Surgical treatment of internal carotid artery anterior wall aneurysm with extravasation during angiography--case report.

Abstract:

:A 54-year-old female presented subarachnoid hemorrhage from an aneurysm arising from the anterior (dorsal) wall of the internal carotid artery (ICA). During four-vessel angiography, an extravasated saccular pooling of contrast medium emerged in the suprasellar area unrelated to any arterial branch. The saccular pooling was visualized in the arterial phase and cleared in the venophase during every contrast medium injection. We suspected that the extravasated pooling was surrounded by hard clot but communicated with the artery. Direct surgery was performed but major premature bleeding occurred during the microsurgical procedure. After temporary clipping, an opening of the anterior (dorsal) wall of the ICA was found without apparent aneurysm wall. The vessel wall was sutured with nylon thread. The total occlusion time of the ICA was about 50 minutes. Follow-up angiography demonstrated good patency of the ICA. About 2 years after the operation, the patient was able to walk with a stick and to communicate freely through speech, although left hemiparesis and left homonymous hemianopsia persisted. The outcome suggests our treatment strategy was not optimal, but suture of the ICA wall is one of the therapeutic choices when premature rupture occurs in the operation.

authors

Okuchi K,Fujioka M,Maeda Y,Nonaka M,Sakaki T

doi

10.2176/nmc.39.40

keywords:

subject

Has Abstract

pub_date

1999-01-01 00:00:00

pages

40-4

issue

1

eissn

0470-8105

issn

1349-8029

pii

JST.Journalarchive/nmc1959/39.40

journal_volume

39

pub_type

杂志文章
  • Hearing Restoration with Auditory Brainstem Implant.

    abstract::Auditory brainstem implant (ABI) technology attempts to restore hearing in deaf patients caused by bilateral cochlear nerve injury through the direct stimulation of the brainstem, but many aspects of the related mechanisms remain unknown. The unresolved issues can be grouped into three topics: which patients are the b...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章,评审

    doi:10.2176/nmc.ra.2016-0080

    authors: Nakatomi H,Miyawaki S,Kin T,Saito N

    更新日期:2016-10-15 00:00:00

  • Predictors of Morbidity and Cleavage Plane in Surgical Resection of Pure Convexity Meningiomas Using Cerebrospinal Fluid Sensitive Image Subtraction Magnetic Resonance Imaging.

    abstract::Meningiomas are the most common primary intracranial tumors. Since the adhesions in the plane of dissection are of interest in surgical planning, we suggest that digital image subtraction of FLAIR data from the T2 sequence of MRI may represent better the CSF spaces in the brain-tumor interface and may be a predictor o...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章

    doi:10.2176/nmc.oa.2016-0169

    authors: Thenier-Villa JL,Alejandro Galárraga Campoverde R,Ramón DE LA Lama Zaragoza A,Conde Alonso C

    更新日期:2017-01-15 00:00:00

  • Interactive Bio-feedback Therapy Using Hybrid Assistive Limbs for Motor Recovery after Stroke: Current Practice and Future Perspectives.

    abstract::Interactive bio-feedback (iBF) was initially developed for the rehabilitation of motor function in patients with neurological disorders, and subsequently yielded the development of the hybrid assistive limb (HAL). Here, we provide a review of the theory underlying HAL treatment as well as our clinical experience and r...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章,评审

    doi:10.2176/nmc.st.2016-0094

    authors: Morishita T,Inoue T

    更新日期:2016-10-15 00:00:00

  • Reappearance of Cranial Nerve Dysfunction Symptoms Caused by New Artery Compression More than 20 Years after Initially Successful Microvascular Decompression: Report of Two Cases.

    abstract::Reappearance of symptoms of cranial nerve dysfunction is not uncommon after successful microvascular decompression (MVD). The purpose of this study was to report two quite unusual cases of recurrent and newly developed hemifacial spasm (HFS) caused by a new conflicting artery more than 20 years after the first success...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章

    doi:10.2176/nmc.cr.2015-0227

    authors: Inoue H,Kondo A,Shimano H,Yasuda S,Murao K

    更新日期:2016-01-01 00:00:00

  • Intracranial tuberculoma in non-immunosuppressive state.

