Nihon Hoshasen Gijutsu Gakkai Zasshi
April 2023
Objective: This report highlights a case of a de novo aneurysm assumed to be caused by hemodynamic stress resulting from proximal basilar artery stenosis.
Case Presentation: A 76-year-old woman presented at our hospital with tinnitus. Although MRI did not reveal the cause of her tinnitus, it did uncover an incidental finding of basilar artery stenosis.
Objective: Subarachnoid hemorrhage due to ruptured vertebral artery dissecting aneurysm (rVADA) is associated with a high frequency of acute rebleeding and requires early treatment following onset. Parent artery occlusion (PAO) or stent-assisted coiling (SAC) embolization is selected as a treatment option according to the individual patient condition. This report is a retrospective examination evaluating the treatment outcomes for rVADA.
View Article and Find Full Text PDFObjective: We report a case of spinal cord infarction following mechanical thrombectomy for acute basilar artery occlusion, and describe the pathophysiological mechanism of spinal cord infarction and its possible prevention.
Case Presentation: A 70-year-old man developed dysarthria and left-sided sensory impairment and was then diagnosed with acute basilar artery occlusion. Mechanical thrombectomy was performed using a 6-Fr guiding sheath via the left vertebral artery (VA).
Cryptococcosis is a fungal infection that mainly occurs in immunocompromised patients. We present the first case of cryptococcal meningitis in a patient who was being administered everolimus for breast cancer. Everolimus, a selective inhibitor of mammalian target of rapamycin, is a molecular targeting agent that is administered not only as an immunosuppressive agent, but also as an anticancer therapeutic.
View Article and Find Full Text PDFBackground: Intracranial carotid sympathetic plexus schwannoma (CSPS) is extremely rare; thus differential diagnostic criteria, optimal surgical strategies, and even a precise definition are lacking. Here we describe a case of CSPS and propose a definition and classification for previously reported cases.
Case Description: A 54-year-old man presented with hypacusis and abducens nerve palsy.