ハント・ヘスの分類
WordNet
- take by attacking with scaling ladders; "The troops scaled the walls of the fort"
- a specialized leaf or bract that protects a bud or catkin (同)scale leaf
- an ordered reference standard; "judging on a scale of 1 to 10" (同)scale of measurement, graduated table, ordered series
- relative magnitude; "they entertained on a grand scale"
- size or measure according to a scale; "This model must be scaled down"
- the ratio between the size of something and a representation of it; "the scale of the map"; "the scale of the model"
- a measuring instrument for weighing; shows amount of mass (同)weighing machine
- a flattened rigid plate forming part of the body covering of many animals
- an indicator having a graduated sequence of marks
- (music) a series of notes differing in pitch according to a specific scheme (usually within an octave) (同)musical scale
- a thin flake of dead epidermis shed from the surface of the skin (同)scurf, exfoliation
- remove the scales from; "scale fish" (同)descale
- reach the highest point of; "We scaled the Mont Blanc" (同)surmount
- climb up by means of a ladder
- measure by or as if by a scale; "This bike scales only 25 pounds"
- measure with or as if with scales; "scale the gold"
- pattern, make, regulate, set, measure, or estimate according to some rate or standard
- yaw back and forth about a flight path; "the planes nose yawed"
- the pursuit and killing or capture of wild animals regarded as a sport (同)hunting
- the work of finding and killing or capturing animals for food or pelts (同)hunting
- an association of huntsmen who hunt for sport (同)hunt club
- an instance of searching for something; "the hunt for submarines"
- pursue for food or sport (as of wild animals); "Goering often hunted wild boars in Poland"; "The dogs are running deer"; "The Duke hunted in these woods" (同)run, hunt down, track down
- chase away, with as with force; "They hunted the unwanted immigrants out of the neighborhood"
- oscillate about a desired speed, position, or state to an undesirable extent; "The oscillator hunts about the correct frequency"
- search (an area) for prey; "The King used to hunt these forests"
- seek, search for; "She hunted for her reading glasses but was unable to locate them"
- English pianist (1890-1965) (同)Dame Myra Hess
- Nazi leader who in 1941 flew a solo flight to Scotland in an apparent attempt to negotiate a peace treaty with Great Britain but was imprisoned for life (1894-1987) (同)Rudolf Hess, Walther Richard Rudolf Hess
- United States physicist (born in Austria) who was a discoverer of cosmic radiation (1883-1964) (同)Victor Hess, Victor Franz Hess
- Swiss physiologist noted for studies of the brain (1881-1973) (同)Walter Hess, Walter Rudolf Hess
- Englishman and Pre-Raphaelite painter (1827-1910) (同)Holman Hunt, William Holman Hunt
- British writer who defended the Romanticism of Keats and Shelley (1784-1859) (同)Leigh Hunt, James Henry Leigh Hunt
- United States architect (1827-1895) (同)Richard Morris Hunt
PrepTutorEJDIC
- 《しばしば複数形で》『てんびん』,はかり / てんびんのさら / 《重量を表す副詞[句]を伴って》…の目方(体重)がある / …‘を'てんびんではかる
- (蛇・魚類などの)うろこ / うろこ状の物;(ペンキ・さび・ふけなどの)爆片 / 〈魚など〉‘の'うろこを取る;…‘の'皮をはぐ / (…から)〈ペンキなどの薄泰〉‘を'そぎ取る《+『名』+『off』(『from』)+『名』》 / (…から)〈ペンキなどが〉かげ落ちる《+『off』(『from』)+『名』》
- 『段階』,等級,階級 / 『比率』,縮尺 / (物差しなどの)『目盛り』 / (目盛りの付いた)『物差し』;温度計,(各種の)スケール / 『規模』,スケール / 音階 / 記数法,…進法 / …‘を'よじ登る / (…に合わせて)…‘を'調整する《+『名』+『to』+『名』》 / …‘を'縮尺で製図(設計)する
- 〈野生の鳥・動物〉‘を'『狩る』,〈獲物のいる場所〉‘を'狩る,〈馬・犬など》‘を'狩猟に使う / 〈物・仕事など〉‘を'捜す,見つけようとする / (…を求めて)〈場所〉‘を'くまなく捜す《+『名』+『for』+『名』》 / (…から)…‘を'迫いやる《+『名』+『away』(+『away』+『名』)+『from』(off, out of』)+『名』》 / 『狩りをする』 / (…を)捜し求める《+『for』(『after』)+『名』》 / (…を求めて…を)くまなそ捜す《+『in』(『through』)+『名』+『for』+『名』》 / 『狩り』,狩猟;《英》キツネ狩り / 狩猟隊(会) / (…の)捜索;追求《+『for』+『名』》
