| Item type |
学術雑誌論文 / Journal Article(1) |
| 公開日 |
2023-01-30 |
| タイトル |
|
|
タイトル |
Current Treatment Results of Intracranial Carotid Artery Dissection Causing Cerebral Ischemia: A Japanese Nationwide Survey |
|
言語 |
en |
| 言語 |
|
|
言語 |
eng |
| 主題 |
|
|
主題Scheme |
Other |
|
主題 |
carotid artery |
| 主題 |
|
|
主題Scheme |
Other |
|
主題 |
cerebral ischemia |
| 主題 |
|
|
主題Scheme |
Other |
|
主題 |
dissection |
| 主題 |
|
|
主題Scheme |
Other |
|
主題 |
intracranial |
| 主題 |
|
|
主題Scheme |
Other |
|
主題 |
nationwide survey |
| 資源タイプ |
|
|
資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
|
資源タイプ |
journal article |
| アクセス権 |
|
|
アクセス権 |
open access |
|
アクセス権URI |
http://purl.org/coar/access_right/c_abf2 |
| 作成者 |
SHIMIZU, Hiroaki
ONO, Takahiro
ABE, Takatsugu
HOKARI, Masaaki
EGASHIRA, Yusuke
SHIMONAGA, Koji
KAWANISHI, Masahiko
NOMURA, Kyoko
TAKAHASHI, Yusuke
|
| 内容記述 |
|
|
内容記述タイプ |
Abstract |
|
内容記述 |
Intracranial carotid artery dissection causing cerebral ischemia is a rare but important cause of cerebral infarction in children and adolescents. Although endovascular therapy has been reported to be effective, questions regarding the indications for intervention are yet to be addressed. Therefore, this study aimed to evaluate factors related to clinical outcomes through a nationwide survey. Overall, 35 neurosurgical centers reported patients within 2 weeks after ischemic onset due to intracranial carotid artery dissection causing cerebral ischemia treated between January 2015 and December 2020. Data on clinical and radiological findings were statistically analyzed. Twenty-eight patients met the inclusion criteria. The median age was 36 years (range, 7-59 years), without sex differences. Headache at onset was documented in 60.7% of the patients. Dissection findings were categorized into stenosis (71.4%) or occlusion (28.6%). Initial treatments, including various antithrombotic agent combinations in 23 (82.1%) patients, effectively improved or prevented aggravation in half of the patients. The patients with stenotic dissection were significantly more likely to experience aggravation during the initial treatment than did those with occlusive dissection (P = 0.03). In addition, the patients with moderate to severe neurological deficits on admission had poorer outcomes at discharge more frequently than did those with mild neurological deficits on admission. Eight patients undergoing endovascular therapy had no procedural complications or further aggravation after intervention. In conclusion, patients with intracranial carotid dissection causing cerebral ischemia who had a stenotic dissection were at risk of further aggravation, and endovascular therapy effectively improved or prevented aggravation. |
|
言語 |
en |
| 出版タイプ |
|
|
出版タイプ |
VoR |
|
出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
| 書誌情報 |
en : Neurologia medico-chirurgica
巻 63,
号 2,
p. 80-99,
発行日 2023
|
| 収録物識別子 |
|
|
収録物識別子タイプ |
ISSN |
|
収録物識別子 |
0470-8105 |
| 出版者 |
|
|
出版者 |
社団法人 日本脳神経外科学会 |
| 関連情報 |
|
|
関連タイプ |
isIdenticalTo |
|
|
識別子タイプ |
DOI |
|
|
関連識別子 |
https://doi.org/10.2176/jns-nmc.2022-0249 |
| 権利情報 |
|
|
権利情報 |
Ⓒ 2023 The Japan Neurosurgical Society
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives International License. |
iA_2022_18.pdf (759.3 kB)
