関: brain stem infarction、brainstem infarction、Weber syndrome

WordNet

treat gingerly or carefully; "You have to stroke the boss"
a sudden loss of consciousness resulting when the rupture or occlusion of a blood vessel leads to oxygen lack in the brain (同)apoplexy, cerebrovascular_accident, CVA
(golf) the unit of scoring in golf is the act of hitting the ball with a club; "Nicklaus won by three strokes"
(sports) the act of swinging or striking at a ball with a club or racket or bat or cue or hand; "it took two strokes to get out of the bunker"; "a good shot requires good balance and tempo"; "he left me an almost impossible shot" (同)shot
a light touch with the hands (同)stroking
a single complete movement
any one of the repeated movements of the limbs and body used for locomotion in swimming or rowing
a light touch
a mark made on a surface by a pen, pencil, or paintbrush; "she applied the paint in careful strokes"
the oarsman nearest the stern of the shell who sets the pace for the rest of the crew
row at a particular rate
strike a ball with a smooth blow
touch lightly and repeatedly, as with brushing motions; "He stroked his long beard"
the part of the brain continuous with the spinal cord and comprising the medulla oblongata and pons and midbrain and parts of the hypothalamus (同)brain-stem, brain_stem

PrepTutorEJDIC

(こぶし・武器・金づちなどの)『一打ち』,一撃,打告《+of+名》 / 《単数形で》(運の)巡り合わせ《+of+名》 / 《単数形で》(…の)ひと仕事,ひと働き;みごとな成果《+of+名》 / (鐘・時計などの)『打つ音』《+of+名》 / (時計などが打って示す)時刻 / (繰り返される動作・運動の)『一動作』,一行程 / (ペン・鉛筆・筆などの)ひと筆,ひとなで;筆の運び,筆致 / 卒中 / (ゴルフ・テニスなどの)一打ち,ストローク / (心臓などの)一打ち,鼓動,脈搏 / (ボートの)整調[手] / 〈ボート〉‘の'整調をこぐ / 《副詞[句]を伴って》〈ボール〉‘を'打つ
〈髪・動物など〉‘を'なでる,さする / 〈人〉‘を'なだめる《+名+down, down+名》 / 一なで,一さすり

Wikipedia preview

出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2015/06/21 23:41:52」(JST)

wiki en

A brainstem stroke syndrome is a condition involving a stroke of the brainstem. Because of their location, they often involve impairment both of the cranial nuclei and of the long tracts. A person may have vertigo, dizziness and severe imbalance without the hallmark of most strokes – weakness on one side of the body. The symptoms of vertigo, dizziness or imbalance usually occur together; dizziness alone is not a sign of stroke. Brainstem stroke can also cause diplopia, slurred speech and decreased level of consciousness. A more serious outcome is locked-in syndrome.

Notable cases

Kate Allatt

Kate Allatt is a mother-of-three from Sheffield, South Yorkshire. She has successfully recovered from locked-in syndrome. Now she runs Fighting Strokes, and devotes her life to assisting those with locked-in syndrome.^[1]

Jean-Dominique Bauby

Parisian journalist Jean-Dominique Bauby suffered a stroke in December 1995, and, when he awoke 20 days later, he found his body was almost completely paralyzed; he could control only his left eyelid. By blinking this eye, he slowly dictated one alphabetic character at a time and, in so doing, was able over a great deal of time to write his memoir, The Diving Bell and the Butterfly. Three days after it was published in March 1997, Bauby died of pneumonia.^[2] The 2007 film The Diving Bell and the Butterfly is a screen adaptation of Bauby's memoir. Jean-Dominique was instrumental in forming the Association du Locked-In Syndrome (ALIS) in France.^[3]

Rabbi Ronnie Cahana

In the summer of 2011, Rabbi Ronnie Cahana of congregational Rabbi in Montreal suffered a severe brainstem stroke that left him in a locked-in state, able to communicate only with his eyes. With the help of his family he continued to write poems and sermons for his congregation, letter by letter, through blinking. He has since regained his ability to breathe by himself and speak with his mouth. He describes his experiences as a blessing and a spiritual revelation of body and mind.^[4] His story was told in a Ted talk given by his daughter called: "My Father, Locked-in his Body but Soaring Free". He is the son of painter Alice Lok Cahana.

