WordNet

having or involving or consisting of more than one part or entity or individual; "multiple birth"; "multiple ownership"; "made multiple copies of the speech"; "his multiple achievements in public life"; "her multiple personalities"; "a pineapple is a multiple fruit"
the product of a quantity by an integer; "36 is a multiple of 9"
of or relating to the cerebrum or brain; "cerebral hemisphere"; "cerebral activity"
involving intelligence rather than emotions or instinct; "a cerebral approach to the problem"; "cerebral drama" (同)intellectual
a cardiovascular disease characterized by a saclike widening of an artery resulting from weakening of the artery wall (同)aneurism

PrepTutorEJDIC

多数の部分(要素)から成る,複合の,複式の / 倍数
大脳の,脳の / 頭脳的な,知的な
動脈瘤(りゅう)

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1. Screening for intracranial aneurysm
2. 家族性アルドステロン症 familial hyperaldosteronism
3. 未破裂脳動脈瘤 unruptured intracranial aneurysms
4. くも膜下出血および頭蓋内動脈瘤の遅発性再発 late recurrence of subarachnoid hemorrhage and intracranial aneurysms
5. 脳動脈瘤の治療 treatment of cerebral aneurysms

English Journal

Transvenous to arterial Onyx embolization.

Albuquerque FC1, Ducruet AF, Crowley RW, Bristol RE, Ahmed A, McDougall CG.Author information 1Division of Neurological Surgery, Barrow Neurological Institute, St Joseph's Hospital and Medical Center, Phoenix, Arizona, USA.AbstractBACKGROUND/OBJECTIVE: Transarterial infusion of Onyx is now widely used in the treatment of arteriovenous malformations (AVMs) and dural arteriovenous fistulas (DAVFs). Transvenous Onyx embolization is rarely performed, and usually in cases of carotid cavernous fistulas. We describe a novel technique of transvenous Onyx embolization in the treatment of three high risk DAVFs and one vein of Galen (VOG) AVM.
Journal of neurointerventional surgery.J Neurointerv Surg.2014 May 1;6(4):281-5. doi: 10.1136/neurintsurg-2012-010628. Epub 2013 Mar 6.
BACKGROUND/OBJECTIVE: Transarterial infusion of Onyx is now widely used in the treatment of arteriovenous malformations (AVMs) and dural arteriovenous fistulas (DAVFs). Transvenous Onyx embolization is rarely performed, and usually in cases of carotid cavernous fistulas. We describe a novel techniqu
PMID 23468536

Difference in aneurysm characteristics between ruptured and unruptured aneurysms in patients with multiple intracranial aneurysms.

Backes D1, Vergouwen MD, Velthuis BK, van der Schaaf IC, Bor AS, Algra A, Rinkel GJ.Author information 1From the Department of Neurology and Neurosurgery, Brain Center Rudolf Magnus (D.B., M.D.I.V., A.S.E.B., A.A., G.J.E.R.), Department of Radiology (B.K.V., I.C.v.d.S.), and the Julius Center for Health Sciences and Primary Care (A.A.), University Medical Center Utrecht, Utrecht, The Netherlands.AbstractBACKGROUND AND PURPOSE: Prediction of the risk of rupture of unruptured intracranial aneurysms is mainly based on aneurysm size and location. Previous studies identified features of aneurysm shape and flow angles as additional risk factors for aneurysm rupture, but these studies were at risk for confounding by patient-specific risk factors such as hypertension and age. In this study, we avoided this risk by comparing characteristics of ruptured and unruptured aneurysms in patients with both aneurysmal subarachnoid hemorrhage and multiple intracranial aneurysms.
Stroke; a journal of cerebral circulation.Stroke.2014 May;45(5):1299-303. doi: 10.1161/STROKEAHA.113.004421. Epub 2014 Mar 20.
BACKGROUND AND PURPOSE: Prediction of the risk of rupture of unruptured intracranial aneurysms is mainly based on aneurysm size and location. Previous studies identified features of aneurysm shape and flow angles as additional risk factors for aneurysm rupture, but these studies were at risk for con
PMID 24652309

Flat panel angiography images in the post-operative follow-up of surgically clipped intracranial aneurysms.

