研究者詳細 - 杉生　憲志

論文 - 杉生　憲志

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Improvement of depression after treatment of dural arteriovenous fistula: a case report and a review. 国際誌

Minoru Nakagawa, Kenji Sugiu, Koji Tokunaga, Chihoko Sakamoto, Kenjiro Fujiwara

Case reports in psychiatry 2012 730151 - 730151 2012年

記述言語：英語掲載種別：研究論文（学術雑誌）

Patients with dural arteriovenous fistulas (DAVFs) in the transverse-sigmoid sinus suffer from several symptoms: bruit, headache, visual impairment, and so on. But depression is rare in patients with DAVF. The authors reported a rare case presenting the improvement of depression after the treatment of a dural arteriovenous fistula in the left transverse-sigmoid sinus. A 46-year-old male had suffered from depression and was treated with antidepressants at a local hospital for four years. The patient was temporarily laid off due to his depression. Afterwards, he had Gerstmann's syndrome and came to our hospital. A DAVF in the left transverse-sigmoid sinus was demonstrated on the angiogram. The DAVF was successfully treated with endovascular surgery, coil embolization of the isolated diseased sinus through the mastoid emissary vein which was a draining vein from the fistula. After this treatment, his depression as well as Gerstmann's syndrome was improved and the quantity of the antidepressants decreased. The patient returned to work without any antidepressant two years after the treatment. DAVFs might be one of the causes of depression. It may be necessary to evaluate cerebral vessels in patients suffering from depression by using MRA or 3D-CTA even if there are not any abnormal findings on plain CT scans.

DOI： 10.1155/2012/730151

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Cavernous sinus dural arteriovenous fistulas treated with percutaneous transvenous embolization using liquid material: Two case reports 査読

Masafumi Hiramatsu, Kenji Sugiu, Koji Tokunaga, Ayumi Nishida, Mitsuo Kuriyama, Tomohide Maeshiro, Kaoru Terasaka, Isao Date

Neurological Surgery 39 ( 12 ) 1189 - 1196 2011年12月

記述言語：日本語掲載種別：研究論文（学術雑誌）

Introduction: Percutaneous transvenous embolization (TVE) using coils is a well-established treatment of cavernous sinus dural arteriovenous fistula (CSdAVF). However, it is sometimes difficult to achieve complete occlusion by coil embolization. In these two cases, we were able to obtain complete angiographic obliteration of the fistulas without complications by means of percutaneous TVE using n-butyl-cyanoacrylate (NBCA) after we failed when TVE using coils. Case 1: An 89-year-old woman presented with double vision. She was diagnosed as Barrow type D right CSdAVF draining only to the cortical vein. We treated the patient by TVE using coils, but the microcatheter was withdrawn before complete occlusion was attained. The repositioning of the microcatheter was difficult, so we used 30% NBCA for TVE, and obtained complete obliteration of the fistula. Case 2: An 87-year-old woman presented with right exophthalmos, and chemosis. She was diagnosed as Barrow type C right CSdAVF draining only to the right superior ophthalmic vein with very slow flow. We planned to treat her, using TVE with coils, but we could place only 3 coils and obtained only partial obliteration of the fistula. So we additionally used 25% NBCA for TVE, and obtained complete obliteration of the fistula. Conclusion: Compared to TVE using coils, TVE using NBCA gives rise to many problems, but, we can use NBCA as a second option if TVE using coils results in only partial obliteration as in these cases.

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Carotid artery stenting(CAS)におけるstaged angioplastyの有用性

大熊佑, 杉生憲志, 伊丹尚多, 菱川朋人, 小野成紀, 徳永浩司, 伊達勲

JNET: Journal of Neuroendovascular Therapy 5 ( 4 ) 310 - 310 2011年11月

CASの治療成績向上のために MRIによるプラーク診断とSPECTによる過灌流リスク判定

杉生憲志, 徳永浩司, 菱川朋人, 大熊佑, 伊丹尚多, 伊達勲

JNET: Journal of Neuroendovascular Therapy 5 ( 4 ) 171 - 171 2011年11月

頸動脈ステント留置術におけるdebrisの組織学的評価

伊丹尚多, 菱川朋人, 大熊佑, 眞鍋博明, 小野成紀, 徳永浩司, 杉生憲志, 伊達勲

JNET: Journal of Neuroendovascular Therapy 5 ( 4 ) 171 - 171 2011年11月

無バルーン時代のhigh flow CCFの治療皆さん、どうしています?

