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手術教育のためのデジタルイラストレーション 手术教育的数字插图
Japanese Journal of Neurosurgery Pub Date : 2021-01-01 DOI: 10.7887/jcns.30.65
K. Noda
{"title":"手術教育のためのデジタルイラストレーション","authors":"K. Noda","doi":"10.7887/jcns.30.65","DOIUrl":"https://doi.org/10.7887/jcns.30.65","url":null,"abstract":"","PeriodicalId":39918,"journal":{"name":"Japanese Journal of Neurosurgery","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71347503","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Non-Sedative Quick-Brain MR Imaging for the Evaluation of Pediatric Patients with Hydrocephalus 非镇静快速脑磁共振成像对儿童脑积水的评价
Japanese Journal of Neurosurgery Pub Date : 2021-01-01 DOI: 10.7887/jcns.30.675
Tomomi Kimiwada, M. Kitami, Toshiaki Hayashi, Y. Shimanuki, R. Shirane, T. Tominaga
{"title":"Non-Sedative Quick-Brain MR Imaging for the Evaluation of Pediatric Patients with Hydrocephalus","authors":"Tomomi Kimiwada, M. Kitami, Toshiaki Hayashi, Y. Shimanuki, R. Shirane, T. Tominaga","doi":"10.7887/jcns.30.675","DOIUrl":"https://doi.org/10.7887/jcns.30.675","url":null,"abstract":"The potential adverse effects of ionizing radiation exposure during imaging studies are particularly relevant to the pediatric population. To reduce radiation exposure, quick‒brain(or rapid sequence)MR imaging has been used to evaluate cerebral ventricle size in pediatric patients with hydrocephalus in Western countries. The objective of this study was to evaluate the quality of images obtained using non‒ sedative quick‒brain MR imaging and consider its merits and limitations. We retrospectively analyzed a series of quick‒brain MRI studies performed without sedation for pediatric patients with hydrocephalus. A total of 41 quick‒brain MRI examinations were performed without sedation for pediatric patients with hydrocephalus with a median age of 9 months at the time of examination. The duration of each study was less than 30 s. The catheter visualization was good, and the image quality was excellent enough for evaluating the cerebral ventricle size. Non‒sedative quick‒brain MR imaging is reliable for evaluating the ventricle size and ventricular catheter in pediatric patients with hydrocephalus. (Received February 10, 2021;accepted April 27, 2021)","PeriodicalId":39918,"journal":{"name":"Japanese Journal of Neurosurgery","volume":"70 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71347534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Theory and Practice of Neurocritical Care for Traumatic Brain Injury 外伤性脑损伤神经危重症护理的理论与实践
Japanese Journal of Neurosurgery Pub Date : 2021-01-01 DOI: 10.7887/jcns.30.720
E. Suehiro, M. Kawashima, Michiyasu Suzuki
{"title":"Theory and Practice of Neurocritical Care for Traumatic Brain Injury","authors":"E. Suehiro, M. Kawashima, Michiyasu Suzuki","doi":"10.7887/jcns.30.720","DOIUrl":"https://doi.org/10.7887/jcns.30.720","url":null,"abstract":"In each patient with traumatic brain injury, the pathology is different, and cerebral blood flow and metabolism changes over time. In such a situation, attention is being paid to neurocritical care, which pro-vides appropriate treatment under monitoring. The emphasis of neurocritical care is （ 1 ） cerebral perfusion pressure / intracranial pressure management ；（ 2 ） infusion / electrolyte management ；（ 3 ） respiratory management ；（ 4 ） sedation / analgesic management ；（ 5 ） body temperature management ； and （ 6 ） diagnostic treatment for convulsions. In recent years, the development of neurocritical care has been remarkable, and many results have been reported. Neurocritical care algorithms using intracranial pressure monitoring or brain tissue oxygen partial pressure monitoring as indicators have been investigated and improved outcomes so that they can be easily practiced in daily medical care. In Japan as well, the spread of neurocritical care that makes full use of monitoring is expected to improve the outcome of severe traumatic brain injury. pressure, brain tissue oxygen partial pressure","PeriodicalId":39918,"journal":{"name":"Japanese Journal of Neurosurgery","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71347576","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Acromegaly of the Carney Complex Patient : Case Report 卡尼综合征肢端肥大患者:病例报告
