| Japanese |
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| Title | Crossed "Cerebral" Diaschisis? - 一側小脳の血管障害における対側大脳皮質の血流低下 - |
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| Subtitle | 原著 |
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| Authors | 木村繁男*, 中村宏*, 松村憲太郎*, 諸橋章三**, 上岡義弘**, 長谷川章**, 米倉義晴*** |
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| Organization | *京都南病院内科, **放射線科, ***京都大学医学部核医学科 |
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| Journal | 核医学 |
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| Volume | 26 |
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| Number | 10 |
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| Page | 1259-1266 |
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| Year/Month | 1989/10 |
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| Article | 原著 |
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| Publisher | 日本核医学会 |
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| Abstract | 「要旨」 1986年5月より1989年2月までにN-isopropyl-P-[123I]iodoamphetamineによる脳血流SPECT検査を施行した182例の脳血管障害患者のうちで, 一側小脳のみに障害の見られた7例について, 大脳皮質における脳血流を検討した. 全例において, 対側大脳皮質に血流低下がみられたが, 臨床症状は小脳症状のみであった. これらの血流低下は, X線CTやDSAの所見とは対応せず, cerebello-reticular tractおよびcerebello-thalamic projectionを介する神経伝達経路の関与を想定した. |
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| Practice | 臨床医学：一般 |
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| Keywords | Diaschisis, IMP, Cerebellar infarction, Cerebellar hemorrhage, SPECT |
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| English |
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| Title | Crossed "Cerebral" Diaschisis? - Seven Cases with Unilateral Cerebellar Vascular Lesion which Showed Decreased Perfusion in the Contralateral Cerebral Cortex - |
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| Subtitle | Original Articles |
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| Authors | Shigeo KIMURA*, Hiroshi NAKAMURA*, Kentaro MATSUMURA*, Shozo MOROHASHI**, Yoshihiro UEOKA**, Akira HASEGAWA**, Yoshiharu YONEKURA*** |
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| Authors(kana) | |
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| Organization | *Department of Medicine, Kyoto Minami Hospital, **Department of Radiology, Kyoto Minami Hospital, ***Department of Nuclear Medicine, Kyoto University School of Medicine |
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| Journal | The Japanese Journal of nuclear medicine |
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| Volume | 26 |
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| Number | 10 |
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| Page | 1259-1266 |
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| Year/Month | 1989/10 |
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| Article | Original article |
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| Publisher | THE JAPANESE SOCIETY OF NUCLEAR MEDICINE |
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| Abstract | [Summary] In 7 cases with unilateral cerebellar vascular lesion, decreased perfusion was observed in the contralateral cerebral cortex by single photon emission computed tomography (SPECT) with I-123 labeled N-isopropyl-p-iodoamphetamine (IMP) . These cases had symptoms due to cerebellar lesions but did not show any cerebral cortical symptoms. Reduction of cerebral cortical perfusion appeared on more than 25 days after the onset of CVA, did not correlate with morphological changes by cranial X-ray computed tomography and digital subtraction angiography in acute phase, and was persistent or irreversible later. We made a guess this phenomenon was due to the remote neuronal effect through cerebellothalamic projection. |
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| Practice | Clinical medicine |
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| Keywords | Diaschisis, IMP, Cerebellar infarction, Cerebellar hemorrhage, SPECT |
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