| Japanese |
|---|
| Title | RI-CisternographyとCT scanとから観察されるCSF動態の異常 |
|---|
| Subtitle | 《原著》 |
|---|
| Authors | 田辺正也*, 田中寛**, 二木実* |
|---|
| Authors(kana) | |
|---|
| Organization | *財団法人田附興風会医学研究所北野病院放射線科, **島根医科大学放射線医学教室 |
|---|
| Journal | 核医学 |
|---|
| Volume | 17 |
|---|
| Number | 10 |
|---|
| Page | 1257-1266 |
|---|
| Year/Month | 1980/12 |
|---|
| Article | 原著 |
|---|
| Publisher | 日本核医学会 |
|---|
| Abstract | 「要旨」神経内科および脳神経外科領域の症例43例に脳槽シンチおよびCTを併用して, そのCSF動態異常の判定を試み, 両検査所見の総合により得られる利点を検討した. 脳槽シンチの所見とCTのそれとの間に一致をみない症例も認められた. 脳槽シンチはCSF動態における脳槽・脳室系の機能を判定し, CTは解剖学的に開いている脳槽・脳室系を描出する. この両者を併用することはCSF動態異常の判定に有用であると考えられた. また, 脳槽シンチで異常を認めた43例中, 20例にV-Pシャントを施行し, 10例に症状の改善を認めた. 而しV-Pシャントの効果の予測にはこれら両検査の併用といえども, その所見のみで充分とは考え難い. 111In-DTPAによる脳槽シンチを施行した43例中, 副作用は認められなかった. |
|---|
| Practice | 臨床医学：一般 |
|---|
| Keywords | RI-Cisternography, CT scan, 111In-DTPA, CSF-circulation |
|---|
| English |
|---|
| Title | Clinical Comparison of Radionuclide Cisternography and Computed Tomography in CSF Circulatory Disturbance |
|---|
| Subtitle | - Original Articles - |
|---|
| Authors | Masaya TANABE*, Hiroshi TANAKA**, Minoru FUTATSUKI* |
|---|
| Authors(kana) | |
|---|
| Organization | *Department of Radiology, Kitano Hospital, Tazuke Kofukai Medical Research Institute, **Department of Radiology, Shimane Medical University |
|---|
| Journal | The Japanese Journal of nuclear medicine |
|---|
| Volume | 17 |
|---|
| Number | 10 |
|---|
| Page | 1257-1266 |
|---|
| Year/Month | 1980/12 |
|---|
| Article | Original article |
|---|
| Publisher | THE JAPANESE SOCIETY OF NUCLEAR MEDICINE |
|---|
| Abstract | [Summary] Forty-three patients with abnormal cisternograms were classified into (1) NPH, (2) Postmeningitic hydrocephalus, (3) Posttraumatic hydrocephalus, (4) Postoperative hydrocephalus (tumor) (5) Postoperative hydrocephalus (vascular disease), (6) Meningitis, (7) Tumor, (8) Vascular disease, (9) Degenerative disease and (10) Miscellaneous. Cisternography was done by a scinticamera with 111In-DTPA and all groups were scanned by IInd generation CT scanner. The result of the cisternography was not always compatible with the CT findings. We found a case of anatomically normal but functionally abnormal cisterns and ventricular system. In all classified disorder groups, the cisternography detected functioning cisterns in CSF dynamics but the CT visualized anatomically open cisterns. By the combined use of these two examinations, a local cisternal block was detected. Ten in 20 cases with operated (V-P shunt) hydrocephalus clinically improved. But the result of these techniques, failed to assess the effectiveness of the V-P shunt. V-P shunt was effective in 8 out of 14 cases with persistent ventricular reflux and delayed clearance, and in 9 out of 17 cases with total ventricular dilatation. We concluded that the combined use of the RI cisternography and the computed tomography was better than single examination to detect CSF circulatory disturbance but we were not satisfied with the joint use in the evaluation of the effect of V-P shunt. No adverse reaction was experienced in the 43 patients with 111In-DTPA. |
|---|
| Practice | Clinical medicine |
|---|
| Keywords | RI-Cisternography, CT scan, 111In-DTPA, CSF-circulation |
|---|