頭蓋骨骨折と急性硬膜下血腫を伴った前頭蓋窩硬膜動静脈瘻の1例
「はじめに」前頭蓋窩硬膜動静脈瘻(dural arteriovenous fistula : DAVF)は, 頭蓋内DAVFの約6%を占める比較的まれな疾患である. 前頭蓋窩DAVFはdural sinusを介さずにcortical veinへのdirect drainageによる静脈圧亢進のため, 頭蓋内出血の頻度が高い(62-91%)といわれている. 出血部位は脳内血腫やくも膜下出血が多く, 急性硬膜下血腫は比較的まれである. われわれが検索した限り, 外傷を契機として急性硬膜下血腫を発症した前頭蓋窩DAVF症例は, 今までに報告はない. 今回われわれは, 頭蓋骨骨折を伴った急性硬膜下血腫...
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| Published in | 脳卒中の外科 Vol. 44; no. 6; pp. 473 - 476 |
|---|---|
| Main Authors | , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
一般社団法人 日本脳卒中の外科学会
2016
日本脳卒中の外科学会 |
| Subjects | |
| Online Access | Get full text |
| ISSN | 0914-5508 1880-4683 |
| DOI | 10.2335/scs.44.473 |
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| Abstract | 「はじめに」前頭蓋窩硬膜動静脈瘻(dural arteriovenous fistula : DAVF)は, 頭蓋内DAVFの約6%を占める比較的まれな疾患である. 前頭蓋窩DAVFはdural sinusを介さずにcortical veinへのdirect drainageによる静脈圧亢進のため, 頭蓋内出血の頻度が高い(62-91%)といわれている. 出血部位は脳内血腫やくも膜下出血が多く, 急性硬膜下血腫は比較的まれである. われわれが検索した限り, 外傷を契機として急性硬膜下血腫を発症した前頭蓋窩DAVF症例は, 今までに報告はない. 今回われわれは, 頭蓋骨骨折を伴った急性硬膜下血腫に対して, 術前の3D CT angiography(3D CTA)にて診断した前頭蓋窩DAVFの1例を経験したので報告する. 「症例」患者:70歳, 男性. 既往歴:特記すべき事項なし. |
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| AbstractList | 「はじめに」前頭蓋窩硬膜動静脈瘻(dural arteriovenous fistula : DAVF)は, 頭蓋内DAVFの約6%を占める比較的まれな疾患である. 前頭蓋窩DAVFはdural sinusを介さずにcortical veinへのdirect drainageによる静脈圧亢進のため, 頭蓋内出血の頻度が高い(62-91%)といわれている. 出血部位は脳内血腫やくも膜下出血が多く, 急性硬膜下血腫は比較的まれである. われわれが検索した限り, 外傷を契機として急性硬膜下血腫を発症した前頭蓋窩DAVF症例は, 今までに報告はない. 今回われわれは, 頭蓋骨骨折を伴った急性硬膜下血腫に対して, 術前の3D CT angiography(3D CTA)にて診断した前頭蓋窩DAVFの1例を経験したので報告する. 「症例」患者:70歳, 男性. 既往歴:特記すべき事項なし. |
| Author | 吉田, 一彦 菊田, 健一郎 山田, 真輔 竹内, 浩明 |
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| DOI | 10.2335/scs.44.473 |
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| References | 15) Martin NA, King WA, Wilson CB, et al : Management of dural arteriovenous malformations of the anterior cranial fossa. J Neurosurg 72: 692-697, 1990 4) Halbach VV, Higashida RT, Hieshima GB, et al : Dural arteriovenous fistulas supplied by ethmoidal arteries. Neurosurgery 26: 816-823, 1990 10) 桑山直也，久保道也，遠藤俊郎，ほか：わが国における硬膜動静脈瘻の治療の現状．脳外誌 20: 12-19, 2011 17) Newton TH, Cronqvist S : Involvement of dural arteries in intracranial arteriovenous malformations. Radiology 93: 1071-1078, 1969 7) Ito J, Imamura H, Kobayashi K, et al : Dural arteriovenous malformations of the base of the anterior cranial fossa. Neuroradiology 24: 149-154, 1983 14) Lv X, Li Y, Wu Z : Endovascular treatment of anterior cranial fossa dural arteriovenous fistula. Neuroradiology 50: 433-437, 2008 12) Lawton MT, Chun J, Wilson CB, et al : Ethmoidal dural arteriovenous fistulae: an assessment of surgical and endovascular management. Neurosurgery 45: 805-810, 1999 5) Hamada J, Yano S, Kai Y, et al : Histopathological study of venous aneurysms in patients with dural arteriovenous fistulas. J Neurosurg 92: 1023-1027, 2000 13) Lucas CP, Zabramski JM, Spetzler RF, et al : Treatment for intracranial dural arteriovenous malformations: a meta-analysis from the English language literature. Neurosurgery 40: 1119-1130, 1997 1) Abrahams JM, Bagley LJ, Flamm ES, et al : Alternative management considerations for ethmoidal dural arteriovenous fistulas. Surg Neurol 58: 410-416, 2002 8) Jamous MA, Satoh K, Nagahiro S, et al : Detection of enlarged cortical vein by magnetic resonance imaging contributes to early diagnosis and better outcome for patients with anterior cranial fossa dural arteriovenous fistula. Neurol Med Chir (Tokyo) 44: 516-520, 2004 9) Jimbo H, Ikeda Y, Izawa H, et al : Mixed pial-dural arteriovenous malformation in the anterior cranial fossa—two case reports. Neurol Med Chir (Tokyo). 50: 470-475, 2010 16) 松原年生，和賀志郎，小島精，ほか：前頭蓋窩硬膜動静脈奇形．脳卒中の外科 18: 103-108, 1990 6) 石井洋介，前原健寿，吉野義一，ほか：前頭蓋窩硬膜動静脈瘻─手術例の検討．