杉生憲志, 徳永浩司, 菱川朋人, 伊丹尚多, 大熊佑, 伊達勲

JNET: Journal of Neuroendovascular Therapy 5 ( 4 ) 185 - 185 2011年11月

Onyxを用いた脳動静脈奇形の塞栓術臨床的および組織学的検討

徳永浩司, 杉生憲志, 大熊佑, 伊丹尚多, 菱川朋人, 黒住和彦, 眞鍋博明, 伊達勲

JNET: Journal of Neuroendovascular Therapy 5 ( 4 ) 182 - 182 2011年11月

未破裂脳動脈瘤アシストテクニックの功罪 Adjunctive techniqueを併用した未破裂脳動脈瘤の血管内治療

徳永浩司, 杉生憲志, 大熊佑, 伊丹尚多, 菱川朋人, 眞鍋博明, 伊達勲

JNET: Journal of Neuroendovascular Therapy 5 ( 4 ) 149 - 149 2011年11月

両側椎骨動脈起始部閉塞に合併した破裂右椎骨動脈解離性動脈瘤

豊嶋敦彦, 杉生憲志, 徳永浩司, 菱川朋人, 大熊佑, 伊丹尚多, 伊達勲

JNET: Journal of Neuroendovascular Therapy 5 ( 4 ) 391 - 391 2011年11月

プラーク性状と頭蓋内血行動態評価に基づいたCAS手技の選択

菱川朋人, 大熊佑, 伊丹尚多, 徳永浩司, 杉生憲志, 伊達勲

脳循環代謝 23 ( 1 ) 119 - 119 2011年11月

脳動脈瘤に対するENTERPRISE stentを併用したコイル塞栓術の治療成績

菱川朋人, 大熊佑, 伊丹尚多, 徳永浩司, 杉生憲志, 伊達勲

JNET: Journal of Neuroendovascular Therapy 5 ( 4 ) 251 - 251 2011年11月

脳動脈瘤治療における"Sheep technique"の有用性

伊丹尚多, 杉生憲志, 徳永浩司, 大熊佑, 菱川朋人, 眞鍋博明, 小野成紀, 伊達勲

JNET: Journal of Neuroendovascular Therapy 5 ( 4 ) 249 - 249 2011年11月

未破裂脳動脈瘤コイル塞栓術後に出現する発熱、頭痛、消化器症状"post coiling syndrome"の検討

大熊佑, 杉生憲志, 伊丹尚多, 菱川朋人, 小野成紀, 徳永浩司, 伊達勲

JNET: Journal of Neuroendovascular Therapy 5 ( 4 ) 301 - 301 2011年11月

神経線維腫症に合併した椎骨動静脈瘻の1例

大谷理浩, 杉生憲志, 徳永浩司, 菱川朋人, 大熊佑, 伊丹尚多, 伊達勲

JNET: Journal of Neuroendovascular Therapy 5 ( 4 ) 289 - 289 2011年11月

Davidoff and Schechter動脈に対する術前塞栓術が有用であったhemangiopericytomaの1例

春間純, 杉生憲志, 徳永浩司, 菱川朋人, 大熊佑, 伊丹尚多, 伊達勲

JNET: Journal of Neuroendovascular Therapy 5 ( 4 ) 387 - 387 2011年11月

Computational fluid dynamics of carotid arteries after carotid endarterectomy or carotid artery stenting based on postoperative patient-specific computed tomography angiography and ultrasound flow data. 査読国際誌