    abstract::The rise in the incidence of tuberculosis is generally related to human immunodeficiency virus infection. However, intracranial tuberculoma, a complication of tuberculosis considered to be a critical disease, can develop even in the absence of immunosuppressive state. Here, we describe 2 cases of intracranial tubercul...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章

    doi:10.2176/nmc.53.259

    authors: Matsumoto Y,Aikawa H,Narita S,Tsutsumi M,Yoshida H,Etou H,Sakamoto K,Inoue R,Nii K,Kazekawa K

    更新日期:2013-01-01 00:00:00

  • Ossification of transverse ligament of the atlas associated with atlanto-axial dislocation--case report.

    abstract::A 68-year-old male presented with progressive quadriparesis. Twelve years previously he had undergone anterior decompression with bone grafting for cervical ossification of the posterior longitudinal ligament associated with spinal trauma. Radiological examination showed ossification of the transverse ligament of the ...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章,评审

    doi:10.2176/nmc.38.425

    authors: Hayashi T,Hirose Y,Sagoh M,Murakami H

    更新日期:1998-07-01 00:00:00

  • Traumatic carotid-cavernous fistula identified by three-dimensional digital subtraction angiography--technical note.

    abstract::Conventional digital subtraction angiography (DSA) identified a right carotid-cavernous fistula (CCF). Three-dimensional DSA (3D-DSA) was used to evaluate the CCF before treatment. The 3D-DSA images showed the anatomical relationship of the parent artery and the veins, which was difficult to understand on conventional...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章

    doi:10.2176/nmc.43.369

    authors: Ishida F,Kojima T,Kawaguchi K,Hoshino T,Murao K,Taki W

    更新日期:2003-07-01 00:00:00

  • [Spinal epidural cavernous hemangioma. Case report].

    abstract::Spinal epidural cavernous hemangiomas are very rare; only 18 cases have been reported in the literature. The authors describe the case of a 38-year-old male whose first symptom was numbness of the foot, which, after 2 years, spread to the abdomen. On admission, he had no weakness but exhibited hyper-reflex of the lowe...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章,评审

    doi:10.2176/nmc.29.538

    authors: Kurose K,Kishi H,Sadatoh T

    更新日期:1989-06-01 00:00:00

  • Results and current trends of multimodality treatment for infectious intracranial aneurysms.

    abstract::The authors retrospectively reviewed their cases of infectious intracranial aneurysms and discuss results and trends of current treatment modalities including medical, neurosurgical, and endovascular. Twenty patients (10 males and 10 females; mean age 46 years) with 23 infectious aneurysms were treated by various trea...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章

    doi:10.2176/nmc.oa.2014-0197

    authors: Matsubara N,Miyachi S,Izumi T,Yamanouchi T,Asai T,Ota K,Wakabayashi T

    更新日期:2015-01-01 00:00:00

  • Ruptured traumatic aneurysm after trivial injury mimicking acute spontaneous subdural hematoma--case report-.

    abstract::A 75-year-old man suffered acute subdural hematoma shortly after trivial head trauma. Thirteen hours after a trivial brow to the occipital region, caused by contact with a mat, he suddenly deteriorated to the level of a Glasgow Coma Scale score of 6. Computed tomography demonstrated an acute subdural hematoma on the l...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章

    doi:10.2176/nmc.43.130

    authors: Murakami M,Kakita K,Hosokawa Y

    更新日期:2003-03-01 00:00:00

  • Infiltrated Embolization of Meningioma with Dilute Cyanoacrylate Glue.

    abstract::We describe the efficacy and technical aspects of infiltrated preoperative embolization of meningioma by penetration of very dilute glue. In this method, a 13% n-butyl-cyanoacrylate (NBCA)-lipiodol mixture is injected extremely slowly from the middle meningeal artery (MMA) in a similar manner to plug and push injectio...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章

    doi:10.2176/nmc.tn.2016-0144

    authors: Ohnishi H,Miyachi S,Murao K,Hiramatsu R,Takahashi K,Ohnishi H,Kuroiwa T

    更新日期:2017-01-15 00:00:00

  • Cine-magnetic resonance imaging evaluation of communication between middle cranial fossa arachnoid cysts and cisterns.

