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Intracerebral Hemorrhage From a Ruptured Aneurysm at the Site of Anastomosis 27 Years After Superficial Temporal Artery-Middle Cerebral Artery Bypass : Case Report
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| Title: | Intracerebral Hemorrhage From a Ruptured Aneurysm at the Site of Anastomosis 27 Years After Superficial Temporal Artery-Middle Cerebral Artery Bypass : Case Report |
| Authors: | Hokari, Masaaki Browse this author →KAKEN DB | | Yasuda, Hiroshi Browse this author | | Iwasaki, Motoyuki Browse this author | | Kawabori, Masahito Browse this author →KAKEN DB | | Kuroda, Satoshi Browse this author →KAKEN DB | | Abe, Satoru Browse this author | | Saitoh, Hisatoshi Browse this author |
| Keywords: | superficial temporal artery-middle cerebral artery anastomosis | | aneurysm | | intracerebral hemorrhage | | surgery | | three-dimensional computed tomography angiography |
| Issue Date: | Nov-2010 |
| Publisher: | The Japan Neurosurgical Society |
| Journal Title: | Neurologia medico-chirurgica |
| Volume: | 50 |
| Issue: | 11 |
| Start Page: | 1012 |
| End Page: | 1014 |
| Publisher DOI: | 10.2176/nmc.50.1012 |
| Abstract: | A 77-year-old female presented with a very rare case of intracerebral hemorrhage (ICH) from a ruptured aneurysm at the site of the anastomosis 27 years after superficial temporal artery-middle cerebral artery (STA-MCA) bypass manifesting as sudden onset of unconsciousness and right hemiparesis. Computed tomography (CT) on admission demonstrated massive ICH in the left frontoparietal region. Magnetic resonance angiography showed good patency of the anastomosis and no obvious aneurysm, but three-dimensional CT (3D-CT) angiography revealed a small aneurysm at the site of the left STA-MCA anastomosis. Emergency evacuation of the hematoma was performed, and the aneurysm was trapped and resected after ligation. After the operation, she continued to exhibit deep consciousness disturbance. Unfortunately, her general condition grew steadily worse and she died 3 months later. Patients who undergo STA-MCA anastomosis should be carefully followed up by periodical imaging examinations. 3D-CT angiography is very useful to detect aneurysm formation at the anastomosis site. |
| Rights: | https://creativecommons.org/licenses/by-nc-nd/4.0/ |
| Type: | article |
| URI: | http://hdl.handle.net/2115/70775 |
| Appears in Collections: | 北海道大学病院 (Hokkaido University Hospital) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)
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Submitter: 川堀 真人
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