Japanese Journal of Neurosurgery Pub Date : 2021-01-01 DOI: 10.7887/jcns.30.741
Y. Sakakibara, Homare Nakamura, Hidetaka Onodera, Kimiyuki Kawaguchi, Y. Aida
{"title":"Acromegaly of the Carney Complex Patient : Case Report","authors":"Y. Sakakibara, Homare Nakamura, Hidetaka Onodera, Kimiyuki Kawaguchi, Y. Aida","doi":"10.7887/jcns.30.741","DOIUrl":"https://doi.org/10.7887/jcns.30.741","url":null,"abstract":"","PeriodicalId":39918,"journal":{"name":"Japanese Journal of Neurosurgery","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71347614","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Paradigm Shift in the Stroke Medical Care System 脑卒中医疗体系的范式转变
Japanese Journal of Neurosurgery Pub Date : 2021-01-01 DOI: 10.7887/JCNS.30.194
S. Miyamoto, Kiyofumi Yamada
{"title":"Paradigm Shift in the Stroke Medical Care System","authors":"S. Miyamoto, Kiyofumi Yamada","doi":"10.7887/JCNS.30.194","DOIUrl":"https://doi.org/10.7887/JCNS.30.194","url":null,"abstract":"","PeriodicalId":39918,"journal":{"name":"Japanese Journal of Neurosurgery","volume":"30 1","pages":"194-198"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71347313","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
まぼろしの名著たち 幻想的名著们
Japanese Journal of Neurosurgery Pub Date : 2021-01-01 DOI: 10.7887/jcns.30.48
Toshihiko Wakabayashi
{"title":"まぼろしの名著たち","authors":"Toshihiko Wakabayashi","doi":"10.7887/jcns.30.48","DOIUrl":"https://doi.org/10.7887/jcns.30.48","url":null,"abstract":"","PeriodicalId":39918,"journal":{"name":"Japanese Journal of Neurosurgery","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71347377","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Initial Management of Traumatic Brain Injury : To Reduce Preventable Trauma Death 创伤性脑损伤的初始处理:减少可预防的创伤死亡
Japanese Journal of Neurosurgery Pub Date : 2021-01-01 DOI: 10.7887/jcns.30.712
S. Yokobori, Kazuma Sasaki, Ami Shibata, Takahiro Kanaya, Yu Fujiki, M. Yamaguchi, Shin Sato, A. Watanabe, Yutaka Igarashi, Go Suzuki, Junya Kaneko, R. Nakae, Hidetaka Onda, A. Kitahashi, Saori Kudo, Yasuhiro Takayama, Y. Naoe, H. Sato, K. Unemoto, A. Fuse, A. Morita, H. Yokota
{"title":"Initial Management of Traumatic Brain Injury : To Reduce Preventable Trauma Death","authors":"S. Yokobori, Kazuma Sasaki, Ami Shibata, Takahiro Kanaya, Yu Fujiki, M. Yamaguchi, Shin Sato, A. Watanabe, Yutaka Igarashi, Go Suzuki, Junya Kaneko, R. Nakae, Hidetaka Onda, A. Kitahashi, Saori Kudo, Yasuhiro Takayama, Y. Naoe, H. Sato, K. Unemoto, A. Fuse, A. Morita, H. Yokota","doi":"10.7887/jcns.30.712","DOIUrl":"https://doi.org/10.7887/jcns.30.712","url":null,"abstract":"Shoji Yokobori, M.D., Ph.D.1)2), Kazuma Sasaki, M.D.1)2), Ami Shibata, M.D. Ph.D.1)2), Takahiro Kanaya, M.D.1)2), Yu Fujiki, M.D. Ph.D.1)2), Masahiro Yamaguchi, M.D., Ph.D.1)2), Shin Sato, M.D.1)2), Akihiro Watanabe, M.D. Ph.D.1)2), Yutaka Igarashi, M.D. Ph.D.1)2), Go Suzuki, M.D. Ph.D.1)2), Junya Kaneko, M.D. Ph.D.1)2), Ryuta Nakae, M.D. Ph.D.1)2), Hidetaka Onda, M.D.1)2), Akiko Kitahashi, M.D.1)2), Saori Kudo, M.D. Ph.D.1)2), Yasuhiro Takayama, M.D.1)2), Yasutaka Naoe, M.D. Ph.D.1)2), Hidetaka Sato, M.D. Ph.D.1)2), Kyoko Unemoto, M.D. Ph.D.1)2), Akira Fuse, M.D. Ph.D.1)2), Akio Morita, M.D. Ph.D.3), and Hiroyuki Yokota, M.D. Ph.D.2)4)","PeriodicalId":39918,"journal":{"name":"Japanese Journal of Neurosurgery","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71347563","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Oculomotor Nerve Palsy caused by the Posterior Communicating Artery with Impending Ruptured Internal Carotid-Posterior Communicating Aneurysm : A Case Report 后交通动脉致动眼神经麻痹伴颈内动脉后交通动脉瘤迫近破裂1例
Japanese Journal of Neurosurgery Pub Date : 2021-01-01 DOI: 10.7887/JCNS.30.59
Takumi Kajitani, H. Karibe, A. Narisawa, Hideo Saito, M. Goto, M. Kameyama, T. Tominaga
