スダ　サトシ   SUDA Satoshi   須田　智    所属   埼玉医科大学  医学部 国際医療センター　神経内科・脳卒中内科    職種   教授
論文種別	学術雑誌(原著)
言語種別	英語
査読の有無	査読あり
表題	Anterior Cerebral Artery Dissection Presenting Subarachnoid Hemorrhage and Cerebral Infarction
掲載誌名	正式名：JOURNAL OF NIPPON MEDICAL SCHOOL ISSNコード：1345-4676
出版社	MEDICAL ASSOC NIPPON MEDICAL SCH
巻・号・頁	79(2),153-158頁
著者・共著者	Kentaro Suzuki,Masahiro Mishina,Seiji Okubo,Arata Abe,Satoshi Suda,Masayuki Ueda,Yasuo Katayama
発行年月	2012/04
概要	A 35-year-old man presented with simultaneous occurrence of subarachnoid hemorrhage (SAH) and cerebral infarction (CI) caused by anterior cerebral artery (ACA) dissection. He complained of sudden onset of left frontal headache and his symptoms progressed to consciousness disturbance and right hemiparesis. Computed tomography and magnetic resonance imaging demonstrated SAH localized in the left interhemispheric fissure and CI in the territory of the left ACA. Right carotid angiography demonstrated a long double lumen sign at the left A2 to A4 segment of the left ACA, leading to a diagnosis of the combined type of CI and SAH caused by ACA dissection. Although many surgeons have previously tried to perform endovascular treatment, we selected only medication in this case, and his neurological findings gradually improved. Only 9 cases including the present case presented with simultaneous occurrence of SAH and CI caused by ACA dissection. Many of these patients showed stenosis with dilatation of ACA on carotid angiography. The prognoses of these patients were good. However, many SAH patients with dissecting aneurysm had poor prognoses. To improve the strategy for managing ACA dissection, we need to accumulate a greater number of such cases in the future. We also recommend that angiography should be performed in the patients with ACA dissection. (J Nippon Med Sch 2012: 79: 153-158)
DOI	10.1272/jnms.79.153
PMID	22687360