Tony Nicklinson

Tony Nicklinson, of Melksham, Wiltshire, England, was left paralysed after suffering a stroke in June 2005,^[5] at age 51. In the years that followed, he started a legal battle for a right to assisted death. On 16 August 2012, his request was turned down by the High Court of Justice.^[6] On learning the outcome of his appeal, he refused to eat, contracted pneumonia, deteriorated rapidly and died a week later on 22 August 2012, aged 58.^[7]

Julia Tavalaro

In 1966, Julia Tavalaro, then aged 32, suffered two strokes and a brain hemorrhage and was sent to Goldwater Memorial Hospital on Roosevelt Island, New York. For six years, she was believed to be in a vegetative state. In 1972, a family member noticed her trying to smile after she heard a joke. After alerting doctors, a speech therapist, Arlene Kratt, discerned cognizance in her eye movements. Kratt and another therapist, Joyce Sabari, were eventually able to convince doctors she was in a locked-in state. After learning to communicate with eye blinks in response to letters being pointed to on an alphabet board, she became a poet and author. Eventually, she gained the ability to move her head enough to touch a switch with her cheek, which operated a motorized wheelchair and a computer. She gained national attention in 1995 when the Richard E. Meyer of theLos Angeles Times published a cover story about Tavalaro. In 1997, Erika Duncan's profile of Julia and her co-author Richard Tayson, "Decades After Silence, a Voice Is Recognized," ran in the Long Island edition of The New York Times and in April of 1997, "The Long Road Home" appeared in Newsday. Julia Tavalaro appears with Richard Tayson on Dateline NBC and Melissa Etheridge's Beyond Chance (Lifetime). Their book was published by Viking-Penguin in 1998 and was translated into German, where it was published as Bis auf den Grund des Ozeans by Verlag Herder. Tavalaro's story became a bestseller in Germany. She died in 2003 at the age of 68.^[8]^[9]

References

^ Sloan, Jenna (11 September 2012). "I’m mad on Facebook, shopping, 50 Shades of Grey and I like vodka: Amazing spirit of 'locked-in' Christine Waddell". The Sun. Retrieved 11 September 2012.
^ "The Diving Bell And The Butterfly". The A.V. Club. Retrieved 2007-11-29.
^ "Association du Locked In Syndrome" (in French). FR.
^ Rabbi Ronnie Cahana, Rabbi Ronnie Cahana's poetry and sermons
^ "Tony Nicklinson's legal fight for right to die". BBC News. 22 August 2012. Retrieved 22 August 2012.
^ "Locked-in man devastated at ruling". 18 August 2012. Retrieved 18 August 2012.
^ "Right-to-die man Tony Nicklinson dead after refusing food". BBC News. 22 August 2012. Retrieved 22 August 2012.
^ The Unspeakable Odyssey of the Motionless Boy by Joshua Foer, Esquire Magazine, October 2, 2008.
^ "Julia Tavalaro, 68; Poet and Author Noted for Defying Severe Paralysis". Los Angeles Times. December 21, 2003. p. B16.

UpToDate Contents

全文を閲覧するには購読必要です。 To read the full text you will need to subscribe.

1. 後方循環系の脳血管症候群 posterior circulation cerebrovascular syndromes
2. 閉じ込め症候群 locked in syndrome
3. 回転性めまいの病態生理、病因、および鑑別診断 pathophysiology etiology and differential diagnosis of vertigo
4. 救急外来における急性の筋力低下を訴える成人の評価 evaluation of the adult with acute weakness in the emergency department
5. 脳卒中サブタイプの臨床診断 clinical diagnosis of stroke subtypes

English Journal

Acute onset of adult Alexander disease.

