著者

太田 富雄 和賀 志郎 半田 肇 斉藤 勇 馬杉 則彦 竹内 一夫 鈴木 二郎 高久 晃

出版者

一般社団法人 日本脳卒中の外科学会

雑誌

脳卒中の外科研究会講演集 (ISSN:03878031)

巻号頁・発行日

vol.3, pp.61-68, 1975-06-06 (Released:2012-10-29)

参考文献数

15

被引用文献数

1

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Disturbance of consciousness in acute stage, so far, has been classified by using a set of technical terms such as coma, stupor, somnolence, confusion and so on. However, the definition of such terms has a different nuance from one clinic to another, and this made the comparison of the data on the same topics incomplete and incorrect. Because of this, it is true in most neurosurgical clinics in Japan that the severity of the disturbance of consciousness has long been described with grades of the responsiveness to different stimuli laden to the patients.In order to obtain an universal classification on this matter, possibility ef quantitative and qualitative gradings has been searched by means of combining the following three factors; arousal, responsiveness to mechanical and verbal stimuli, and the contents of consciousness. Table shows our proposal of quantitative and partially qualitative grading of the disturbance of consciousness in acute stage. Deep coma, coma and semicoma in the contemporary usage belong to grade III in our classification; stupor, lethargy, hypersomnia, somnolence, and drowsiness belong to grade II, and delirium, confusion, and senselessness belong to grade I.Features of this new grading of the disturbance of consciousness in acute stage have been discussed.Table: New grading of level of consciousness in acute stage (So-ocalled 3-3-9 formula) Grade III. The patient is unable to be arousen with any forceful mechanical stimulus, and(300) 3. is not responsive at all except for change of respiratory rhythm,(200) 2. is responsive with slight movements including decerebrate response, or(100) 1. is responsive with combative oropurposeful movements. Grade II. The patient is able to be arousen with mechanical or verbal stimuli, and(30) 3. is barely arousen with repeated mechanical stimuli,(20) 2. is arousen with loud voice or shaking shoulders, or(10) 1. is arousen easily with usual voice. Grade I. The patient is awake without any stimulus, and(3) 3. is quite senseless and cannot tell even his own name or date of birth,(2) 2. is disorientated to time, place, and person, or(1) 1. is seemingly alert but not fully so. “R” and“Inc” are added to the grading in case of restlessness and incontinence.

著者

中原 一郎 森竹 浩三 半田 肇 小林 修一 長安 慎二 奥野 武彦 中野 善久

出版者

一般社団法人 日本小児神経学会

雑誌

脳と発達 (ISSN:00290831)

巻号頁・発行日

vol.18, no.1, pp.14-20, 1986-01-01 (Released:2011-08-10)

参考文献数

19

被引用文献数

1

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ビタミンK欠乏性頭蓋内出血6例の臨床分析を行った結果, 適切な治療を行ったにもかかわらず, その臨床神経学的予後は不良であった. 微小脳血管構築の特殊性, 脳血液関門の未熟性など, 本症発症時期における小児脳の発達上の特殊性が, 本症の不良な予後ならびにその特徴的なCT所見に密接に関連するものと推定される. 以上の観点から, リスク児の早期のスクリーニング, ビタミンK製剤の予防的投与など, 本症の発症予防の重要性を改めて強調した.

著者

滝 和郎 半田 肇 米川 泰弘 三宅 英則 小林 映 新島 京 筏 義人 玄 烝休 鈴木 昌和 清水 幸夫

出版者

The Japanese Society on Surgery for Cerebral Stroke

雑誌

脳卒中の外科研究会講演集 (ISSN:03878031)

巻号頁・発行日

vol.13, pp.159-164, 1984

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Fourteen cases of arteriovenous malformations (AVM) of the brain, dura and scalp were embolized with ethyl-cyanoacrylate. Injection of the ethyl-cyanoacrylate was performed either by direct puncture of the feeding arteries or transfemoral catheterization with a detachable and leak balloon catheter. For every injection, 0.3 to 1.0ml of cyanoacrylate was used. With additional surgical removal, eight AVMs were totally eradicated and the remaining AVMs were partially embolized. Among the AVMs, dural AVM was most suitable for the cyanoacrylate embolization, and a high rate (67%) of total embolization without surgical intervention was obtained.

著者

半田 肇 森竹 浩三

出版者

南江堂

雑誌

外科 (ISSN:0016593X)

巻号頁・発行日

vol.41, no.1, pp.p28-34, 1979-01