Japanese
Title脳スキャンにより診断された両側同時に発生した中大脳動脈梗塞症の検討
Subtitle原著
Authors川口新一郎*, 飯尾正宏*, 村田啓*, 千葉一夫*, 松井謙吾*, 山田英夫*, 阿部正秀*, 戸張千年*, 丹野宗彦*, 星賢二*
Authors(kana)
Organization*東京都養育院付属病院核医学放射線部
Journal核医学
Volume15
Number2
Page189-195
Year/Month1978/4
Article原著
Publisher日本核医学会
Abstract「緒論」われわれが過去4年6カ月間に行ったCVD786例の脳スキャン例中4例(0.5%)が左右脳半球「両側同時に」明らかな陽性所見を呈し, 陽性部位・形・および経過観察等により, 脳スキャン上, 左右脳半球に同時に発生したCVDと診断出来た. 自覚症他覚的所見ともに乏しいことの多い老人のCVD患者から「両側同時に」発生したCVDを診断するために脳スキャンは有用であった. 四肢麻痺を患者に見出した時には一般臨床的には神経交叉部または脳幹部の病変を第一に考え易いが, このような場合の症例のあるものが「両側性の」CVDによることは当然であるが, 脳スキャンによりかかる症例の確実な診断が可能であったことを報告する. 「対象と方法」対象は都養育院付属病院核医学部門で1972年6月から1976年11月迄に脳スキャンを行った1503例(2162回)-男793名・女710名, 平均年齢は66.1歳(0〜100歳)-である.
Practice臨床医学：一般
KeywordsBrain Scan, Cerebrovascular disease Bilateral, MCA infarction
English
TitleEvaluations of Simultaneous Bilateral MCA Infarctions Diagnosed by Brain Scanning
SubtitleOriginal Articles
AuthorsShinichiro KAWAGUCHI, Masahiro IIO, Kazuo CHIBA, Hajime MURATA, Kengo MATSUI, Hideo YAMADA, Chitose TOBARI, Masahide ABE, Munehiko TANNO, Kenji HOSOI
Authors(kana)
OrganizationDepartment of Nuclear Medicine and Radiological Sciences, Tokyo Metropolitan Geriatric Hospital
JournalThe Japanese Journal of nuclear medicine
Volume15
Number2
Page189-195
Year/Month1978/4
ArticleOriginal article
PublisherTHE JAPANESE SOCIETY OF NUCLEAR MEDICINE
Abstract[Summary](1)Out of 786 CVD brain scans examined in our laboratory, clearly positive cases were obtained in 175 cases (22.3%). (2) Out of these 175 cases, there were 4 cases with simultaneous bilateral CVD (0.5% of 786 cases & 2.3% of 175 cases). Case reports of these 4 cases were made in this paper. One case was detected as simultaneous bilateral CVD only by brain scan without any neurological sign clinically. Another one case was clinically diagnosed as simultaneous bilateral CVD immediately after the evidence of positive brain scan. The rest 2 cases agreed well with neurological signs. (3) In these 175 cases, agreement of positive hemisphere in brain scan and neurological sign was observed in 133 cases (64.5%). Twenty six cases had no neurological sign clinically in spite of positive brain scan showing validity of brain scan in the aged cases. Out of 21 cases diagnosed neurologically bilateral injuried hemispheres, 3 cases were detected as simultaneous bilateral CVD in brain scan. The reasons why the incidence of agreement between brain scan & neurological diagnosis was low were considered that neurological diagnosis was obtained as reflection of the whole clinical course whereas the brain scan was diagnosed by the temporary section of the clinical course, the aged CVD had clinically much difficulty to be diagnosed accurate because of oligosymptomatic & obscure physical signs and there was long interval between the onset of CVD & brain scan. The atraumatic brain scan was useful for diagnosis of the aged "simultaneous" "bilaterarl" CVD aganist the neurological & pathological procedures.
PracticeClinical medicine
KeywordsBrain Scan, Cerebrovascular disease Bilateral, MCA infarction

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