解離性椎骨動脈瘤破裂重症例に対する急性期手術の検討
1994 年 22 巻 2 号 p. 91-95
詳細
1994 年 22 巻 2 号 p. 91-95
Management of ruptured dissecting aneurysm of the vertebral artery (VA-DA) and its surgical indication in the acute stage have remained controversial. The authors have experienced 5 cases of ruptured VA-DA with severe neurological state due to repeat subarachnoid hemorrhage. The outcome was satisfactory in 3 cases operated on by proximal occlusion or trapping in the acute stage. On the other hand, the other 2 cases, treated conservatively, worsened because of vasospasm or rerupture and eventually died. These results suggest that VA-DA cases, even if presenting with severe consciousness disturbance or respiratory dysfunction, should be operated on as early as possible.
