| Japanese |
|---|
| Title | 髄液鼻漏症例におけるRI - cisternography |
|---|
| Subtitle | 原著 |
|---|
| Authors | 石光宏, 鈴木健二, 中山博雄, 松本勝治郎, 松本皓, 西本詮 |
|---|
| Authors(kana) | |
|---|
| Organization | 岡山大学脳神経外科 |
|---|
| Journal | 核医学 |
|---|
| Volume | 9 |
|---|
| Number | 6 |
|---|
| Page | 579-584 |
|---|
| Year/Month | 1972/12 |
|---|
| Article | 原著 |
|---|
| Publisher | 日本核医学会 |
|---|
| Abstract | 「I. はじめに」髄液鼻漏の原因としては, 外傷に起因するものと非外傷性に生ずるものとに二大別される. いずれにせよ, これら髄液鼻漏の診断は比較的容易であるが, その髄液漏出部位をみつけ出すことは時として甚だ困難なことがあり, 脳神経外科領域における最も難しいものの一つであるといっても過言ではない. したがって, そのためにこれまで数多くの方法が試みられてきたが, いずれも満足すべき結果をえるまでにはいたっていない. 近年, radioisotope(RI)も盛んに応用されるようになってきたが, これとても決して完全なものではないと思われる. しかしながら, 今回は, 髄液鼻漏症例におけるRI-cisternographyの意義について, われわれの経験を検討し, 若干の文献的考察を加えて報告する. 「II. 方法」患者を側臥位にして, 20ゲージルンバール針にて腰椎穿刺を行い, 髄液圧測定後, 169Yb-DTPA*300〜500μCi, 又は131I-RISA 100〜150μCi(いずれも容量で1.0 ml以下として)を髄腔内に注入した. |
|---|
| Practice | 臨床医学：一般 |
|---|
| Keywords | |
|---|
| English |
|---|
| Title | Cerebrospinal Fluid Rhinorrhea Studied with Radioisotope Cisternography |
|---|
| Subtitle | |
|---|
| Authors | Hiroshi Ishimitsu, Kenji Suzuki, Hiromasa Nakayama, Katsujiro Matsumoto, Akira Matsumoto, Akira Nishimoto |
|---|
| Authors(kana) | |
|---|
| Organization | Department of Neurological Surgery Okayama Universiy Medical School |
|---|
| Journal | The Japanese Journal of nuclear medicine |
|---|
| Volume | 9 |
|---|
| Number | 6 |
|---|
| Page | 579-584 |
|---|
| Year/Month | 1972/12 |
|---|
| Article | Original article |
|---|
| Publisher | THE JAPANESE SOCIETY OF NUCLEAR MEDICINE |
|---|
| Abstract | Radioisotope cisternography has recently become a widely used method for the morphological assessment of cerebrospinal fluid(CSF)dynamics. It has also been utilized in cases of CSF rhinorrhea for demonstrating the site of the CSF leak. In our clinic, 8patients of CSF rhinorrhea underwent the radioisotope cisternography. As radiopharmaceuticals, we have used Yb-169-DTPA and I-131-RISA. These isotopes were injected into the lumbal subarachnoid space, and then scintiphotos were taken by a scintillation camera at varying time intervals until 48hours after injection. The site of the CSF leakage was demonstrated in 5 patients(63%)out of 8. In addition, it is very interesting that a ventricular reflux of radioisotopes was seen in 5of the 8 cases, suggesting the abnormal CSF dynamics. In one of the cases, mental retardation(dementia), gait disturbance and urinary incontinence were developed after the surgical closure of the CSF fistula. From these clinlcal symptoms and the results of the cisternography, we diagnosed this as a case of normal pressure hydrocephalus. The patient recovered well after the ventriculo-peritoneal shunt operation. We cannot find such a case as this reported in literature. From these facts, it might be pointed out that the examination of CSF dynamics is very important in cases of CSF rhinorrhea. Radioisotope cisternography is thus valuable as a clinical method both for demonstration of the site of the CSF leaks and for examination of the CSF dynamics in CSF rhinorrhea patients. |
|---|
| Practice | Clinical medicine |
|---|
| Keywords | |
|---|