Sequential changes in cerebral blood flow in patients with hypertensive subcortical intracerebral hematoma
Sequential changes in cerebral blood flow (CBF) were investigated in patients with surgicallyevacuated hypertensive intracerebral hematoma (ICH). The subjects comprised 14 patients with subcortical ICH. CBF was studied by means of stable xenon-enhanced computed tomography (xenon CT) before and after...
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| Published in | Japanese Journal of Stroke Vol. 18; no. 4; pp. 294 - 301 |
|---|---|
| Main Authors | , |
| Format | Journal Article |
| Language | Japanese |
| Published |
The Japan Stroke Society
1996
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| Subjects | |
| Online Access | Get full text |
| ISSN | 0912-0726 1883-1923 |
| DOI | 10.3995/jstroke.18.294 |
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| Abstract | Sequential changes in cerebral blood flow (CBF) were investigated in patients with surgicallyevacuated hypertensive intracerebral hematoma (ICH). The subjects comprised 14 patients with subcortical ICH. CBF was studied by means of stable xenon-enhanced computed tomography (xenon CT) before and after surgery, and during the chronic stage. The pre-operative CBF and its response to acetazolamide (AZ) on the hematoma side declined in accordance with an increase in hematoma volune. Not only the global CBF levels on the hematoma side but also the regional CBF surrounding the hematoma were distinctly improved after evacuation of the hematoma in all cases. These findigns suggest that surgical evacuation, in cases of hypertensive subcortical hematoma, might be useful for improving the CBF. |
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| AbstractList | Sequential changes in cerebral blood flow (CBF) were investigated in patients with surgicallyevacuated hypertensive intracerebral hematoma (ICH). The subjects comprised 14 patients with subcortical ICH. CBF was studied by means of stable xenon-enhanced computed tomography (xenon CT) before and after surgery, and during the chronic stage. The pre-operative CBF and its response to acetazolamide (AZ) on the hematoma side declined in accordance with an increase in hematoma volune. Not only the global CBF levels on the hematoma side but also the regional CBF surrounding the hematoma were distinctly improved after evacuation of the hematoma in all cases. These findigns suggest that surgical evacuation, in cases of hypertensive subcortical hematoma, might be useful for improving the CBF. |
| Author | Yoshida, Kenshi Nakamura, Saburo |
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| References | 19) 金谷春之, 湯川英機, 伊藤善太郎ら : 高血圧性脳出血における新しいNeurological GradingおよびCTによる血腫分類とその予後について.高血圧性脳出血の外科3 : 265-270, 1978 2) Meyer JS, Naritomi H, Sasaki F, et al : Regional cerebral blood flow, diaschisis, and steal after stroke. Neurol Res 1 : 101-119, 1979 15) Ropper AH, Davis KR : Lober cerebral hemorrhage : Acute clinical syndromes in 26 cases. Ann Neurol 8 : 141-147, 1980 1) Høedt-Rasmussen K, Skinhøj E : Transneural depression of the cerebral hemispheric metabolism in man. Acta Neurol Scand 40 : 41 -46, 1964 5) Tanizaki Y : Improvement of cerebral blood flow following stereotactic surgery in patients with putaminal hemorrhage. Acta Neurochir (Wien) 90 : 103-110, 1988 29) 吉永真也, 田中達郎, 田中達郎ら : 高血圧性被殻出血における局所脳血流量の経時的検討-開頭血腫除去群とCT誘導血腫吸引群の比較-.CT研究16 : 143-147, 1994 17) 山口武典, 尾前 豪 : 皮質下出血の臨床.