雑誌文献を検索します。書籍を検索する際には「書籍検索」を選択してください。

検索

書誌情報 詳細検索 by 医中誌

Japanese

Dissecting Aneurysm of the Middle Cerebral Artery : case report Taro NIMURA 1 , Tatsuya OKU 1 , Norio NARITA 2 , Hiroshi HIGUCHI 1 1Departments of Neurosurgery, Miyako Prefectural Hospital 2Departments of Neurosurgery Yonezawa Municipal Hospital Keyword: dissecting aneurysm , middle cerebral artery , muscle coating pp.61-65
Published Date 2000/1/10
DOI https://doi.org/10.11477/mf.1436901837
  • Abstract
  • Look Inside

We present a surgical case of a dissecting aneurysm of the right middle cerebral artery associated with subarachnoid hemorrhage and intracranial hemorrhage. A 61-year-old woman with consciousness distur-bance and left hemiplegia was referred to our hospital. She had suffered severe headache for a week. CTscan showed a subarachnoid hemorrhage in the right Sylvian fissure and intracranial hemorrhage in theright putamen. The right carotid angiogram revealed string sign in M1 portion and occlusion at M2 lowerbranch of the right middle cerebral artery. On the 12th day, we undertook surgery to confirm whether itwas a dissecting aneurysm or not. In the operation, it was reddish in the M, portion corresponding to the“string sign” arid dark-purplish in the lower M2 portion corresponding to an “aneurysm-like lesion”. Toprevent bleeding, the arterial wall in the M, portion was coated using muscle. Though the left hemiplegiawas unchanged, the postoperative course was uneventful. The patient was transferred to another hospitaland underwent rehabilitation. There has been no reccurence during the four years since surgery. The mid-dle cerebral artery dissecting aneurysm is extremely rare. We presented this case with review of the litera-ture.


Copyright © 2000, Igaku-Shoin Ltd. All rights reserved.

基本情報

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

関連文献

もっと見る

文献を共有