Hitoshi Hayase, Koji Tokunaga, Toshio Nakayama, Kenji Sugiu, Ayumi Nishida, Seiji Arimitsu, Tomohito Hishikawa, Shigeki Ono, Makoto Ohta, Isao Date

Neurosurgery 68 ( 4 ) 1096 - 101 2011年4月

記述言語：英語掲載種別：研究論文（学術雑誌）

BACKGROUND: There are significant differences in the postoperative morphological and hemodynamic conditions of the carotid arteries between carotid artery stenting (CAS) and endarterectomy (CEA). OBJECTIVE: To compare the postoperative rheological conditions after CAS with those after CEA with patch angioplasty (patch CEA) through the use of computational fluid dynamics (CFD) based on patient-specific data. METHODS: The rheological conditions in the carotid arteries were simulated in 2 patients after CAS and in 2 patients after patch CEA by CFD calculations. Three-dimensional reconstruction of the carotid arteries was performed with the images obtained with computed tomography angiography. The streamlines and wall shear stress (WSS) were calculated by a supercomputer. Adequate boundary conditions were determined by comparing the simulation results with ultrasound flow data. RESULTS: CFD was successfully calculated for all patients. The differences between the flow velocities of ultrasound data and those of the simulation results were limited. In the streamline analysis, the maximum flow velocities in the internal carotid artery after patch CEA were around two-thirds of those after CAS. Rotational slow flow was observed in the internal carotid artery bulb after patch CEA. WSS analysis found regional low WSS near the outer wall of the bulb. High WSS was observed at the distal end of the arteriotomy after patch CEA and at the residual stenosis after CAS. CONCLUSION: CFD of postoperative carotid arteries disclosed the differences in streamlines and WSS between CAS and patch CEA. CFD may allow us to obtain adequate rheological conditions conducive to achieving the best clinical results.

DOI： 10.1227/NEU.0b013e318208f1a0

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[Vasospasm of Adamkiewicz artery after subarachnoid hemorrhage].

Yasuyuki Miyoshi, Akihiko Kondo, Takao Yasuhara, Ayumi Nishida, Koji Tokunaga, Kenji Sugiu, Isao Date

Brain and nerve = Shinkei kenkyu no shinpo 63 ( 2 ) 182 - 3 2011年2月

脳血管攣縮に対する全身管理の意義くも膜下出血後脳血管攣縮に対する集学的治療困難症例の検討

小野成紀, 菱川朋人, 西田あゆみ, 徳永浩司, 杉生憲志, 伊達勲

脳血管攣縮 26 34 - 37 2011年2月

記述言語：日本語出版者・発行元：スパズム・シンポジウム事務局

過去5年間にくも膜下出血発症48時間以内にクリッピングまたはコイル塞栓術を施行し、術後シルビウス裂末梢部に血腫が残存した92例のうち、World Federation Neurological Surgery(WFNS) grade 1〜3で、脳血管攣縮(VS)治療プロトコールに沿った治療においても治療困難であった5症例について検討した。その結果、2例はINVOSによるVS検知が不十分で、局所の攣縮や末梢性の攣縮を来たした。2例は循環器、呼吸器合併例で、VSの治療とは相反する脱水の是正、昇圧等を優先しなければならず、脳梗塞を引き起こしていた。1例は腹壁出血例であった。脳槽ドレーン脱落等によって、早期にくも膜下血腫線溶治療が行えず、結果としてVSを来した症例も散見された。

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未破裂脳動脈瘤コイル塞栓術後に出現する発熱、頭痛、消化器症状の検討 "postcoiling syndrome"の検討

大熊佑, 杉生憲志, 伊丹尚多, 菱川朋人, 小野成紀, 徳永浩司, 伊達勲

JNET: Journal of Neuroendovascular Therapy 4 ( 4 ) 255 - 255 2010年11月

MRIプラーク診断のCAS protection device選択への介入

菱川朋人, 伊丹尚多, 大熊佑, 徳永浩司, 杉生憲志, 飯原弘二, 伊達勲

JNET: Journal of Neuroendovascular Therapy 4 ( 4 ) 220 - 220 2010年11月

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