頚動脈雑音、頸動脈雑音

WordNet

of or relating to either of the two major arteries supplying blood to the head and neck

PrepTutorEJDIC

頚(けい)動脈 / 頚動脈の
《うわさなど》'を'言いふらす

Wikipedia preview

出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2014/07/20 10:10:35」(JST)

wiki en

[Wiki en表示]

A carotid bruit is a systolic sound heard over the carotid artery area during auscultation.

Associated conditions

It may occur as the result of carotid artery stenosis^[1] (though some disagree);^[2] however, most carotid bruits, particularly those found in younger or asymptomatic patients, are not related to any disease and are termed "innocent carotid bruits".^[3] A carotid bruit is unlikely to be heard if the stenosis occludes less than 40% of the diameter of the artery. Likewise, a stenosis of greater than 90% may not be heard, as the flow may be too low.^{[citation needed]}

Many carotid bruits are discovered incidentally in an otherwise asymptomatic patient. The presence of a carotid bruit alone does not necessarily indicate the presence of stenosis, and the physical examination cannot be used to estimate the degree of stenosis, if present; therefore, any bruit must be evaluated by ultrasound or imaging.^[4]

Pronunciation and terminology

Bruit is traditionally pronounced broot, rhyming with boot, although the etymologically accurate pronunciation bru´e or bru-e´ is common in North American medical parlance.^[5] In addition, while bruit and murmur are technically synonymous, the term bruit is generally reserved for arterial sounds in North America.^[4]

References

^ MATTHEWS WB (May 1961). "OBSERVATIONS ON THE CAROTID BRUIT". J. Neurol. Neurosurg. Psychiatr. 24 (2): 161–6. doi:10.1136/jnnp.24.2.161. PMC 495382. PMID 13768297.
^ Mayock R (September 2007). "Does a carotid bruit predict cerebrovascular complications following noncardiac surgery in asymptomatic patients?". Cleve Clin J Med. 74 Suppl 1: S18–9. PMID 18368873.
^ Bates' Guide to Physical Examination and History Taking, 9th Ed, Chapter 20
^ ^a ^b DeGowin's Diagnostic Examination, 9th Edition, Chapter 8; Richard F. LeBlond, Donald D. Brown, Richard L. DeGowin
^ Stedman's Medical Dictionary - 28th Ed.

This medical symptom article is a stub. You can help Wikipedia by expanding it.

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. 無症候性頸動脈狭窄のスクリーニング screening for asymptomatic carotid artery stenosis
2. 頸動脈硬化の症状の病態生理 pathophysiology of symptoms from carotid atherosclerosis
3. 頚動脈狭窄の評価 evaluation of carotid artery stenosis
4. 神経疾患を有する手術患者の周術期ケア perioperative care of the surgical patient with neurologic disease
5. 頚動脈内膜剥離術 carotid endarterectomy

English Journal

Carotid Artery Ultrasonographic Assessment in Patients from the Fremantle Diabetes Study Phase II with Carotid Bruits Detected by Electronic Auscultation.

Knapp A1, Cetrullo V, Sillars BA, Lenzo N, Davis WA, Davis TM.
Diabetes technology & therapeutics.Diabetes Technol Ther.2014 Jul 2. [Epub ahead of print]
Abstract Background: Electronic auscultation appears superior to acoustic auscultation for identifying hemodynamic abnormalities. The aim of this study was to determine whether carotid bruits detected by electronic stethoscope in patients with diabetes are associated with stenoses and increased caro
PMID 24988112

[Carotido-cavernous fistula: Clinical and pathological correlations].

Fel A1, Szatmary Z2, Sourour N2, Bodaghi B1, LeHoang P1, Touitou V3.
Journal français d'ophtalmologie.J Fr Ophtalmol.2014 Jun;37(6):462-8. doi: 10.1016/j.jfo.2014.02.004. Epub 2014 May 1.
INTRODUCTION: Depending upon the type of communication between the internal carotid artery and the cavernous sinus, two types of carotid-cavernous fistulae can be distinguished: direct carotid-cavernous fistula (DCCF), for which diagnosis is usually easy because of the obvious signs of orbital conge
PMID 24792398

Transvenous to arterial Onyx embolization.

Albuquerque FC1, Ducruet AF, Crowley RW, Bristol RE, Ahmed A, McDougall CG.
Journal of neurointerventional surgery.J Neurointerv Surg.2014 May;6(4):281-5. doi: 10.1136/neurintsurg-2012-010628. Epub 2013 Mar 6.
BACKGROUND/OBJECTIVE: Transarterial infusion of Onyx is now widely used in the treatment of arteriovenous malformations (AVMs) and dural arteriovenous fistulas (DAVFs). Transvenous Onyx embolization is rarely performed, and usually in cases of carotid cavernous fistulas. We describe a novel techniqu
PMID 23468536

Japanese Journal

腕頭動脈可動性プラークの評価にリアルタイム3次元経食道心臓超音波検査が有用であった1例

田中弘二,斎藤こずえ,佐藤和明,土井尻遼介,大塚伸子,古賀政利,豊田一則,長束一行
Neurosonology:神経超音波医学 25(3), 148-152, 2013
… A systolic bruit was not audible in her neck or supraclavicular fossa. … Carotid ultrasonography showed no stenotic lesions. …
NAID 130003366434

外傷性頸動脈海綿静脈洞瘻を併発した顎骨骨折の1例

高橋誠,藤武智,荒川美貴子,畑中隆志,澤木佳弘,山家誠
日本口腔外科学会雑誌 58(2), 52-56, 2012
… Traumatic carotid-cavernous sinus fistula （tCCF） is an arteriovenous shunt caused by internal carotid artery rupture in the cavernosus sinus, resulting from head injury. … This leads to a triad of symptoms including pulsating exophthalmos, chemosis with conjunctival hyperemia, and orbital bruit. …
NAID 130004691894

椎骨動脈─総頚動脈転位術後に鎖骨下動脈stentingを施行した椎骨動脈起始部狭窄を伴う鎖骨下動脈狭窄症の1例

近藤礼,長畑守雄,山木哲,伊藤美以子,齋藤伸二郎,佐藤慎哉,嘉山孝正
脳卒中の外科 40(3), 194-197, 2012
… We report a case of the left subclavian-vertebral artery bifurcation lesion treated with a transposition of the vertebral artery (VA) to the common carotid artery followed by subclavian artery (SA) stenting. … Physical examination revealed a diminished left radial pulse and a left subclavian bruit. … First, transposition of the left VA to the left common carotid artery was performed. …
NAID 130004479828

Related Pictures

★リンクテーブル★

リンク元	「頚動脈雑音」「頸動脈雑音」
関連記事	「bruit」「carotid」

「頚動脈雑音」

Carotid bruit
	Sorry, your browser either has JavaScript disabled or does not have any supported player.; You can download the clip or download a player to play the clip in your browser. Carotid bruit in a gentleman with a 70% stenosis of his left carotid artery.
ICD-10	R01.1
ICD-9	785.9
DiseasesDB	29151