Intracerebral Hemorrhage From a Ruptured Aneurysm at the Site of Anastomosis 27 Years After Superficial Temporal Artery-Middle Cerebral Artery Bypass : Case Report

Hokari, Masaaki; Yasuda, Hiroshi; Iwasaki, Motoyuki; Kawabori, Masahito; Kuroda, Satoshi; Abe, Satoru; Saitoh, Hisatoshi

Intracerebral Hemorrhage From a Ruptured Aneurysm at the Site of Anastomosis 27 Years After Superficial Temporal Artery-Middle Cerebral Artery Bypass : Case Report

Hokari, Masaaki; Yasuda, Hiroshi; Iwasaki, Motoyuki et al.

Neurologia medico-chirurgica, 2010, 50(11), 1012-1014

Permalink : https://hdl.handle.net/2115/70775

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アクセス権	open access
URI	https://hdl.handle.net/2115/70775
タイトル	Intracerebral Hemorrhage From a Ruptured Aneurysm at the Site of Anastomosis 27 Years After Superficial Temporal Artery-Middle Cerebral Artery Bypass : Case Report
著者	Hokari, Masaaki ; Yasuda, Hiroshi ; Iwasaki, Motoyuki ; Kawabori, Masahito ; Kuroda, Satoshi ; Abe, Satoru ; Saitoh, Hisatoshi
e-Rad_Researcher 30622807 著者名 Hokari, Masaaki
著者名 Yasuda, Hiroshi
著者名 Iwasaki, Motoyuki
e-Rad_Researcher 50399870 著者名 Kawabori, Masahito
e-Rad_Researcher 10301904 著者名 Kuroda, Satoshi
著者名 Abe, Satoru
著者名 Saitoh, Hisatoshi
言語	英語
キーワード	superficial temporal artery-middle cerebral artery anastomosis
	aneurysm
	intracerebral hemorrhage
	surgery
	three-dimensional computed tomography angiography
発行日	2010-11
出版者	The Japan Neurosurgical Society
収録物名	Neurologia medico-chirurgica
巻(号)	50(11)
ページ	1012-1014
抄録	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.
資源タイプ	学術雑誌論文
出版タイプ	Version of Record
権利情報	Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International
PISSN	0470-8105
EISSN	1349-8029
関連情報 (isIdenticalTo)	出版社版DOI https://doi.org/10.2176/nmc.50.1012