Search Results 1-20 of 1224

  • Updated Information for Neuro-anesthesia:The Indication of Transcranial Doppler and Transcranial Color Flow Imaging for Neuro-anesthesia and Intensive Care  [in Japanese]

    ISHIDA Kazuyoshi , MORIOKA Tomoyuki , UMEHARA Mariko , YAMASHITA Satoshi , YAMASHITA Atsuo , MATSUMOTO Mishiya

    <p>経頭蓋ドプラ(TCD)および経頭蓋カラードプラ法(TCCFI)は低周波数(2MHz)の超音波を用い脳血管の血流速度を計測する.TCDに比べTCCFIはBモードで脳のおおまかな構造が検出できる.加えてカラーモードを使用することで前大脳動脈,中大脳動脈,内頸動脈,後大脳動脈の血流が観察でき,ドプラモードで角度補正を行いながら該当血管の血流速度が計測可能である.TCD,TCCFIは脳血 …

    THE JOURNAL OF JAPAN SOCIETY FOR CLINICAL ANESTHESIA 40(2), 162-171, 2020

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  • Clinical Analysis of the Size of Ruptured Aneurysms  [in Japanese]

    YAMAOKA Hiroto , SUGAWARA Takashi , INAJI Motoki , TANAKA Youji , YOSHINO Kazuyoshi , NARIAI Tadashi , NEMOTO Shigeru , MAEHARA Taketoshi

    … Finally, we analyzed the relationship between the size of RIAs and their location, patients' sex and age, surgical procedure (clip or coil), severity on admission (GCS), and frequency of intracranial hemorrhage (ICH), intraventricular hemorrhage (IVH), and cerebral vasospasm.</p><p>Results: The average maximum diameter of RIAs was significantly larger in males than females (6.7 and 5.6 mm, respectively; …

    Surgery for Cerebral Stroke 48(1), 25-29, 2020

    J-STAGE 

  • Trehalose decreases blood clotting in the cerebral space after experimental subarachnoid hemorrhage

    SHIMOHATA Nobuyuki , ECHIGO Ryosuke , KARATSU Kensuke , UCHIKAWA Saori , SUZUKI Shigeki , CHUNG Ung-il , SASAKI Nobuo , MOCHIZUKI Manabu

    … <p>Subarachnoid hemorrhage (SAH) frequently results in several serious complications, such as cerebral vasospasm. … We previously reported the effect of trehalose on vasospasm, inflammatory responses, and lipid peroxidation induced by blood exposure. … These findings suggest that trehalose has suppressive effects on blood clotting in addition to vasospasm, inflammatory responses, and lipid peroxidation after SAH.</p> …

    Journal of Veterinary Medical Science, 2020

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  • Treatment of Poor-grade Subarachnoid Hemorrhage  [in Japanese]

    Suzuki Hidenori , Kawakita Fumihiro , Kanamaru Hideki , Asada Reona , Fujimoto Masashi , Miura Yoichi , Shiba Masato , Toma Naoki

    <p> 重症くも膜下出血 (SAH) 患者の転帰は依然, 不良である. 良好な転帰を得る可能性を高めるためには, 新たな脳損傷を加えることなく早期に脳動脈瘤に対する根治術を施行する必要があるが, 同時にさまざまな全身性合併症の治療, 早期脳損傷を伴う頭蓋内圧亢進に対する迅速な管理, 遅発性脳虚血対策などの集中治療が必要である. 転帰不良の主な原因は早期脳損傷や続発する遅発性脳虚血である …

    Japanese Journal of Neurosurgery 29(2), 109-115, 2020

    J-STAGE 

  • Histidine-rich Glycoprotein Could Be an Early Predictor of Vasospasm after Aneurysmal Subarachnoid Hemorrhage

    Matsumoto Atsushi , Nakamura Takehiro , Shinomiya Aya , Kawakita Kenya , Kawanishi Masahiko , Miyake Keisuke , Kuroda Yasuhiro , Keep Richard F. , Tamiya Takashi

    Cerebral vasospasm (CVS) is a major contributor to the high morbidity and mortality of aneurysmal subarachnoid hemorrhage (aSAH) patients. …

    Acta Medica Okayama 73(1), 29-39, 2019-02

    IR  DOI 

  • Stent-assisted Coil Embolization for Ruptured Vertebra-basilar Aneurysms  [in Japanese]

    SHIMODA Yusuke , USHIKOSHI Satoshi

    … No re-rupture or ischemic complications were detected, but one case presented with hemorrhagic infarction four days after endovascular balloon angioplasty for vasospasm of the middle cerebral artery. …

    Surgery for Cerebral Stroke 47(6), 414-418, 2019

    J-STAGE  Ichushi Web 

  • The Result of Treatment for Ruptured Aneurysms in Elderly Patients  [in Japanese]

    TSUBOI Yoshifumi , NARIKIYO Michihisa , NAGAYAMA Gota , NAGASAKI Hirokazu , NAGAO Seiya , WADE Minami , KAMBAYASHI Chisaku

