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Surgery for Cerebral Stroke最新文献

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A Case of Dysgenesis at the C1 Portion of the Internal Carotid Artery with a Cerebral Aneurysm Caused SAH in Twig-like Networks of Anomalous Collateral Vessels 1例颈内动脉C1段发育不良伴脑动脉瘤引起异常侧支血管细枝状网络的SAH
Surgery for Cerebral Stroke Pub Date : 2023-01-01 DOI: 10.2335/scs.51.411
Hiroyuki NISHIMURA, Yuji NOJIMA, Hideki HOSODA, Yu HOASHI
{"title":"A Case of Dysgenesis at the C1 Portion of the Internal Carotid Artery with a Cerebral Aneurysm Caused SAH in Twig-like Networks of Anomalous Collateral Vessels","authors":"Hiroyuki NISHIMURA, Yuji NOJIMA, Hideki HOSODA, Yu HOASHI","doi":"10.2335/scs.51.411","DOIUrl":"https://doi.org/10.2335/scs.51.411","url":null,"abstract":"内頚動脈終末部C1部の形成不全はきわめてまれである．今回われわれは，遺残原始血管網（twig-like networks：T-Ns）の脆弱性が動脈瘤の発生，破裂と，その後の増大につながったと考えられるC1形成不全の1例を経験したので報告する．","PeriodicalId":131030,"journal":{"name":"Surgery for Cerebral Stroke","volume":"64 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":"135913671","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
A Case of Pituitary Apoplexy Approving with Oculomotor Palsy and Dizziness 垂体卒中伴动眼性麻痹头晕1例
Surgery for Cerebral Stroke Pub Date : 2023-01-01 DOI: 10.2335/scs.51.433
Akiko MARUTANI, Katsuya MASUI, Yasuhito ISHIDA
{"title":"A Case of Pituitary Apoplexy Approving with Oculomotor Palsy and Dizziness","authors":"Akiko MARUTANI, Katsuya MASUI, Yasuhito ISHIDA","doi":"10.2335/scs.51.433","DOIUrl":"https://doi.org/10.2335/scs.51.433","url":null,"abstract":"下垂体卒中は下垂体腺腫内に出血や梗塞を発症し，頭痛や視力視野障害，下垂体機能低下をきたす症候群である．動眼神経麻痺を呈した下垂体卒中の1例を経験した．症例は75歳の女性．左動眼神経麻痺が出現し，頭部MRIで左海綿静脈洞へ進展する出血成分を伴う下垂体腫瘤を認めた．下垂体卒中と診断し，発症から2週目で内視鏡下経鼻的蝶形骨洞手術を施行した．術翌日に動眼神経麻痺は完全に回復した．本例でみられた内眼筋障害を伴わない動眼神経麻痺の原因は，動眼神経を栄養するmeningohypophyseal trunkやtentorial arteryが二次的に圧迫，閉鎖されたことと考えられた．手術適応と時期として，外眼筋障害のみでは必ずしも緊急手術の適応がないとされるが，手術時期を検討するうえで迅速で的確な診断が重要である．","PeriodicalId":131030,"journal":{"name":"Surgery for Cerebral Stroke","volume":"116 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":"135914182","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
Hemi-bonnet bypassを用いて血栓化した前大脳動脈遠位部巨大脳動脈瘤を治療した1例 使用Hemi-bonnet bypass治疗血栓化的前大脑动脉远端巨大脑动脉瘤的1例
Surgery for Cerebral Stroke Pub Date : 2023-01-01 DOI: 10.2335/scs.51.429
Osamu YAMADA, Tomoko OTOMO, Shuhei MORITA, Kota YAMAKAWA, Isao AKASU, Hirotaka YOSHIDA, Ryo KITAGAWA, Jun SAKAI, Shinichi NUMAZAWA, Yasunobu ITO, Sadayoshi WATANABE, Kentaro MORI
