インターフェロンによる聴覚障害． 血中脂質濃度及び網膜病変との相関性 (original) (raw)
インターフェロンによる聴覚障害． 血中脂質濃度及び網膜病変との相関性
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術前塞栓術と直達術により治療を行ったくも膜下出血発症の成人・後頭蓋窩pial AVFの1例
Surgery for Cerebral Stroke, 2015
The incidence of pial arteriovenous fistulas (pAVFs) is low, and most cases are treated by interrupting the shunt via endovascular or direct surgery. In the present report, we describe a very rare case of pAVF and discuss the treatment and pathological findings of such cases in the literature. A 63-year-old woman presented with a sudden headache and vomiting. Computed tomography (CT) indicated the presence of a subarachnoid hemorrhage, but she was treated conservatively. The hematoma size gradually decreased and her neurological findings remained unchanged. Angiography indicated the presence of pAVF. The fistula was fed by small branches of the common trunk between the right anterior inferior cerebellar artery and posterior inferior cerebellar artery, and drained into the varix. Feeder occlusion was performed through Histoacryl infusion under local anesthesia. One day after embolization, the patient underwent right suboccipital craniotomy, and the pAVF was extirpated by electrocoagulation. Postoperative angiography indicated that the fistula had disappeared. She was discharged without any new neurological deficits. Thus, pAVF was treated in a more safe and reliable manner with combined therapy as compared to one-staged therapy.
2016
From the viewpoint of equal accessibility, the hearing impaired should beable to access the same information as others. However, it is hard for thehearing impaired to acquire acoustic information including verbal informa-tion. For example, in the case of small meetings or lectures at university,hearing impaired students may lose information if no special eorts aremade to help them. Therefore, methods for obtaining information, such asnotetaking, computer assisted notetaking (CAN), real-time captioning orinterpreting sign language are needed. However, to generate appropriateassistive information at the postsecondary stage of education, the genera-tor (stenographer or interpreter) should have a good understanding of therelevant higher education subject. The number of generators who havesuch ability for the wide range of topics of learning at university is limited.Recently, the number of hearing impaired students who go on to universityor college has been increasing, so the shortage of...
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