脳卒中の外科
Online ISSN : 1880-4683
Print ISSN : 0914-5508
ISSN-L : 0914-5508
高血圧性脳出血の血腫吸引術後の症状および脳血流量の変化について
雄山 博文丹羽 政宏木田 義久田中 孝幸前沢 聡小林 達也
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1996 年 24 巻 5 号 p. 377-380

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We analyze the change of neurological symptoms and cerebral blood flow (CBF) after aspiration of hypertensive cerebral hemorrhage in the chronic phase in 9 cases. In 7 cases, the paresis improved moderately 4.7 days after the operation. In 5 cases, aphasia improved markedly 4 days after the operation, and the patients became able to converse. However, CBF did not change so much even after the aspiration. The pre- and post-operative hemispheric CBF of the affected side were 38.4, 38.3 ml/100g/min in the basal ganglia level and 38.5, 34.2 ml/100g/min in the lateral ventricular level. Those of the non-affected side were 48.9, 50.1 ml/100g/min in the basal ganglia level and 47.8, 45.1 ml/100g/min in the lateral ventricular level. This gap between the change of neurological symptom and that of CBF wassignificant.
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