    abstract::Cine-magnetic resonance (MR) imaging examinations were performed in 10 patients with middle cranial fossa arachnoid cysts to evaluate communication between the cysts and the normal cerebrospinal fluid (CSF) space. Eight of 10 patients were evaluated by time of flight cine-MR imaging, and two by phase contrast cine-MR ...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章

    doi:10.2176/nmc.36.353

    authors: Eguchi T,Taoka T,Nikaido Y,Shiomi K,Fujimoto T,Otsuka H,Takeuchi H

    更新日期:1996-06-01 00:00:00

  • Parent artery occlusion for unruptured cerebral aneurysms: the Japanese Registry of Neuroendovascular Therapy (JR-NET) 1 and 2.

    abstract::Parent artery occlusion (PAO) is an alternative to surgical clipping or endovascular endosaccular coil embolization for the management of cerebral aneurysms. Most giant and fusiform aneurysms are not amenable to endosaccular coil embolization due to anatomical considerations, such as a broad-neck. However, majority of...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章

    doi:

    authors: Ishii A,Miyamoto S,Ito Y,Fujinaka T,Sakai C,Sakai N,Japanese Registry of Neuroendovascular Therapy Investigators.

    更新日期:2014-01-01 00:00:00

  • Intracranial pressure monitoring using a newly developed transducer-tipped ventricular drainage catheter.

    abstract::A transducer-tipped ventricular drainage catheter (TVDC) was developed to allow continuous measurement of intracranial pressure (i.c.p.) without interrupting cerebrospinal fluid (CSF) drainage. The 8.5 Fr catheter with a double lumen has 16 side holes for CSF drainage and a small silicone strain-gauge transducer on th...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章

    doi:10.2176/nmc.38.238

    authors: Kasai K,Samejima H,Ueda M,Ushikubo Y,Yanai H,Kukita C,Kato T

    更新日期:1998-04-01 00:00:00

  • Cerebellar hemorrhage secondary to cranial metastasis of prostate cancer--case report.

    abstract::A 77-year-old man with a 9-year history of prostate cancer presented with high fever and dysphagia. The initial diagnosis was aspiration pneumonia, but the patient became comatose 2 days after admission, and neuroradiological workup revealed cerebellar hemorrhage, obstructive hydrocephalus, and extensive destruction o...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章

    doi:10.2176/nmc.44.82

    authors: Inamasu J,Nakamura Y,Saito R,Kuroshima Y,Mayanagi K,Orii M,Ichikizaki K

    更新日期:2004-02-01 00:00:00

  • Survival probability, delayed mortality, and relationship between short-term outcome and long-term survival after aneurysmal subarachnoid hemorrhage.

    abstract::The long-term survival probability, causes of delayed mortality, and relationship between short-term outcome and long-term survival after aneurysmal subarachnoid hemorrhage were retrospectively studied in 106 patients followed up for longer than 5 years. The Kaplan-Meier cumulative survival probabilities at 1 month, 6...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章

    doi:10.2176/nmc.37.18

    authors: Mori T,Mori K,Kurisaka M,Morimoto M

    更新日期:1997-01-01 00:00:00

  • Central nervous system lesions associated with hereditary hemorrhagic telangiectasia--three case reports.

    abstract::Hereditary hemorrhagic telangiectasia (HHT) is easily overlooked in patients with central nervous system (CNS) lesions. Our clinical experience of three patients with CNS lesions associated with HHT stresses the importance of considering HHT. A 23-year-old male presented with consciousness disturbance and right hemipa...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章

    doi:10.2176/nmc.43.447

    authors: Kuwayama K,Takase K,Kashihara M,Hondo H,Shigekiyo T,Takimoto O,Matsubara S

    更新日期:2003-09-01 00:00:00

  • Cerebellar abscess associated with pulmonary arteriovenous fistula and hereditary hemorrhagic telangiectasia--case report.

