ハント・ヘスの分類
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- 1. くも膜下出血の重症度分類subarachnoid hemorrhage grading scales [show details]
… "green" (OR = 1.31; 95% CI, 0.77–2.23). A SAH classification system proposed by Ogilvy and Carter in 1998 stratifies patients based upon age, Hunt and Hess grade (clinical condition), Fisher grade (SAH …
- 2. 脳動脈瘤の治療treatment of cerebral aneurysms [show details]
…independence at three months (odds ratio [OR] 0.08, 95% CI 0.02-0.34) after correction for admission Hunt-Hess grade and aneurysm size . Another prospective study found similar results . In one case series, …
- 3. 動脈瘤性くも膜下出血の臨床症状および診断clinical manifestations and diagnosis of aneurysmal subarachnoid hemorrhage [show details]
…practice to standardize the clinical classification of patients with SAH based upon the initial neurologic examination. The grading system proposed by Hunt and Hess and that of the World Federation of …
- 4. 脳卒中スケールおよび重症度分類システムの利用および有用性use and utility of stroke scales and grading systems [show details]
…used to classify patients with subarachnoid hemorrhage, including the Glasgow Coma Scale, the Hunt and Hess scale, the World Federation of Neurological Surgeons scale, the Fisher Scale, the Claassen Scale … Categorization systems used in the classification and etiology of stroke are discussed elsewhere.…
- 5. 中脳周囲非動脈瘤性くも膜下出血perimesencephalic nonaneurysmal subarachnoid hemorrhage [show details]
…evaluation in the hospital, over 90 percent of patients with PM-NASAH are categorized in lower Hunt and Hess grades, a measure of the clinical severity of the SAH . By contrast, less than 50 percent of…
Japanese Journal
- 急性期破裂脳動脈瘤の術前Gradingと予後:-特にHunt-Hess分類, 3-3-9度方式, Glasgow Coma Scaleの問題点について-
- 佐々木 修,田中 隆一,新井 弘之,石井 鐐二,小池 哲雄,大杉 繁昭,日高 俊彦,市川 昭道,皆川 崇志,鎌田 健一,柿沼 健一
- 脳卒中の外科研究会講演集 14(0), 1-5, 1986
- … The grading systems used here were Hunt-Hess system (H-H), Glasgow Coma Scale (GCS) and 3-3-9 system (3-3-9).<BR>1. …
- NAID 130001932732
Related Links
- 表1 Hunt and Hess分類(1968) Grade Ⅰ 無症状か、最小限の頭痛および軽度の項部硬直をみる Grade Ⅱ 中等度から強度の頭痛、項部硬直をみるが、脳神経麻痺以外の神経学的失調はみ られない Grade Ⅲ 傾眠状態、錯乱状態、また ...
- くも膜下出血(Hunt and Hessの分類) (脳動脈瘤症例の重症度分類) Grade 0- 未破裂動脈瘤 Ⅰ- 無症状か最小限の頭痛および軽度の頂部硬直をみる Ⅰa-急性の髄膜または脳症状をみないが、固定した神経学的矢調のあるもの Ⅱ-中等度から ...
- Hunt and Hess分類 くも膜下出血 Grade Ⅰ 最小限の頭痛および軽度の項部硬直をみる Grade Ⅱ 中等度から強度の頭痛,項部硬直をみるが,脳神経麻痩以外の神経学的異常はみられない Grade Ⅲ 傾眠状態錯乱状態,または軽度の ...
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- 英
- Hunt and Hess grading, Hunt and Hess scale
- 同
- Hunt and Hess分類、Hunt&Hess分類
分類
- 参考(1)
- Grade 0: 無症状
- Grade I : 頭痛。神経学的症状は伴わない。
- Grade II: 認知機能の低下(物忘れ±覚醒障害(傾眠))±脳神経症(cranial neuropathy)
- Grade III: 認知機能障害、覚醒障害、四肢の障害(筋力、筋緊張、感覚)
- Grade IV: 無意識。筋緊張や筋力の異常を伴う。
- Grade V: 無反応
- 現在の健康上問題があればグレードを一つあげる。例えば、肺、心臓、腎臓など
参考
- 1. http://www.neurosurvival.ca/ClinicalAssistant/scales/hunt%20and%20hess.htm
- 2. http://radiopaedia.org/articles/hunt-and-hess-grading-system
- 3. http://en.wikipedia.org/wiki/Hunt_and_Hess_scale
最近の文献@pubmed
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- Lawson MF, Newman WC, Chi YY, Mocco JD, Hoh BL.
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- Remote Ischemic Limb Preconditioning After Subarachnoid Hemorrhage: A Phase Ib Study of Safety and Feasibility.
- Koch S, Katsnelson M, Dong C, Perez-Pinzon M.
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- Fever increased in-hospital mortality after subarachnoid hemorrhage.
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- PMID 21116947
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- 英
- taxonomy, classification
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