    … Furthermore, symptomatic vasospasm was observed in 7.7% of patients. …

    Surgery for Cerebral Stroke 47(6), 434-438, 2019

    J-STAGE  Ichushi Web 

  • A ROCK inhibitor, fasudil, prevents behavioral changes induced by social defeat stress in mice  [in Japanese]

    Nakatake Yuko , Yamada Misa , Furuie Hiroki , Yoshizawa Kazumi , Yamada Mitsuhiko

    … Since fasudil has already been used clinically for the treatment of cerebral vasospasm, clinical trials to examine the efficacy of fasudil in patients with stress-related mental disorders are warranted.</p> …

    Proceedings for Annual Meeting of The Japanese Pharmacological Society 92(0), 1-P-020, 2019

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  • A case of distal accessory ACA ruptured aneurysm treated at 6 years after onset  [in Japanese]

    Tajiri Seiji , Ueda Yutaka , Hasegawa Shu , Miura Masaki , Mukasa Akitake

    <p><b>要旨</b>:脳動脈瘤破裂後,長期間が経過して出血源の動脈瘤を手術したくも膜下出血例は稀であり,初診時に動脈瘤が見落とされた経緯が教訓的でもあり,報告する.症例は77 歳女性.突然の頭痛で発症し,4 日後に受診.CT で大脳縦裂間に薄いくも膜下出血を認めた.出血源検索を繰り返し施行したが同定できず,出血源不明のくも膜下出血と診断した.その後,外来で定 …

    Japanese Journal of Stroke, 2019

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  • Stroke in postpartum reversible cerebral vasoconstriction syndrome  [in Japanese]

    Watanabe Kotaro , Todo Kenichi , Okuno Tatsusada , Sasaki Tsutomu , Mochizuki Hideki , Okazaki Shuhei , Taniguchi Mariko , Kakigano Aiko , Kitano Takaya , Hideshima Makoto , Ishikura Teruyuki , Nakano Tomohito , Jinno Jyunki

    <p>要旨:可逆性脳血管攣縮症候群(RCVS)は稀ながら周産期脳卒中の原因として重要な疾患である.症例は37 歳の初産婦,妊娠40 週に緊急帝王切開で第一子を出産した.産褥3 日目に,頭痛,めまい,左手の使いにくさが出現し,当院に搬送された.頭部MRI で左小脳半球と橋に急性期脳梗塞,右前頭葉に皮質下出血を認めた.来院時のMRA では主幹動脈に異常を認めなかったが,第8 病日に脳底動脈 …

    Japanese Journal of Stroke, 2019

    J-STAGE 

  • Cerebral Vasospasm and Patient Outcome after Coiling or Clipping for Intracranial Aneurysmal Subarachnoid Hemorrhage  [in Japanese]

    Shimoda Kentaro , Kamiya Kouki , Kano Toshikazu , Furuichi Makoto , Yoshino Atsuo

    … It is still controversial whether coiling or clipping has a lower incidence of cerebral vasospasm following an aneurysmal subarachnoid hemorrhage (SAH). … In this study, we compared angiographic vasospasm (AV), symptomatic vasospasm (SV), and the outcome of both procedures for ruptured cerebral aneurysms.</p><p><b>Methods:</b> …

    Journal of Neuroendovascular Therapy 13(11), 443-448, 2019

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  • Development of Quality Indicators of Stroke Centers and Feasibility of Their Measurement Using a Nationwide Insurance Claims Database in Japan ― J-ASPECT Study ―

    Nishimura Ataru , Harada Masafumi , Hashimoto Yoichiro , Hirano Teruyuki , Hoshino Haruhiko , Itabashi Ryo , Itoh Yoshiaki , Iwama Toru , Kohriyama Tatsuo , Matsumaru Yuji , Osato Toshiaki , Nishimura Kunihiro , Sasaki Makoto , Shiokawa Yoshiaki , Shimizu Hiroaki , Takekawa Hidehiro , Nishi Toru , Uno Masaaki , Yagita Yoshiki , Ido Keisuke , Kurogi Ai , Kurogi Ryota , Onozuka Daisuke , Arimura Koichi , Ren Nice , Hagihara Akihito , Takizawa Shunya , Arai Hajime , Kitazono Takanari , Miyamoto Susumu , Minematsu Kazuo , Iihara Koji , Matsuo Ryu , Kada Akiko , Kamitani Satoru , Higashi Takahiro , Ogasawara Kuniaki , Shimodozono Megumi

    … comprehensive stroke care: fasudil hydrochloride or ozagrel sodium for vasospasm prevention, 86.9%; …

    Circulation Journal 83(11), 2292-2302, 2019

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  • A case of reversible cortical deafness caused by vasospasm after subarachnoid hemorrhage.  [in Japanese]

    Yokoyama Takahiro , Sugimoto Tetsuaki , Fujita Seigo , Hamasuna Ryoichi , Takeshima Hideo

    <p><b>要旨</b>:症例は57 歳男性.後頸部痛で発症した前交通動脈瘤破裂によるクモ膜下出血に対して,コイル塞栓術を行った.術中合併症なく終了し,術後は会話も可能で,神経所見は見られなかった.脳血管攣縮期に音や言語に対する反応が低下し,大きな声で話しかけ,耳元で手を叩くが無反応であった.モニターや点滴のアラーム音などにも反応が見られなかったが,筆談による意 …

