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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
Complication
Endovascular embolization
Hydrocephalus
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/
http://ci.nii.ac.jp/naid/130000309298
http://www.jstage.jst.go.jp/article/nmc/50/7/50_581/_article
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

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