Effect of Cisternal Administration of Nicardipine Hydrochloride on Cerebral Vasospasm: A Preliminary Report

In six subarachnoid hemorrhage (SAH) cases due to aneurysmal rupture, effects of cisternal administration of Nicardipine hydrochloride (nicardipine) on vasospasm wer studied. Nicardipine is one of calcium antagonists. All aneurysms were clipped within 48 hr after the onset of SAH with ventricular and cisternal drainages. Subarachnoid clot was removed as much as possible. Nicardipine or mixture of nicardipine and urokinase was administered through cisternal drainage once a day for 10 days postoperatively. The dose of nicardipine was 2 mg or 4 mg, and that of urokinase was 6,000 units or 24,000 units. On the 7th day after the onset of SAH, angiograms were performed before and 30 min after the cisternal administration of nicardipine. Then the diameters of each arteries were compared in order to estimate the vasodilative effects of nicardipine angiographically. In this study nicardipine was considered to have some prophylactic effect on vasospasm because vasospasm was not observed either angiographically or clinically in 2 out of 3 severe SAH cases on CT

Chronic Subdural Hematoma Associated with External Decompression for Acute Traumatic Intracranial Hematoma: report of two cases

A report is presented on two cases of chronic subdural hematoma which occurred after craniotomy, removal of the hematoma and external decompression for traumatic intracranial hematoma. As for the pathogenesis of chronic subdural hematoma of these two cases, these chronic subdural hematomas were considered to have originated from the subdural collection of mixed fluid of cerebrospinal fluid and blood caused by tearing of the arachnoid on head injury or craniotomy in the space between the brain and dural plasty. Opening and irrigating the hematoma cavity proved adequate as treatment at cranioplasty

A Study of the Treatment of Multiple Aneurysms

During the period from January 1975 to December 1988, a total of 28 among 215 cases or 13.0% with multiple aneurysms were seen in the Department of Neurosurgery, Hiroshima University. Classifying by sex, there were 17 males and 11 females with a mean age of 52 years. The number of aneurysms was four in 2 cases, three in 6 cases, and two in 20 cases. By location, there were 13 aneurysms in the anterior communicating artery, 20 in the internal carotid artery, 28 in the middle cerebral artery, 4 in the anterior cerebral artery, and 1 in the posterior inferior cerebellar artery. The incidence of rupture of anterior communicating aneurysm was extremely high being 10 out of 11 cases (90%) followed by that of 3 out of 4 cases (75%) for the anterior cerebral aneurysm. Although the number of cases undergoing surgery during the acute stage has been increasing, there was an unexpectedly long waiting period from onset of the initial symptom to surgery averaging 23.6 days. As a rule, clipping was undertaken for the treatment of ruptured aneurysm. For non-ruptured minor aneurysm, coating and wrapping were sometimes performed to reinforce the aneurysmal wall. All the aneurysms were treated through a single craniotomy simultaneously in 13 cases, by two craniotomies in one day in 10 cases, and by two craniotomies on separate days in 5 cases. The results of surgical treatments were satisfactory in all the cases except for a female who expired following surgery due to vasospasm and GI bleeding.This paper was presented in The 2nd international workshop on intracranial aneurysms held in Nagoya, 198

The Reliability and Validity of the Rosenberg Self-Esteem Scale with Japanese Patients After Stroke

The reliability and validity of the Rosenberg Self-Esteem Scale with Japanese patients after stroke was examined. Subjects were outpatients between 6 months and 3 years post stroke of cerebral infarction. Two kinds of Self-Esteem were examined. One was that of the present time. The other was that of the past time (Respondents recalled their Self-Esteem before having a stroke). The respondents were 38 people who consisted of 26 males and 12 females. Twenty-eight of thirty-eight respondents answered the two-week test-retest. The responding rate of the two-week test-retest was 73.7%. The Rosenberg Self-Esteem Scale at the present time suggested that the reliability of the two-week test-retest was 0.73. Cronbach\u27 α 0.77. And two factors were extracted from the result of factor analysis (R2=39.1%). In the other hand, the Rosenberg Self-Esteem Scale at the past time suggested that the reliability of the two-week test-retest was 0.37(NS). These results suggest that the reliability and validity of the Rosenberg Self-Esteem Scale at the present time with Japanese patients after stroke is good. We need more consideration about the Rosenberg Self-Esteem Scale at the past time

脳梗塞発症後の患者におけるRosenberg自尊感情尺度の信頼性・妥当性

The reliability and validity of the Rosenberg Self-Esteem Scale with Japanese patients after stroke was examined. Subjects were outpatients between 6 months and 3 years post stroke of cerebral infarction. Two kinds of Self-Esteem were examined. One was that of the present time. The other was that of the past time (Respondents recalled their Self-Esteem before having a stroke). The respondents were 38 people who consisted of 26 males and 12 females. Twenty-eight of thirty-eight respondents answered the two-week test-retest. The responding rate of the two-week test-retest was 73.7%. The Rosenberg Self-Esteem Scale at the present time suggested that the reliability of the two-week test-retest was 0.73. Cronbach' α 0.77. And two factors were extracted from the result of factor analysis (R2=39.1%). In the other hand, the Rosenberg Self-Esteem Scale at the past time suggested that the reliability of the two-week test-retest was 0.37(NS). These results suggest that the reliability and validity of the Rosenberg Self-Esteem Scale at the present time with Japanese patients after stroke is good. We need more consideration about the Rosenberg Self-Esteem Scale at the past time