脳卒中急性期から亜急性期にかけての半側空間無視の臨床経過と予後予測

• 豊田 章宏

  中国労災病院リハビリテーションセンター 中国労災病院脳・循環器病センター

• 島 健

  中国労災病院脳・循環器病センター

• 平松 和嗣久

  中国労災病院リハビリテーションセンター 中国労災病院脳・循環器病センター

• 辻上 周治

  中国労災病院脳・循環器病センター

• 金沢 郁夫

  中国労災病院リハビリテーションセンター 中国労災病院脳・循環器病センター

書誌事項

タイトル別名

• Clinical Course and Prediction of Prognosis of Unilateral Spatial Neglect until Subacute Phase after Stroke.
• ノウソッチュウ キュウセイキ カラ アキュウセイキ ニ カケテ ノ ハンソク クウカン ムシ ノ リンショウ ケイカ ト ヨゴ ヨソク

抄録

The clinical course of unilateral spatial neglect (USN) were studied in 128 acute stroke patients who started rehabilitation within one week after onset. USN was evaluated by standard three tasks (cancellation test, line bisection test, copy test), which result was compared with the severity of patient's behavior disturlance and the findings of ¹²³I-IMP-SPECT. The incidence of USN was 26.6% in 128 acute patients and the 29.4% of USN were disappeared within 3.4 weeks on the average. Total score of three tasks had a close relationship to abnormal behavior caused by USN, however each task such as line bisection test often underestimated its severity. In comparison between cases with and without disappearance of USN, the characteristic of disappeared cases were as follow; the degree of hemiparesis was mild, the cause of disability was cerebral infarction, and their age was lower. Additionally we investigated IMP-SPECT findings about the size of low perfusion area and its redistribution at the right tempro-parieto-occipital region in 22 patients with right-sided hmispheric lesion. The cases which had large low perfusion area with poor redistribution were remained to have severe USN. On the other hand, the cases with good redistribution had better prognosis about USN. To predict clinical course of USN is one of the most important point when we try to determine rehabilitation goal of stroke patients. Total score method of three tasks and IMP-SPECT findings can be good indication to get exact information about USN prognosis.

収録刊行物

• リハビリテーション医学

  リハビリテーション医学 37 (8), 508-516, 2000

  社団法人 日本リハビリテーション医学会

キーワード

• 高次脳機能
• 半側空間無視
• IMP-SPECT
• 臨床経過

詳細情報

• CRID: 1390001204949419008
• NII論文ID: 110001848637
• NII論文ID: 130003663104
• NII書誌ID: AN00250275
• DOI: 10.2490/jjrm1963.37.508
• ISSN: 1880778X
• ISSN: 0034351X
• NDL書誌ID: 5609171
• Web Site: https://ndlsearch.ndl.go.jp/books/R000000004-I5609171
• Web Site: http://www.jstage.jst.go.jp/article/jjrm1964/37/8/37_8_508/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2001042753
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • NDL
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可