| Japanese |
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| Title | 痙攣重積に伴う低酸素脳症の2幼児例 |
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| Subtitle | 症例報告 |
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| Authors | 水野晋二*, 後藤裕夫*, 星博昭*, 山田直人**, 加藤善一郎**, 高橋幸利**, 下澤伸行**, 近藤直実** |
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| Organization | *岐阜大学医学部放射線科, **岐阜大学医学部小児科 |
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| Journal | 核医学 |
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| Volume | 35 |
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| Number | 3 |
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| Page | 141-146 |
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| Year/Month | 1998/3 |
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| Article | 報告 |
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| Publisher | 日本核医学会 |
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| Abstract | 「要旨」症例は2例とも2歳の女児で, 主訴はいずれも痙攣重積による昏睡であった. 画像所見は2例ともほぼ共通し, 亜急性期のCTでは大脳皮質に広汎な density の低下が認められたが, 一次運動・感覚野, 後頭葉は density の低下が認められなかった. 慢性期のMRI, CTでは萎縮が認められるのみであったが脳血流SPECTでは, 一次運動・感覚野, 後頭葉の血流はほぼ正常で, 他の領域の血流低下がみられ, 他検査では得られない情報であった. また同部位は新生児の低酸素性虚血性脳症において一般に障害されやすい部位であるが, 2歳幼児である本症例においては, 一次運動・感覚野, 後頭葉以外の大脳皮質が障害されており, 障害部位のパターンが新生児とは異なっていた. 「I. はじめに」低酸素脳症は種々の原因で脳血流が障害され, 重症例では昏睡になり死亡することもある病態である. |
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| Practice | 臨床医学：一般 |
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| Keywords | Hypoxic ischemic encephalopathy, Single photon emission computed tomography, Technetium-99m ethyl cysteinate dimer, Infant, Primary sensorimotor cortex |
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| English |
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| Title | Two Cases of Two-year-old Girls with Hypoxic Ischemic Encephalopathy Induced by Convulsive Status |
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| Subtitle | Case Report |
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| Authors | Shinji MIZUNO*, Hiroo GOTO*, Hiroaki HOSHI*, Naoto YAMADA**, Zenichiro KATO**, Yukitoshi TAKAHASHI**, Nobuyuki SHIMOZAWA**, Naomi KONDO** |
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| Authors(kana) | |
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| Organization | *Department of Radiology, Gifu University School of Medicine, **Department of Pediatrics, Gifu University School of Medicine |
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| Journal | The Japanese Journal of nuclear medicine |
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| Volume | 35 |
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| Number | 3 |
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| Page | 141-146 |
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| Year/Month | 1998/3 |
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| Article | Report |
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| Publisher | THE JAPANESE SOCIETY OF NUCLEAR MEDICINE |
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| Abstract | We reported two cases of two-year-old girls with hypoxic ischemic encephalopathy. Their symptom was coma induced by seizures with respective factors. CT image on subacute stage showed the decreased density of the whole brain except for the primary sensorimotor cortex and the occipital lobe. MRI and CT images on chronic stage revealed generalized atrophy with no abnormal density areas. 99mTc-ECD SPECT on chronic stage showed low perfusion in the whole brain except for the primary sensorimotor cortex and the occipital lobe, in which areas brain tissue is considered to be injured easily in hypoxic ischemic encephalopathy. The paradoxical distribution of abnormal cerebral perfusion areas in our cases was reported in this paper. |
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| Practice | Clinical medicine |
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| Keywords | Hypoxic ischemic encephalopathy, Single photon emission computed tomography, Technetium-99m ethyl cysteinate dimer, Infant, Primary sensorimotor cortex |
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