@article{oai:sapmed.repo.nii.ac.jp:00008006, author = {奥村, 智吉 and 中川原, 譲二 and 宇佐美, 卓 and 岡, 亨治 and 佐土根, 朗 and 鈴木, 知毅 and 中村, 順一 and 末松, 克美}, issue = {1}, journal = {北海道脳神経疾患研究所医誌 = Journal of Hokkaido Brain Research Foundation}, month = {Aug}, note = {We analyzed CSF dynamics in fourty patients of hydrocephalus by simultaneous In-SPECT and metrizamide-CT cisternography. These two methods produced apparently similar results. However, In-SPECT demonstrated more prolonged visualization of CSF flow and more precise three-dimensional CSF dynamics (especially in the convexity CSF flow) than metrizamide-CT. We classified the patterns of CSF dynamics into five types. In In-SPECT, type I was defined as normal CSF kinetics, type II subnormal CSF kinetics, and type V hydrocephalus. CSF shunt operation was necessary for type III ~ V and type II with severe clinical symptoms. Type II (except one case, they were classified as type HI by metrizamide-CT) were followed up and in two cases, CSF shunt operation was done because of clinical deterioration. Therefore, type II seemed to need carefull follow up. In-SPECT is useful for the estimation of CSF dynamics and for deciding the need for CSF shunt operation.}, pages = {75--82}, title = {In-SPECT,Metrizamide-CT同時注入脳槽撮影法による比較検討}, volume = {1}, year = {1988} }