{"title":"Hemi-bonnet bypassを用いて血栓化した前大脳動脈遠位部巨大脳動脈瘤を治療した1例","authors":"Osamu YAMADA, Tomoko OTOMO, Shuhei MORITA, Kota YAMAKAWA, Isao AKASU, Hirotaka YOSHIDA, Ryo KITAGAWA, Jun SAKAI, Shinichi NUMAZAWA, Yasunobu ITO, Sadayoshi WATANABE, Kentaro MORI","doi":"10.2335/scs.51.429","DOIUrl":"https://doi.org/10.2335/scs.51.429","url":null,"abstract":"症例は74歳，男性．血栓化巨大脳動脈瘤（最大径：37mm）が左前大脳動脈遠位部に偶然に発見された．動脈瘤体部からA3が出ていたため，治療には血行再建術を必要とした．左脳梁縁動脈に橈骨動脈をグラフト血管として端・側吻合し，前頭骨に作成した溝に走行させ右浅側頭動脈に端・側吻合し，いわゆるhemi-bonnet bypassを作成した．瘤をトラッピングして，瘤内血栓を除去して手術を終了した．術後神経障害なし．術後3年後もbypassの開存性に問題はなかった．hemi-bonnet bypassによる前大脳動脈系の血行再建術は吻合が容易で安全である．","PeriodicalId":131030,"journal":{"name":"Surgery for Cerebral Stroke","volume":"116 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":"135914317","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
Cone-beam CTが有用であったもやもや病穿通枝動脈瘤の塞栓術 ─症例報告─ Cone-beam CT有用的模糊病穿通支动脉瘤的栓塞术——病例报告
Surgery for Cerebral Stroke Pub Date : 2023-01-01 DOI: 10.2335/scs.51.453
Yuichiro KUSHIRO, Kosuke OSHIMA, Tomoaki TERADA, Homare NAKAMURA, Hiroo KOBAYASHI, Yuichiro TANAKA
{"title":"Cone-beam CTが有用であったもやもや病穿通枝動脈瘤の塞栓術 ─症例報告─","authors":"Yuichiro KUSHIRO, Kosuke OSHIMA, Tomoaki TERADA, Homare NAKAMURA, Hiroo KOBAYASHI, Yuichiro TANAKA","doi":"10.2335/scs.51.453","DOIUrl":"https://doi.org/10.2335/scs.51.453","url":null,"abstract":"症例は突然の意識障害と右片麻痺で発症した25歳女性で，CTで左視床出血と脳室拡大を認めた．DSAでもやもや病により発達した右後視床穿通動脈に微小脳動脈瘤を認めた．同時に行ったcone-beam CT（CBCT）で右後視床穿通動脈近位の屈曲と遠位に後脈絡叢動脈との吻合が描出された．微小脳動脈瘤の塞栓術において，母血管温存が困難と予想された．術前側副血行路の存在が確認できたため，続いて再破裂予防の脳血管内治療を行った．カテーテルは右後視床穿通動脈に誘導できたが，同近位部の屈曲のため瘤内へアプローチできず，瘤内コイル塞栓は断念した．瘤遠位の右後視床穿通動脈の側副血行をCBCTであらためて確認した後，右後視床穿通動脈近位部を閉塞した．術後虚血性合併症なく脳室腹腔短絡術後に独歩退院した．","PeriodicalId":131030,"journal":{"name":"Surgery for Cerebral Stroke","volume":"2016 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":"135911254","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
Advantages and Clinical Outcomes of CEA Utilizing Early Identification of the Posterior Belly of the Digastric Muscle 二腹肌后腹早期识别CEA的优势及临床效果
Surgery for Cerebral Stroke Pub Date : 2023-01-01 DOI: 10.2335/scs.51.390
Seiei TORAZAWA, Daisuke SATO, Shotaro OGAWA, Shogo DOFUKU, Masayuki SATO, Takahiro OTA
{"title":"Advantages and Clinical Outcomes of CEA Utilizing Early Identification of the Posterior Belly of the Digastric Muscle","authors":"Seiei TORAZAWA, Daisuke SATO, Shotaro OGAWA, Shogo DOFUKU, Masayuki SATO, Takahiro OTA","doi":"10.2335/scs.51.390","DOIUrl":"https://doi.org/10.2335/scs.51.390","url":null,"abstract":"当院では頚動脈内膜剝離術（carotid endarterectomy：CEA）において，内頚動脈（internal carotid artery：ICA）の遠位を剝離・確保するための手技として「顎二腹筋後腹早期同定法」の有用性を提唱している．顎二腹筋後腹を早期に同定し，その周囲のスペースを広く利用する本法では，ICAの遠位を展開していく際に特に損傷しやすい顔面神経下顎縁枝と舌下神経の損傷を回避し，また高位病変でも対応可能な，ICA遠位の広いworking spaceを確保するのに有用と考えている．当院で本法にて施行したCEA連続191例の検討から，顔面神経下顎縁枝と舌下神経の障害出現率はともに0.5％と，文献的報告と比較して低く抑えられていた．また，高位病変であっても術後30日以内の同側脳梗塞の出現率を上げることなく対応可能であったことが示された．本法は上記神経障害を回避しつつICA遠位までの安全かつ迅速な展開操作を習得するのに有用な手法となり得ると考えている．","PeriodicalId":131030,"journal":{"name":"Surgery for Cerebral Stroke","volume":"44 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":"135911431","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 a Saphenous Vein Graft Aneurysm Treated through Bypass Replacement Using a Radial Artery Graft 桡动脉旁路置换术治疗隐静脉动脉瘤1例
