| ○種別 (必須): | □ | 学術論文 (審査論文)
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| ○言語 (必須): | □ | 英語
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| ○著者 (必須): | 1. | 溝渕 佳史
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| 2. | 中島 公平 ([徳島大学.病院.先端医科医療開発研究プロジェクト]/[徳島大学.病院.診療科.脳·神経·精神科.脳神経外科])
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| 3. | 藤原 敏孝 ([徳島大学.病院.中央診療施設等.てんかんセンター])
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| 4. | 松﨑 和仁
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| 5. | 牟礼 英生
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| 6. | 永廣 信治
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| 7. | 髙木 康志 ([徳島大学.大学院医歯薬学研究部.医学域.医科学部門.外科系.脳神経外科学])
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| ○題名 (必須): | □ | (英) The risk of hemorrhage in stereotactic biopsy for brain tumors. (日)
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| ○要約 (任意): | □ | (英) Objective : One major complication associated with STB is intratumoral hematoma, which is also the most common cause of morbidity related to permanent paralysis and mortality in STB. The risk of perioperative hemorrhage is generally between 1% and 10%, but this could be an underestimation since it is not common for many neurosurgeons to perform CT scans after uncomplicated STBs. In this study, we describe the incidence of cerebral hemorrhage, including asymptomatic cerebral hemorrhage. Methods : We recently reviewed data on the diagnosis rate and occurrence of complications, including symptomatic and asymptomatic cerebral hemorrhage, in 80 patients who underwent STB at our facility between 2005 and 2014. Results : Histological diagnosis was established for 75 cases (93.8%), glioma was the most frequently encountered tumor. Symptomatic hemorrhage was observed in two cases (2.6%), with the symptoms subsiding within two days. The morbidity and mortality rate was 0%. However, asymptomatic hemorrhages were observed in 23 cases (28.8%). Conclusion : Stereotactic biopsy is a less invasive procedure for obtaining samples of brain tumors for diagnosis. The bleeding of the tissue-resection cavity that includes asymptomatic hemorrhage occurs at a constant rate. It is important to reduce the symptomatic bleeding associated with stereotactic biopsy. J. Med. Invest. 66 : 314-318, August, 2019. (日)
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| ○キーワード (推奨): | 1. | (英) Adolescent (日) (読)
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| 2. | (英) Adult (日) (読)
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| 3. | (英) Aged (日) (読)
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| 4. | (英) Aged, 80 and over (日) (読)
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| 5. | (英) Biopsy (日) (読)
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| 6. | (英) Brain (日) (読)
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| 7. | (英) Brain Neoplasms (日) (読)
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| 8. | (英) Cerebral Hemorrhage (日) (読)
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| 9. | (英) Female (日) (読)
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| 10. | (英) Humans (日) (読)
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| 11. | (英) Male (日) (読)
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| 12. | (英) Middle Aged (日) (読)
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| 13. | (英) Stereotaxic Techniques (日) (読)
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| 14. | (英) Young Adult (日) (読)
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| ○発行所 (推奨): |
| ○誌名 (必須): | □ | The Journal of Medical Investigation : JMI ([徳島大学.医学部])
(pISSN: 1343-1420, eISSN: 1349-6867)
| ○ISSN (任意): | □ | 1349-6867
ISSN: 1343-1420
(pISSN: 1343-1420, eISSN: 1349-6867) Title: The journal of medical investigation : JMITitle(ISO): J Med InvestSupplier: 徳島大学Publisher: University of Tokushima (NLM Catalog)
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(医中誌Web)
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(Scopus)
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| ○巻 (必須): | □ | 66
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| ○号 (必須): | □ | 3,4
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| ○頁 (必須): | □ | 314 318
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| ○都市 (任意): |
| ○年月日 (必須): | □ | 西暦 2019年 0月 初日 (平成 31年 0月 初日)
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| ○URL (任意): |
| ○DOI (任意): | □ | 10.2152/jmi.66.314 (→Scopusで検索)
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| ○PMID (任意): | □ | 31656296 (→Scopusで検索)
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| ○備考 (任意): | 1. | (英) Article.ELocationID: 10.2152/jmi.66.314 (日)
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| 2. | (英) Article.PublicationTypeList.PublicationType: Journal Article (日)
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| 3. | (英) KeywordList.Keyword: intratumoral hematoma (日)
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| 4. | (英) KeywordList.Keyword: silent hemorrhage (日)
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| 5. | (英) KeywordList.Keyword: stereotactic biopsy (日)
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