文献一覧: Mariko NODA (著者)

11 0 0 0 OA Ischemic Stroke with Multiple Cerebral Artery Stenosis in a Patient with an Anaplastic Astrocytoma during Bevacizumab Treatment: A Case Report

著者: Mariko NODA Motoki INAJI Jun KARAKAMA Yukika ARAI Masae KUROHA Kaoru TAMURA Yoji TANAKA Taketoshi MAEHARA
出版者: The Japan Neurosurgical Society
雑誌: NMC Case Report Journal (ISSN:21884226)
巻号頁・発行日: vol.9, pp.13-17, 2022-12-31 (Released:2022-02-23)
参考文献数: 23
被引用文献数: 2

It has been reported that bevacizumab, an agent administered as an adjuvant therapy for high-grade gliomas, causes thromboembolic complications. We report a cerebral infarction with newly developed cerebral artery stenosis occurring during treatment with bevacizumab for an anaplastic astrocytoma. A 48-year-old female underwent excision surgery for an anaplastic astrocytoma on the right temporal lobe and received radiation therapy and chemotherapy with temozolomide. Twenty months after the maintenance therapy, treatment with bevacizumab was introduced for tumor recurrence. After the 14th course of bevacizumab at 6 months, 27 months after radiation therapy, the patient began experiencing mild right hemiparesis. Magnetic resonance imaging revealed scattered cerebral infarcts on the left frontal lobe and diffuse cerebral artery stenosis of the bilateral internal carotid artery system both inside and outside the radiation-treated area. Antiplatelet medication was commenced, and there was no recurrence of ischemic stroke. The morphological transition of the cerebral arteries should be carefully monitored via magnetic resonance angiography during post-radiation treatment with bevacizumab.

2024-01-10 03:51:30
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9 0 0 0 OA A Case of Cerebral Hyperperfusion Syndrome during Treatment of Transient Cerebral Vasospasm Following Carotid Artery Stenting

著者: Motoshige Yamashina Yohei Sato Mariko Noda Mayu Sasakawa Thiparpa Thamamongood Akihiro Hashizume Takahiro Ogishima Masashi Tamaki
出版者: The Japanese Society for Neuroendovascular Therapy
雑誌: Journal of Neuroendovascular Therapy (ISSN:18824072)
巻号頁・発行日: pp.cr.2022-0065, (Released:2023-01-14)
参考文献数: 15

Objective: We report a case in which transient cerebral vasospasm after carotid artery stenting (CAS) was effectively treated using arterial and intravenous infusion of fasudil hydrochloride, but cerebral hyperperfusion syndrome (CHS) developed during subsequent treatment.Case Presentation: The patient was a 79-year-old man who underwent right CAS to treat symptomatic right carotid artery stenosis. After the procedure, the patient developed left paresis and unilateral spatial neglect. The following day, he developed diffuse cerebral vasospasm in the right middle cerebral artery that improved immediately upon arterial infusion of fasudil hydrochloride. Intravenous infusion of fasudil hydrochloride was then started, but CHS with epileptic seizures developed after 1 day of treatment. After 23 days of medical treatment, the condition of the patient improved to mild hemiparesis.Conclusion: The present case suggests that transient cerebral vasospasm after CAS may turn into CHS during treatment and that continuous monitoring for cerebral perfusion is important.

2023-02-08 16:12:46
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5 0 0 0 OA A Case of Cerebral Hyperperfusion Syndrome during Treatment of Transient Cerebral Vasospasm Following Carotid Artery Stenting

著者: Motoshige Yamashina Yohei Sato Mariko Noda Mayu Sasakawa Thiparpa Thamamongood Akihiro Hashizume Takahiro Ogishima Masashi Tamaki
出版者: The Japanese Society for Neuroendovascular Therapy
雑誌: Journal of Neuroendovascular Therapy (ISSN:18824072)
巻号頁・発行日: vol.17, no.3, pp.80-87, 2023 (Released:2023-03-20)
参考文献数: 15

2023-03-31 07:56:16
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