| アイテムタイプ |
紀要論文 / departmental bulletin paper(1) |
| 公開日 |
2025-08-05 |
| タイトル |
|
|
タイトル |
Creutzfeldt-Jakob disease preceded by anesthetic blocks and surgical decompression of the facial nerve |
|
言語 |
en |
| 作成者 |
Iida, Masashi
Yokouchi, Toshio
Kusube, Takeshi
Yanai, Mika
Sugi, Akira
Takano, Morihide
Hitomi, Kazuhiko
Higashitani, Norihiro
Yagi, Yuji
Maeda, Mitsuyo
Hashimoto, Shigeo
|
| 言語 |
|
|
言語 |
eng |
| キーワード |
|
|
主題 |
Creutzfeldt-Jakob disease (CJD), transmission, biohazard, facial nerve block, surgical decompression, hemifacial spasm, prolonged course |
| 内容記述 |
|
|
内容記述タイプ |
Abstract |
|
内容記述 |
A 63-year-old woman had undergone ten facial nerve blocks and surgical decompression with Jannetta's manipulation of the facial nerve to treat right hemifacial spasms before the onset of Creutzfeldt-Jakob disease (CJD). The patient exhibited a prolonged clinical course extending over 49 months, during which she gradually manifested the following typical clinical features of CJD: rapidly advancing dementia resulting in an apallic state, myoclonic jerks synchronizing with periodic synchronous discharges on electroencephalography, and progressive cerebral atrophy on X-ray computerized tomography and magnetic resonance imaging. Postmortem examination revealed diffuse severe cerebral atrophy, particularly of the frontal and temporal lobes. The cerebellum and brain stem were moderately atrophic. The brain weighed 760 g. Microscopically, diffuse degeneration and loss of neurons and spongiform changes were observed in the cerebral cortex. Proliferation of hypertrophic and gemistocytic astrocytes was seen in the cerebral white matter. We attributed the extended course to strong biological resistance to CJD and other infectious diseases in the patient, and emphasized the risk of transmission of CJD agents by the nerve block procedure as well as the neurosurgical operation. |
|
言語 |
en |
| 出版者 |
|
|
出版者 |
The Kinki University Medical Association |
|
言語 |
en |
| 資源タイプ |
|
|
資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
|
資源タイプ |
departmental bulletin paper |
| 出版タイプ |
|
|
出版タイプ |
AM |
|
出版タイプResource |
http://purl.org/coar/version/c_ab4af688f83e57aa |
| 収録物識別子 |
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|
収録物識別子タイプ |
PISSN |
|
収録物識別子 |
03866092 |
| 開始ページ |
|
|
開始ページ |
63 |
| 終了ページ |
|
|
終了ページ |
73 |
| 書誌情報 |
en : ACTA MEDICA KINKI UNIVERSITY
巻 17,
号 1,
p. 63-73,
発行日 1992-06
|
AA0050842X-19920600-0063.pdf (2.0 MB)
