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Surgery for Cerebral Stroke最新文献

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Case Report of a Saphenous Vein Graft Aneurysm after Graft Occlusion for Intracranial High-flow Bypass 颅内高流量旁路移植术中隐静脉闭塞术后移植动脉瘤1例报告
Surgery for Cerebral Stroke Pub Date : 2023-01-01 DOI: 10.2335/scs.51.318
Yasunobu MITSURA, Takato NAKAJO, Tatsuya SUGIYAMA, Tohru MIZUTANI
{"title":"Case Report of a Saphenous Vein Graft Aneurysm after Graft Occlusion for Intracranial High-flow Bypass","authors":"Yasunobu MITSURA, Takato NAKAJO, Tatsuya SUGIYAMA, Tohru MIZUTANI","doi":"10.2335/scs.51.318","DOIUrl":"https://doi.org/10.2335/scs.51.318","url":null,"abstract":"われわれは，海綿静脈洞部巨大内頚動脈瘤に対してsaphenous vein graft（SVG）を用いたhigh-flow bypass（HFB）で治療後，graftが閉塞し，MCAとの吻合部が瘤化したため，clipでMCAからの血流を遮断した症例を経験したので報告する．","PeriodicalId":131030,"journal":{"name":"Surgery for Cerebral Stroke","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135914328","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Visual Impairment Following Parent Artery Occlusion for a Ruptured Aneurysm on Collateral Vessels in Moyamoya Disease: A Case Report 烟雾病伴支血管破裂动脉瘤闭塞致母动脉视力损害1例
Surgery for Cerebral Stroke Pub Date : 2023-01-01 DOI: 10.2335/scs.51.442
Aoto SHIBATA, Hiroaki NEKI, Shunsuke IKEDA, Taro YANAGAWA, Toshiki IKEDA, Shinya KOHYAMA
{"title":"Visual Impairment Following Parent Artery Occlusion for a Ruptured Aneurysm on Collateral Vessels in Moyamoya Disease: A Case Report","authors":"Aoto SHIBATA, Hiroaki NEKI, Shunsuke IKEDA, Taro YANAGAWA, Toshiki IKEDA, Shinya KOHYAMA","doi":"10.2335/scs.51.442","DOIUrl":"https://doi.org/10.2335/scs.51.442","url":null,"abstract":"症例は55歳，女性．頭痛と見当識障害の精査にて頭部magnetic resonance imaging（MRI）を施行し，硬膜下血腫およびもやもや病が疑われ当院紹介となった．脳血管造影（digital subtraction angiography：DSA）にてanterior ethmoidal arteryの側副血行路上に仮性動脈瘤を認め硬膜下血腫の出血源と判断し，母血管閉塞術を施行した．塞栓直後のDSAで動脈瘤消失とcentral retinal arteryおよびretinal choroidal brushの描出を確認するも，麻酔覚醒時には視力障害を認めた．もやもや病の側副血行路上の動脈瘤破裂に対する母血管塞栓術は，塞栓性合併症を生じる可能性があり，安易な選択は避けるべきであると考えられた．","PeriodicalId":131030,"journal":{"name":"Surgery for Cerebral Stroke","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135911453","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
自験前向きコホートの結果からみた虚血発症成人もやもや病の転帰 从自验积极队列的结果看缺血发病成人郁闷病的转归
Surgery for Cerebral Stroke Pub Date : 2023-01-01 DOI: 10.2335/scs.51.381
Kuniaki OGASAWARA