Schmidt H, Kretzschmar B, Lingor P, Pauli S, Schramm P, Otto M, Ohlenbusch A, Brockmann K.SourceDepartment of Neurology, Faculty of Medicine, University of Göttingen, Göttingen, Germany.
Journal of the neurological sciences.J Neurol Sci.2013 Aug 15;331(1-2):152-4. doi: 10.1016/j.jns.2013.05.006. Epub 2013 May 23.
Adult-onset Alexander disease (AOAD) is a rare leukoencephalopathy affecting predominantly the brainstem and cervical cord with insidious onset of clinical features. Acute onset is very rare and has yet been described only twice, to our knowledge. We report a 32-year-old hitherto healthy male who, a
PMID 23706596

Acute onset of upbeat nystagmus, exotropia, and internuclear ophthalmoplegia-A tell-tale of ponto-mesencephalic infarct.

Shaikh AG, Ghasia FF, Rasouli G, Degeorgia M, Sundararajan S.SourceDepartment of Neurology, Case Western Reserve University, Cleveland, OH, United States. Electronic address: aasefshaikh@gmail.com.
Journal of the neurological sciences.J Neurol Sci.2013 Jul 2. pii: S0022-510X(13)00274-8. doi: 10.1016/j.jns.2013.06.012. [Epub ahead of print]
Two patients were assessed for acute onset of diplopia. Clinical examination revealed upbeat nystagmus, exotropia, and internuclear ophthalmoplegia (INO). Both patients had vascular risk factors; acute ischemic stroke affecting ponto-mesencephalic junction was suspected. Magnetic resonance imaging c
PMID 23830476

Primary cerebellar haemorrhage: Complications, treatment and outcome.

Witsch J, Neugebauer H, Zweckberger K, Jüttler E.SourceCenter for Stroke Research Berlin (CSB), Charité University Medicine Berlin, Campus Mitte, Charitéplatz 1, 10117 Berlin, Germany; Department of Neurology, Charité University Medicine Berlin, Campus Virchow Klinikum, Augustenburger Platz 1, 13353 Berlin, Germany. Electronic address: Jens.Witsch@charite.de.
Clinical neurology and neurosurgery.Clin Neurol Neurosurg.2013 Jul;115(7):863-9. doi: 10.1016/j.clineuro.2013.04.009. Epub 2013 May 6.
Given its anatomical proximity to the brainstem and the ventricular system, cerebellar haemorrhage may lead to immediate life-threatening complications such as brainstem compression and hydrocephalus, or to herniation through the foramen magnum or the tentorium. This situation mandates fast diagnosi
PMID 23659765

Japanese Journal

脳幹出血患者の予後予測

木村紳一郎,光眞邦哲,大林晶子,益原邦之,松本勝美,鶴薗浩一郎,押野悟,竹綱成典
脳卒中の外科 = Surgery for cerebral stroke
NAID 10029121790

Efficacy of Motor Cortex Stimulation for Intractable Central Neuropathic Pain : Comparison of Stimulation Parameters Between Post-stroke Pain and Other Central Pain

TANEI Takafumi,KAJITA Yasukazu,NODA Hiroshi,TAKEBAYASHI Shigenori,NAKATSUBO Daisuke,MAESAWA Satoshi,WAKABAYASHI Toshihiko
Neurologia medico-chirurgica = 神経外科 51(1), 8-14, 2011-01-15
… Motor cortex stimulation (MCS) has now become the preferred option for neurosurgical management of intractable central neuropathic pain such as post-stroke pain and trigeminal neuropathic pain. … However, the efficacy of MCS for other central neuropathic pain such as pain resulting from spinal cord or brainstem lesions is unclear. …
NAID 10028104454