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Propofolを用いたWada testの利点と問題点
https://sapmed.repo.nii.ac.jp/records/8154
https://sapmed.repo.nii.ac.jp/records/81547ec6cdea-7b21-459d-959f-811dec99163b
名前 / ファイル | ライセンス | アクション |
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n1340576418123.pdf (365.6 kB)
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2009-03-24 | |||||
タイトル | ||||||
言語 | ja | |||||
タイトル | Propofolを用いたWada testの利点と問題点 | |||||
言語 | ||||||
言語 | jpn | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | Wada test | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | Propofol | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | language dominancy | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | journal article | |||||
著者 |
知禿, 史郎
× 知禿, 史郎× 鷲見, 佳泰× 溝渕, 雅広× 福岡, 誠二× 高梨, 正美× 北條, 敦史× 中村, 博彦 |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Objective : Wada test using Propofol is getting popular in Japan. We compared speech dominancy detected by Propofol Wada test and speech task fMRI. Materials and Methods : Total 7 patients ; three refractory epilepsy cases, three glioma cases, and one cavernous angioma, were included in this study. Wada test was performed after the conventional cerebral angiography by Seldinger method. Sufficient Propofol was administered to induce the contralateral side paresis recognized by arm Barre's test. To evaluated the speech ability, picture naming, reading tasks were tested, followed by memory test after recovering patient's paresis and consciousness. Total six cases performed the speech task functional MRI test successfully, while one unable to perfomed the speech task. Results : All patients were determined their speech dominancy on their left side in Propofol Wada test. Five patients showed concordant speech dominancy between Propofol Wada test and fMRI. While one showed bilateral speech ability with right side dominancy, who presented the bilateral speech ability with left side dominancy at Wada test. Two patients revealed transient side effects of laughing and dystonic posture of contralateral side after injection of Propofol. Conclusion : Propofol Wada test is useful for determining speech dominancy, even with the cognitive disturbed patients. This method is relatively safe with transient minor side effect. | |||||
書誌情報 |
北海道脳神経疾患研究所医誌 = Journal of Hokkaido Brain Research Foundation 巻 18, 号 1, p. 23-27, 発行日 2008-03-01 |
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ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 1340-5764 | |||||
著者版フラグ | ||||||
出版タイプ | VoR | |||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
その他のタイトル | ||||||
その他のタイトル | Usefulness and Problems of Arterial Propofol Injection for the Wada test | |||||
出版者 | ||||||
出版者 | 中村記念病院 |