{"title":"自験前向きコホートの結果からみた虚血発症成人もやもや病の転帰","authors":"Kuniaki OGASAWARA","doi":"10.2335/scs.51.381","DOIUrl":"https://doi.org/10.2335/scs.51.381","url":null,"abstract":"われわれは虚血発症成人もやもや病に関する4つの自験前向きコホートを構築し，その転帰につき以下の結果を得た．「貧困灌流のない虚血発症成人もやもや病」においては，初期治療はシロスタゾールを含む内科治療が第一選択で，再発してから手術を考慮することで十分である．一方，上記のように内科治療を行った場合，2.4％/年で狭窄性病変の病期が進行し，その半数が脳血流低下による貧困灌流をきたし，脳虚血症状を再発する．また3.2％/年で新たにmicrobleedsが出現し，その出現は神経組織を損傷し，脳循環低下，認知機能低下をもたらす．この新たなmicrobleedsの出現にはクロピドグレル服用が関与している．「貧困灌流をもつ虚血発症成人もやもや病に対し直接血行再建術」を施行すると，認知機能の悪化を1/3の症例できたし，この悪化は不可逆的である．また，術後過灌流は術後microbleedsの出現に関与し，術後microbleedsの出現は術後不可逆的認知機能悪化に関与し，最終的に脳萎縮がもたらされる．「貧困灌流をもつ虚血発症成人もやもや病に対する間接血行再建術単独」を施行すると，十分に側副血行路が発達し，脳循環も改善し，認知機能を悪化させず，むしろ直接血行再建術より認知機能を改善させる．また，periventricular anastomosisが間接血行再建術単独であっても，術後に退縮する．「貧困灌流をもつ虚血発症成人もやもや病に対する薬物療法治療単独」を施行すると，最終発作1年以内にmajor strokeをきたす．","PeriodicalId":131030,"journal":{"name":"Surgery for Cerebral Stroke","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135913458","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
神経外視鏡による開頭クリッピング術の利点と課題 神经外视镜开颅消减术的优点和挑战
Surgery for Cerebral Stroke Pub Date : 2023-01-01 DOI: 10.2335/scs.51.397
Takuma MAEDA, Hidetoshi OOIGAWA, Koki ONODERA, Hiroki SATO, Kaima SUZUKI, Hiroki KURITA
{"title":"神経外視鏡による開頭クリッピング術の利点と課題","authors":"Takuma MAEDA, Hidetoshi OOIGAWA, Koki ONODERA, Hiroki SATO, Kaima SUZUKI, Hiroki KURITA","doi":"10.2335/scs.51.397","DOIUrl":"https://doi.org/10.2335/scs.51.397","url":null,"abstract":"神経外視鏡手術が脳神経外科臨床にも導入され，その有用性が報告されている．当科では2021年から脳血管外科手術を神経外視鏡化するプロジェクトに取り組み，2022年は大部分の手術を神経外視鏡下で行っている．今回，顕微鏡手術からの移行期における脳動脈瘤手術の治療成績を検討した．","PeriodicalId":131030,"journal":{"name":"Surgery for Cerebral Stroke","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135914154","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Management of Carotid Atherosclerosis Based on Vessel Wall Imaging 基于血管壁成像的颈动脉粥样硬化治疗
Surgery for Cerebral Stroke Pub Date : 2023-01-01 DOI: 10.2335/scs.51.279
Kazumichi YOSHIDA, Yu YAMAMOTO, Kiyofumi YAMADA, Masakazu OKAWA, Susumu MIYAMOTO
{"title":"Management of Carotid Atherosclerosis Based on Vessel Wall Imaging","authors":"Kazumichi YOSHIDA, Yu YAMAMOTO, Kiyofumi YAMADA, Masakazu OKAWA, Susumu MIYAMOTO","doi":"10.2335/scs.51.279","DOIUrl":"https://doi.org/10.2335/scs.51.279","url":null,"abstract":"頚動脈狭窄症における脳梗塞発症リスクは，おもに血管造影による狭窄率や潰瘍形成など，内腔形態に基づいて評価されてきた．近年，超音波検査・CT・MRIなどを用いたvessel wall imaging（VWI）の進歩により，プラークの性状・体積・形態など，「壁の性質」が虚血イベント発症にきわめて大きな役割を果たすことが明らかとなっており，たとえば非狭窄性動脈硬化症の一部にも外科治療対象となり得る高リスク病変が存在する．","PeriodicalId":131030,"journal":{"name":"Surgery for Cerebral Stroke","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135912935","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Delayed Cerebellar Infarction more than One Year after Posterior Cervical Fixation Treated with Parent Artery Occlusion: A Case Report 颈后固定治疗伴母动脉闭塞后1年以上迟发性小脑梗死1例
