New Lecture 1 くも膜下出血(改訂第2版)

出版社： 篠原出版新社
著者：
発行日： 1989-06-15
分野： 臨床医学：外科  >  脳神経外科学
ISBN： 9784879490957
電子書籍版： 1989-06-15 （改訂第2版第1刷）
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本書には、くも膜下出血の主因である脳動脈瘤と脳動静脈奇形などの疫学、自然経過から、診断、術前、術中、術後の管理、手術のタイミングと手術手技、vasospasmの病態と治療、予防策について詳細に記述されている。

目次

  • 表紙
  • 推薦のことば ( 第1版 )
  • 推薦のことば ( 第1版 )
  • 序文 ( 改訂第2版 )
  • 序文 ( 第1版 )
  • 本書で用いる略語
  • 目次
  • I. 脳動脈瘤
  • 1. Epidemiology
  • 1. 発生頻度
  • 2. Natural History
  • 1. いつ再出血するか
  • 2. natural history ( natural morbidity and mortality ) と手術の効果
  • 3. Pathogenesis
  • 4. 診断
  • 1. 脳動脈瘤の破裂前診断
  • 2. "warning leak" について
  • 3. gradingについて
  • a. 臨床症状のgrading
  • b. くも膜下出血量に関するgrading
  • c. 血管攣縮のgradingと分類
  • 4. 脳血管撮影
  • a. 脳血管撮影中の再破裂
  • b. 破裂後の脳動脈瘤の大きさの変化
  • c. negative angiography
  • 5. computed tomography CT
  • a. 臨床所見との関係
  • b. くも膜下血腫
  • c. 脳内血腫
  • d. 脳室内出血
  • e. 低吸収域
  • f. 後頭蓋窩破裂脳動脈瘤のCT像
  • g. CT所見と予後
  • 6. magnetic resonance imaging MRI
  • 7. 眼底出血
  • 8. 髄液検査
  • 9. その他
  • 5. 術前管理
  • 1. くも膜下出血のsystemic effects
  • a. 心電図異常
  • b. neurogenic pulmonary edema
  • c. hypovolemia
  • d. hyponatremia
  • e. hypernatremia
  • f. hypotension
  • g. leucocytosis
  • 2. antifibrinolytic agentは再出血予防に効果があるか
  • 3. 術前のsymptomatic vasospasmにどう対処するか
  • 6. 手術のタイミング - 早期手術か晩期手術か
  • 1. 早期手術
  • 2. 晩期手術
  • 3. 早期手術と晩期手術のそれぞれの利点
  • 4. management morbidity and mortality
  • 5. Cooperative Study, Phase VII
  • 7. 手術と術中管理
  • 1. 低血圧・mannitolなど
  • 2. vasospasm予防のための術中操作
  • a. くも膜下血腫の除去はvasospasmを予防するか
  • b. 薬剤の局所塗布
  • 3. クリッピング以外の動脈瘤処置について
  • a. coating・wrapping
  • b. 親動脈の結紮
  • c. balloon techniqueによる脳動脈瘤の治療
  • 4. その他
  • 8. 術後の管理
  • 1. 脳血管攣縮
  • a. Key considerations
  • b. pathogenesis
  • c. 診断
  • d. 治療
  • 2. 術後のepilepsy
  • 3. 脳動脈瘤破裂後の水頭症
  • 9. 各部位における脳動脈瘤の問題点
  • 1. 前交通動脈瘤
  • 2. 内頸動脈瘤
  • a. 錐体骨部の内頸動脈瘤
  • b. 海綿静脈洞部の内頸動脈瘤
