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Medical technology in treatment of intracerebral hemorrhage Junta Moroi 1 1Department of Surgical Neurology, Research Institute for Brain and Blood Vessels-Akita Keyword: 脳出血 , 病態 , 治療 , 臨床検査 pp.1515-1521
Published Date 2010/11/15
DOI https://doi.org/10.11477/mf.1542102471
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Intracerebral hemorrhage remains a critical health issue that can adversely affect the ADL of many patients. Hypertension is the greatest cause of cerebral hemorrhage, and arteriovenous malformation, aneurysm, moyamoya disease, cavernous angioma and amyloid angiopathy also cause the condition. Neuroradiological examinations such as CT (computed tomography), MRI (magnetic resonance imaging) and cerebral angiography are very useful for diagnosis. On the other hand, in the treatment of cerebral hemorrhage, laboratory data such as blood tests or physiological examination are also very important. The hemorrhagic diathesis test is particularly important because it affects the increase in hematoma volume, the outcome of the patient and the risk of surgical evacuation. According to the current guidelines for stroke, there are few indications of surgical evacuation for cerebral hemorrhage, but it is necessary to distinguish cavernous angioma, amyloid angiopathy or brain tumor by pathological examination in order to diagnose causes of hemorrhage other than hypertension. In addition, screening of latent heart disease and deep venous thrombosis by performing cardiac ultrasonography and lower limb vein sonography make it possible to avoid these critical complications during the acute phase and rehabilitation period of intracerebral hemorrhage.


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電子版ISSN 1882-1367 印刷版ISSN 0485-1420 医学書院

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