Surgery for Cerebral Stroke Pub Date : 2023-01-01 DOI: 10.2335/scs.51.423
Rui OMICHI, Jo MATSUZAKI, Naoki YAMAMOTO, Toru YAMAGATA, Yuki MITO, Ryoichi IWATA, Hiromichi IKUNO, Misao NISHIKAWA
{"title":"Delayed Cerebellar Infarction more than One Year after Posterior Cervical Fixation Treated with Parent Artery Occlusion: A Case Report","authors":"Rui OMICHI, Jo MATSUZAKI, Naoki YAMAMOTO, Toru YAMAGATA, Yuki MITO, Ryoichi IWATA, Hiromichi IKUNO, Misao NISHIKAWA","doi":"10.2335/scs.51.423","DOIUrl":"https://doi.org/10.2335/scs.51.423","url":null,"abstract":"椎骨動脈（vertebral artery：VA）損傷は頚椎後方固定術の合併症の1つであるが，術後遠隔期に発症することはまれである．術後1年4カ月で小脳梗塞を発症した症例を経験したので報告する．","PeriodicalId":131030,"journal":{"name":"Surgery for Cerebral Stroke","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135914310","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Case of Oculomotor Nerve Palsy Caused by Impending Ruptured Internal Carotid-Posterior Communicating Aneurysm of Only 2.5 mm 内颈动脉后交通动脉瘤临近破裂致动眼神经麻痹1例
Surgery for Cerebral Stroke Pub Date : 2023-01-01 DOI: 10.2335/scs.51.298
Masashi HARADA, Shunpei ANDO, Daisuke HAGA, Nobuo SUGO
{"title":"Case of Oculomotor Nerve Palsy Caused by Impending Ruptured Internal Carotid-Posterior Communicating Aneurysm of Only 2.5 mm","authors":"Masashi HARADA, Shunpei ANDO, Daisuke HAGA, Nobuo SUGO","doi":"10.2335/scs.51.298","DOIUrl":"https://doi.org/10.2335/scs.51.298","url":null,"abstract":"動脈瘤の高さがわずか2.5mmの内頚動脈後交通動脈分岐部（internal carotid-posterior communicating artery：ICPC）動脈瘤により動眼神経麻痺を発症した動脈瘤切迫破裂の1例を経験したので報告する．症例は65歳，女性．1週間前に右動眼神経麻痺による眼瞼下垂および複視が出現した．脳血管撮影でblebを伴った右ICPC動脈瘤を認めた．動脈瘤の高さは2.5mmと小型瘤であったが，fast imaging employing steady state acquisition（FIESTA）で動眼神経に近接した位置で動脈瘤を確認できたことから，ICPC動脈瘤の切迫破裂による動眼神経麻痺と診断し，緊急手術を行った．小さな動脈瘤であっても，内頚動脈の走行によって動眼神経を圧迫する可能性は十分あるため，積極的な画像検査を行い，速やかに脳動脈瘤に対する治療を検討する必要がある．","PeriodicalId":131030,"journal":{"name":"Surgery for Cerebral Stroke","volume":"63 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135911477","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
重症くも膜下出血に対する閉創時骨形成の工夫 ─シルビウス裂血腫を伴うくも膜下出血の1手術例─ 重症蛛网膜下出血的闭创时骨形成方法——蛛网膜下出血伴随sylvius裂血肿的1例手术
Surgery for Cerebral Stroke Pub Date : 2023-01-01 DOI: 10.2335/scs.51.339
Yu SHIMOKAWA, Rei KONDO, Kosuke SATAKE, Kazuki NAKAMURA, Tetsu YAMAKI, Atsushi KUGE, Shinjiro SAITO, Yukihiko SONODA
