くも膜下出血を伴わず，急性硬膜下血腫と動眼神経麻痺で発症した内頚動脈-後交通動脈分岐部破裂動脈瘤の1例 ─症例報告と文献レビュー
「緒言」頭蓋内脳動脈瘤破裂の多くは, くも膜下出血 (subarachnoid hemorrhage : SAH) を呈するが, 脳内出血 (intracerebral hemorrhage : ICH) や急性硬膜下血腫 (acute subdural hematoma : ASDH) を伴っている症例に遭遇することがある. しかし, SAHやICHを伴わず, ASDHのみを呈する (pure ASDH) 症例は非常にまれである. 今回われわれは画像上pure ASDHと左動眼神経麻痺で発症した破裂左内頚動脈-後交通動脈分岐部 (internal carotid-posterior comm...
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| Published in | 脳卒中の外科 Vol. 47; no. 5; pp. 373 - 380 |
|---|---|
| Main Authors | , , , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
一般社団法人 日本脳卒中の外科学会
2019
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.47.373 |
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| Abstract | 「緒言」頭蓋内脳動脈瘤破裂の多くは, くも膜下出血 (subarachnoid hemorrhage : SAH) を呈するが, 脳内出血 (intracerebral hemorrhage : ICH) や急性硬膜下血腫 (acute subdural hematoma : ASDH) を伴っている症例に遭遇することがある. しかし, SAHやICHを伴わず, ASDHのみを呈する (pure ASDH) 症例は非常にまれである. 今回われわれは画像上pure ASDHと左動眼神経麻痺で発症した破裂左内頚動脈-後交通動脈分岐部 (internal carotid-posterior communicating : IC-PC) 動脈瘤の治療を経験したので報告する. 「症例」症例は41歳, 女性. 既往歴, 家族歴に特記すべきことはなく, 1日20本の喫煙歴を有する. 2日前より頭痛が出現し, さらに激しい頭痛をきたしたとのことで当院に初診となった. |
|---|---|
| AbstractList | 「緒言」頭蓋内脳動脈瘤破裂の多くは, くも膜下出血 (subarachnoid hemorrhage : SAH) を呈するが, 脳内出血 (intracerebral hemorrhage : ICH) や急性硬膜下血腫 (acute subdural hematoma : ASDH) を伴っている症例に遭遇することがある. しかし, SAHやICHを伴わず, ASDHのみを呈する (pure ASDH) 症例は非常にまれである. 今回われわれは画像上pure ASDHと左動眼神経麻痺で発症した破裂左内頚動脈-後交通動脈分岐部 (internal carotid-posterior communicating : IC-PC) 動脈瘤の治療を経験したので報告する. 「症例」症例は41歳, 女性. 既往歴, 家族歴に特記すべきことはなく, 1日20本の喫煙歴を有する. 2日前より頭痛が出現し, さらに激しい頭痛をきたしたとのことで当院に初診となった. |
| Author | 大久保, 修一 田宮, 隆 苧坂, 直博 林, 直樹 新堂, 敦 苧坂, 邦彦 川西, 正彦 |
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| DOI | 10.2335/scs.47.373 |
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| References | 45) Weil AG, McLaughlin N, Lessard-Bonaventure P, et al : A misleading distal anterior cerebral artery aneurysm. Surg Neurol Int 1: 55, 2010 39) 新村富士夫，中鳥智，丸山敏文，ほか：クリッピング9年を経過し，急性硬膜下血腫を伴った破裂中大脳動脈瘤の1例．No Shinkei Geka 17: 1175-1179, 1989 32) Nozar A, Philippe D, Fabrice P, et al : Acute pure spontaneous subdural haematoma from ruptured intracranial aneurysms. Interv Neuroradiol 8: 393-398, 2002 16) Ishikawa E, Sugimoto K, Yanaka K, et al : Interhemispheric subdural hematoma caused by a ruptured internal carotid artery aneurysm: case report. Surg Neurol 54: 82-86, 2000 23) Kondziolka D, Bernstein M, ter Brugge K, et al : Acute subdural hematoma from ruptured posterior communicating artery aneurysm. Neurosurgery 22: 151-154, 1988 46) Williams JP, Joslyn JN, White JL, et al : Subdural hematoma secondary to ruptured intracranial aneurysm: computed tomographic diagnosis. J Comput Tomogr 7: 142-153, 1983 22) Ko JH, Kim YJ : Oculomotor nerve palsy caused by posterior communicating artery aneurysm: evaluation of symptoms after endovascular treatment. Interv Neuroradiol 17: 415-419, 2011 1) 荒木朋浩，三平剛志，村田浩人，ほか：純粋な急性硬膜下血腫で発症した破裂脳動脈瘤の1例．