{"@context":{"@vocab":"https://cir.nii.ac.jp/schema/1.0/","rdfs":"http://www.w3.org/2000/01/rdf-schema#","dc":"http://purl.org/dc/elements/1.1/","dcterms":"http://purl.org/dc/terms/","foaf":"http://xmlns.com/foaf/0.1/","prism":"http://prismstandard.org/namespaces/basic/2.0/","cinii":"http://ci.nii.ac.jp/ns/1.0/","datacite":"https://schema.datacite.org/meta/kernel-4/","ndl":"http://ndl.go.jp/dcndl/terms/","jpcoar":"https://github.com/JPCOAR/schema/blob/master/2.0/"},"@id":"https://cir.nii.ac.jp/crid/1390282679615112960.json","@type":"Article","productIdentifier":[{"identifier":{"@type":"DOI","@value":"10.3995/jstroke.7.50"}},{"identifier":{"@type":"NAID","@value":"130003631834"}}],"dc:title":[{"@language":"en","@value":"Clinical analysis of pontine hemorrhage"},{"@value":"橋出血の臨床的検討"}],"dcterms:alternative":[{"@language":"en","@value":"Correlations between clinical sign, computed tomographic findings and prognosis"},{"@value":"臨床症状, CT所見と予後"}],"dc:language":"ja","description":[{"type":"abstract","notation":[{"@language":"en","@value":"In 27 cases with primary pontine hemorrhage over a period from October 1979 to April 1983, we studied the correlations between clinical signs, computed tomographic findings and prognosis. The cases were consisted of 23 males and 4 females between 31 to 65 years with average age 50.0. They could be classified into four groups according to the clinical courses. 1) group of good recovery : ADL I, II (9 cases), 2) group of severe disability : ADL III, IV (3 cases), 3) group of death with complications (3 cases), 4) group of early death (12 cases). On admission, comatous state, ocular fixation, absence of light reaction and tetraplegia or decrebrate posture were the signs of bad prognosis. Respiratory disturbance was not always the sign of early death. In fact, three patients with abnormal respiration were in group of good recovery. On the CT, the horizontal extension of the hematoma was demonstrated by the diameter of the hematoma on the transverese section through the pons, and vertical extension was indicated by the number of slices (10 mm in width). The hematomas of the group of good recovery were less than 25 mm in diameter, and they were seen on less than 3 slices. The hematomas lager than this size were seen exclusively among the groups of death and severe disability. Furthermore, the rupture of hematoma into the IVth ventricle was the sign of bad prognosis. All cases were treated conservatively. We emphasize the importance of prevention of complications and respiratory care in the management of the pontine hemorrhage."},{"@value":"約3年半の間に当科へ入院した27例の原発性橋出血を対象に, 臨床症状およびCT所見上の大きさと拡がりと, 生命および機能予後との相関関係について比較検討した.症例は臨床経過により, 1) 長期生存群として, A.予後良好群 (ADLI, II) 9例, B.重度障害群 (ADLIII, IV) 3例, C.合併症死亡群3例, および, 2) 早期死亡群12例, に分類できた.急性期臨床症状では, 高度意識障害, 眼球正中固定, 対光反射消失, 四肢麻痺あるいは除脳硬直肢位が, 予後不良の徴候であった.CT所見についてみると, 血腫の大きさ, とくに橋脳より上方への拡がりと, 第四脳室穿破の有無が予後を左右していた.すなわち, 橋断面での血腫横径が25mm以上, スライス枚数4枚以上は予後不良で, 第四脳室穿破例も予後不良が多かった.全例に保存療法のみを行なっている.呼吸管理と合併症予防が治療の重点となるが, 高度機能障害の残存など問題は多い."