| アイテムタイプ |
学術雑誌論文 / Journal Article(1) |
| 公開日 |
2017-10-03 |
| タイトル |
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タイトル |
髄膜炎による脳血管攣縮後に生じた中膜筋細胞壊死 |
| タイトル |
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タイトル |
Myonecrosis following cerebral arterial spasm in meningitis. Case report |
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言語 |
en |
| 言語 |
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言語 |
jpn |
| 資源タイプ |
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資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
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資源タイプ |
journal article |
| 著者 |
山嶋, 哲盛
柏原, 謙悟
河野, 寛一
久保田, 紀彦
林, 実
山本, 信二郎
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| 著者別表示 |
Yamashima, Testumori
Kashihara, Kengo
kawano, Hiroichi
Kubota, Toshihiko
Hayashi, Minoru
Yamamoto, Shinjiro
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| 提供者所属 |
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内容記述タイプ |
Other |
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内容記述 |
金沢大学医薬保健研究域医学系 |
| 提供者所属 |
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内容記述タイプ |
Other |
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内容記述 |
金沢大学附属病院脳神経外科 |
| 書誌情報 |
Neurologia Medico-Chirurgica
巻 25,
号 10,
p. 818-825,
発行日 1985-01-01
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| ISSN |
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収録物識別子タイプ |
ISSN |
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収録物識別子 |
0470-8105 |
| NCID |
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収録物識別子タイプ |
NCID |
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収録物識別子 |
AA0075470X |
| 出版者 |
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出版者 |
日本脳神経外科学会 |
| 抄録 |
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内容記述タイプ |
Abstract |
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内容記述 |
Light and electron microscopic studies were conducted on myonecrosis following cerebral arterial spasm in meningitis. A 34-year-old female developed fever, headache and vomiting. Neurological examination revealed a drowsy state, nuchal stiffness and hemiparesis. Spinal puncture revealed a purulent fluid containing 1,219/mm<sup>3</sup> cells. She deteriorated steadily into semicoma 10 days after onset. Computerized tomography scan showed low density areas in bilateral basal ganglia and cerebellar hemispheres. Angiography showed vasospasm of the major cerebral arteries and vasodilatation of the left Sylvian arteries. Repeated angiography two months after onset showed a diffuse narrowing of these arteries. She died of uncal herniation 67 days after onset. Autopsy two hours after death disclosed softening in the territories of spastic arteries. Microscopically, the circle of Willis showed concentric stenosis due to an intimal proliferation. The media was remarkably atrophied and fibrotic with an infiltration of polymorphonuclear leucocytes. Electron-microscopically, the media disclosed numerous degenerating or necrotic smooth-muscle cells. The degenerating cells showed dissolution of myofilaments with resultant fine granular or filamentous material. The necrotic cells were abundant in vacuoles, lysosomes and dense bodies. The cytoplasm was eventually replaced by cellular debris and numerous collagen fibrils. |
| 権利 |
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権利情報 |
Copyright© The Japan Neurosurgical Society |
| 著者版フラグ |
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出版タイプ |
VoR |
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出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
| 関連URI |
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識別子タイプ |
URI |
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関連識別子 |
http://jns.umin.ac.jp/ |
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識別子タイプ |
URI |
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関連識別子 |
http://www.journalarchive.jst.go.jp/english/jnlabstract_en.php?cdjournal=nmc1959&cdvol=25&noissue=10&startpage=818 |
ME-PR-YAMASHIMA-T-818.pdf (1.2 MB)
