@article{oai:sapmed.repo.nii.ac.jp:00008030, author = {伊東, 民雄 and 中川原, 譲二 and 武田, 利兵衛 and 和田, 啓二 and 岡田, 好生 and 下道, 正幸 and 高梨, 正美 and 片岡, 丈人 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 = {Intracranial hemodynamics after subarachnoid hemorrhage were evaluated by Transcranial Doppler (TCD) and Diamox® activated 123I-IMP SPECT in 19 patients with ruptured cerebral aneurysms. The increased value of MCA mean flow velocity in TCD was significantly corresponded to the severity of clinical condition caused by vasospasm, and the decreased cerebral vasodilatory capacities were detected by Diamox® activated 123I-IMP SPECT in the cases which were predicted cerebral vasospasm by TCD. Although, in most cases, TCD predicts the occurrence of ischemic symptoms due to vasospasm, only in one instance which vasospasm occurred mainly in M2 segment of MCA, flow velocity remains normal while Diamox® activated 123I-IMP SPECT shows decreaed cerebral vasodilatory capacity. Based on these results, it is concluded that TCD is useful for predicting the occurrence and remission of vasospasm, but pitfall exists in cases which vasospasm involve mainly distal MCA territory. Even in those cases, Diamox® activaed 123I-IMP SPECT is helpful for predicting the regional cerebral ischemia due to vasospasm.}, pages = {62--67}, title = {Transcranial doppler と Diamox®負荷123I-IMP SPECTを用いた脳動脈瘤破裂後の脳血管攣縮と脳虚血域の出現予知に関する検討}, volume = {3}, year = {1990} }