| Item type |
学術雑誌論文 / Journal Article(1) |
| 公開日 |
2018-04-16 |
| タイトル |
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|
タイトル |
Delayed Occurrence of Diabetes Insipidus After Transsphenoidal Surgery with Radiologic Evaluation of the Pituitary Stalk on Magnetic Resonance Imaging |
| 言語 |
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言語 |
eng |
| 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 |
|
資源タイプ |
journal article |
| 著者 |
Hayashi, Yasuhiko
Aida, Yasuhiro
Sasagawa, Yasuo
Oishi, Masahiro
Kita, Daisuke
Tachibana, Osamu
Ueda, Fumiaki
Nakada, Mitsutoshi
|
| 著者別表示 |
林, 康彦
笹川, 泰生
大石, 正博
中田, 光俊
|
| 提供者所属 |
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内容記述タイプ |
Other |
|
内容記述 |
金沢大学医薬保健研究域医学系 |
| 書誌情報 |
World Neurosurgery
巻 110,
p. e1072-e1077,
発行日 2018-02-01
|
| 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 |
1878-8750 |
| NCID |
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収録物識別子タイプ |
NCID |
|
収録物識別子 |
AA12469471 |
| DOI |
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関連タイプ |
isVersionOf |
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識別子タイプ |
DOI |
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関連識別子 |
10.1016/j.wneu.2017.11.169 |
| 出版者 |
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出版者 |
Elsevier Inc. |
| 抄録 |
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内容記述タイプ |
Abstract |
|
内容記述 |
Background: Diabetes insipidus (DI) is a major complication of transsphenoidal surgery (TSS). DI usually occurs within a couple of days after TSS. Delayed occurrence of postoperative DI is rarely observed and its developing mechanisms remain unknown. Methods: Six patients were identified as having postoperative delayed DI, which was defined as DI that first occurred 2 or more weeks after TSS. They consisted of 1 male and 5 females, and their mean age was 38.3 years (range, 10–76 years). Five patients were histologically diagnosed with Rathke cleft cyst (RCC), and one had RCC coexisting with prolactin-secreting adenoma. Sequential T1-weighted magnetic resonance imaging was evaluated for hyperintensity (HI) in the pituitary stalk and the posterior lobe, indicating the location of antidiuretic hormone. Results: No patients had any DI before TSS. Delayed DI occurred 2 weeks to 3 months after TSS and persisted for 2 weeks to 5 months. T1-weighted magnetic resonance imaging showed that the HI in the posterior lobe became faint but did not disappear after DI occurrence, and their intensities increased with recovery from DI. In contrast, the HI in the pituitary stalk was found faintly preoperatively and turned clear postoperatively and decreased with recovery from DI. The morphologic patterns were dependent on DI duration. Conclusions: In the delayed occurrence of DI, it was suggested that preoperative antidiuretic hormone transport was mildly congested yet not completely blocked when DI manifested postoperatively. Gradual spreading of inflammation to the infundibulum after RCC removal was considered as 1 possible mechanism of this delayed DI development. © 2017 Elsevier Inc. |
| 内容記述 |
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内容記述タイプ |
Other |
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内容記述 |
Embargo Period 12 months |
| 権利 |
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|
権利情報 |
Copyright © 2017 Elsevier Inc. (CC-BY-NC-ND) |
| 著者版フラグ |
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出版タイプ |
AM |
|
出版タイプResource |
http://purl.org/coar/version/c_ab4af688f83e57aa |
| 関連URI |
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|
識別子タイプ |
URI |
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関連識別子 |
http://www.elsevier.com/locate/issn/18788750 |
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関連名称 |
http://www.elsevier.com/locate/issn/18788750 |
ME-PR-HAYASHI-1072.pdf (393.5 kB)
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