  • c. 内頸動脈 - 眼動脈分岐部動脈瘤
  • d. ventral paraclinoid carotid aneurysm
  • e. 内頸動脈 - 後交通動脈分岐部動脈瘤
  • f. C2部の粒状またはチマメ状動脈瘤
  • g. 内頸動脈 - 前脈絡動脈分岐部動脈瘤
  • 3. 中大脳動脈瘤
  • 4. 椎骨脳底動脈瘤
  • 10. 特殊な脳動脈瘤
  • 1. 巨大脳動脈瘤
  • 2. 解離性脳動脈瘤
  • 3. 紡錘状動脈瘤
  • 4. 動脈硬化性脳動脈瘤
  • 5. 外傷性頭蓋内動脈瘤
  • 6. mycotic aneurysm
  • 7. 腫瘍性脳動脈瘤
  • 8. もやもや病に合併した脳動脈瘤
  • 9. 脳梗塞に合併した脳動脈瘤
  • 10. phakomatosisと脳動脈瘤
  • 11. fibromuscular dysplasiaと脳動脈瘤
  • 12. 脳腫瘍に合併した脳動脈瘤
  • 13. 大動脈炎症候群に合併した脳動脈瘤
  • 14. 小児の脳動脈瘤
  • 15. 高齢者の破裂脳動脈瘤
  • 16. その他
  • 11. 未破裂脳動脈瘤
  • 1. 破裂する確率
  • 2. 手術適応
  • 3. 手術成績
  • 4. 未破裂脳動脈瘤術後の血管攣縮
  • 12. 再手術
  • 1. failed aneurysm clip
  • 2. aneurysm restについて
  • 3. クリップの締挾力
  • 4. 動脈瘤クリップによる血管の損傷
  • 5. 動脈瘤クリップの破損
  • 6. 脳動脈瘤の新生
  • 13. Follow - up Study
  • II. 脳動静脈奇形
  • 1. Natural History
  • 1. いつ出血するか
  • 2. natural historyからみた手術適応
  • 3. familial AVM
  • 4. multiple AVM
  • 5. AVMの大きさの変化
  • 2. 症状
  • 1. 出血
  • 2. 水頭症
  • 3. 痙攣発作
  • 4. 動静脈短絡による周囲脳組織の慢性乏血
  • 5. その他
  • 3. 診断
  • 1. computed tomography CT
  • 2. magnetic resonance image MRI
  • 3. occult AVM
  • 4. AVMにおける脳血管攣縮
  • 4. 手術困難な脳動静脈奇形
  • 1. 脳梁部の脳動静脈奇形
  • 2. 脳室・傍脳室脳動静脈奇形
  • 3. 基底核部の脳動静脈奇形
  • 4. 側頭葉内側部の脳動静脈奇形
  • 5. 後頭蓋窩の脳動静脈奇形
  • 6. vein of Galen malformation or aneurysm
  • 5. 全摘出術以外の手段
  • 1. embolization
  • 2. radiation therapy
  • 3. electrothrombosis
  • 6. Normal Perfusion Pressure Breakthrough
  • 7. Reserve Nidus
  • 8. 脳動静脈奇形に合併する脳動脈瘤
  • 9. その他の脳血管奇形
  • 1. 静脈性血管腫venous angioma
  • 2. 静脈瘤varix
  • III. 脊髄動静脈奇形
  • 1. Spinal subarachnoid hemorrhage
  • 2. 脊髄動静脈奇形
  • 1. 症状
  • 2. 診断
  • 3. 分類
  • 4. 治療
  • IV. その他のトピックス
  • 1. もやもや
  • 1. もやもやはくも膜下出血をおこすか
  • 2. もやもやに合併する脳血管障害
  • 2. 未熟児の脳室内出血
  • 3. 頭蓋内硬膜動静脈奇形
  • 4. 妊娠とくも膜下出血
  • 5. 外傷性くも膜下出血
  • 6. 小児のくも膜下出血・原因不明例など
  • 7. DICとくも膜下出血
  • 8. Systemic lupus erythematosus SLEとくも膜下出血
  • 9. 腰椎穿刺による脊髄くも膜下血腫
  • 引用図表
  • 索引
  • 奥付