No Shinkei Geka 30: 861-866, 2002 31) Nonaka Y, Kusumoto M, Mori K, et al : Pure acute subdural haematoma without subarachnoid haemorrhage caused by rupture of internal carotid artery aneurysm. Acta Neurochir （Wien）142: 941-944, 2000 37) Satoh K, Sasaki T, Osato T, et al : Intracranial aneurysm presenting as acute subdural hematoma without subarachnoid hemorrhage: report of three cases. J Hokkaido Brain Res Found 8: 27-31, 1999 9) Gilad R, Fatterpekar GM, Johnson DM, et al : Migrating subdural hematoma without subarachnoid hemorrhage in the case of a patient with a ruptured aneurysm in the intrasellar anterior communicating artery. AJNR Am J Neuroradiol 28: 2014-2016, 2007 10) Gong J, Sun H, Shi XY, et al : Pure subdural haematoma caused by rupture of middle cerebral artery aneurysm: Case report and literature review. J Int Med Res 42: 870-878, 2014 21) Koerbel A, Ernemann U, Freudenstein D : Acute subdural haematoma without subarachnoid haemorrhage caused by rupture of an internal carotid artery bifurcation aneurysm: case report and review of literature. Br J Radiol 78: 646-650, 2005 19) Kim MS, Jung JR, Yoon SW, et al : Subdural hematoma of the posterior fossa due to posterior communicating artery aneurysm rupture. Surg Neurol Int 3: 39, 2012 24) Krishnaney AA, Rasmussen PA, Masaryk T : Bilateral tentorial subdural hematoma without subarachnoid hemorrhage secondary to anterior communicating artery aneurysm rupture: a case report and review of the literature. AJNR Am J Neuroradiol 25: 1006-1007, 2004 42) Takada T, Yamamoto T, Ishikawa E, et al : Acute subdural hematoma without subarachnoid hemorrhage caused by ruptured A1-A2 junction aneurysm. Case report. Neurol Med Chir （Tokyo）52: 430-434, 2012 20) Kocak A, Ates O, Durak A, et al : Acute subdural hematomas caused by ruptured aneurysms: experience from a single Turkish center. Turk Neurosurg 19: 333-337, 2009 38) Shenoy SN, Kumar MG, Raja A : Intracranial aneurysms causing spontaneous acute subdural hematoma. Neurol India 51: 422-424, 2003 40) Singla N, Tripathi M, Chhabra R : M5 segment aneurysm presenting as “pure acute SDH”. J Neurosci Rural Pract 5: 402-404, 2014 29) Mrfka M, Pistracher K, Augustin M, et al : Acute subdural hematoma without subarachnoid hemorrhage or intraparenchymal hematoma caused by rupture of a posterior communicating artery aneurysm: case report and review of the literature. J Emerg Med 44: e369-373, 2013 2) Blake G, James M, Ramjit C, et al : Acute subdural haematoma without subarachnoid haemorrhage caused by rupture of an intracranial aneurysm. West Indian Med J 52: 80-81, 2003 5) De Blasi R, Salvati A, Renna M, et al : Pure subdural hematoma due to cerebral aneurysmal rupture: an often delayed diagnosis. Cardiovasc Intervent Radiol 33: 870-873, 2010 43) Torné R, Rodríguez-Hernández A, Romero-Chala F, et al : Prognosis of patients in coma after acute subdural hematoma due to ruptured intracranial aneurysm. J Clin Neurosci 26: 126-129, 2016 3) Boujemâa H, Góngora-Rivera F, Barragán-Campos H, et al : Bilateral acute subdural hematoma from ruptured posterior communicating artery aneurysm. A case report. Interv Neuroradiol 12: 37-40, 2006 17) Kassis SZ, Jouanneau E, Tahon FB, et al : Recovery of third nerve palsy after endovascular treatment of posterior communicating artery aneurysms. World Neurosurg 73: 11-16, 2010 15) Ishibashi A, Yokokura Y, Sakamoto M : Acute subdural hematoma without subarachnoid hemorrhage due to ruptured intracranial aneurysm—case report. Neurol Med Chir （Tokyo） 37: 533-537, 1997 36) Rengachary SS, Szymanski DC : Subdural hematomas of arterial origin. Neurosurgery 8: 166-172, 1981 18) 勝野亮，村井保夫，寺本明：くも膜下出血を伴わない急性硬膜下血腫で発症した破裂脳動脈瘤の1例．