| Japanese |
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| Title | 急性小児片麻痺患者の慢性期におけるN-isopropyl-(I-123)-p-iodoamphetamine (I-123 IMP)脳シンチグラフィー |
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| Subtitle | 《短報》 |
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| Authors | 前田尚利*, 小西行郎**, 栗山政憲**, 石井靖*, 須藤正克**, 中村凱次*** |
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| Authors(kana) | |
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| Organization | *福井医科大学放射線科, **小児科, ***福井赤十字病院小児科 |
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| Journal | 核医学 |
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| Volume | 23 |
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| Number | 8 |
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| Page | 1063-1066 |
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| Year/Month | 1986/8 |
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| Article | 報告 |
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| Publisher | 日本核医学会 |
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| Abstract | 「I. はじめに」正常出産, 発育を経た後に, 急性片麻痺 (acute infantile hemiplegia, AIH) を生じ, 成長後も知能障害と痙性片麻痺を長期残存させる例はまれではない. AIHの原因の大部分は細菌感染, 外傷, 先天性血管奇型, クモ膜下出血等に伴う脳血管の閉塞と考えられ, 個々の症例についての病態は究明されぬままに, 多くのものは高熱発生後の脳炎によるものとして処理されている. AIHが血管病変に起因するものであれば, 診断は造影剤を用いた脳血管写であり, 非侵襲的なX線CTの使用も考えられるが, その報告例はわれわれの知る限りでは数少なく, 脳血管病変の早期診断は困難と思われる. 近年脳血流分布を核医学的に映像化するためにI-123 IMPの使用が試みられている. 本院にて1984年4月より1985年9月にかけてI-123 IMPを用いた脳シンチグラフィーを, 発症後4年から28年経た慢性期のAIH 8例に対し行ったので, その結果を報告する. |
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| Practice | 臨床医学：一般 |
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| Keywords | Acute infantile hemiplegia, N-isopropyl (I-123) p-iodoamphetamine, Brain scintigraphy. |
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| English |
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| Title | N-Isopropyl (I-123) p-Iodoamphetamine Brain Scintigraphies in Chronic Hemiplegic Patients after Acute Infantile Hemiplegia (AIH) |
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| Subtitle | Short Communication |
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| Authors | Hisatoshi MAEDA*, Yukuo KONISHI**, Masanori KURIYAMA**, Yasushi ISHII*, Masakatsu SUDO**, Katsuji NAKAMURA*** |
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| Authors(kana) | |
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| Organization | *Department of Radiology, **Department of Pediatrics, Fukui Medical School, ***Department of Pediatrics, Nippon Sekijuji Hospital |
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| Journal | The Japanese Journal of nuclear medicine |
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| Volume | 23 |
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| Number | 8 |
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| Page | 1063-1066 |
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| Year/Month | 1986/8 |
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| Article | Report |
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| Publisher | THE JAPANESE SOCIETY OF NUCLEAR MEDICINE |
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| Abstract | [Summary] : Brain scintigraphies were carried out with N-Isopropyl (I-123) p-Iodoamphetamine (I-123 IMP) in three control patients and in eight chronic hemiplegic patients who had acute infantile hemiplegia (AIH) 4 to 28 years before, at the age of 1 week to 6 years. Five patients exhibited larger defects of I-123 IMP SPECT than those of the X-CT. The findings of I-123 IMP SPECT were consistent with the clinical features of the patients. Among eight patients with severe hemiparesis, three had large hemispherical defects which indicated the simultaneous involvements of the anterior, middle and posterior cerebral arteries, and 5 had defects in the middle cerebral arterial territory. These results would suggest that the pathological processes in the cerebral arteries might play an important role in the pathogenesis of AIH in these eight patients. |
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| Practice | Clinical medicine |
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| Keywords | Acute infantile hemiplegia, N-isopropyl (I-123) p-iodoamphetamine, Brain scintigraphy. |
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