- 《語・句・節を対等に結んで》…『と』…,…や…,および / 《数詞を結合して》…『足す』…,…に加えて / …『しかも』…,…して,同時に… / 《時間的に》『そして』,それから,すると(and then) / 《当然の帰結として》…『ので』,…だから(and so) / 《おもに話》《命令文などの後で》『そうすれば』,そうしたら / 《追加・強調して》それに,しかも / 《対照的な内容を導いて》ところが,しかし(but) / 《譲歩的に》それなのに,それでいながら / 《A and Bで一体の関係を表して》《単数扱い》 / 《同一語を反復して多数・継続などを表して》 / 《同一の複数名詞を結合して変化・種類などを表して》 / 《話》《「形容詞+and+形容詞」の形で前の形容詞が後に副詞的に働く》 / 《話》《「動詞come, goなど+and+動詞」の形でandとその後の動詞が不定詞の働きをして》 / 《「動詞+and+動詞」の形で後の動詞が現在分詞の意を表して》 / 《話》《文頭において前の質問・意見などに同意を示して》そうとも,そして(Yes!and) / 《話》《文頭に置いて驚き・疑念・非難などを表して》ほんとうに;…なのに
Wikipedia preview
出典(authority):フリー百科事典『ウィキペディア(Wikipedia)』「2016/05/30 22:17:18」(JST)
[Wiki en表示]
The Hunt and Hess scale, introduced in 1968, is one of the grading systems used to classify the severity of a subarachnoid hemorrhage based on the patient's clinical condition. It is used as a predictor of patient's prognosis/outcome, with a higher grade correlating to lower survival rate. Other scales which describe the clinical presentation of subarachnoid hemorrhage patients include the World Federation of Neurosurgical Societies classification, which combines consciousness and motor deficit in its scoring.
Description grade
- Asymptomatic, mild headache, slight nuchal rigidity
- Moderate to severe headache, nuchal rigidity, no neurologic deficit other than cranial nerve palsy
- Drowsiness, confusion, mild focal neurologic deficit
- Stupor, moderate-severe hemiparesis
- Coma, decerebrate posturing
It gives an index of the mortality associated with the various grades. The mortality is minimum with grade 1 and maximum with grade 5.
References
- Hunt WE, Hess RM. “Surgical risk as related to time of intervention in the repair of intracranial aneurysms.” Journal of Neurosurgery 1968 Jan;28(1):14-20.
- Hunt WE, Meagher JN, Hess RM. “Intracranial aneurysm. A nine-year study.” Ohio State Medical Journal 1966 Nov;62(11):1168-71.
UpToDate Contents
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English Journal
- Contralateral Approach to Bilateral Middle Cerebral Artery Aneurysms: Comparative Study, Angiographic Analysis, and Surgical Results.
- Andrade-Barazarte H1, Kivelev J, Goehre F, Jahromi BR, Noda K, Ibrahim TF, Kivisaari R, Lehto H, Niemela M, Jääskeläinen JE, Hernesniemi JA.
- Neurosurgery.Neurosurgery.2015 Dec;77(6):916-26. doi: 10.1227/NEU.0000000000000930.
- BACKGROUND: Bilateral aneurysms located between the 2 middle cerebral artery (MCA) bifurcations may be approachable through a single unilateral approach.OBJECTIVE: To identify anatomic parameters based on imaging that would favor a contralateral approach.METHODS: From January 1998 to December 2013,
- PMID 26308631
- Is Hypothermia Helpful in Severe Subarachnoid Hemorrhage? An Exploratory Study on Macro Vascular Spasm, Delayed Cerebral Infarction and Functional Outcome after Prolonged Hypothermia.
- Kuramatsu JB1, Kollmar R, Gerner ST, Madžar D, Pisarčíková A, Staykov D, Kloska SP, Doerfler A, Eyüpoglu IY, Schwab S, Huttner HB.
- Cerebrovascular diseases (Basel, Switzerland).Cerebrovasc Dis.2015 Nov;40(5-6):228-235. Epub 2015 Oct 21.
- BACKGROUND: Therapeutic hypothermia (TH) is an established treatment after cardiac arrest and growing evidence supports its use as neuroprotective treatment in stroke. Only few and heterogeneous studies exist on the effect of hypothermia in subarachnoid hemorrhage (SAH). A novel approach of early an
- PMID 26485670
- Utilization of Pipeline embolization device for treatment of ruptured intracranial aneurysms: US multicenter experience.
