雑誌文献を検索します。書籍を検索する際には「書籍検索」を選択してください。

Neurological Surgery No Shinkei Geka Volume 32, Issue 10 （October 2004）

Neurological Surgery 脳神経外科 32巻10号（2004年10月発行）

Japanese English

症例

遺残性原始三叉動脈に対側頸部内頸動脈閉塞を伴った多発性脳動脈瘤の手術例 Multiple Cerebral Aneurysms and a Contralateral Occluded Internal Carotid Artery Associated with Persistent Primitive Trigeminal Artery 太田浩嗣 ¹ , 厳本哲矢 ¹ , 横田晃 ² Hirotsugu OHTA ¹ , Tetsuya GENMOTO ¹ , Akira YOKOTA ² ¹筑豊労災病院脳神経外科 ²産業医科大学脳神経外科 ¹Department of Neurosurgery,Chikuhou Rosai Hospital ²Department of Neurosurgery,School of Medicine,University of Occupational and Enviromental Health キーワード： multiple cerebral aneurysms , persistent primitive trigeminal artery , internal carotid artery oclusion Keyword: multiple cerebral aneurysms , persistent primitive trigeminal artery , internal carotid artery oclusion pp.1045-1048

発行日 2004年10月1日 Published Date 2004/10/1

DOI https://doi.org/10.11477/mf.1436100494

PDF(141KB)

有料閲覧

Abstract 文献概要
1ページ目 Look Inside

　Ⅰ．はじめに

Persistent primitive trigeminal artery（PTA）は胎生期遺残動脈の中で最も頻度が高く，脳動脈瘤や脳動静脈奇形との合併した報告がみうけられるが^2,4,16)，加えて，対側の内頸動脈閉塞を伴った報告はない．今回，くも膜下出血で発症し，対側の内頸動脈閉塞を伴った多発性脳動脈瘤の手術例を経験したので報告する．

　The frequency of angiographic demonstration of persistent primitive trigeminal artery (PTA) is 0.06 to 0.6 %. It is well recognized that approximately 13.8 to 27.8 % of patients with PTA also have intracranial aneurysms. However their association with the contralateral occluded internal carotid artery (IC) has not been reported. We reported such an extremely rare case of PTA associated with multiple cerebral aneurysms and a contralateral occluded IC.

　A 61-year-old female suffered from sudden onset of severe headache with nausea and vomiting. When she was admitted to our hospital,she complained only of headache with nausea. Computed tomography de (monstrated a diffuse subarachnoid hemorrhage. Angiography showed a ruptured anterior communicating artery (Acom). Aneurysm and a left IC-PC large aneurysm with a broad neck. The angiogram also demonstrated a left PTA originating from the cavernous portion of the left internal carotid artery and ending at the midportion of the basilar artery and the contralateral occluded IC in the cervical portion. An operation was performed at day 3 using the left pterional approach,and the two aneurysms were successfuly clipped using the suction-decompression method. The patient was discharged with no neurological deficits.