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脳神経外科医への道 Vol. 43

当科の研修医・丸山邦隆先生の論文がJournal of Stroke and Cerebrovascular Diseases誌に掲載されました。彼は卒後4年目になったばかりですが、これが2つめの英文論文となりました。これからも次世代の脳神経外科医+神経科学者を目指して頑張って下さい!

The Long & Winding Road To Be A Neurosurgeon Vol. 43

Our resident has published his second English-written article in Journal of Stroke and Cerebrovascular Diseases this April. I strongly hope that he will continue his efforts to be both a neurosurgeon and neuroscientist.

Maruyama K, Akai T, Akioka N, Tomita T, Nagai S, Kuroda S.
J Stroke Cerebrovasc Dis. 2018 Apr 16. [Epub ahead of print]

Lacunar Stroke, Cavernous Angioma, and Fusiform Aneurysm Due to Irradiation for Pilocytic Astrocytoma-A Case Report.
https://www.ncbi.nlm.nih.gov/pubmed/29673614

Abstract
Radiotherapy is a useful modality for the treatment of brain tumors, but may induce brain degeneration, tumor formation, and vasculopathy in the irradiated field. We describe a rare case of a pediatric patient who presented multiple different types of vascular events consecutively in the irradiated field including lacunar stroke because of occlusion of perforating artery, intraventricular hemorrhage from cavernoma, and subarachnoid hemorrhage because of the rupture of fusiform aneurysm, 6 years after radiotherapy against pilocytic astrocytoma. The life-threatening aneurysm was resected, and its histologic findings revealed the radiation-induced vasculopathy. We should avoid irradiation, and repeat surgical resection for the pediatric cases with pilocytic astrocytoma. Once irradiation was indicated for them, however, we should carefully follow-up not only tumor recurrence but also angiograms to predict any cerebrovascular events.

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