ID 110470
Title Transcription
ノウコウソク ノ キュウセイキ チリョウ : Stroke Care Unit オ チュウシン トシテ
Title Alternative
Treatment of acute cerebral infarction in stroke care unit
Author
Uno, Masaaki Department of Neurological Surgery, The University of Tokushima School of Medicine
Shinno, Kiyohito Department of Neurological Surgery, The University of Tokushima School of Medicine
Matsubara, Shunji Department of Neurological Surgery, The University of Tokushima School of Medicine
Sato, Koichi Department of Neurological Surgery, The University of Tokushima School of Medicine
Nagahiro, Shinji Department of Neurological Surgery, The University of Tokushima School of Medicine Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Keywords
cerebral infarction
diffusion-weighted MRI
perfusion-weighted MRI
treatment
stroke care unit
Content Type
Journal Article
Description
Stroke remains the second or third leading cause of the death and major cause of adultdisability in Japan. Cerebral infarction is major cause of stroke, therefore, it is very importantthat precious diagnosis and acute treatment of cerebral infarction should be done.Recently diffusion-weighted (DWI) and perfusion-weighted MRI (PWI) were clinically used andsensitivity of these stools is superior to T2-MRI in diagnosis of acute cerebral infarction.We performed acute intra-arterial thrombolysis and evaluated this efficacy by DWI andPWI. For the patients with embolic cerebral infarction, anticoagulant therapy should beperformed and tarns-esophageal heart echography in acute stage of infarction is useful fordetection of embolic source. Stroke Care Unit (SCU) was opened in our hospital since lastNovember and 8 patients per month were admitted to SCU. Over 75% of patients weretreated conservatively, and 6 patients were performed intra-arterial thrombolysis. Over80% of patients with cerebral infarction in SCU showed good clinical recovery. We needmore patients to show the superiority compared to the general medical wards.
Journal Title
四国医学雑誌
ISSN
00373699
NCID
AN00102041
Publisher
徳島医学会
Volume
56
Issue
6
Start Page
213
End Page
217
Sort Key
213
Published Date
2000-12-25
FullText File
language
jpn
TextVersion
Publisher
departments
University Hospital