Long-term Follow-up Study of "Epileptic Type" Moyamoya Disease in Children
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概要
- 論文の詳細を見る
Twenty-three patients with epileptic type moyamoya disease are reviewed among 200 moyamoya disease patients. Ten boys and 13 girls aged 5 months to 12 years were followed over 6 months to 17.3 years. Six had generalized seizure and 17 had focal seizure. Operations were performed within 1 year in eight patients, within 1-3 years in five, and more than 3 years after onset in 10. Nineteen patients improved and suffered no seizure without receiving antiepileptic drugs, but four patients developed true epilepsy and three of these suffered cerebral infarction. Multivariate analyses showed that toddlers aged less than 1 year and mild or severe abnormal computed tomographic (CT) findings correlated with a bad outcome. This study showed that epileptic type moyamoya disease has the same clinical features as transient ischemic attack or infarction type. Age under 1 year and CT abnormalities indicate a poor prognosis and necessity for early reconstructive surgery.
- 日本脳神経外科学会の論文
- 1993-09-15
著者
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MIYAMOTO Susumu
Department of Neurosurgery, Kyoto University Graduate School of Medicine
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Yamada Keisuke
Department Of Neurosurgery Of The Department Of Clinical Laboratory Osaka Neurological Institute
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TOUHO Hajime
Department of Neurosurgery, Osaka Neurological Institute
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KARASAWA Jun
Department of Neurosurgery, Osaka Neurological Institute
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OHNISHI Hideyuki
Department of Neurosurgery, Osaka Neurological Institute
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NAKASE Hiroyuki
Department of Neurosurgery, Osaka Neurological Institute
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WATABE Yasuharu
Department of Neurosurgery, Osaka Neurological Institute
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ITOH Tamio
Department of Neurosurgery of the Department of Clinical Laboratory, Osaka Neurological Institute
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SAKAMOTO Takanori
Department of Anesthesiology, of the Department of Clinical Laboratory, Osaka Neurological Institute
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KUREHARA Koukichi
Department of Anesthesiology, of the Department of Clinical Laboratory, Osaka Neurological Institute
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SHIMIZU Kiyoshi
Department of Section of Neurophysiology of the Department of Clinical Laboratory, Osaka Neurologica
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東保 肇
財団法人大阪脳神経外科病院
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唐澤 淳
財団法人大阪脳神経外科病院脳神経外科
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Sakamoto Takanori
Department Of Anesthesiology Nara Medical University
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Sakamoto Takanori
Department Of Anesthesiology Osaka Neurological Institute
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Shimizu Kiyoshi
Department Of Anatomy Tokyo Medical College
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Ohnishi Hideyuki
Departments Of Neurosurgery Osaka Neurological Institute
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Kurehara Koukichi
Department Of Anesthesiology Of The Department Of Clinical Laboratory Osaka Neurological Institute
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Karasawa Jun
Department Of Neurosurgery Osaka Neurological Institute
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Karasawa Jun
Department Of Neurological Surgery Kitano Hospital
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Itoh Tamio
Department Of Neurosurgery Osaka Neurological Institute
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Watabe Yasuharu
Department Of Neurosurgery Osaka Neurological Institute
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Touho Hajime
Departments Of Neurosurgery Osaka Neurological Institute
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Touho Hajime
Department Of Neurosurgery Osaka Neurological Institute Toyonaka
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Ohnishi Hideyuki
Department Of Neurological Surgery Kitano Hospital
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Nakase Hiroyuki
Department Of Neurosurgery Nara Medical University
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Nakase Hiroyuki
Department Of Neurosurgery Osaka Neurological Institute:m.d. The Institute For Neurosurgical Pathoph
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Miyamoto Susumu
Department Of Internal Medicine Hokuriku Central Hospital
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Yamada Keisuke
Department Of Anesthesia Kanazawa University Hospital
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Touho Hajime
Department Of Neurosurgery Osaka Neurological Institute
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Shimizu Kiyoshi
Department Of Section Of Neurophysiology Of The Department Of Clinical Laboratory Osaka Neurological
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Miyamoto Susumu
Department Of Neurosurgery Of The Department Of Clinical Laboratory Osaka Neurological Institute
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Miyamoto Susumu
Department Of Internal Medicine Himi City Hospital
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Nakase Hiroyuki
Department Of Life System Institute Of Technology And Science Graduate School The University Of Toku
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Shimizu Kiyoshi
Deparment of Applied Chemistry, Faculty of Engineering, Doshisha University
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