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ID 116045
Title Alternative
An autopsy experience of a case with amyotrophic lateral sclerosis treated in a remote rural hospital
地域中核病院から病理解剖を依頼したALS
Author
Hanada, Kenta Naka Municipal Kaminaka Hospital|Tokushima University
Kakimoto, Takumi Tokushima University
Shima, Kasane Tokushima University
Muto, Kohei Tokushima University
Fukumoto, Tatsuya Tokushima University
Fujita, Koji Tokushima University
Kito, Hideki Naka Municipal Kaminaka Hospital
Keywords
neurodegenerative diseases
autopsy
rural area
amyotrophic lateral sclerosis
Content Type
Journal Article
Description
An 82-year-old man, who developed dysphagia several months ago, presented Tokushima University Hospital and was diagnosed of ALS in December 2019. The patient got gradually worse and became bedridden in May 2020. He was admitted into Tokushima University Hospital suffering an aspiration pneumonia in June 2020. The pneumonia rapidly improved with a treatment ; however, the patient failed to be treated at home against his wish and was transferred to Kaminaka Hospital. We accepted his wish for refusing mechanical ventilation or tube feeding. Later, we requested autopsy consent from the patient. He did not refuse our proposal ; therefore, we presearched transporters capable to deceased bodies and contacted the division of pathology in Tokushima University. 60 days later, the patient died due to a suddenly developed putamen hemorrhage. After getting the family's consent, as previously arranged, we transferred the deceased body to Tokushima University and accomplished an autopsy. Although the number of autopsies is declining, we suggest that hospital collaboration may help perform autopsies.
Journal Title
Shikoku Acta Medica
ISSN
00373699
NCID
AN00102041
Publisher
徳島医学会
Volume
77
Issue
1-2
Start Page
91
End Page
94
Sort Key
91
Published Date
2021-04-25
FullText File
language
jpn
TextVersion
Publisher
departments
University Hospital
Medical Sciences