高血圧性脳出血の治療6 : 79-85, 1991 16) 小島 精, 和賀志郎, 坂倉 允ら : 大脳皮質下出血の治療.脳卒中7 : 314-320, 1985 13) 吉本尚規, 藤田浩史, 太田桂二ら : 高血圧性皮質下出血の臨床的検討.手術適応と長期予後について.脳神経外科16 : 1465-1470, 1988 8) 金谷春之 : 高血圧性脳出血の治療の現況-全国調査の成績より-.脳卒中12 : 509-524, 1990 28) Kurata A, Miyasaka Y, Kitahara T, et al : Subcortical cerebral hemorrhage with reference to vascular malformations and hypertension as causes of hemorrhage. Neurosurgery 32 14) 田中靖通, 中村順一 : 皮質下出血の外科的治療予後.高血圧性脳出血の治療6 : 88-97, 1991 4) Atting E, Capon A, Demeurisse G, et al : Remote effect of deep-seated vascular brain lesions on cerebral blood flow. Stroke 21 : 1555 -1561, 1990 26) Vorstrup S, Henrikesen L, Paulson OB : Effect of acetazolamide on cerebral blood flow and cerebral metabolic rate for oxygen. J Clin Invest 74 : 1934-1939, 1984 25) Gotoh F, Meyer JS, Tomita M : Carbonic anhyd rase inhibition and cerebral venous blood gases and ions in man. Arch Intern Med 117 : 37 -46, 1966 21) Ackerman RH, Kellyu ER, Davis SM, et al : Positron imaging of CBF and metabolism in nontraumatic intracerebral hemorrhage. In Minakami M, Kanaya H, et al (eds) : Hypertensive Intracerebral Hemorrhage. New York : Raven Press, 1983, pp165-176 23) Suzuki R, Ohno K, Matsushima Y, et al : Serial changes in focal hyperemia associated with hypertensive putaminal hemorrhage. Stroke 19 : 322-325, 1988 20) 安部重蔵, 安達茂樹, 林 龍男ら : 殻出血における脳血流量の長期観察-手術群と非手術群の比較検討-.脳卒中の外科23 : 193-198, 1995 3) 上村和夫, 宍戸文男 : Diaschisis (機能解離).循環化学6 : 990-993, 1986 11) 後藤文男, 福内靖男 : 脳血管障害に治療と予後に関する多施設共同研究.第3報.小脳出血.脳卒中14 : 487-494, 1992 7) 澤田 徹 : 被殻出血の保存的治療成績.高血圧性脳出血の治療.2 : 9-15, 1987 12) Steiner I, Gomori JM, Melamed E : The prognostic value of the CT scan in conservatively treated patients with intracerebral hematoma. Stroke 5 : 279-282, 1984 30) 金子満雄 : 被殻出血に対する超早期呪術.Neurosurgeons6 : 378-380, 1987 24) 遠藤英雄, 金谷春之, 江尻孝夫 : 脳出血と脳血流-脳血流測定は臨床に有用か-.臨床成人病19 : 37-43, 1989 22) Yamanaka R, Satoh S : Cerebral blood flow in patients with putaminal hemorrhage after aspiration or convervative treatment. Neurol Med Chir (Tokyo) 29 : 15-19, 1989 6) 吉永真也, 木村雅人, 田中達郎ら : 高血圧性被殻出血例のXe-CT scanによる経時的脳血流量測定-急性期から慢性期にかけて-.CT研究12 : 299-304, 1990 27) Lassen NA : The luxury-perfusion syndrome and its possible relation to acute metabolic acidosis located with the brain. Lancet 2 : 1113-1115, 1966 10) 宇野昌明, 松本圭蔵 : 原発性小脳出血の臨床的検討.脳卒中13 : 165-174, 1991 9) 加川瑞夫 : 視床出血急性期の病態と治療.脳卒中9 : 549-553, 1987 18) 佐古和廣, 牧野憲一, 米増祐吉ら : 皮質下出血-臨床像, 病因, 転帰-.神経内科27 : 325-330, 1987 |
| References_xml | – reference: 17) 山口武典, 尾前 豪 : 皮質下出血の臨床.高血圧性脳出血の治療6 : 79-85, 1991 – reference: 23) Suzuki R, Ohno K, Matsushima Y, et al : Serial changes in focal hyperemia associated with hypertensive putaminal hemorrhage. Stroke 19 : 322-325, 1988 – reference: 25) Gotoh F, Meyer JS, Tomita M : Carbonic anhyd rase inhibition and cerebral venous blood gases and ions in man. Arch Intern Med 117 : 37 -46, 1966 – reference: 14) 田中靖通, 中村順一 : 皮質下出血の外科的治療予後.高血圧性脳出血の治療6 : 88-97, 1991 – reference: 18) 佐古和廣, 牧野憲一, 米増祐吉ら : 皮質下出血-臨床像, 病因, 転帰-.