Neurosonology:神経超音波医学
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20 巻 , 1 号
選択された号の論文の5件中1~5を表示しています
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  • 白川 英樹
    20 巻 (2007) 1 号 p. 2-6
    公開日: 2008/04/12
    ジャーナル フリー
    はじめに 全く思いがけないことに,2000年10月10日,ノーベル財団から『電気を通すプラスチックの発見は「有機物は電気を通さない絶縁体」という常識を覆す画期的で,独創的な研究成果である』という発表があり,20世紀最後の年のノーベル化学賞を受賞することになった. 大学院を終え助手として大学に奉職するようになってから,2000年3月に定年退官するまでの34年間,高分子合成に関するさまざまな研究を行った.一貫して行った研究はアセチレンの重合反応に関することであった.研究を始めた当初は反応機構の解明が当面の目標だったので,電気を通す有機化合物に全く興味を持たなかったわけではないが,将来そのような研究にテーマを変えることは夢にも思わなかった.ところがひょんなことから,というよりは思わぬ失敗実験のお陰により,これまで粉末でしか得られなかったアセチレンの重合体であるポリアセチレンが薄膜状で合成できることが分かった.その薄膜状のポリアセチレンを試料とすることにより,とんとん拍子で目的とする研究が進み,数年で目的とする研究を終えることができた.
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  • 20 巻 (2007) 1 号 p. 11-12
    公開日: 2008/04/12
    ジャーナル フリー
  • 中西 欣弥, 寺本 佳史, 中野 直樹, 加藤 天美, 種子田 護
    20 巻 (2007) 1 号 p. 13-15
    公開日: 2008/04/12
    ジャーナル フリー
    Recently, intraoperative ultrasonography has been becoming increasingly useful for evaluation and monitoring of surgical procedures during spinal cord decompression. We evaluated the degree of decompression and fluid circulation around the cord using ultrasonography during laminoplasty. Laminoplasty was performed by vertical division of the spinous process (Kurokawa method). Intraoperative ultrasonography was performed using an Aplio instrument(Toshiba Medical) with a 6.5 MHz transducer. Spinal decompression was evaluated by delineation of the spinal cord, the subarachnoid space or the shape of the osteophyte, and dynamic imaging of the cerebrospinal fluid and blood flow in the epidural venous plexus with the pulse Doppler method. Intraoperative ultrasonography was performed for 5 patients with cervical myelopathy. This revealed the ventral and dorsal subarachnoid space as well as pulsatile movement of the spinal cord in all 5 patients after satisfactory cord decompression. The flow velocity of the cerebrospinal fluid around the spinal cord measured 1.5-3.0cm/ in 2 patients, and that in the epidural venous plexus measured 5.0-10.0cm/s in 3 patients. This improved circulation was considered to have been due to the spinal cord decompression, and the preoperative symptoms were ameliorated in all patients. Intraoperative ultrasonography is considered useful for real-time evaluation of spinal cord decompression during laminoplasty for cervical myelopathy.
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  • 竹島 靖浩, 川口 正一郎, 田村 健太郎, 榊 寿右, 斉藤 こずえ, 上野 聡
    20 巻 (2007) 1 号 p. 16-20
    公開日: 2008/04/12
    ジャーナル フリー
    Objective: To assess the usefulness of transcranial color flow imaging(TCCFI) for vasospasm, we evaluated the flow velocities in the middle cerebral artery (MCA) and anterior cerebral artery (ACA) using TCCFI in patients with subarachnoid hemorrhage (SAH) due to aneurysmal rupture. Methods: Clinical results were obtained in 14 consecutive patients who suffered SAH due to aneurysmal rupture and underwent neurosurgical procedures between December 2004 and September 2005. Using TCCFI, the MCA and ACA were detected and their peak systolic flow velocities (Vs) were determined on days 3,7 and 14. Results: Almost all of the 14 patients had a good outcome (GR 11 cases, MD 2 cases, SD 1 case, dead 0 case). There was no significant increase of M1 and A1 Vs with time. Symptomatic vasospasm was observed in 3 patients, all of whom were elderly, deteriorated after day 8, and in whom a rise in M2 Vs preceded the symptoms. Conclusion: TCCFI appears to be useful for evaluation of vasospasm, especially in the M2 segment.
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  • 久米 伸治, 日比野 誠一郎, 小林 益樹, 金澤 潤一, 三原 千惠, 山根 冠児, 豊田 章宏, 恩田 秀賢, 栗栖 薫
    20 巻 (2007) 1 号 p. 21-24
    公開日: 2008/04/12
    ジャーナル フリー
    Deformation of plaque in the carotid artery was studied in 7 patients by B-mode ultrasonography. The plaque showed a change in shape due to pulsatile blood flow. Five of the patients had suffered cerebral stroke. There are many risk factors of embolism that can cause stroke, and soft plaque is an important risk factor for cerebral infarction. We coined the term “jellyfish sign” for this unstable deformation pattern of soft plaque. Unstable movement of the plaque suggests that it may contain a soft area and hemorrhage under a thin cap, which might easily cause rupture and artery to artery embolism. B-mode is useful for revealing such high-risk plaque showing the “jellyfish sign”.
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