Surgery for Cerebral Stroke Pub Date : 2023-01-01 DOI: 10.2335/scs.51.324
Kosuke SASAKI, Shinji SATO, Yoshimi ISHIGE, Kohei IGARASHI, Kanako KAWANAMI, Yasuaki KOKUBO, Yukihiko SONODA
{"title":"Case of a Saphenous Vein Graft Aneurysm Treated through Bypass Replacement Using a Radial Artery Graft","authors":"Kosuke SASAKI, Shinji SATO, Yoshimi ISHIGE, Kohei IGARASHI, Kanako KAWANAMI, Yasuaki KOKUBO, Yukihiko SONODA","doi":"10.2335/scs.51.324","DOIUrl":"https://doi.org/10.2335/scs.51.324","url":null,"abstract":"ハイフローバイパス（high flow bypass：HFB）のグラフトとして橈骨動脈（radial artery graft：RAG）や大伏在静脈（great saphenous vein graft：SVG）を用いるが，今回，SVGを用いたHFB14年後に発見され，増大傾向のグラフト動脈瘤に対してRAGによるバイパス置換が有効であった症例を経験したので報告する．36歳時に右内頚動脈C2部解離性動脈瘤破裂によるくも膜下出血を発症し，前医でSVGを用いたHFBおよびtrappingを施行され，49歳時に前医CTAでSVGの囊状動脈瘤（SVG aneurysm：SVGA）を指摘され，増大傾向を認めたため紹介となった．DSAで右内頚動脈は眼動脈で終止し，SVGの近位端は右外頚動脈分岐直後で端々吻合，頬骨上ルートを通り，遠位端は右中大脳動脈M2後枝と端側吻合され，右中大脳動脈は良好に描出された．SVGは頭蓋内で鋭角に屈曲し，屈曲部に最大径12.3mmのSVGAを認めた．SVGAは経時的に増大し，手術適応と判断した．手術はRAGを用いて右頚部内頚動脈と右中大脳動脈M2前枝の間で頬骨下ルートを用いて新たなHFBを作成し，SVGを頭蓋内と頚部でトラッピングしバイパス置換を行った．術後，SVGAは血栓化し，術後第20病日でmRS 0で自宅退院した．HFB後のSVGAの治療としてRAGを用いたバイパス置換は有効な方法の1つと考えられる．","PeriodicalId":131030,"journal":{"name":"Surgery for Cerebral Stroke","volume":"56 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":"135911469","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
Prediction of Wall Characteristics of Unruptured Intracranial Aneurysms Using Computational Fluid Dynamics 应用计算流体力学预测颅内未破裂动脉瘤的壁特性
Surgery for Cerebral Stroke Pub Date : 2023-01-01 DOI: 10.2335/scs.51.405
Kyoko NAKANO, Yoichi MIURA, Fujimaro ISHIDA, Tomoaki NANBU, Takahito FUKUTA, Norio MINAMI, Naoki ICHIKAWA, Kazuhiro FURUKAWA, Tomohiro ARAKI, Hidenori SUZUKI
{"title":"Prediction of Wall Characteristics of Unruptured Intracranial Aneurysms Using Computational Fluid Dynamics","authors":"Kyoko NAKANO, Yoichi MIURA, Fujimaro ISHIDA, Tomoaki NANBU, Takahito FUKUTA, Norio MINAMI, Naoki ICHIKAWA, Kazuhiro FURUKAWA, Tomohiro ARAKI, Hidenori SUZUKI","doi":"10.2335/scs.51.405","DOIUrl":"https://doi.org/10.2335/scs.51.405","url":null,"abstract":"未破裂脳動脈瘤の壁性状が術前に予測できれば，治療の必要性の検討ならびに開頭クリッピング術や脳動脈瘤コイル塞栓術をより安全に行うための有用な情報となる．しかし，現在の神経画像技術から脳動脈瘤の壁性状を予測することは困難である．そこで，数値流体力学（computational fluid dynamics: CFD）による血行力学的パラメータと壁性状の関連を比較し，未破裂脳動脈瘤の壁性状が予測可能か検討した．","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":"135913706","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
