{"created":"2023-05-15T09:03:43.964789+00:00","id":8086,"links":{},"metadata":{"_buckets":{"deposit":"b17ba611-c269-4adc-a548-9ed1fec995b6"},"_deposit":{"created_by":14,"id":"8086","owners":[14],"pid":{"revision_id":0,"type":"depid","value":"8086"},"status":"published"},"_oai":{"id":"oai:sapmed.repo.nii.ac.jp:00008086","sets":["1875:1892:1901"]},"author_link":["6330","6331","6332","6333","6334","6335","6336"],"item_2_alternative_title_18":{"attribute_name":"その他のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"Intracranial Aneurysm Presenting as Acute Subdural Hematoma without Subarachnoid Hemorrhage : Report of three cases"}]},"item_2_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"1999-08-20","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"31","bibliographicPageStart":"27","bibliographicVolumeNumber":"10","bibliographic_titles":[{"bibliographic_title":"北海道脳神経疾患研究所医誌 = Journal of Hokkaido Brain Research Foundation"}]}]},"item_2_description_4":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"Three cases of ruptured intracranial aneurysm presenting as acute subdural hematoma (SDH) without subarachnoid hemorrhage (SAH) were reported. Case 1 was a 58-year-old female, who complained of sudden onset headache. Emergent CT revealed left acute SDH without any evidence of SAH. As her consciousness declined to coma rapidly, evacuation of hematoma was performed as an emergency. Bleeding source was not comfirmed in this first intervention for subdural hematoma. Postoperative cerebral angiography disclosed multiple aneurysms in the left paraclinoid internal carotid (IC), the left middle cerebral (MC), the basilar (BA) and the distal anterior cerebral arteries. The second surgery for clipping of the aneurysms in the IC, MC, BA was performed on the following day. Bleeding from the paraclinoid IC aneurysm was strongly suspected from intraoperative findings and no recurrent bleeding was encountered. Case 2 was a 25-year-old female, who complained of sudden onset of headache and vomiting. Left acute SDH was demonstrated by emergent CT and cerebral angiography disclosed an aneurysm in the internal carotid artery. Evacuation of SDH and clipping of the aneurysm was performed, and rupture of the aneurysm was comfirmed. She returned to her normal life after one month. Case 3 was a 22-year-old female, who suffered from unconsciousness immediately after sudden onset headache. On admission, she had bilateral dilated unreactive pupils and ataxic respiration. CT revealed right acute SDH. After emergent partial decompression of SDH via burrhole, her pupils became reactive and following cerebral angiography disclosed an aneurysm in the right internal carotid artery. Aneurysm was clipped and comfirmed as the bleeding source under mild hypothermia, followed by postoperative mild hypothermia during 2 days. Three months after the ictus, she returned home without neurological deficits. Intracranial aneurysm could be the origin of spontaneous SDH without any evidence of trauma even if subarachnoid clot is not proven. Good prognosis may be expected by immediate evacuation of hematoma and clipping of bleeding source even in the cases with poor neurological status.","subitem_description_type":"Abstract"}]},"item_2_publisher_32":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"中村記念病院"}]},"item_2_source_id_7":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"1340-5764","subitem_source_identifier_type":"ISSN"}]},"item_2_version_type_15":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"佐藤, 憲市"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"佐々木, 雄彦"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"大里, 俊明"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"尾崎, 義丸"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"増井, 信也"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"瓢子, 敏夫"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"中村, 博彦"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2018-07-21"}],"displaytype":"detail","filename":"n1340576410127.pdf","filesize":[{"value":"3.1 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"n1340576410127.pdf","url":"https://sapmed.repo.nii.ac.jp/record/8086/files/n1340576410127.pdf"},"version_id":"8629bee5-6069-45f6-9bc2-7283d0e97bff"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"intracranial aneurysm","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"acute subdural hematom","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"hypothermia","subitem_subject_language":"en","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"急性硬膜下血腫で発症した破裂脳動脈瘤の3例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"急性硬膜下血腫で発症した破裂脳動脈瘤の3例","subitem_title_language":"ja"}]},"item_type_id":"2","owner":"14","path":["1901"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2009-03-24"},"publish_date":"2009-03-24","publish_status":"0","recid":"8086","relation_version_is_last":true,"title":["急性硬膜下血腫で発症した破裂脳動脈瘤の3例"],"weko_creator_id":"14","weko_shared_id":-1},"updated":"2023-12-13T03:17:19.733532+00:00"}