Mechanical Injury of the Subthalamic Area During Stereotactic Surgery Followed by Improvement of Trunk, Neck, and Face Tremor : Case Report
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概要
- 論文の詳細を見る
rights: 本文データは日本脳神経外科学会の許諾に基づきCiNiiから複製したものであるA 50-year-old man had undergone right nucleus ventrointermedius (Vim) thalamotomy 1 year previously, resulting in the disappearance of left hand tremor. However, he presented with right distal and proximal tremor including the axial trunk, neck, and head. Deep brain stimulation (DBS) of the left Vim for these symptoms was unsuccessful. Attempts were made to stimulate the left Vim, nucleus ventralis lateralis, and subthalamic nucleus (STN), but no significant improvement was obtained after repeat surgery. However, subsequent improvement of the symptoms including proximal tremor was very marked even without DBS stimulation. Brain magnetic resonance imaging demonstrated lesion and edema in the posteromedial area of the STN. Mechanical injury of the area caused by the surgical procedures may have contributed to the improvement in his persistent symptoms.
- 日本脳神経外科学会の論文
- 2005-09-15
著者
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ENDO Shunro
Department of Neurosurgery, Faculty of Medicine, University of Toyama
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NOGUCHI Kyo
Department of Radiology, University of Toyama
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ASAHI Takashi
Department of Neurosurgery, University of Toyama
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HIRASHIMA Yutaka
Department of Neurosurgery, University of Toyama
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Hirashima Yutaka
Physiological Chemistry Faculty Of Pharmaceutical Sciences Teikyo University
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Shibata Takashi
Department Of Surgery Toyonaka Municipal Hospital
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Ikeda Hiroaki
Department Of Medical Oncology Kkr Sapporo Medical Center
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SHIMA Fumio
Department of Neurosurgery, Neurological Institute, Faculty of Medicine, Kyushu University
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Shima Fumio
Department Of Neurosurgery Kaizuka Hospital
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Asahi Takashi
Department Of Neurosurgery Faculty Of Medicine University Of Toyama
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赤井 卓也
国立水戸病院脳神経外科
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Hirashima Yutaka
Departments Of Neurosurgery Toyama Medical And Pharmaceutical University
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Noguchi Kyo
Department Of Radiology Faculty Of Medicine University Of Toyama
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Noguchi Kyo
Departments Of Radiology Toyama Medical And Pharmaceutical University
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Noguchi Kyo
Department Of Radiology And Nuclear Medicine Akita Research Institute Of Brain And Blood Vessels
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Asahi Takashi
Faculty Of Medicine Department Of Physiology Toyama Medical And Pharmaceutical University
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Asahi Takashi
Departments Of Neurosurgery Toyama Medical And Pharmaceutical University
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Endo Shunro
Department Of Neurosurgery Faculty Of Medicine University Of Toyama
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Ikeda Hiroaki
Departments Of Neurosurgery Toyama Medical And Pharmaceutical University
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Ikeda Hiroaki
Department Of Cancer Vaccine Mie University Graduate School Of Medicine
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Akai Takuya
Department Of Neurosurgery Faculty Of Medicine University Of Toyama
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Shibata Takashi
Departments Of Neurosurgery University Of Toyama
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Shibata Takashi
Department Of Anatomy School Of Medicine Tokyo Women's Medical University
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Hirashima Yutaka
Department Of Neurosurgery Toyama Medical And Pharmaceutical University
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赤井 卓也
Department of Neurosurgery, Faculty of Medicine, University of Toyama
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Hirashima Yutaka
Department of Materials Science, Toyohashi University of Technology
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