もやもや病
WordNet
- travel around something; "circle the globe"
- ellipse in which the two axes are of equal length; a plane curve generated by one point moving at a constant distance from a fixed point; "he calculated the circumference of the circle"
- something approximating the shape of a circle; "the chairs were arranged in a circle"
- a curved section or tier of seats in a hall or theater or opera house; usually the first tier above the orchestra; "they had excellent seats in the dress circle" (同)dress_circle
- any circular or rotating mechanism; "the machine punched out metal circles" (同)round
- move in circles (同)circulate
- closure or blockage (as of a blood vessel)
- (dentistry) the normal spatial relation of the teeth when the jaws are closed
- a pattern of symptoms indicative of some disease
- a complex of concurrent things; "every word has a syndrome of meanings"
- English physician who was a pioneer in the study of the brain (1621-1675) (同)Thomas Willis
PrepTutorEJDIC
- 『円』 / (劇場などの)半円形のさじき / (…の)円形のもの《+『of』+『名』》 / (活動・勢力などの)範囲 / 《時に複数形で》(共通の利害・活動などで結ばれた)『仲間』,団体,…界 / 一巡;循環 / 『円を描く』,旋回する / …'を'『円で囲む』;…'を'取り囲む / …‘の'回りを回る
- (疾患の徴候となる一群の)症徴候,症候群 / (事件・社会的状態などのパターンを示す)徴候形態
UpToDate Contents
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Japanese Journal
- 色素血管母斑症に合併した内頚動脈錐体部巨大動脈瘤の1例
- 吉野 義一,根本 繁,三木 一徳,山本 信二,壽美田 一貴,芳村 雅隆
- 脳神経血管内治療 7(3), 172-178, 2013
- 【目的】色素血管母斑症を合併した錐体部内頚動脈巨大動脈瘤に対して親動脈を遮断して治療した．巨大脳動脈瘤と色素血管母斑症の関連性ついて考察する．【症例】24歳，男性．頭痛，左外転神経麻痺で発症した．全身左側に単純性血管腫および色素性母斑を認め色素血管母斑症と診断された．左内頚動脈（internal carotid artery；ICA）錐体部に巨大血栓化動脈瘤を認めコイル塞栓術にてICAを遮断して治 …
- NAID 130003388043
- Multiple Cerebral Aneurysms Associated with Aortitis Syndrome : Case Report
- NISHIMURA Shinjitsu,SUZUKI Michiyasu,MIZOI Kazuo,YOSHIMOTO Takashi
- Neurologia medico-chirurgica 34(12), 821-824, 1994-12-15
- … A 48-year-old female presented with four aneurysms in the anterior half of the circle of Willis associated with aortitis syndrome. … In general, intracranial hemodynamic change, due to stenosis or occlusion of carotid arteries, is considered to initiate aneurysm growth in the vertebrobasilar system in this syndrome, but renal hypertension was probably involved in our patient. …
- NAID 110002278626
Related Links
- 1. Stroke. 1991 Nov;22(11):1358-62. Systemic vascular changes in spontaneous occlusion of the circle of Willis. Ikeda E(1). Author information: (1)Department of Pathology, Keio University School of Medicine, Tokyo, Japan. ...
- 1. Neurol Med Chir (Tokyo). 2012;52(5):245-66. Guidelines for diagnosis and treatment of moyamoya disease (spontaneous occlusion of the circle of Willis). Research Committee on the Pathology and Treatment of ...
★リンクテーブル★
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- 英
- moyamoya disease, moya-moya disease
- 同
- モヤモヤ病、ウイリス動脈輪閉塞症 大脳動脈輪閉塞症 occlusive disease in circle of Willis, Willis circle occlusion syndrome、脳底部異常血管網症 abnormal vascularnet at the brain base, vascularnet of cerebral basal area、西本-竹内-工藤病 Nishimoto-Takeuchi-Kudo disease、脳血管もやもや病
- 関
- 難病
概念
徴候
- 過換気により血中PaCO2が低下し脳血流が低下することが発作の誘因となりうる。
- 小児：片麻痺、知覚障害、不随意運動、頭痛、痙攣発作。
- 成人：頭蓋内出血(脳出血・クモ膜下出血)
検査
- 認定基準上はMRIとMRAで十分であり、血管造影は施行しなくとも良い
- MRI
failpicload@./t_image/101/101G028.JPG
- 血管造影
failpicload@./t_image/099/099G026.JPG
除外診断
治療
- 間接的血行再建術：組織・血管を移植(側頭筋、浅側頭動脈、大網など)
- 直接的血行再建術：浅側頭動脈-中大脳動脈吻合術
参考
- http://www.nanbyou.or.jp/entry/47
- http://www.nanbyou.or.jp/upload_files/115z_s.pdf
国試
[★]
- 関
- occlude
- 関
- atresia、close、closure、dental articulation、disturb、disturbance、hamper、hindrance、impede、impediment、intercept、interception、interfere、interrupt、interruption、obliteration、obstruct、obstruction、occlude、preclusion
[★]
- 関
- annulus、ring
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