{"title":"Oculomotor Nerve Palsy caused by the Posterior Communicating Artery with Impending Ruptured Internal Carotid-Posterior Communicating Aneurysm : A Case Report","authors":"Takumi Kajitani, H. Karibe, A. Narisawa, Hideo Saito, M. Goto, M. Kameyama, T. Tominaga","doi":"10.7887/JCNS.30.59","DOIUrl":"https://doi.org/10.7887/JCNS.30.59","url":null,"abstract":"The sudden onset of oculomotor nerve(OCN)paralysis is a symptom that suggests the impending rupture of a cerebral aneurysm. The mechanism of such OCN paralysis has been proposed as direct compression by an enlarged aneurysm and/or blood leakage from an aneurysm. In this article, we report a rare case of aneurysm enlargement in the posterior communicating(Pcom)artery direction to compress the OCN. A 60‒year‒old woman presented with left OCN paralysis with both ptosis and mydriasis. Although CT did not show any intracranial hemorrhage, CT angiography revealed a left internal carotid‒ Pcom(IC‒PC)aneurysm. We diagnosed it as an impending rupture of the aneurysm that required emergency surgery. Intraoperative findings revealed that the fetal Pcom artery, but not the aneurysm, compressed the OCN. We performed neck clipping and partial wrapping of the aneurysm to change the Pcom artery direction to decompress the OCN. Her symptoms improved after surgery. There was a case report in which the Pcom artery compressed the OCN directly instead of the aneurysm, suggesting that it was caused by an abnormal running of the fetal Pcom artery. In this case, aneurysm clipping reduces the volume of the aneurysm to normalize the Pcom artery direction, resulting in neurovascular decompression of the oculomotor nerve. (Received March 5, 2020;accepted June 24, 2020)","PeriodicalId":39918,"journal":{"name":"Japanese Journal of Neurosurgery","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71347817","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Biology and Treatment of Glioblastoma : Future Direction of Basic Research 胶质母细胞瘤的生物学和治疗:基础研究的未来方向
Japanese Journal of Neurosurgery Pub Date : 2021-01-01 DOI: 10.7887/JCNS.30.380
T. Sasayama, Kazuhiro Tanaka
{"title":"Biology and Treatment of Glioblastoma : Future Direction of Basic Research","authors":"T. Sasayama, Kazuhiro Tanaka","doi":"10.7887/JCNS.30.380","DOIUrl":"https://doi.org/10.7887/JCNS.30.380","url":null,"abstract":"2000年にワインバーグらはがんの特徴的な性質(がん のホールマーク)として,1増殖シグナルの亢進,2血 管新生の亢進,3増殖抑制の解除,4アポトーシスの抑 制,5無制限な複製による不死化,6浸潤や転移の促進 の 6つを提唱した9).その後,がんの研究が進み,7ゲ ノムの不安定性,8エネルギー代謝変化によるがん代 謝,9免疫回避,10がん促進性炎症が加わった10).膠芽 腫は他のがんと同様に上記の性質を合わせ持つが,米国 でのがんゲノムプロジェクトである TCGA(The Cancer Genome Atlas)は 3つの経路の異常を有することを報告 した.つまり,細胞増殖・生存シグナルを司る RTK (receptor tyrosine kinase)経路,アポトーシスを制御し たり,ゲノムの安定化を司る p53経路,細胞周期の調整 を司る Rb(retinoblastoma)経路の 3つの経路の異常で","PeriodicalId":39918,"journal":{"name":"Japanese Journal of Neurosurgery","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71347027","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Integration of Neuro-regenerative Medicine and Robot Rehabilitation 神经再生医学与机器人康复的融合
Japanese Journal of Neurosurgery Pub Date : 2021-01-01 DOI: 10.7887/JCNS.30.128
L. Yuge, T. Mitsuhara, K. Kurisu
{"title":"Integration of Neuro-regenerative Medicine and Robot Rehabilitation","authors":"L. Yuge, T. Mitsuhara, K. Kurisu","doi":"10.7887/JCNS.30.128","DOIUrl":"https://doi.org/10.7887/JCNS.30.128","url":null,"abstract":"われわれは,神経再生に対する細胞治療の臨床応用を 目指して,以前より間葉系幹細胞(mesenchymal stem cells:MSC)の研究を行ってきた2)3)6)8)‒10)15)19).MSCは, 骨髄,脂肪,皮膚,滑膜,筋,臍帯組織など多くの組織 から樹立されており,腫瘍化のリスクがきわめて低く, 患者自身の細胞を起源として自家細胞移植治療が行える ため,MSCを用いた再生医療は移植免疫や倫理面から有 利な側面がある.MSCは,自身が組織細胞に分化するの みならず,種々のサイトカインを分泌する trophic効果が 知られており,組織修復などに相乗的効果が期待されて いる.transforming growth factor(TGF‒α),hepatocyte growth factor(HGF)などの mitogenic proteinを発現し, 線維芽細胞や上皮,内皮細胞の分裂を促す.また vascu-","PeriodicalId":39918,"journal":{"name":"Japanese Journal of Neurosurgery","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71347184","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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