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タイトル: Unusual delayed hydrocephalus after bare platinum coil embolization of an unruptured aneurysm
著者: Masaki, Kouichi
Uchiyama, Naoyuki link image link image
Mohri, Masanao link image link image
Hirota, Yuichi
Hayashi, Yutaka
Hamada, Jun-ichiro
見崎, 孝一
内山, 尚之
毛利, 正直
林, 裕
濵田, 潤一郎
発行日: 2010年
出版社(者): 日本脳神経外科学会
雑誌名: Neurologia Medico-Chirurgica
ISSN: 0470-8105
巻: 50
号: 7
開始ページ: 581
終了ページ: 585
キーワード: Bare platinum coil
Endovascular embolization
Unruptured aneurysm
抄録: A 69-year-old woman developed hydrocephalus after the embolization of an incidentally detected unruptured large internal carotid artery aneurysm with bare platinum coils. Endovascular embolization resulted in near-total aneurysm occlusion. She complained of mild headache 18 hours after the procedure and magnetic resonance (MR) imaging performed on the 6th post-treatment day revealed wall enhancement and perianeurysmal brain edema. Follow-up MR imaging showed recanalization of the aneurysm and gradual ventricular enlargement. She presented with typical symptoms of hydrocephalus including disorientation, gait disturbance, and urine incontinence at 7 months post-embolization. We removed 30 ml of cerebrospinal fluid by lumbar tap, which improved her condition without symptom recurrence for 2 months. She did not require shunt placement. Postinterventional hydrocephalus is known in patients with unruptured aneurysms embolized with bioactive second-generation coils. This case shows that hydrocephalus can occur after aneurysm embolization with bare platinum coils without intracranial hemorrhage.
DOI: 10.2176/nmc.50.581
URI: http://hdl.handle.net/2297/25202
関連URI: http://jns.umin.ac.jp/
資料種別: Journal Article
権利関係: Copyright (c) 2010 by The Japan Neurosurgical Society
版表示: publisher
出現コレクション:1. 査読済論文

このアイテムを引用あるいはリンクする場合は次の識別子を使用してください。 http://hdl.handle.net/2297/25202



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