.

Case 1, a 24-year-old hypertensive male, was referred to our clinic owing to sudden onset of severe headache at August 20, 1982. Neurological findings on admission were stuporous, right vitreous hemorrhage (so-called Terson's syndrome), and hypertension.CT scans showed subarachnoid hemorrhage, and right MCA bifurcation aneurysm with marked vasospasms by cerebral angiography was revealed. Intentional delayed operation with V-P shunt was performed. He discharged with mild left upper limb paresis, and visual impairment on the right.