Subarachnoid Hemorrhage After an Ischemic Attack Due to a Bacterial Middle Cerebral Artery Dissecting Aneurysm: Case Report and Literature Review

• 資料種別: 記事
• タイトル: Subarachnoid Hemorrhage After an Ischemic Attack Due to a Bacterial Middle Cerebral Artery Dissecting Aneurysm: Case Report and Literature Review
• 著者標目: SAITO Atsushi; KAWAGUCHI Tomohiro; HORI Emiko; KANAMORI Masayuki; NISHIMURA Shinjitsu; SANNOHE Seiya; KAIMORI Mitsuomi; SASAKI Tatsuya; NISHIJIMA Michiharu
• 出版年月日等: 2014
• 出版年（W3CDTF）: 2014
• タイトル（掲載誌）: Neurologia medico-chirurgica
• 巻号年月日等（掲載誌）: 54 3
• 掲載巻: 54
• 掲載号: 3
• 掲載ページ: 196-200
• 掲載年月日（W3CDTF）: 2014
• ISSN（掲載誌）: 04708105
• ISSN-L（掲載誌）: 04708105
• 出版事項（掲載誌）: The Japan Neurosurgical Society
• 本文の言語コード: eng
• 件名標目: subarachnoid hemorrhage; cerebral infarction; bacterial aneurysm; dissection
• 対象利用者: 一般
• 標準番号（その他）: COI : 1:STN:280:DC%2BC2c%2Fot1ejug%3D%3D; PMID : 24140774
• DOI: 10.2176/nmc.cr2012-0251; https://doi.org/10.2176/nmc.cr2012-0251
• オンライン閲覧公開範囲: インターネット公開
• 関連情報（URI）: https://www.jstage.jst.go.jp/article/nmc/54/3/54_cr2012-0251/_pdf; https://search.jamas.or.jp/link/ui/2015096040
• 参照: COVID-19に合併した破裂性内頚動脈解離によるくも膜下出血に対してclipping on wrappingを施行した1例; https://cir.nii.ac.jp/crid/1390862545803664896; 血栓回収2日後にくも膜下出血が生じた感染性心内膜炎の1例; https://cir.nii.ac.jp/crid/1390299595850272896; Rupture of Vertebral Artery Dissecting Aneurysm after mRNA Anti-COVID-19 Vaccination: A Report of Two Cases; https://cir.nii.ac.jp/crid/1390010457687868416; 血栓回収療法により再開通し得なかった感染性心内膜炎による脳梗塞の1剖検例; https://cir.nii.ac.jp/crid/1390571395582182784
• 参照: Ruptured Intracranial Mycotic Aneurysm in Infective Endocarditis: A Natural History; https://cir.nii.ac.jp/crid/1361137043506411648; Intracranial Microbial Aneurysm (Infectious Aneurysm): Current Options for Diagnosis and Management; https://cir.nii.ac.jp/crid/1363107370961646464; Different modalities of treatment of intracranial mycotic aneurysms: report of 4 cases; https://cir.nii.ac.jp/crid/1361418520293100416; Subarachnoid Hemorrhage due to Septic Embolic Infarction in Infective Endocarditis; https://cir.nii.ac.jp/crid/1363388844645208064; Evolution and Resolution of Intracranial Bacterial (Mycotic) Aneurysms; https://cir.nii.ac.jp/crid/1360011146447674112; Bacterial intracranial aneurysms; https://cir.nii.ac.jp/crid/1360292619948456320; MYCOTIC ANEURYSMS; https://cir.nii.ac.jp/crid/1363388844803461760
• 連携機関・データベース: 国立情報学研究所 : CiNii Research; https://cir.nii.ac.jp/
• 提供元機関・データベース: Japan Link Center; https://japanlinkcenter.org/top; Crossref; https://www.crossref.org; PubMed; https://pubmed.ncbi.nlm.nih.gov; CiNii Articles
• NII論文ID: 130003383224

• 要約等: A 78-year-old woman suffered sudden-onset left hemiparesis. There were no remarkable infectious findings. Computed tomography (CT) demonstrated a low-intensity area supplied by the right middle cerebral artery (MCA). The diagnosis was cerebral ischemia and she was conservatively treated with hyperosmotic fluids. Two days after the ischemic stroke she suddenly became comatose. CT showed diffuse subarachnoid hemorrhage (SAH) in the basal cistern associated with a right intra-Sylvian and a right frontal subcortical hematoma. Three-dimensional (3D)-CT angiography demonstrated occlusion of the M2 portion of the right MCA. Four days after the ischemic onset she died of brain herniation. Autopsy revealed arterial dissection in the intermediate membrane of the right MCA bifurcation and occlusion of the M2 portion of the thrombosed right MCA. Gram staining showed remarkable bacterial infection in the thrombus. SAH after an ischemic attack due to MCA dissection is extremely rare. We suspect that bacterial infection was involved in the formation of her fragile dissecting aneurysm.
• DOI: 10.2176/nmc.cr2012-0251
• オンライン閲覧公開範囲: インターネット公開
• 連携機関・データベース: 科学技術振興機構 : J-STAGE; http://www.jstage.jst.go.jp