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脳血管攣縮に対し頻回の塩酸ファスジル動注療法(IAF)およびPTAを要した1例


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Title: 脳血管攣縮に対し頻回の塩酸ファスジル動注療法(IAF)およびPTAを要した1例
Other Titles: Multiple Intra-arterial Infusions of Fasudil Hydrochloride and Percutaneous Transluminal Angioplasty for Cerebral Vasospasm : A Case Report
Authors: 諸藤, 陽一 / 鳥羽, 保 / 岩永, 充人 / 門脇, 亜矢 / 宗, 剛平 / 辻村, 雅樹
Authors (alternative): Morofuji, Yoichi / Toba, Tamotsu / Iwanaga, Mitsuto / Kadowaki, Aya / So, Gohei / Tsujimura, Masaki
Issue Date: 2004
Publisher: 日本脳卒中の外科研究会
Citation: 脳卒中の外科, 32, pp.105-108; 2004
Abstract: We report a case of multiple intra-arterial infusions of fasudil hydrochloride (IAF) and percutaneous transluminal angioplasty (PTA) for cerebral vasospasm. A 59-year-old man was admitted to our hospital because of disturbance of consciousness. Computed tomography (CT) showed subarachnoid hemorrhage. Cerebral angiography showed an aneurysm of the anterior communicating artery. Left frontotemporal decompressive craniectomy and neck clipping of the aneurysm were performed. Post-operative course was uneventful until day 6. On day 7, however, the patient suddenly developed disturbance of consciousness, aphasia and right motor wealmess. Cerebral angiography revealed diffuse cerebral vasospasm in the bilateral AI, MI, M2 segments. IAF was performed and aphasia and right motor weakness improved immediately. Despite clinical and angiographic improvement after the IAF, the patient showed recurrent symptomatic vasospasm only after 6 hours. After repeated IAF three times every 6 hours, the patient showed recurrent symptom. Finally PTAs were successfully performed on the left MI and on the right Ml. Angiogram showed no restenosis. The patient recovered gradually, and he had no obvious neurological deficit on the day of discharge.
Keywords: cerebral vasospasm / fasudil hydrochloride / PTA
URI: http://hdl.handle.net/10069/22027
ISSN: 09145508
Type: Journal Article
Text Version: publisher
Appears in Collections:Articles in academic journal

Citable URI : http://hdl.handle.net/10069/22027

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