Marfan症候群の患者に生じたくも膜下出血に対し開頭クリッピングを施行した1例─症例報告と文献的考察─

高橋 里史; 堀越 知; 金澤 徳典; 秋山 武紀; 堀口 崇; 吉田 一成

doi:10.2335/scs.44.307

Case Report

A Case of Subarachnoid Hemorrhage in a Patient with Marfan Syndrome: A Case Report and Review of the Literature

Satoshi TAKAHASHI, Tomo HORIKOSHI, Tokunori KANAZAWA, Takenori AKIYAMA, Takashi HORIGUCHI, Kazunari YOSHIDA

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Keywords: dissection, Marfan syndrome, surgical strategy, cerebral aneurysm

JOURNAL FREE ACCESS

2016 Volume 44 Issue 4 Pages 307-310

DOI https://ycdz-jsjc-gov-cn-s-1416.res.gxlib.org.cn:443/rwt/1416/https/MSYXTLUQPJUB/10.2335/scs.44.307

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Abstract

We report a case of subarachnoid hemorrhage due to a rupture of an aneurysm at the right internal carotid artery-posterior communicating artery in a patient with Marfan syndrome. Since the patient had a history of aortic dissection that was treated conservatively, we selected clipping rather than coil embolization as the surgical strategy for the patient. She was surgically treated successfully, and discharged from our hospital without neurological sequelae 18 days postoperatively. From the findings of the present case in combination with a review of the literature, cerebral aneurysms in patients with Marfan syndrome may be developed due to the fragility of elastic membranes of major cerebral arteries, and we emphasize the importance of developing surgical strategy based on the fragility of elastic membranes.

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