この書籍の参考文献

参考文献のリンクは、リンク先の都合等により正しく表示されない場合がありますので、あらかじめご了承下さい。

本参考文献は電子書籍掲載内容を元にしております。

I. 脳動脈瘤

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P.13 掲載の参考文献
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P.22 掲載の参考文献
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安藤隆, 岩井知彦, 清水言行・他 : モヤモヤ病に合併した脳動脈瘤-自験6例の検討. 脳卒中の外科, 16 : 161-167, 1988.
 
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蓮江正道, 三輪哲郎 : 脳動脈瘤を合併した両側椎骨動脈および後頭動脈fibromuscular dysp! asiaの1例. Neurol Med Chir, 25 : 381-386, 1985.
 
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Handa J, Matsuda I, Handa H : Association of brain tumor and intracranial aneurysms. Surg Neurol, 6 : 25-29, 1976.
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水野誠, 山内康雄, 岡信行・他 : 大動脈炎症候群に伴う破裂脳動脈瘤の1例. 脳神経外科, 13 : 661-667, 1985.
 
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Ferrante L, Fortuna A, Celli P, et al. : Intracranial arterial aneurysms in early childhood. Surg Neurol, 26 : 39-56, 1988.
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Freitas PE, Aquini MG, Chemale I : Persistent primitive trigeminal artery aneurysm. Surg Neurol, 26 : 373-374, 1986.
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浅利正二, 山本祐司 : 未破裂脳動脈瘤-80例の臨床的検討と新しい分類について- 脳と神経, 38 : 693-700, 1986.
 
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II. 脳動静脈奇形

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時村洋, 厚地政幸, 轟木好司・他 : 顔面痙攣で発症した小脳動静脈奇形の1症例. 脳神経外科, 16 : 769-773, 1988.
 
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松森邦昭, 朝日茂樹, 中山賢司・他 : くも膜下出血を示した脳動静脈奇形における脳血管攣縮の検討. 脳神経外科, 11 : 829-834, 1983.
 
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半田肇, 橋本信夫 : 脳動静脈奇形によるクモ膜下出血. 臨床外科, 30 : 61-67, 1975.
 
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Yasargil MG, Jain KK, Antic J, et al. : Arteriovenous malformations of the anterior and the middle portions of the corpus callosum : microsurgical treatment・Surg Neurol, 5 : 67-80, 1976.
 
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金是仁, 斉藤勇, 有竹康一・他 : Paraventricular AVM, 第4回脳卒中の外科研究会講演集, p. 1-7, にゅーろん社 (東京), 1975.
 
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金是仁, 斉藤勇, 有竹康一・他 : Paraventricular AVM, 第4回脳卒中の外科研究会講演集, p. 1-7, にゅーろん社 (東京), 1975.
 
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斉藤勇 : 基底核部動静脈奇形の治療, 脳動静脈奇形の治療. The 2 nd Meeting of The Mt. Fuji Workshop on CVD, pp. 67-74, 半田肇・佐野圭司 (監), 端和夫・斉藤勇 (編) 小玉 (株) 出版部, 東京, 1984.
 
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Heros RC : Arteriovenous malformation of the medial temporal lobe. J Neurosurg, 56 : 44-52, 1982.
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Drake CG : Surgical removal of arteriovenous malformations from the brain stem and cerebellopontine angle. J Neurosurg, 43 : 661-670, 1975.
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松村浩, 三木一仁 : Brain stemおよびupper cerebellar surfaceのAVM. p. 77-83, 1984.
 
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米川泰弘, 石川正恒, 半田肇 : 上位脳幹部のAVM. 脳神経外科, 12 : 1467-1474, 1984.
 
P.171 掲載の参考文献
Johnston IH, Whittle IR, Besser M, et al. : Vein of Galen malformation : Diagnosis and management. Neurosurgery, 20 : 747-758, 1987.
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Debrun G, Vinuela F, Fox A, et al. : Embolization of cerebral arteriovenous malformations with bucrylate. Experience in 46 cases. J Neurosurg, 56 : 615-627, 1982.
 
Luessenhop AJ, Rosa L : Cerebral arteriovenous malformation. Indication for and results of surgery, and the role of intravascular techniques. J Neurosurg, 60 : 14-22, 1984.
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Romodanov AP, Zozulia YA, Shcheglov VI : Balloon catheter occlusion of the feeding vessels of arteriovenous malformations of the brain. Zentrabl Neurochir, 40 : 21-28, 1979.
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Serbinenko FA : Six hundred endovascular neurosurgical procedures in vascular pathology. A ten-year experience. Acta Neurochir, Suppl, 28 : 310-311, 1979.
 
Wolpert SW, Stein BM : Factors governing the course of emboli in the therapeutic embolization of cerebral arteriovenous malformations. Neurorad, 131 : 125-131, 1979.
 
米川泰弘, 石川正恒, 半田 肇 : 上位脳幹部のAVM. 脳神経外科, 12 : 1467-1474, 1984.
 
神保実 : 脳動静脈奇形のガンマメスによる治療. 脳と神経, 37 : 114-116, 1985.
 
