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The useful of dynamic CT scan on the actue stage of ischemic cerbrovascukar disease

山口医学 Volume 38 Issue 4 Page 287-301
published_at 1989-08
Title
虚血性脳血管障害急性期における Dynamic CT Scan の有用性
The useful of dynamic CT scan on the actue stage of ischemic cerbrovascukar disease
Creators Yamashita Katsuhiro
Creators Adachi Naoto
Creators Wakuta Yukio
Creators Akimura Tatsuo
Creators Kawano Katsunori
Creators Nagamitsu Tsutomu
Source Identifiers
CT scan offers only pictorial information, but dynamic CT scan, which consists of intrabenous bolus injection of the contrast medium and high speed sequence scanning, offers information on the careful circulation. We performed dynamic CT scan on the actue stage of 40 cases of ischemic cerebrovascular disease and it was very useful in the evaluation of the cerebral circulation and in establishing a therapeutic plan. The time-density curve of dynamic CT scan was divided into three types by peak (P) value of the curve. In type A cases, the difference between the curves of the affected side and the non-affected side was not recognized, and the prognosis of these cases was verygood even by conservative therapy. In type B cases, the peak value of the affected side was in the range of 30 to 70% of the non-affected side, and a decreasein cerebral blood flow was suggesuted. In these cases, no low density srea appeared in plain CT scan and the neurological signs improved when the cerebral blood flow recovered, whereas a low density area appeared when the carebral blood flow did not recover. In type C cases, the curve of the affected side was nearly flat and a marked decrease in the cerebral blood flow was suggested. In these cases a low density area on plain CT scan appeared immediately and the prognosis was very poor. The ecaluation of the time-density curve of dynamic CT scan indicated actue cerebral revascularization in the cases where Type B curves were shown.
Subjects
医学 ( Other)
Languages jpn
Resource Type journal article
Publishers 山口大学医学会
Date Issued 1989-08
File Version Not Applicable (or Unknown)
Access Rights metadata only access
Relations
[ISSN]0513-1731
[NCID]AN00243156
Schools 医学部