Brain Nerve 55: 435-438, 2003 27) Marinelli L, Parodi RC, Renzetti P, et al : Interhemispheric subdural haematoma from ruptured aneurysm: a case report. J Neurol 252: 364-366, 2005 41) Song TW, Kim SH, Jung SH, et al : Rupture of distal anterior cerebral artery aneurysm presenting only subdural hemorrhage without subarachnoid hemorrhage: a case report. Springerplus 5: 73, 2016 12) 畠山尚志，島健，岡田芳和，ほか：急性硬膜下血腫で発症した末梢性前大脳動脈瘤破裂の2例．No Shinkei Geka 22:577-582, 1994 44) Watanabe K, Wakai S, Okuhata S, et al : Ruptured distal anterior cerebral artery aneurysms presenting as acute subdural hematoma—report of three cases. Neurol Med Chir （Tokyo） 31: 514-517, 1991 25) Kurabe S, Ozawa T, Fujiwara H, et al : Peripheral intracranial aneurysm causing subdural hematoma without subarachnoid hemorrhage. Neurology 74: 268, 2010 28) McCracken DJ, Lovasik BP, McCracken CE, et al : Resolution of Oculomotor Nerve Palsy Secondary to Posterior Communicating Artery Aneurysms: Comparison of Clipping and Coiling. Neurosurgery 77: 931-939, 2015 11) Han J, Lim DJ, Kim SD, et al : Subdural Hematoma without Subarachnoid Hemorrhage Caused by the Rupture of Middle Cerebral Artery Aneurysm. J Cerebrovasc Endovasc Neurosurg 18: 315-321, 2016 7) Field TS, Heran MK : Teaching NeuroImages: middle cerebral artery aneurysm rupture presenting as pure acute subdural hematoma. Neurology 74: e13, 2010 6) Eggers FM, Tomsick TA, Lukin RR, et al : Recognition of subdural hematoma secondary to ruptured aneurysm by computerized tomography. Comput Radiol 6: 309-313, 1982 14) Inamasu J, Saito R, Nakamura Y, et al : Acute subdural hematoma caused by ruptured cerebral aneurysms: diagnostic and therapeutic pitfalls. Resuscitation 52: 71-76, 2002 4) Brock S, Prada F, Maccagnano E, et al : Interdural haemorrhage of the posterior fossa due to infraclinoidal carotid artery aneurysm rupture. Acta Neurochir （Wien）152: 1543-1546, 2010 26) Mansour O, Hassen T, Fathy S : Acute Aneurismal Bilateral Subdural Haematoma without Subarachnoid Haemorrhage: A Case Report and Review of the Literature. Case Rep Neurol Med 2014: 260853, 2014 33) O’Leary PM, Sweeny PJ : Ruptured intracerebral aneurysm resulting in a subdural hematoma. Ann Emerg Med 15: 944-946, 1986 35) Ragland RL, Gelber ND, Wilkinson HA, et al : Anterior communicating artery aneurysm rupture: an unusual cause of acute subdural hemorrhage. Surg Neurol 40: 400-402, 1993 34) Onda J, Kodama Y, Emoto K, et al : A case of “pure” acute subdural hematoma secondary to ruptured intracranial aneurysm. Kyukyu Igaku 13: 631-634, 1989 30) Nam KH, Choi CH, Lee JI, et al : Unruptured Intracranial Aneurysms with Oculomotor Nerve Palsy: Clinical Outcome between Surgical Clipping and Coil Embolization. J Korean Neurosurg Soc 48: 109-114, 2010 8) Friedman MB, Brant-Zawadzki M : Interhemispheric subdural hematoma from ruptured aneurysm. Comput Radiol 7: 129-134, 1983 13) Huang D, Abe T, Kojima K, et al : Intracystic hemorrhage of the middle fossa arachnoid cyst and subdural hematoma caused by ruptured middle cerebral artery aneurysm. AJNR Am J Neuroradiol 20: 1284-1286, 1999 |
