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Neurological Surgery No Shinkei Geka Volume 14, Issue 7 （June 1986）

Neurological Surgery 脳神経外科 14巻7号（1986年6月発行）

Japanese English

症例

Large cerebral aneurysm術後に発生したTraurnatic aneurysmの1治験例 Traumatic Aneurysm occurring after Surgical Procedure of Large Cerebral Aneurysm 林明宗 ^1,2 , 小田正治 ¹ , 関野典美 ¹ , 藤津和彦 ¹ Akimune HAYASHI ^1,2 , Masaharu ODA ¹ , Tsunemi SEKINO ¹ , Kazuhiko FUJITSU ¹ ¹国立横浜病院脳神経外科 ²現籍　横浜市立大学脳神経外科 ¹Department of Neurosurgery, Yokohama National Hospital キーワード： Intracranial traumatic aneurysm , intracranial aneurysm , False aneurysm , Arterial injury , Azygos anterior cerebral artery aneurysm Keyword: Intracranial traumatic aneurysm , intracranial aneurysm , False aneurysm , Arterial injury , Azygos anterior cerebral artery aneurysm pp.881-885

発行日 1986年6月10日 Published Date 1986/6/10

DOI https://doi.org/10.11477/mf.1436202244

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Abstract 文献概要
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I．はじめに

　巨大な脳動脈瘤の外科的治療に際しては，さまざまな技術的困難が伴っている^11,13,14）．今回われわれは，azygosanterior cerebral artery^7）に発生したlarge aneurysmのクリッピング手術後に，traumatic aneurysmの発生を認め，これを治療する機会を得たので，若干の考察を加えて報告する．

A case of intracranial traumatic aneurysms occur-ring after surgical treatment of a large cerebral aneurysm is reported.

A 56-year-old-man was admitted to our department with complaints of headache, nuchal pain and nausea. Left carotid angiography (Lt-CAG) revealed a large aneurysm, measuring 20 mm in maximum diameter, of the azygos anterior cerebral artery. Successful clipping operation was performed on day 17 of subarachnoid hemorrhage. Unfortunately, small cortical branches were pulled out during the pro-cedure from the right pericallosal artery. The post- operative Lt-CAG showed formation of two other aneurysms.