    abstract::A 57-year-old male with a past history of bilateral pulmonary arteriovenous fistulas (PAVFs) experienced a sudden onset of headache and gait disturbance. There was a family history of PAVF and recurrent epistaxis. He had diffuse telangiectasia of the tongue, and hereditary hemorrhagic telangiectasia was diagnosed. Neu...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章

    doi:10.2176/nmc.36.575

    authors: Ogino M,Inoue H,Harada S,Horinouchi H,Nakamura T

    更新日期:1996-08-01 00:00:00

  • Internal carotid artery obstruction derived from persistent arterial wall dissection associated with old trivial trauma.

    abstract::A 59-year-old man presented with acute onset of visual loss in his right eye. He was treated under a diagnosis of retinal artery thrombosis. Ultrasonography revealed obstruction of the ipsilateral internal carotid artery (ICA). He had no risk factor for stroke and he denied any history of trauma. Follow-up ultrasonogr...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章

    doi:10.2176/nmc.46.395

    authors: Akiyama Y,Tanaka M,Hayashi J,Fujimoto M,Harada K,Nakahara I,Taniwaki Y

    更新日期:2006-08-01 00:00:00

  • Unusual location of anterior communicating artery aneurysm located on the planum sphenoidale due to long A1 segments.

    abstract::A 51-year-old woman presented with a rare variation in the location of the anterior communicating artery (AComA) complex associated with aneurysm manifesting as sudden onset of headache. Computed tomography (CT) revealed widespread subarachnoid hemorrhage with intracerebral hematoma and intraventricular hemorrhage. Th...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章

    doi:10.2176/nmc.48.254

    authors: Kawashima M,Endo M,Kitahara T,Soma K,Fujii K

    更新日期:2008-06-01 00:00:00

  • Dissection aneurysm of the radiculomedullary branch of the artery of Adamkiewicz with subarachnoid hemorrhage.

    abstract::A 60-year-old female presented with sudden onset of severe headache and back pain, followed by nausea. The initial head computed tomography (CT) scan revealed posterior fossa subarachnoid hemorrhage (SAH). Spinal T(2)-weighted magnetic resonance imaging demonstrated SAH, and a homogeneous and slightly low signal inten...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章

    doi:10.2176/nmc.51.649

    authors: Iihoshi S,Miyata K,Murakami T,Kaneko T,Koyanagi I

    更新日期:2011-01-01 00:00:00

  • Coexistence of intracranial and spinal meningiomas--report of two cases.

    abstract::The authors report two rare cases of multiple meningiomas in both the intracranial and spinal regions. A 64-year-old female presented with a right sphenoidal ridge meningioma and a cervical extramedullary meningioma. Tumor histology was transitional and vacuolated types, respectively. The tumors were removed successfu...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章

    doi:10.2176/nmc.31.720

    authors: Kannuki S,Soga T,Hondo H,Matsumoto K,Takada K,Makino A

    更新日期:1991-11-01 00:00:00

  • Influence of regional cerebral blood flow on event-related potential (P300).

    abstract::The relationships between event-related potential (P300), higher brain functions, and regional cerebral blood flow (rCBF) were examined in 31 neurosurgical patients. The P300 latency, evaluated by an acoustic "odd-ball" paradigm, was normal in 14 and prolonged in 17 patients. Fourteen of 17 prolonged P300 patients had...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章

    doi:10.2176/nmc.33.146

    authors: Kuwata T,Funahashi K,Maeshima S,Ogura M,Hyotani G,Terada T,Itakura T,Hayashi S,Komai N

    更新日期:1993-03-01 00:00:00

  • Pituitary abscess showing high uptake of thallium-201 on single photon emission computed tomography--case report.