開頭術後再発難治性上矢状静脈洞部硬膜動静脈瘻に対するリン酸カルシウム骨ペーストを用いた頭蓋外流入血管遮断法 ─Shield technique─ 针对开颅后复发难治性上矢状静脉窦硬膜动静脉瘘，使用磷酸钙骨膏的颅外流入血管阻断法Shield technique
Surgery for Cerebral Stroke Pub Date : 2023-01-01 DOI: 10.2335/scs.51.343
Akifumi YOKOTA, Yoshiki HANAOKA, Tetsuyoshi HORIUCHI
{"title":"開頭術後再発難治性上矢状静脈洞部硬膜動静脈瘻に対するリン酸カルシウム骨ペーストを用いた頭蓋外流入血管遮断法 ─Shield technique─","authors":"Akifumi YOKOTA, Yoshiki HANAOKA, Tetsuyoshi HORIUCHI","doi":"10.2335/scs.51.343","DOIUrl":"https://doi.org/10.2335/scs.51.343","url":null,"abstract":"硬膜動静脈瘻（dural arteriovenous fistula：DAVF）に対する液体塞栓物質を使用した根治的な経動脈的塞栓術（transarterial embolization：TAE）は，頭皮壊死を惹起する可能性があり，特に開頭術既往症例には注意が必要である．今回，開頭術後再発性上矢状静脈洞部（superior sagittal sinus：SSS）DAVFに対して，リン酸カルシウム骨ペーストを用いた頭蓋外流入血管遮断法（shield technique）が有用と思われた症例を経験したので報告する．","PeriodicalId":131030,"journal":{"name":"Surgery for Cerebral Stroke","volume":"14 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":"135913886","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
High-flow Bypass with Proximal Artery Occlusion as a Therapeutic Option for Recurrent Large Internal Carotid Paraclinoid Aneurysm after Endovascular Surgery 血管内手术后大颈动脉旁动脉瘤复发的高流量搭桥近端动脉闭塞治疗选择
Surgery for Cerebral Stroke Pub Date : 2023-01-01 DOI: 10.2335/scs.51.438
Tomoko OTOMO, Osamu YAMADA, Shuhei MORITA, Kota YAMAKAWA, Isao AKASU, Ryo KITAGAWA, Hirotaka YOSHIDA, Jun SAKAI, Shinichi NUMAZAWA, Yasunobu ITO, Sadayoshi WATANABE, Kentaro MORI
{"title":"High-flow Bypass with Proximal Artery Occlusion as a Therapeutic Option for Recurrent Large Internal Carotid Paraclinoid Aneurysm after Endovascular Surgery","authors":"Tomoko OTOMO, Osamu YAMADA, Shuhei MORITA, Kota YAMAKAWA, Isao AKASU, Ryo KITAGAWA, Hirotaka YOSHIDA, Jun SAKAI, Shinichi NUMAZAWA, Yasunobu ITO, Sadayoshi WATANABE, Kentaro MORI","doi":"10.2335/scs.51.438","DOIUrl":"https://doi.org/10.2335/scs.51.438","url":null,"abstract":"症例は57歳，女性．大型の内頚動脈傍床突起部脳動脈瘤が偶然に発見され，ステントアシスト法を用いたコイル塞栓術で治療を受けたが，すぐに再発した．脳血管撮影では瘤内に造影剤の流入を認めたが，頚部にはクリッピング術に必要なスペースはなかった．しかしながら血管内治療による再治療は希望されなかった．頭蓋内外のhigh-flow bypassを施行して頚部内頚動脈を結紮した．術後問題なく，bypass治療から12カ月経過したが再発を認めていない．血管内治療後に再発し，クリッピング術が不可能な傍床突起部脳動脈瘤症例に対して，high-flow bypassを併用した母血管閉塞術は治療の選択肢となり得る．","PeriodicalId":131030,"journal":{"name":"Surgery for Cerebral Stroke","volume":"131 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":"135911238","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
脳に埋没している中大脳動脈末梢部大型動脈瘤に対するICG flash fluorescence法を用いたtarget bypass 针对埋藏在大脑中的中大脑动脉末梢部大型动脉瘤，使用ICG flash fluorescence法的target bypass
Surgery for Cerebral Stroke Pub Date : 2023-01-01 DOI: 10.2335/scs.51.335
Takayuki CHIBA, Yoshitaka KUBO, Shinpei SATO, Toshiyuki MURAKAMI, Yosuke AKAMATSU, Kokei CHIDA, Takahiro KOJI, Kenji YOSHIDA, Kuniaki OGASAWARA
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