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石川正恒, 半田 肇, 米田俊一 : Electrothrombosis. 脳動静脈奇形の治療. The 2nd Meeting of The Mt. Fuji Workshop on CVD, pp. 147-159, 半田肇・佐野圭司 (監), 端和夫・斉藤勇 (編) 小玉 (株) 出版部, 東京, 1984.
 
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Day AL, Friedman WA, Syert GW, et al. : Successful treatment of the normal perfUsion pressure breakthrough syndrome. Neurosurgery, 11 : 625-630, 1982.
 
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Morgan MK, Johnston I, Besser M, et al., : Cerebral arteriovenous malformations, stcal, and the hypertensivc breakthrough threshold. An experimental study in rats. J Neurosurg, 66 : 563-567, 1987.
 
Peerlcss SJ : Comments on Day AL, ct al. : Successful treatment of the normal perfusion pressure breakthrough syndrome. Neurosurgery, 11 : 629-630, 1982.
 
Pertuiset B, Ancri D, Lienhart A : Profound arterial hypotension (MAP≦ (50 mmHg) induced with neuroleptanalgesia and sodium nitroprusside (series of 531 cascs). Reference to vascular autoregulation mechanism and surgery of vascular malformations of the brain. in Krayenbuhl & Zurich (eds) : Advances and technical standards in ncurosurgery. Vol. 8 pp 75-122, 1981, Springer-Verlag, Wien, Ncw York.
 
Spetzler RF, Wilson CB, NVeinstein P, et al. : Normal perfusion prcssure breakthrough theory. Clin Neurosurgery, 25 : 561-672, 1977.
 
P.182 掲載の参考文献
Sano K, Ueda Y, Saito I : Subarachnoid hemorrhage in children. Chitd's Brain, 4 : 38-46, 1978.
 
杉田度一郎 : 脳深部及び後頭蓋窩のAVM. Neurosurgeons, 14 : 289-297, 1984.
 
P.184 掲載の参考文献
林靖二, 船橋利理, 板倉徹・他 : 脳動脈瘤発生に及ぼすhemodynamic stressの重要性-脳動脈瘤・脳動静脈奇形合併例の分析-. Neurol Med Chir, 22 : 219-226, 1982.
 
Luessenhop AJ, Rosa L : Cerebral arteriovenous mal｛brmation. Indication for and results of surgery and the role of intravascular techniques. J Neurosurg, 60 : 14-22, 1984.
 
宮坂佳男, 伊藤比呂志, 高野尚治・他 : 脳動静脈奇形と脳動脈瘤併存例の治療. 脳卒中の外科, 16 : 113-117, 1988.
 
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塩川芳昭, 青木信彦, 久保田勝・他 : 脳動脈瘤と脳動静脈奇形合併例の治療. 脳卒中の外科, 16 : 118-122, 1988・
 
Suzuki J, Hori S, Sakurai Y : Intracranial aneurysms in the neurosurgical clinics in Japan. J Neurosurg, 35 : 34-39, 1971.
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田中輝彦, 安藤彰, 中村公明・他 : 後頭蓋窩における脳動脈瘤とAVMの合併例. 脳卒中の外科, 16 : 157-160, 1988.
 
土田博美, 宮崎雄二 : 同一動脈, 同一領域に脳動脈瘤と動静脈奇形が存在した1例. 脳神経外科, 4 : 997-1003, 1976.
 
山浦晶 : 脳動静脈奇形を合併した椎骨脳底動脈瘤例の検討. 脳卒中の外科, 16 : 153-156, 1988.
 
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Hacker DA, Latchan RE, Chou SN, et al. : Bilateral cerebellar venous angioma. J Comput Assist Tomogr, 5 : 424-426, 1981.
 
Malik GM, Morgan DK, Boulos RS, et al. : Venous angioma : An underestimated cause of intracranial hemorrhage. Surg Neurol, 30 : 350-358, 1988.
 