    abstract::A 32-year-old female presented with a rare case of pituitary abscess manifesting as homonymous hemianopsia. Serum prolactin level was slightly high (40.8 ng/ml). Magnetic resonance (MR) imaging showed the content of the lesion as homogeneously isointense on the T1-weighted images and hyperintense on the T2-weighted im...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章

    doi:10.2176/nmc.43.100

    authors: Shimamura N,Ogane K,Takahashi T,Tabata H,Ohkuma H,Suzuki S

    更新日期:2003-02-01 00:00:00

  • Operative management of skull base malignant tumors arising from the nasal cavity and paranasal sinus: recent strategies used in 25 cases.

    abstract::Cancers of the paranasal sinuses and nasal cavity are the most common malignant tumors of the anterior and anterolateral skull base. The treatment of these tumors affecting the skull base is complex due to the significant anatomical features. We examined 25 patients, 17 males and 8 females with mean age 61 +/- 2 years...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章

    doi:10.2176/nmc.50.20

    authors: Jimbo H,Kamata S,Miura K,Asamoto S,Tada S,Endo T,Masubuchi T,Nakamura N,Fushimi C

    更新日期:2010-01-01 00:00:00

  • Synovial cysts of the lumbar spine--pathological considerations and surgical strategy.

    abstract::Symptomatic lumbar synovial cysts (LSCs) are a rare cause of degenerative narrowing of the spinal canal, with thecal sac or nerve root compression. True synovial cysts have a thick wall lined by synovial cells, containing granulation tissue, numerous histiocytes, and giant cells. In contrast, pseudo-cysts lack special...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章

    doi:10.2176/nmc.53.95

    authors: Ganau M,Ennas F,Bellisano G,Ganau L,Ambu R,Faa G,Maleci A

    更新日期:2013-01-01 00:00:00

  • Giant intrasellar arachnoid cyst manifesting as adrenal insufficiency due to hypothalamic dysfunction--case report--.

    abstract::A 67-year-old man first noticed loss of pubic and axillary hair in 1992 and then a visual field defect in 2001. He experienced loss of consciousness attributed to hyponatremia in April 2002. Magnetic resonance imaging showed a giant intrasellar cystic mass, 40 mm in diameter, that had compressed the optic chiasm. The ...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章

    doi:10.2176/nmc.45.164

    authors: Yasuda K,Saitoh Y,Okita K,Morris S,Moriwaki M,Miyagawa J,Yoshimine T

    更新日期:2005-03-01 00:00:00

  • Posterior circumferential decompression for late onset paraparesis caused by kyphotic deformity due to infantile tuberculosis--case report.

    abstract::A 46-year-old male presented with late onset of paraparesis caused by kyphotic deformity due to infantile tuberculosis. A posterior circumferential decompression was performed from the sixth thoracic to the eighth thoracic levels. His neurological status improved with no evidence of kyphosis progression at the last fo...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章

    doi:10.2176/nmc.44.554

    authors: Asazuma T,Toyama Y,Suzuki N,Fujimura Y

    更新日期:2004-10-01 00:00:00

  • Epidermoid tumor within Meckel's cave--case report.

    abstract::A rare case of an epidermoid tumor lying within Meckel's cave is reported. A 27-year-old housewife presented with complaints of right facial hypesthesia for two and a half years. On examination she had partial loss of touch sensation in the right trigeminal nerve distribution. Magnetic resonance imaging revealed a tum...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章

    doi:10.2176/nmc.40.74

    authors: Nadkarni T,Dindorkar K,Muzumdar D,Goel A

    更新日期:2000-01-01 00:00:00

  • Intracranial cavernous angioma manifesting as subarachnoid hemorrhage--case report.

    abstract::A 56-year-old male presented with a posterior fossa cavernous angioma manifesting as persistent headache with mild neck stiffness. Lumbar puncture revealed subarachnoid hemorrhage (SAH). Repeated four-vessel angiography failed to identify the source of the SAH. Magnetic resonance (MR) imaging demonstrated multiple sma...

    journal_title:Neurologia medico-chirurgica

    pub_type: 杂志文章

    doi:10.2176/nmc.33.706

    authors: Yamamoto M,Fukushima T,Ikeda K,Nagasaka S,Sakamoto S,Oka K,Tomonaga M,Maehara F

    更新日期:1993-10-01 00:00:00