- Lin N1, Brouillard AM1, Keigher KM2, Lopes DK2, Binning MJ3, Liebman KM3, Veznedaroglu E3, Magarik JA4, Mocco J4, Duckworth EA5, Arthur AS6, Ringer AJ7, Snyder KV8, Levy EI9, Siddiqui AH10.
- Journal of neurointerventional surgery.J Neurointerv Surg.2015 Nov;7(11):808-15. doi: 10.1136/neurintsurg-2014-011320. Epub 2014 Sep 17.
- OBJECTIVE: Utilization of the Pipeline embolization device (PED) in complex ruptured aneurysms has not been well studied. We evaluated the safety and effectiveness data from five participating US centers.METHODS: Records of patients with ruptured cerebral aneurysms who underwent PED treatment betwee
- PMID 25230839
Japanese Journal
- 80歳以上のくも膜下出血患者に対する脳血管内治療の治療成績
- 野中 宣秀,大石 英則,菅 康郎,山本 宗孝,新井 一
- 脳卒中の外科 42(4), 243-246, 2014
- … Endovascular therapy for ruptured cerebral aneurysms has become an important and well-known alternative to surgical clipping. … The purpose of this study is to report the clinical and technical outcome of endovascular therapy for 57 aneurysmal SAH patients aged 80 years and older. …
- NAID 130004699312
- 嶋村 則人,奈良岡 征都,松田 尚也,大熊 洋揮
- 脳卒中の外科 42(3), 203-206, 2014
- … We compared the clinical characteristics of those two groups and researched the factors that correlated with favorable outcome at 30 days after the SAH. … An X-square test was done for statistical analysis.The ratio of female, conservative therapy, symptomatic vasospasm and poor outcome was significantly higher in high-aged group than in the young-aged group. …
- NAID 130004678593
- Prediction of Outcomes in Young Adults With Aneurysmal Subarachnoid Hemorrhage
- , , , , , ,
- Neurologia medico-chirurgica = 神経外科 53(3), 157-162, 2013-03-15
- … Subarachnoid hemorrhage (SAH) is rare in young adults and little is known about aneurysms in this subgroup. … The effect of clinical and prognostic factors on the outcome based on the Glasgow Outcome Scale (GOS) scores and the predictors of unfavorable outcomes were analyzed in young adults with aneurysmal SAH. …
- NAID 10031138795
Related Links
- Hunt & Hess Scale, microsurgical clipping of unruptured left MCA bifurcation aneurysm, Cotton-Clipping Technique to Repair Intraoperative Aneurysm Neck Tear Video 1, Intraoperative video clips of clipping of Kissing aneurysms at ...
- Hunt and Hess Scale. The Hunt and Hess scale was developed in 1968 as a clinical grading system to predict prognosis and outcome in patients with subarachnoid hemorrhage (SAH). ... The Hunt and Hess scale was ...
★リンクテーブル★
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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
- Stent-Associated Flow Remodeling Causes Further Occlusion of Incompletely Coiled Aneurysms.
- Lawson MF, Newman WC, Chi YY, Mocco JD, Hoh BL.
- Neurosurgery.2011 Mar 23. [Epub ahead of print]
- PMID 21430583
- Remote Ischemic Limb Preconditioning After Subarachnoid Hemorrhage: A Phase Ib Study of Safety and Feasibility.
- Koch S, Katsnelson M, Dong C, Perez-Pinzon M.
- Stroke; a journal of cerebral circulation.2011 Mar 17. [Epub ahead of print]
- PMID 21415404
- Fever increased in-hospital mortality after subarachnoid hemorrhage.
- Zhang G, Zhang JH, Qin X.
- Acta neurochirurgica. Supplement.2011;110(Pt 1):239-43.
- PMID 21116947
[★]
- 1. (魚・は虫類の)うろこ。(チョウ・ガの)鱗粉。(皮膚の)鱗屑。薄片。(植物)芽鱗、鱗片。(動物)カイガラムシ。(金属を熱したときにできる)薄い酸化膜、スケール。(ボイラーややかんの内側にできる)湯垢。歯石。
- 2. 目盛り、定規、物差し、尺度、基準。(地図などの)縮尺比、縮尺目盛り。階級、等級。規模、スケール
- 3. はかり、てんびん
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- 縮尺や変換係数を定めること、歯石とプラークを除去すること
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ヘリウム helium