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Giant, Fusiform and Dissecting Aneurysms at the Vertebro-Basilar Junction: Report of five cases and their linicopathophysiolo-gical aspects Seigo NAGAO 1,3 , Kazushi KINUGASA 1 , Takuji BUKEO 1 , Akira NISHIMOTO 1 , Yasuhiro HARADA 2 1Department of Neurological Surgery, Okayama University Medical School 2Department of Neurological Surgery, Iwakuni National Hospital Keyword: Vertebro-basilar junction , Giant aneurysm , Fusiform aneurysm , Dissecting aneurysm , Vertebral artery occlusion pp.1093-1100
Published Date 1987/10/10
DOI https://doi.org/10.11477/mf.1436202484
  • Abstract
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Five cases of giant, fusiform, and dissecting aneurysms of the vertebro-basilar junction, in whichdirect surgical treatment was not feasible, are reported. Their initial symptoms were as follows : 3 subarach-noid hemorrhages (2 fusiform aneurysms, 1 giant aneurysm) , 1 mass sign (giant aneurysm) , and 1 ische-mic sign (dissecting aneurysm) . In two patients, one with a giant and one with a dissecting aneurysm, preoperative proximal vertebral occlusion was carried out by inflated balloon for 30 to 100 minutes, under observation of clinical sings and measurement of distal arterial pressure.


Copyright © 1987, Igaku-Shoin Ltd. All rights reserved.

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

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