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  1. 学術雑誌論文
  2. 琉球医学会
  3. 琉球大学保健学医学雑誌
  4. 3巻1号
  1. 部局別インデックス
  2. その他

[原著]正常圧水頭症例の手術効果について

http://hdl.handle.net/20.500.12000/0002016399
http://hdl.handle.net/20.500.12000/0002016399
bccf0024-bd78-401b-a302-b01982202953
名前 / ファイル ライセンス アクション
v3p28.pdf v3p28.pdf
Item type デフォルトアイテムタイプ(フル)(1)
公開日 2014-07-18
タイトル
タイトル [原著]正常圧水頭症例の手術効果について
言語 ja
作成者 高木, 繁幸

× 高木, 繁幸

ja 高木, 繁幸

古城, 信人

× 古城, 信人

ja 古城, 信人

中山, 顕児

× 中山, 顕児

ja 中山, 顕児

相葉, 宏之

× 相葉, 宏之

ja 相葉, 宏之

Takagi, Shigeyuki

× Takagi, Shigeyuki

en Takagi, Shigeyuki

Kojo, Nobuto

× Kojo, Nobuto

en Kojo, Nobuto

Nakayama, Kenji

× Nakayama, Kenji

en Nakayama, Kenji

Aiba, Hiroyuki

× Aiba, Hiroyuki

en Aiba, Hiroyuki

アクセス権
アクセス権 open access
アクセス権URI http://purl.org/coar/access_right/c_abf2
権利情報
言語 ja
権利情報 琉球医学会
内容記述
内容記述タイプ Other
内容記述 Eleven cases were diagnosed as Normal Pressure Hydrocephalus (NPH) and performed shunt therapy in our hospital over a four-year period. They were analyzed on factors considered to exert influence upon the shunt effect. Many successful cases of the therapy were found among patients not more than 60 years old, although the therapy displayed a remarkable effect on a 77 year-old patient. Eight patients had etiology of NPH. Of then, six were affected with subarachnoid hemorrhage. And other three patients had on etiology. There was no relationship between the shunt effect and the type of etiology of NPH. The time interval between the onset of symptoms of NPH and the performance of shunt therapy was two months on the average in the effective cases and 7.5 months on the average in the ineffective cases. Therefore, the shorter this interval, the more satisfactory the results of this therapy tended to be. There was no relationship between clincal symptoms and the effect of operation. It was necessary, however, to be very careful about the apphcation of shunt therapy to patients with mental symptoms alone. CT scanning was most important as an auxiliary test. Even in patients with dilated ventricle and periventricular low density, shunt operation was ineffective when the patients had brain atrophy and injuries of the brain. Postoperative complication was seen in two patients. It was an injury of blood vessels induced at the time of insertion of ventricular tube. The injury led subdural, intracerebral and intraventricular hemorrhage. In conclusion, shunt therapy should be indicated after careful selection of a causative disease, the minute observation of clinical symptoms and the findings of auxiliary tests, especially CT scanning. It seems necessary to evade an insignificant operation of shunt therapy.
内容記述タイプ Other
内容記述 論文
出版者
言語 ja
出版者 琉球大学保健学部
言語
言語 jpn
資源タイプ
資源タイプ journal article
資源タイプ識別子 http://purl.org/coar/resource_type/c_6501
出版タイプ
出版タイプ VoR
出版タイプResource http://purl.org/coar/version/c_970fb48d4fbd8a85
収録物識別子
収録物識別子タイプ ISSN
収録物識別子 0285-9270
収録物識別子タイプ NCID
収録物識別子 AN00250763
収録物名
言語 ja
収録物名 琉球大学保健学医学雑誌=Ryukyu University Journal of Health Sciences and Medicine
書誌情報
巻 3, 号 1, p. 28-35
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