}],"abstractLicenseFlag":"disallow"}],"creator":[{"@id":"https://cir.nii.ac.jp/crid/1410572172239751682","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000253468301"}],"foaf:name":[{"@language":"en","@value":"Koga Nobunori"},{"@language":"ja","@value":"古賀 信憲"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Neurosurgery, Tokyo Metropolitan, Hiroo General Hospital"},{"@language":"ja","@value":"都立広尾病院脳神経外科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410572172239751683","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000253468302"}],"foaf:name":[{"@language":"en","@value":"Hosaka Yasuaki"},{"@language":"ja","@value":"保坂 泰昭"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Neurosurgery, Tokyo Metropolitan, Hiroo General Hospital"},{"@language":"ja","@value":"都立広尾病院脳神経外科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410572172239751681","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000253468303"}],"foaf:name":[{"@language":"en","@value":"Sugimura Jun"},{"@language":"ja","@value":"杉村 純"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Neurosurgery, Tokyo Metropolitan, Hiroo General Hospital"},{"@language":"ja","@value":"都立広尾病院脳神経外科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410572172239751684","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000253468304"}],"foaf:name":[{"@language":"en","@value":"Sakakibara Tokiwa"},{"@language":"ja","@value":"榊原 常緑"}],"jpcoar:affiliationName":[{"@language":"ja","@value":"都立広尾病院脳神経外科"},{"@language":"en","@value":"Department of Neurosurgery, Tokyo Metropolitan, Hiroo General Hospital"}]},{"@id":"https://cir.nii.ac.jp/crid/1410572172239751680","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000253468305"}],"foaf:name":[{"@language":"en","@value":"Takagi Suguru"},{"@language":"ja","@value":"高木 偉"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Neurosurgery, Tokyo Metropolitan, Hiroo General Hospital"},{"@language":"ja","@value":"都立広尾病院脳神経外科"}]}],"publication":{"publicationIdentifier":[{"@type":"PISSN","@value":"09120726"},{"@type":"LISSN","@value":"09120726"},{"@type":"EISSN","@value":"18831923"}],"prism:publicationName":[{"@language":"en","@value":"Japanese Journal of Stroke"},{"@language":"ja","@value":"脳卒中"},{"@language":"en","@value":"Nosotchu"},{"@language":"en","@value":"Jpn. J. Stroke"},{"@language":"ja","@value":"脳卒中"}],"dc:publisher":[{"@language":"en","@value":"The Japan Stroke Society"},{"@language":"ja","@value":"一般社団法人 日本脳卒中学会"}],"prism:publicationDate":"1985","prism:volume":"7","prism:number":"1","prism:startingPage":"50","prism:endingPage":"55"},"reviewed":"false","availableAt":"1985","foaf:topic":[{"@id":"https://cir.nii.ac.jp/all?q=Pontine%20hemorrhage","dc:title":"Pontine hemorrhage"},{"@id":"https://cir.nii.ac.jp/all?q=%E6%A9%8B%E5%87%BA%E8%A1%80","dc:title":"橋出血"},{"@id":"https://cir.nii.ac.jp/all?q=%E7%AC%AC%E5%9B%9B%E8%84%B3%E5%AE%A4%E7%A9%BF%E7%A0%B4","dc:title":"第四脳室穿破"}],"relatedProduct":[{"@id":"https://cir.nii.ac.jp/crid/1390001204673482496","@type":"Article","relationType":["isReferencedBy"],"jpcoar:relatedTitle":[{"@language":"en","@value":"Functional Prognosis in Patients with Brainstem Hemorrhage"},{"@language":"ja","@value":"脳幹出血患者の予後予測"}]},{"@id":"https://cir.nii.ac.jp/crid/1390299859706436224","@type":"Article","resourceType":"学術雑誌論文(journal article)","relationType":["isReferencedBy"],"jpcoar:relatedTitle":[{"@language":"en","@value":"Eight-and-a-Half Syndrome with Hearing Impairment"},{"@language":"ja","@value":"CASE 24―難聴を伴うEight-and-a-half症候群と考えられた橋出血例―"}]}],"dataSourceIdentifier":[{"@type":"JALC","@value":"oai:japanlinkcenter.org:0035533845"},{"@type":"CROSSREF","@value":"10.3995/jstroke.7.50"},{"@type":"CIA","@value":"130003631834"},{"@type":"CROSSREF","@value":"10.2335/scs.39.262_references_DOI_YSPgFQ3hFvUw5qc4J0ncRwEJQjl"},{"@type":"CROSSREF","@value":"10.3757/jser.83.51_references_DOI_YSPgFQ3hFvUw5qc4J0ncRwEJQjl"}]}