脳卒中の外科
Online ISSN : 1880-4683
Print ISSN : 0914-5508
ISSN-L : 0914-5508
中大脳動脈本幹穿通枝分岐部動脈瘤手術の問題点
伊東山 洋一藤岡 正導栗野 雅仁河野 隆幸原 毅古後 佳生山本 恵三生塩 之敬
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1998 年 26 巻 2 号 p. 131-135

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During the last 6 years, we performed neck clipping on 504 intracranial cerebral aneurysms at our institution. Among them 146 aneurysms were located in the middle cerebral artery. Six aneurysms arose from the origin of the lenticulostriate artery and represented 1.2% of all 504 cerebral aneurysms and 4.1% of 146 middle cerebral aneurysms. Two patients were male, and 4 were female. The age ranged from 46 to 75 years old (average; 59.8 years old). Four patients harbored multiple aneurysms (67%). All 6 aneurysms were clipped within day 3 using lateral trans-Sylvian approach. Postoperative cerebral infarction was noted on CT scan in 3 patients. We discuss the mechanism of postoperative infarction and review some relevant literature.
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© 一般社団法人 日本脳卒中の外科学会
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