脳卒中の外科
Online ISSN : 1880-4683
Print ISSN : 0914-5508
ISSN-L : 0914-5508
術後症候性血管攣縮をきたした内頸動脈硬膜輪近傍未破裂動脈瘤の2例
北澤 和夫新田 純平田中 雄一郎及川 奏大屋 房一京島 和彦小林 茂昭
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1999 年 27 巻 6 号 p. 483-488

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We report 2 cases of symptomatic delayed vasospasm after neck clipping of unruptured juxta-dural ring aneurysms of the left internal carotid artery. Case 1 is a 53-year-old woman with multiple unruptured juxta-dural ring aneurysms. Case 2 is a 21-year-old woman with a carotid ophthalmic aneurysm. Aphasia and/or Gerstmann syndrome appeared 8 days and 12 days after clipping surgery, respectively. Angiograms revealed severe vasospasm of the left middle cerebral artery in Case 1 and the left M2 portion in Case 2. These symptoms were fully resolved by intra-arterial papaverine treatment and hyperbaric oxygen therapy. We emphasize that vasospasm is a possible complication after clipping of unruptured juxta-dural ring aneurysms.

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