脳卒中の外科 40: 7-13, 2012 3) Awad IA, Little JR, Akarawi WP, et al : Intracranial dural arteriovenous malformations: factors predisposing to an aggressive neurological course. J Neurosurg 72: 839-850, 1990 11) Lasjaunias P, Chiu M, ter Brugge K, et al : Neurological manifestations of intracranial dural arteriovenous malformations. J Neurosurg 64: 724-730, 1986 19) Tanei T, Fukui K, Wakabayashi K, et al : Dural arteriovenous fistula in the anterior cranial fossa: four case reports. Neurol Med Chir (Tokyo) 48: 560-563, 2008 18) Ogawa K, Oishi M, Mizutani T, et al : Dural arteriovenous fistula on the convexity presenting with pure acute subdural hematoma. Acta Neurol Belg 110: 190-192, 2010 2) Agid R, Terbrugge K, Rodesch G, et al : Management strategies for anterior cranial fossa (ethmoidal) dural arteriovenous fistulas with an emphasis on endovascular treatment. J Neurosurg 110: 79-84, 2009 |
| References_xml | – reference: 16) 松原年生，和賀志郎，小島精，ほか：前頭蓋窩硬膜動静脈奇形．脳卒中の外科 18: 103-108, 1990 – reference: 14) Lv X, Li Y, Wu Z : Endovascular treatment of anterior cranial fossa dural arteriovenous fistula. Neuroradiology 50: 433-437, 2008 – reference: 17) Newton TH, Cronqvist S : Involvement of dural arteries in intracranial arteriovenous malformations. Radiology 93: 1071-1078, 1969 – reference: 8) Jamous MA, Satoh K, Nagahiro S, et al : Detection of enlarged cortical vein by magnetic resonance imaging contributes to early diagnosis and better outcome for patients with anterior cranial fossa dural arteriovenous fistula. Neurol Med Chir (Tokyo) 44: 516-520, 2004 – reference: 2) Agid R, Terbrugge K, Rodesch G, et al : Management strategies for anterior cranial fossa (ethmoidal) dural arteriovenous fistulas with an emphasis on endovascular treatment. J Neurosurg 110: 79-84, 2009 – reference: 15) Martin NA, King WA, Wilson CB, et al : Management of dural arteriovenous malformations of the anterior cranial fossa. J Neurosurg 72: 692-697, 1990 – reference: 18) Ogawa K, Oishi M, Mizutani T, et al : Dural arteriovenous fistula on the convexity presenting with pure acute subdural hematoma. Acta Neurol Belg 110: 190-192, 2010 – reference: 10) 桑山直也，久保道也，遠藤俊郎，ほか：わが国における硬膜動静脈瘻の治療の現状．脳外誌 20: 12-19, 2011 – reference: 9) Jimbo H, Ikeda Y, Izawa H, et al : Mixed pial-dural arteriovenous malformation in the anterior cranial fossa—two case reports. Neurol Med Chir (Tokyo). 50: 470-475, 2010 – reference: 1) Abrahams JM, Bagley LJ, Flamm ES, et al : Alternative management considerations for ethmoidal dural arteriovenous fistulas. Surg Neurol 58: 410-416, 2002 – reference: 12) Lawton MT, Chun J, Wilson CB, et al : Ethmoidal dural arteriovenous fistulae: an assessment of surgical and endovascular management. Neurosurgery 45: 805-810, 1999 – reference: 11) Lasjaunias P, Chiu M, ter Brugge K, et al : Neurological manifestations of intracranial dural arteriovenous malformations. J Neurosurg 64: 724-730, 1986 – reference: 19) Tanei T, Fukui K, Wakabayashi K, et al : Dural arteriovenous fistula in the anterior cranial fossa: four case reports. Neurol Med Chir (Tokyo) 48: 560-563, 2008 – reference: 5) Hamada J, Yano S, Kai Y, et al : Histopathological study of venous aneurysms in patients with dural arteriovenous fistulas. J Neurosurg 92: 1023-1027, 2000 – reference: 13) Lucas CP, Zabramski JM, Spetzler RF, et al : Treatment for intracranial dural arteriovenous malformations: a meta-analysis from the English language literature. Neurosurgery 40: 1119-1130, 1997 – reference: 4) Halbach VV, Higashida RT, Hieshima GB, et al : Dural arteriovenous fistulas supplied by ethmoidal arteries. Neurosurgery 26: 816-823, 1990 – reference: 6) 石井洋介，前原健寿，吉野義一，ほか：前頭蓋窩硬膜動静脈瘻─手術例の検討．脳卒中の外科 40: 7-13, 2012 – reference: 3) Awad IA, Little JR, Akarawi WP, et al : Intracranial dural arteriovenous malformations: factors predisposing to an aggressive neurological course. J Neurosurg 72: 839-850, 1990 – reference: 7) Ito J, Imamura H, Kobayashi K, et al : Dural arteriovenous malformations of the base of the anterior cranial fossa. Neuroradiology 24: 149-154, 1983 |
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| Title | 頭蓋骨骨折と急性硬膜下血腫を伴った前頭蓋窩硬膜動静脈瘻の1例 |
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