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Rothfus WE, Albright AL, Casey KF, et al. : Cerebellar venous angioma : "benign" entity？ AJNR, 5 : 61-66, 1984.
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Sarwar M, Mc Cormick WF : Intracerebral venous angioma. Arch Neurol, 35 : 323-325, 1978.
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Wilkins RH : Natural history of intracranial vascular malformations : a review. Neurosurgery, 16 : 421-30, 1985.
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Roda JM, Bencosme J, Isla A, et al. : Intraventricular varix causing hemorrhage. Case report. J Neurosurg, 68 : 472-473, 1988.
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Vinuela F, Drake CG, Fox AJ, et al. : Giant intracranial varices secondary to high-flow arteriovenous fistulae. J Neurosurg, 66 : 198-203, 1987.
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III. 脊髄動静脈奇形

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Swann Kw, RopPer AH, New PFJ, et al. : Spontaneoms spinal subarachnoid hemorrhage and subdural hematoma : Report of two cases. J Neurosurg, 61 : 975-980, 1984.
 
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Djindjian M, Djindjian R, Hurth M, et al. : Steal phenomena in spinal arteriovenous malformations. J Neuroradiol, 5 : 187-201, 1978.
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唐澤淳, 菊池晴彦, 宮本享 : 脊髄動静脈奇形の治療. Neurosurgeons, 4 : 309-321, 1984.
 
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Miyamoto S, Kikuchi H, Karasawa J, et al. : Spinal cord arteriovenous malformations associated with spinal aneurysms. Neurosurgerry, 13 : 577-580.
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Doppman JL, Di chiro G, Dwyer AJ, et al. : Magnetic resonance imaging of spinal arteriovenous malformation. J Neurosurg, 66 : 830-834, 1987.
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唐澤淳, 菊池晴彦, 宮本享 : 脊髄動静脈奇形の治療. Neurosurgeons, 4 : 309-321, 1984.
 
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DiChiro G, Werner L : Angiography of the spinal cord. A review of contemporary techniques and apPlications. J Neurosurg, 39 : 1-29, 1973.
 
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Symon L, Kuyama H, Kendall B : Dural arteriovenous malformations of the spine. Clinical features and surgical results in 55 cases. J Neurosurg, 60 : 238-247, 1984.
 
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唐澤淳, 菊池晴彦, 宮本享 : 脊髄動静脈奇形の治療. Neurosurgeons, 4 : 309-321, 1984.
 

IV. その他のトピックス

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鈴木二郎, 児玉南海雄, 峯浦一喜 : 脳血管Moyamoya病の症状発現機序. 脳神経, 28 : 459-470, 1976.
 
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永山徹, 嘉山孝正, 鈴木晋介・他 : Moyamoya病に脳動静脈奇形が合併した1症例. 脳神経外科, 13 : 1349-1354, 1985.
 
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Ment LR, Stewart WB, Duncan CC : Beagle puppy model of intraventricular hemorrhage : Effect of superoxide dismutase on cerebral blood flow and prostaglandin. J Neurosurg, 62 : 563-569, 1985.
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Ment LR, Stewart WB, Duncan CC, et al. : Beagle puppy model of perinatal cerebral insults. J Neurosurg, 65 : 847-850, 1986.
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Papille L-A, Burstein J, Burstein R, et al. : Incidence and evolution of subependymal and intraventricular hemorrhage : A study of infants with birth weights less than 1,500 gm. J Pediatrics, 92 : 529-534, 1978.
 
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Malik GM, Pearce JE, Ausman JI, et al. : Dural arteriovenous malformations and intracranial hemorrhage. Neurosurgery, 15 : 332-339, 1984.
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久保田基夫, 山浦晶, 西山裕孝・他 : 妊娠中の頭蓋内出血について, Neurol Med Chir, 25 : 640-644, 1985.
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安川浩司, 重田裕明, 百瀬玄機・他 : 外傷性くも膜下出血 (16自験例とその臨床的検討). 脳神経外科, 16 : 482-486, 1988.
 
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横田裕行, 小林士郎, 中沢省三・他 : CTスキャンによる播種性血管内凝固症候群の頭蓋内病変の検討. 神経外科, 26 : 870-876, 1986.
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Ellis GG, Verity MA : Central nervous system involvement in systemic lupus erythematosus : a review of neuropathologic findings in 57 cases, 1955-1977. Semin Arthritis Rheum, 8 : 212-21, 1979.
 
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花北順哉, 三宅英則, 豊田忠之 : 腰椎穿刺後の脊髄クモ膜下血腫による急性対麻痺. Neurol Med Chir, 27 : 1005-1009, 1987.
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