| References_xml | – reference: 37) Satoh K, Sasaki T, Osato T, et al : Intracranial aneurysm presenting as acute subdural hematoma without subarachnoid hemorrhage: report of three cases. J Hokkaido Brain Res Found 8: 27-31, 1999 – reference: 15) Ishibashi A, Yokokura Y, Sakamoto M : Acute subdural hematoma without subarachnoid hemorrhage due to ruptured intracranial aneurysm—case report. Neurol Med Chir （Tokyo） 37: 533-537, 1997 – reference: 25) Kurabe S, Ozawa T, Fujiwara H, et al : Peripheral intracranial aneurysm causing subdural hematoma without subarachnoid hemorrhage. Neurology 74: 268, 2010 – reference: 2) Blake G, James M, Ramjit C, et al : Acute subdural haematoma without subarachnoid haemorrhage caused by rupture of an intracranial aneurysm. West Indian Med J 52: 80-81, 2003 – reference: 16) Ishikawa E, Sugimoto K, Yanaka K, et al : Interhemispheric subdural hematoma caused by a ruptured internal carotid artery aneurysm: case report. Surg Neurol 54: 82-86, 2000 – reference: 42) Takada T, Yamamoto T, Ishikawa E, et al : Acute subdural hematoma without subarachnoid hemorrhage caused by ruptured A1-A2 junction aneurysm. Case report. Neurol Med Chir （Tokyo）52: 430-434, 2012 – reference: 3) Boujemâa H, Góngora-Rivera F, Barragán-Campos H, et al : Bilateral acute subdural hematoma from ruptured posterior communicating artery aneurysm. A case report. Interv Neuroradiol 12: 37-40, 2006 – reference: 4) Brock S, Prada F, Maccagnano E, et al : Interdural haemorrhage of the posterior fossa due to infraclinoidal carotid artery aneurysm rupture. Acta Neurochir （Wien）152: 1543-1546, 2010 – reference: 23) Kondziolka D, Bernstein M, ter Brugge K, et al : Acute subdural hematoma from ruptured posterior communicating artery aneurysm. Neurosurgery 22: 151-154, 1988 – reference: 46) Williams JP, Joslyn JN, White JL, et al : Subdural hematoma secondary to ruptured intracranial aneurysm: computed tomographic diagnosis. J Comput Tomogr 7: 142-153, 1983 – reference: 30) Nam KH, Choi CH, Lee JI, et al : Unruptured Intracranial Aneurysms with Oculomotor Nerve Palsy: Clinical Outcome between Surgical Clipping and Coil Embolization. J Korean Neurosurg Soc 48: 109-114, 2010 – reference: 22) Ko JH, Kim YJ : Oculomotor nerve palsy caused by posterior communicating artery aneurysm: evaluation of symptoms after endovascular treatment. Interv Neuroradiol 17: 415-419, 2011 – reference: 34) Onda J, Kodama Y, Emoto K, et al : A case of “pure” acute subdural hematoma secondary to ruptured intracranial aneurysm. Kyukyu Igaku 13: 631-634, 1989 – reference: 6) Eggers FM, Tomsick TA, Lukin RR, et al : Recognition of subdural hematoma secondary to ruptured aneurysm by computerized tomography. Comput Radiol 6: 309-313, 1982 – reference: 41) Song TW, Kim SH, Jung SH, et al : Rupture of distal anterior cerebral artery aneurysm presenting only subdural hemorrhage without subarachnoid hemorrhage: a case report. Springerplus 