첫 결찰술 후 13년이 지나 재성장한 후교통 동맥류 - 증례보고 -
Regrowth of Posterior Communicating Artery Aneurysm after 13 Years of the First Clipping - A Case Report -
대한뇌혈관학회지 2002년 4권 2호 p.151 ~ 154
이형중, 고용, 김광명, 오석준,
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이형중 ( Yi Hyeong-Joong )
한양대학교 의과대학 신경외과학교실
고용 ( Ko Yong )
한양대학교 의과대학 신경외과학교실
김광명 ( Kim Kwang-Myung )
한양대학교 의과대학 신경외과학교실
오석준 ( Oh Suck-Jun )
한양대학교 의과대학 신경외과학교실
KMID : 0890520020040020151
Abstract
Microsurgical neck clipping has been believed to be the most reliable treatment for the intracranial aneurysm. However, recurrence or regrowth from so called "completely clipped aneurysm" with catastrophic outcome has been infrequently reported. We describe an unusual case of regrowth of posterior communicating artery aneurysm which was found 13 years after the first successful clipping at the same site. Surgeons should pay attention to the possibility of such a regrowth even though the initial clipping seemed to be perfect. Additional deliberate postoperative angiography might resolve this late consequence.
키워드
뇌동맥류;재성장
Clipping;Aneurysm;Regrowth;Posterior communicating artery;Postoperative angiography
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