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Intracerebral Venous Hemorrhage after Cerebral Aneurysmal Surgery

The bulletin of the Yamaguchi Medical School Volume 38 Issue 3-4 Page 67-70
published_at 1991-12
A020038000305.pdf
[fulltext] 2.04 MB
Title
Intracerebral Venous Hemorrhage after Cerebral Aneurysmal Surgery
Creators Shiroyama Yujiro
Creators Kashiwagi Shiro
Creators Yamashita Tetsuo
Creators Abiko Seisho
Creators Ito Haruhide
Source Identifiers
Creator Keywords
Cerebral aneurysm Postoperative Hemorrhage Venous congestion
Four cases of venous hemorrahage following aneurysmal surgery were presented for evaluate the veous circulation. These four cases had frontal irregular patchy hemorrahages with massive low density area demonstrated by CT scan. We surmise that these are hemorrahagic infarctions caused by the disturbance of venous drainage. In case 1 and case 2, the sacrificed connecting veins in the sylvian fissure were suspected to be the cause of the hemorrahagic infarction because of a poorly developed frontal ascending vein. In case 3, both a transsylvian and interhemispheric approach caused venous congestion. In case 4, the head of the clip had influenced the venous return of the sylvian vein. The number of veins and their branches to be sacrificed should be kept to a minimum because the resulting neurological deficits may not be transient. On the other hand, veous phase angiogram may also be help ful in anticipating any alteration in the direction of venous flow when sacrifice of a vein is unavoidable.
Subjects
医学 ( Other)
Languages eng
Resource Type departmental bulletin paper
Publishers Yamaguchi University Graduate School of Medicine
Date Issued 1991-12
File Version Version of Record
Access Rights open access
Relations
[ISSN]0513-1812
[NCID]AA00594272
Schools 医学部