5: 73, 2016 – reference: 36) Rengachary SS, Szymanski DC : Subdural hematomas of arterial origin. Neurosurgery 8: 166-172, 1981 – reference: 9) Gilad R, Fatterpekar GM, Johnson DM, et al : Migrating subdural hematoma without subarachnoid hemorrhage in the case of a patient with a ruptured aneurysm in the intrasellar anterior communicating artery. AJNR Am J Neuroradiol 28: 2014-2016, 2007 – reference: 27) Marinelli L, Parodi RC, Renzetti P, et al : Interhemispheric subdural haematoma from ruptured aneurysm: a case report. J Neurol 252: 364-366, 2005 – reference: 21) Koerbel A, Ernemann U, Freudenstein D : Acute subdural haematoma without subarachnoid haemorrhage caused by rupture of an internal carotid artery bifurcation aneurysm: case report and review of literature. Br J Radiol 78: 646-650, 2005 – reference: 32) Nozar A, Philippe D, Fabrice P, et al : Acute pure spontaneous subdural haematoma from ruptured intracranial aneurysms. Interv Neuroradiol 8: 393-398, 2002 – reference: 29) Mrfka M, Pistracher K, Augustin M, et al : Acute subdural hematoma without subarachnoid hemorrhage or intraparenchymal hematoma caused by rupture of a posterior communicating artery aneurysm: case report and review of the literature. J Emerg Med 44: e369-373, 2013 – reference: 38) Shenoy SN, Kumar MG, Raja A : Intracranial aneurysms causing spontaneous acute subdural hematoma. Neurol India 51: 422-424, 2003 – reference: 43) Torné R, Rodríguez-Hernández A, Romero-Chala F, et al : Prognosis of patients in coma after acute subdural hematoma due to ruptured intracranial aneurysm. J Clin Neurosci 26: 126-129, 2016 – reference: 19) Kim MS, Jung JR, Yoon SW, et al : Subdural hematoma of the posterior fossa due to posterior communicating artery aneurysm rupture. Surg Neurol Int 3: 39, 2012 – reference: 26) Mansour O, Hassen T, Fathy S : Acute Aneurismal Bilateral Subdural Haematoma without Subarachnoid Haemorrhage: A Case Report and Review of the Literature. Case Rep Neurol Med 2014: 260853, 2014 – reference: 14) Inamasu J, Saito R, Nakamura Y, et al : Acute subdural hematoma caused by ruptured cerebral aneurysms: diagnostic and therapeutic pitfalls. Resuscitation 52: 71-76, 2002 – reference: 45) Weil AG, McLaughlin N, Lessard-Bonaventure P, et al : A misleading distal anterior cerebral artery aneurysm. Surg Neurol Int 1: 55, 2010 – reference: 24) Krishnaney AA, Rasmussen PA, Masaryk T : Bilateral tentorial subdural hematoma without subarachnoid hemorrhage secondary to anterior communicating artery aneurysm rupture: a case report and review of the literature. AJNR Am J Neuroradiol 25: 1006-1007, 2004 – reference: 35) Ragland RL, Gelber ND, Wilkinson HA, et al : Anterior communicating artery aneurysm rupture: an unusual cause of acute subdural hemorrhage. Surg Neurol 40: 400-402, 1993 – reference: 39) 新村富士夫，中鳥智，丸山敏文，ほか：クリッピング9年を経過し，急性硬膜下血腫を伴った破裂中大脳動脈瘤の1例．No Shinkei Geka 17: 1175-1179, 1989 – reference: 31) Nonaka Y, Kusumoto M, Mori K, et al : Pure acute subdural haematoma without subarachnoid haemorrhage caused by rupture of internal carotid artery aneurysm. Acta Neurochir （Wien）142: 941-944, 2000 – reference: 8) Friedman MB, Brant-Zawadzki M : Interhemispheric subdural hematoma from ruptured aneurysm. Comput Radiol 7: 129-134, 1983 – reference: 12) 畠山尚志，島健，岡田芳和，ほか：急性硬膜下血腫で発症した末梢性前大脳動脈瘤破裂の2例．