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Japanese

Delayed Vasospasm Complicated with the Postoperative Stage of the Meningioma: A case report Aritoshi SHIRASAKA 1 , Toshiaki NINCHOJI 1 , Kenichi UEMURA 1 , Yoshikata SHINOHARA 2 , Takayuki KUWAHARA 2 , Kenji YAMAZAKI 2 1Department of Neurosurgery, Hamamatsu University School of Medicine 2Department of Neurosurgery, Shida General Hospital of Fujieda Keyword: Meningioma , Delayed vasospasm , Postoperative complication pp.745-749
Published Date 1993/8/10
DOI https://doi.org/10.11477/mf.1436900692
  • Abstract
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Though it has been reported infrequently that delayed vasospasm may appear in head-injured patients, it is rather rarer to see it as a complication arising from tumor removal. Such a case was presented and gave rise to spe-culation of a possible underlying pathophysiology. A 46-year-old female patient was admitted to our neurosurgic-al service, complaining of aching pain in the forehead. No neurological deficits were elicited on admission. CT scans as well as MR imagings confirmed the existence of a left sphenoid wing meningioma whose gross total remov-al was accomplished. She was doing well till the 3rdpostoperative day, when she developed transcortical motor aphasia.123 I-IMP SPECT revealed low perfusion over the left middle cerebral artery territory, and CT scans also showed low density areas in the same region, including the putamen, corona radiata and temporal lobe on the left side. Left carotid angiography disclosed dif-fuse arterial narrowings involving C1, C2, A1 and M1 por-tions. The authors suspect that indirect injury to those arteries and/or some kind of inflammatory process might have played a role.


Copyright © 1993, 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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