Budai C1, Cirillo L2, Patruno F3, Dall'olio M3, Princiotta C3, Leonardi M2.Author information 1Neuroradiology Department, IRCCS Institute of Neurological Sciences of Bologna; Bologna, Italy - gigicirri@libero.it.2Neuroradiology Department, IRCCS Institute of Neurological Sciences of Bologna; Bologna, Italy - Department of Experimental, Diagnostic and Specialty Medicine (DIMES), University of Bologna; Bologna, Italy.3Neuroradiology Department, IRCCS Institute of Neurological Sciences of Bologna; Bologna, Italy.AbstractCerebral aneurysms must be monitored for varying periods after surgical and/or endovascular treatment and the duration of follow-up will depend on the type of therapy and the immediate post-operative outcome. Surgical clipping for intracranial aneurysms is a valid treatment but the metal clips generate artefacts so that follow-up monitoring still relies on catheter angiography. This study reports our preliminary experience with volumetric angiography using a Philips Allura Xper FD biplane system in the post-operative monitoring of aneurysm residues or major vascular changes following the surgical clipping of intracranial aneurysms. Volumetric angiography yields not only volume-rendered (VR) images, but a volume CT can also be reconstructed at high spatial and contrast resolution from a single acquisition, significantly enhancing the technique's diagnostic power. Between August 2012 and April 2013, we studied 19 patients with a total of 26 aneurysms treated by surgical clipping alone or in combination with endovascular treatment. All patients underwent standard post-operative angiographic follow-up including a rotational volumetric acquisition. Follow-up monitoring disclosed eight aneurysm residues whose assessment was optimal after surgical clipping both in patients with one metal clip and in those with two or more clips. In addition, small residues (1.3 mm) could be monitored together with any change in the calibre or course of vessels located adjacent to the clips. In conclusion, flat panel volume CT is much more reliable than the old 3D acquisitions that yielded only VR images. This is particularly true in patients with small aneurysm residues or lesions with multiple metal clips.
The neuroradiology journal.Neuroradiol J.2014 Apr 30;27(2):203-6. doi: 10.15274/NRJ-2014-10022. Epub 2014 Apr 18.
Cerebral aneurysms must be monitored for varying periods after surgical and/or endovascular treatment and the duration of follow-up will depend on the type of therapy and the immediate post-operative outcome. Surgical clipping for intracranial aneurysms is a valid treatment but the metal clips gener
PMID 24750710

Japanese Journal

Three Cases of Spontaneous Superficial Temporal Artery Aneurysm with Literature Review

KAWAI Hiroshi,HAMASAKI Tadashi,IMAMURA Junnichi,TOMONORI Norio,ODASHIRO Takuya,YAMAHATA Hitoshi,TOKIMURA Hiroshi,NOMOTO Mitsuharu,ARITA Kazunori
Neurologia medico-chirurgica, 2013
… One case was accompanied by anterior communicating aneurysm. … Five (15.6%) of these seven cases were diagnosed with cerebral or abdominal aneurysm. … Multiple scalp aneurysms are quite rare; … It seems important to know that spontaneous STA aneurysms may coexist with other vascular lesions including intracranial aneurysm. …
NAID 130003383275

Wyburn-Mason syndromeに合併したflow-related multiple aneurysmsに対してtarget embolizationを施行した1例

山口真司,松原俊二,桑山一行,高井洋樹,平井聡,横須賀公彦,戸井宏行,平野一宏,宇野昌明
Japanese Journal of Neurosurgery 22(7), 550-555, 2013
網膜, 顔面にarteriovenous malformation (AVM) を合併したWyburn-Mason syndromeの1例を報告する. 症例は25歳の男性. 3年前にAVMを指摘されていたが, 今回頭痛と嘔吐にて発症し, CTでくも膜下出血を認めた. 脳血管撮影で左基底核から眼窩内に侵展する最大径6.5cmのAVMを認め, 左前脈絡叢動脈末梢とほかに2つの動脈瘤を合併していた. …
NAID 130003379642

Prediction of Outcomes in Young Adults With Aneurysmal Subarachnoid Hemorrhage

CHOTAI Silky,AHN Sung-Yong,MOON Hong-Joo,KIM Jong-Hyun,CHUNG Heung-Seob,CHUNG Yong-Gu,KWON Taek-Hyun
Neurologia medico-chirurgica 53(3), 157-162, 2013
… A retrospective review of the clinical parameters, including age, sex, hypertension, smoking status, hyperlipidemia, location of the cerebral aneurysm, size of the aneurysm, multiplicity, perioperative complication such as hydrocephalus, vasospasm, and hematoma, and Hunt and Hess and Fisher grading on presentation, was conducted in 108 young adults (mean age 34.8 years) managed at our institute. …
NAID 130003364218