No Shinkei Geka 22:577-582, 1994 – reference: 44) Watanabe K, Wakai S, Okuhata S, et al : Ruptured distal anterior cerebral artery aneurysms presenting as acute subdural hematoma—report of three cases. Neurol Med Chir （Tokyo） 31: 514-517, 1991 – reference: 33) O’Leary PM, Sweeny PJ : Ruptured intracerebral aneurysm resulting in a subdural hematoma. Ann Emerg Med 15: 944-946, 1986 – reference: 18) 勝野亮，村井保夫，寺本明：くも膜下出血を伴わない急性硬膜下血腫で発症した破裂脳動脈瘤の1例．Brain Nerve 55: 435-438, 2003 – reference: 40) Singla N, Tripathi M, Chhabra R : M5 segment aneurysm presenting as “pure acute SDH”. J Neurosci Rural Pract 5: 402-404, 2014 – reference: 7) Field TS, Heran MK : Teaching NeuroImages: middle cerebral artery aneurysm rupture presenting as pure acute subdural hematoma. Neurology 74: e13, 2010 – reference: 5) De Blasi R, Salvati A, Renna M, et al : Pure subdural hematoma due to cerebral aneurysmal rupture: an often delayed diagnosis. Cardiovasc Intervent Radiol 33: 870-873, 2010 – reference: 17) Kassis SZ, Jouanneau E, Tahon FB, et al : Recovery of third nerve palsy after endovascular treatment of posterior communicating artery aneurysms. World Neurosurg 73: 11-16, 2010 – reference: 11) Han J, Lim DJ, Kim SD, et al : Subdural Hematoma without Subarachnoid Hemorrhage Caused by the Rupture of Middle Cerebral Artery Aneurysm. J Cerebrovasc Endovasc Neurosurg 18: 315-321, 2016 – reference: 20) Kocak A, Ates O, Durak A, et al : Acute subdural hematomas caused by ruptured aneurysms: experience from a single Turkish center. Turk Neurosurg 19: 333-337, 2009 – reference: 10) Gong J, Sun H, Shi XY, et al : Pure subdural haematoma caused by rupture of middle cerebral artery aneurysm: Case report and literature review. J Int Med Res 42: 870-878, 2014 – reference: 1) 荒木朋浩，三平剛志，村田浩人，ほか：純粋な急性硬膜下血腫で発症した破裂脳動脈瘤の1例．No Shinkei Geka 30: 861-866, 2002 – reference: 13) Huang D, Abe T, Kojima K, et al : Intracystic hemorrhage of the middle fossa arachnoid cyst and subdural hematoma caused by ruptured middle cerebral artery aneurysm. AJNR Am J Neuroradiol 20: 1284-1286, 1999 – reference: 28) McCracken DJ, Lovasik BP, McCracken CE, et al : Resolution of Oculomotor Nerve Palsy Secondary to Posterior Communicating Artery Aneurysms: Comparison of Clipping and Coiling. Neurosurgery 77: 931-939, 2015 |
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| Snippet | 「緒言」頭蓋内脳動脈瘤破裂の多くは, くも膜下出血 (subarachnoid hemorrhage : SAH) を呈するが, 脳内出血 (intracerebral hemorrhage : ICH) や急性硬膜下血腫 (acute... |
| SourceID | medicalonline jstage |
| SourceType | Publisher |
| StartPage | 373 |
| SubjectTerms | coil embolization internal carotid-posterior communicating aneurysm pure acute subdural hematoma without subarachnoid hemorrhage |
| Title | くも膜下出血を伴わず，急性硬膜下血腫と動眼神経麻痺で発症した内頚動脈-後交通動脈分岐部破裂動脈瘤の1例 ─症例報告と文献レビュー |
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| Volume | 47 |
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| ispartofPNX | 脳卒中の外科, 2019, Vol.47(5), pp.373-380 |
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