    Japanese Journal of Stroke 41(5), 375-379, 2019

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  • A Case of Delayed Symptomatic Vasospasm after Surgical Clipping of an Unruptured Intracranial Aneurysm  [in Japanese]

    YONEMASU Yasuyuki , TAKAHASHI Akira , ONDA Toshiyuki , NOMURA Tatsufumi , HASHIMOTO Yuji , HONDA Osamu , DAIBO Masahiko , NONAKA Tadashi

    … <p>Although intracranial arterial vasospasm commonly occurs after subarachnoid hemorrhage, delayed symptomatic vasospasm rarely occurs after surgical clipping of unruptured intracranial aneurysms. … We report the case of a 67-year-old woman who presented with symptomatic vasospasm 10 days after surgical clipping of an unruptured middle cerebral artery aneurysm. …

    Surgery for Cerebral Stroke 47(3), 207-212, 2019

    J-STAGE  Ichushi Web 

  • Usefulness of Enhanced Three-dimensional T1 Fast Spin-echo in the Treatment of Subarachnoid Hemorrhage with Multiple Intracerebral Aneurysms in Elderly Patients: A Report of Two Cases  [in Japanese]

    OSADA Yoshinari , SONOBE Shinya , MINO Masaki , YOSHIDA Masahiro , TOMINAGA Teiji

    … MRA detected anterior communicating artery (AcomA) and left middle cerebral artery (MCA) aneurysms. … Craniotomy was thought to be risky because of her advanced age and her admission in the period of cerebral vasospasm. …

    Surgery for Cerebral Stroke 47(3), 196-201, 2019

    J-STAGE  Ichushi Web 

  • A case of delayed cerebral vasospasm after intracerebral hemorrhage with ventricular rupture  [in Japanese]

    Yoshida Yuya , Muramatsu Naoki , Nitta Hisashi

    <p><b>要旨</b>:症例は68 歳,男性.突然の意識障害(JCS 200)で発症し,頭部CT にて左被殻,尾状核を中心とした脳内出血と,両側側脳室,第III,IV 脳室への穿破を認めた.脳血管3D-CTA にて血管異常はみられなかった.保存的に加療を開始し,第2 病日のフォローアップの頭部CT にて脳室内へ穿破した血腫の多くがくも膜下腔へ移行・拡散していた …

    Japanese Journal of Stroke 41(4), 311-315, 2019

    J-STAGE  Ichushi Web 

  • Persistent headache during the cerebral vasospasm period following radical treatment of ruptured cerebral aneurysm

    SAITO Izumi , NOZAKI Natsue , ZENKE Maki , YOKOI Yasuko , MINAGAWA Takako , TAMURA Ayako

    日本ニューロサイエンス看護学会誌 = Journal of Japanese Academy of Neuroscience Nursing 5(1), 3-10, 2018-12

    Ichushi Web 

  • 症例報告 分娩後雷鳴様頭痛を発症し,可逆性脳血管攣縮症候群(reversible cerebral vasoconstriction syndrome)と診断された1例 (平成29年度後期学術集会一般演題)  [in Japanese]

    李 冬平 , 芳賀 厚子 , 伊藤 浄樹 , 榎本 明美 , 市川 清美

    埼玉産科婦人科学会雑誌 = Saitama journal of obstetrics and gynecology 48(2), 70-76, 2018-09

    Ichushi Web 

  • Endovascular Treatment for Vasospasm after Aneurysmal Subarachnoid Hemorrhage Based on Data of JR-NET3

    IMAMURA Hirotoshi , SAKAI Nobuyuki , SATOW Tetsu , IIHARA Koji , JR-NET investigators

    … <p>Endovascular treatments for vasospasm after subarachnoid hemorrhage are typically performed for patients who are refractory to recommended medical therapies. … the distribution of vasospasm was the proximal vessel (<i>n</i> … The findings show that endovascular treatment for vasospasm was effective, especially for cases who suffered from symptomatic vasospasm with a short interval after onset.</p> …

    Neurologia medico-chirurgica 58(12), 495-502, 2018

    J-STAGE  Ichushi Web 

  • Posterior reversible encephalopathy syndrome in post-lumbar puncture headache in normotensive pregnancy  [in Japanese]

    MAEDA Yuto , NAKAKITA Baku , OH Noriko , TOMITA Hiroyuki , UEMATSU Kazuhiko , AOKI Takuya , YOSHIOKA Shinya

    <p>可逆性後白質脳症症候群(posterior reversible encephalopathy syndrome;PRES)は頭痛や痙攣を主症状とする脳症である.機序としては高血圧などによる血管内皮細胞障害と脳血液関門の破綻による血管原性脳浮腫が有力とされ,腰椎穿刺後頭痛(post-lumbar puncture headache;PLPHA)とPRESの間には明確な関連性は報告 …

    ADVANCES IN OBSTETRICS AND GYNECOLOGY 70(3), 311-316, 2018

    J-STAGE  Ichushi Web 

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