| ID | 65279 |
| フルテキストURL | |
| 著者 |
Kawano, Keishi
Department of Anesthesiology, Okayama City Hospital
Tani, Makiko
Department of Anesthesiology and Resuscitology, Graduate School of Medicine Dentistry and Pharmaceutical Sciences, Okayama University Hospital
Morimatsu, Hiroshi
Department of Anesthesiology and Resuscitology, Graduate School of Medicine Dentistry and Pharmaceutical Sciences, Okayama University Hospital
ORCID
Kaken ID
publons
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| 抄録 | Background Malignant peripheral nerve sheath tumors (MPNSTs) are aggressive soft tissue sarcomas which commonly arise from neurofibromatosis type 1. Lung metastases of the tumors are well-known, but intraoperative cerebral tumor embolisms of MPNSTs have not been reported in literature.
Case presentation A 52-year-old female patient with neurofibromatosis type 1 underwent a right lung partial resection for lung tumors. She was extubated after adequate recovery of spontaneous breathing; however, she could not respond to verbal commands. In the intensive care unit, her neurological examination revealed conjugate eye deviation, right hemiparalysis, and aphasia. Magnetic resonance imaging revealed acute cerebral ischemia, so she underwent an endovascular thrombectomy. The histopathological diagnosis of emboli was a MPNST, which was identical with that of the resected lung tumor. Conclusion We report the first case of delayed emergence caused by a cerebral tumor embolism of MPNST during partial lung resection. |
| キーワード | Delayed emergence
Cerebral tumor embolism
Endovascular thrombectomy
Neurofibromatosis type 1
Malignant peripheral nerve sheath tumor
Lung surgery
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| 備考 | The version of record of this article, first published in JA Clinical Reports, is available online at Publisher’s website: http://dx.doi.org/10.1186/s40981-023-00614-y
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| 発行日 | 2023-05-11
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| 出版物タイトル |
JA Clinical Reports
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| 巻 | 9巻
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| 号 | 1号
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| 出版者 | SpringerOpen
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| 開始ページ | 22
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| ISSN | 2363-9024
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| 資料タイプ |
学術雑誌論文
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| 言語 |
英語
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| OAI-PMH Set |
岡山大学
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| 著作権者 | © The Author(s) 2023.
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| 論文のバージョン | publisher
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| PubMed ID | |
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| 関連URL | isVersionOf https://doi.org/10.1186/s40981-023-00614-y
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| ライセンス | http://creativecommons.org/licenses/by/4.0/
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| Citation | Kawano, K., Tani, M. & Morimatsu, H. Delayed emergence from anesthesia caused by an intraoperative cerebral embolism of a malignant peripheral nerve sheath tumor in a neurofibromatosis type 1 patient: a case report. JA Clin Rep 9, 22 (2023). https://doi.org/10.1186/s40981-023-00614-y
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