{"title":"重症くも膜下出血に対する閉創時骨形成の工夫 ─シルビウス裂血腫を伴うくも膜下出血の1手術例─","authors":"Yu SHIMOKAWA, Rei KONDO, Kosuke SATAKE, Kazuki NAKAMURA, Tetsu YAMAKI, Atsushi KUGE, Shinjiro SAITO, Yukihiko SONODA","doi":"10.2335/scs.51.339","DOIUrl":"https://doi.org/10.2335/scs.51.339","url":null,"abstract":"シルビウス裂血腫を伴う破裂脳動脈瘤症例において，クリッピングおよび血腫除去術に加え減圧開頭術を併用することの有用性が報告されているが，術後どの程度脳腫脹が生じるか個々の症例で異なること，減圧開頭術を行った場合にはsinking flap syndrome（SFS）をきたす可能性やあらためて頭蓋形成術を要することが問題になることから，減圧開頭術を併用するか否か，術中ジレンマを抱える場合がある．そこでわれわれは，閉創時に，減圧を図りながら一期的な頭蓋骨形成が行えるよう，自家骨弁の内板を切削し菲薄化させて戻す工夫を行った症例を報告する．","PeriodicalId":131030,"journal":{"name":"Surgery for Cerebral Stroke","volume":"291 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135913453","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Ruptured Isolated Dissecting Aneurysm of the Posterior Inferior Cerebellar Artery Treated with Overlap Stenting Using LVIS Jr.: A Case Report LVIS Jr重叠支架治疗小脑后下动脉破裂分离性夹层动脉瘤1例
Surgery for Cerebral Stroke Pub Date : 2023-01-01 DOI: 10.2335/scs.51.417
Yasunori UZURA, Masataka NANTO, Junichi MIYAMOTO
{"title":"Ruptured Isolated Dissecting Aneurysm of the Posterior Inferior Cerebellar Artery Treated with Overlap Stenting Using LVIS Jr.: A Case Report","authors":"Yasunori UZURA, Masataka NANTO, Junichi MIYAMOTO","doi":"10.2335/scs.51.417","DOIUrl":"https://doi.org/10.2335/scs.51.417","url":null,"abstract":"LVIS Jr.を用いたoverlap stentingで治療した後下小脳動脈（PICA）に限局した解離性脳動脈瘤破裂の1例を報告する．","PeriodicalId":131030,"journal":{"name":"Surgery for Cerebral Stroke","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135911461","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Usefulness of a Bicoronal Skin Incision Right above the Bilateral Frontal Branches of the Superficial Temporal Arteries in a Superficial Temporal Artery-Anterior Cerebral Artery (A3) Anastomosis 双冠状皮肤切口在颞浅动脉-大脑前动脉(A3)吻合双侧颞浅动脉额支正上方的应用价值
Surgery for Cerebral Stroke Pub Date : 2023-01-01 DOI: 10.2335/scs.51.312
Kosuke MASUDA, Miyuki SHIMIZU, Kenichiro HASHIMOTO, Iichiro MATSUURA, Toshihiro YAMAUCHI, Koji SUZUKI, Mitsuhiro AIKAWA, Yorio KOGUCHI, Akihiro MIYATA
{"title":"Usefulness of a Bicoronal Skin Incision Right above the Bilateral Frontal Branches of the Superficial Temporal Arteries in a Superficial Temporal Artery-Anterior Cerebral Artery (A3) Anastomosis","authors":"Kosuke MASUDA, Miyuki SHIMIZU, Kenichiro HASHIMOTO, Iichiro MATSUURA, Toshihiro YAMAUCHI, Koji SUZUKI, Mitsuhiro AIKAWA, Yorio KOGUCHI, Akihiro MIYATA","doi":"10.2335/scs.51.312","DOIUrl":"https://doi.org/10.2335/scs.51.312","url":null,"abstract":"前大脳動脈（A3）への血行再建術では中大脳動脈への血行再建術よりグラフトが長く必要となり，皮切のデザインに工夫を要する．今回，両側浅側頭動脈前頭枝の直上を切開するbicoronal skin incisionを用いて両側前頭開頭および浅側頭動脈-前大脳動脈（A3）吻合術を行えたので報告する．","PeriodicalId":131030,"journal":{"name":"Surgery for Cerebral Stroke","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135911471","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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