神経内科27 : 325-330, 1987 – reference: 2) Meyer JS, Naritomi H, Sasaki F, et al : Regional cerebral blood flow, diaschisis, and steal after stroke. Neurol Res 1 : 101-119, 1979 – reference: 27) Lassen NA : The luxury-perfusion syndrome and its possible relation to acute metabolic acidosis located with the brain. Lancet 2 : 1113-1115, 1966 – reference: 10) 宇野昌明, 松本圭蔵 : 原発性小脳出血の臨床的検討.脳卒中13 : 165-174, 1991 – reference: 13) 吉本尚規, 藤田浩史, 太田桂二ら : 高血圧性皮質下出血の臨床的検討.手術適応と長期予後について.脳神経外科16 : 1465-1470, 1988 – reference: 30) 金子満雄 : 被殻出血に対する超早期呪術.Neurosurgeons6 : 378-380, 1987 – reference: 9) 加川瑞夫 : 視床出血急性期の病態と治療.脳卒中9 : 549-553, 1987 – reference: 19) 金谷春之, 湯川英機, 伊藤善太郎ら : 高血圧性脳出血における新しいNeurological GradingおよびCTによる血腫分類とその予後について.高血圧性脳出血の外科3 : 265-270, 1978 – reference: 24) 遠藤英雄, 金谷春之, 江尻孝夫 : 脳出血と脳血流-脳血流測定は臨床に有用か-.臨床成人病19 : 37-43, 1989 – reference: 22) Yamanaka R, Satoh S : Cerebral blood flow in patients with putaminal hemorrhage after aspiration or convervative treatment. Neurol Med Chir (Tokyo) 29 : 15-19, 1989 – reference: 8) 金谷春之 : 高血圧性脳出血の治療の現況-全国調査の成績より-.脳卒中12 : 509-524, 1990 – reference: 20) 安部重蔵, 安達茂樹, 林 龍男ら : 殻出血における脳血流量の長期観察-手術群と非手術群の比較検討-.脳卒中の外科23 : 193-198, 1995 – reference: 3) 上村和夫, 宍戸文男 : Diaschisis (機能解離).循環化学6 : 990-993, 1986 – reference: 6) 吉永真也, 木村雅人, 田中達郎ら : 高血圧性被殻出血例のXe-CT scanによる経時的脳血流量測定-急性期から慢性期にかけて-.CT研究12 : 299-304, 1990 – reference: 12) Steiner I, Gomori JM, Melamed E : The prognostic value of the CT scan in conservatively treated patients with intracerebral hematoma. Stroke 5 : 279-282, 1984 – reference: 29) 吉永真也, 田中達郎, 田中達郎ら : 高血圧性被殻出血における局所脳血流量の経時的検討-開頭血腫除去群とCT誘導血腫吸引群の比較-.CT研究16 : 143-147, 1994 – reference: 15) Ropper AH, Davis KR : Lober cerebral hemorrhage : Acute clinical syndromes in 26 cases. Ann Neurol 8 : 141-147, 1980 – reference: 4) Atting E, Capon A, Demeurisse G, et al : Remote effect of deep-seated vascular brain lesions on cerebral blood flow. Stroke 21 : 1555 -1561, 1990 – reference: 21) Ackerman RH, Kellyu ER, Davis SM, et al : Positron imaging of CBF and metabolism in nontraumatic intracerebral hemorrhage. In Minakami M, Kanaya H, et al (eds) : Hypertensive Intracerebral Hemorrhage. New York : Raven Press, 1983, pp165-176 – reference: 26) Vorstrup S, Henrikesen L, Paulson OB : Effect of acetazolamide on cerebral blood flow and cerebral metabolic rate for oxygen. J Clin Invest 74 : 1934-1939, 1984 – reference: 1) Høedt-Rasmussen K, Skinhøj E : Transneural depression of the cerebral hemispheric metabolism in man. Acta Neurol Scand 40 : 41 -46, 1964 – reference: 16) 小島 精, 和賀志郎, 坂倉 允ら : 大脳皮質下出血の治療.脳卒中7 : 314-320, 1985 – reference: 5) Tanizaki Y : Improvement of cerebral blood flow following stereotactic surgery in patients with putaminal hemorrhage. Acta Neurochir (Wien) 90 : 103-110, 1988 – reference: 7) 澤田 徹 : 被殻出血の保存的治療成績.高血圧性脳出血の治療.2 : 9-15, 1987 – reference: 11) 後藤文男, 福内靖男 : 脳血管障害に治療と予後に関する多施設共同研究.第3報.小脳出血.脳卒中14 : 487-494, 1992 – reference: 28) Kurata A, Miyasaka Y, Kitahara T, et al : Subcortical cerebral hemorrhage with reference to vascular malformations and hypertension as causes of hemorrhage. Neurosurgery 32 : |
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| Title | Sequential changes in cerebral blood flow in patients with hypertensive subcortical intracerebral hematoma |
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