被殻出血
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- 出血,(特に)大量出血 / 多量に出血する
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English Journal
- Transtentorial herniation in patients with hypertensive putaminal haemorrhage is predictive of elevated intracranial pressure following haematoma removal.
- Wang K, Xue Y, Chen X, Cui D, Lou M.SourceDepartment of Neurosurgery, Shanghai Tenth People's Hospital, Tongji University, 301 Middle Yanchang Road, Zhabei District, Shanghai 200072, China.
- Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia.J Clin Neurosci.2012 Jul;19(7):975-9. Epub 2012 May 19.
- We investigated surgical outcomes of haematoma evacuation in patients with hypertensive putaminal haemorrhage, with emphasis on the development of postoperative refractory intracranial hypertension. Twenty-two consecutive patients with hypertensive putaminal haemorrhage underwent microsurgical clot
- PMID 22613487
- Moyamoya disease-related versus primary intracerebral: hemorrhage location and outcomes are different.
- Nah HW, Kwon SU, Kang DW, Ahn JS, Kwun BD, Kim JS.SourceDepartment of Neurology, Asan Medical Center, 388-1 Pungnap-dong, Songpa-gu, Seoul 138-736, Korea. jongskim@amc.seoul.kr.
- Stroke; a journal of cerebral circulation.Stroke.2012 Jul;43(7):1947-50. Epub 2012 Jun 12.
- BACKGROUND AND PURPOSE: The purpose of our study was to compare lesion location between moyamoya disease-related intracerebral hemorrhage (MMD-ICH) and primary intracerebral hemorrhage (P-ICH).METHODS: Ninety-three patients each with MMD-ICH and P-ICH were compared. In patients with MMD-ICH, angiogr
- PMID 22693130
Japanese Journal
- 被殻出血における機能予後改善を目指す内視鏡下血腫除去術(<特集>神経内視鏡の進歩)
- 山本 拓史,江崎 孝徳,中尾 保秋,森 健太郎
- 脳神経外科ジャーナル 20(10), 734-740, 2011-10-20
- 被殻出血に対する外科的治療の有効性を示すエビデンスは,いまだ確立されていない.STICH studyなど,血腫除去術に対して否定的な意見がある一方で,定位手術,内視鏡手術などの低侵襲手術による有効性も報告されている.今回,自験例をまとめ,内視鏡血腫除去術における手術適応について文献学的考察を加え検討した.血腫除去術による予後改善効果を得るためには,GCS:9〜12点,血腫量30〜60ml程度の中等 …
- NAID 110008750597
- Freehand Technique for Putaminal Hemorrhage : Technical Note
- YOKOSUKA Kimihiko,UNO Masaaki,HIRANO Kazuhiro,TOI Hiroyuki,MATSUZAKI Kazuhito,MATSUBARA Shunji
- Neurologia medico-chirurgica = 神経外科 51(7), 543-546, 2011-07-15
- … We designed a new endoscopic surgical procedure for putaminal hemorrhage (freehand technique) and evaluated its effectiveness and safety in patients with putaminal hemorrhage. … This point was used for 15 patients with putaminal hemorrhage. … The freehand technique is a simple and safe technique for patients with putaminal hemorrhage. …
- NAID 10029138728
Related Links
- Expressions, Domain, Definition. Putaminal Hemorrhage · Health, Bleeding into the putamen, a basal ganglia nucleus. This is a relatively common site of spontaneous intracranial hemorrhage and is associated with chronic hypertension and ...
Related Pictures
★リンクテーブル★
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- 英
- putaminal hemorrhage
- 同
- 被殻血腫 putaminal hematoma、外側型脳内血腫 lateral type of intracerebral hematoma
- 関
- 被殻、高血圧性脳出血、脳出血
概念
- 大脳深部のレンズ核線条体動脈外側枝で起こる脳出血
- 脳出血のうちもっとも頻度が高い(被殻出血40%>視床出血30%>橋出血10%>小脳出血10% (YN.J-87))
症候
- 血腫、脳浮腫による頭蓋内圧亢進? → 意識障害、頭痛
- 血腫 → 内包、皮質を圧迫・障害。脳室穿破
- 内包障害:片麻痺 ← 最初は痙性のこともあるが、内包後脚が破壊されると弛緩性になる
- 皮質障害:
治療
脳出血に共通
- 内科的治療:(急性期)気道確保(意識障害→舌根沈下??)・酸素投与(脳浮腫対策)、降圧薬、グリセロール(脳浮腫対策)
- 外科的治療:血腫除去が適応
被殻出血の治療
- 長径3cm以内では保存的治療
- 長径3cm以上で、脳室内出血がないか軽度な場合に血腫除去を行う。
参考
- http://www.jsts.gr.jp/jss08.html
国試
[★]
- 関
- putaminal hemorrhage
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- 関
- bleeding