http://hdl.handle.net/10564/1543 2001-06 Thu, 09 Apr 2026 03:41:16 GMT 2026-04-09T03:41:16Z http://hdl.handle.net/10564/660 タイトル: 脳動脈瘤クリッピング術後に血漿コルチゾール高値を伴うせん妄を認めた1例 著者: 洪, 基朝; 森川, 将行; 徳山, 明広; 芳野, 浩樹; 大澤, 弘吉; 岸本, 年史; 飯田, 順三; 岩坂, 英巳 抄録: The effects of cortisol on psychiatric symptoms (feeling, sleep, attention, memory, and so on) have been well known in the psychiatric field. We report a case of delirium with hypercorticoidism after aneurysmal clipping. The 74-year-old male who had been treated with synthetic estrogen for 3 years demonstrated psychiatric symptoms, which consisted of disorientation, memory disturbance, delusion of observation, depres- sive state with markedly high cortisol level in plasma (115.4μg/dl) following clipping of cerebral aneurysm. When synthetic estrogen (fosfesrol, 400mg/day) that he had received was discontinued and he was treated with haloperidol (1.5mg/day), the mental symptoms showed a marked improvement. In this case, we found that long-term administration of synthetic estrogen had caused prolonged delirium in the patient and that exogenous effect (brain surgical invasion) with synthetic estrogen had caused the specifically elevated plasma cortisol level. It was suggested that for patients who received steroid therapy of long duration there is a need to monitor plasma cortisol levels and carry out careful observation for the occurrence of psychiatric symptoms. Wed, 27 Jun 2001 15:00:00 GMT http://hdl.handle.net/10564/660 2001-06-27T15:00:00Z http://hdl.handle.net/10564/659 タイトル: 慢性膵炎に合併した脾静脈閉塞によって胃静脈瘤破裂と脾機能亢進症を呈した1例 著者: 山本, 純子; 山野, 繁; 西谷, 喜治; 木田, 順富; 西野, 俊彦; 赤井, 靖宏; 椎木, 英夫; 橋本, 俊雄 抄録: A sixty-five-year-old man was admitted to the hospital because of abdominal pain and hematemesis. He had consumed about 500 ml of sake daily for 45 years. He had experienced occasional abdominal pain and diarrhea since 1998. Computed tomography (CT) of the abdomen at that time demonstrated calcification of the pancreas and he was diagnosed with chronic pancreatitis. He was emergently admitted to the hospital in February, 1999, after he experienced severe abdominal pain and a small amount of hematemesis. Physical examination revealed palpable spleen 5 cm below left costal margin. Laboratory findings showed severe normocytic anemia (Hb 5.9 g/dl), moderate thrombocytopenia (platelet 72,000/ml) and elevated pancreatic enzyme (amylase 142 IU/l and trypsin 1,390 IU/l). ICG R15 was 4.4%. Upper gastrointestinal endoscopy showed ruptured gastric varices, and magnetic resonance angiography (MRA) of the abdomen revealed obstruction of the splenic vein. Splenic vein obstruction, which was the cause of splenomegaly, was thought to be brought about by the chronic pancreatitis. If splenomegaly is present in the patients with pancreatitis without liver cirrhosis, obstruction of the splenic vein should be considered. Wed, 27 Jun 2001 15:00:00 GMT http://hdl.handle.net/10564/659 2001-06-27T15:00:00Z http://hdl.handle.net/10564/658 タイトル: 直腸潰瘍と骨盤腔膿瘍を合併したSLEの1例 著者: 京田, 有輔; 岩野, 正之; 鮫島, 謙一; 山口, 惣一; 川野, 貴弘; 藤本, 隆 抄録: We report a 51-year-old female patient diagnosed with systemic lupus erythematosus (SLE) with rectal ulcer and pelvic abscess. She was admitted to our hospital because of high-grade fever. She had been diagnosed with SLE in May, 1985, and took 5 mg/day of prednisolone continuously. As SLE disease activity index (SLEDAI) on admission was only 7 points, the activity of SLE was not considered to be developed. A computed tomographic scan of the pelvis, a barium enema and a colonoscopy showed rectal ulcer and pelvic abscess. A colostomy was performed on the 35th hospital day. Ablution of abscess and intravenous drip of antibiotic were started on the 36th hospital day. On the 150th hospital day, high-grade fever disappeared. On the 210th hospital day, enteroproctia was closed. The cause of the rectal ulcer seemed to be the overuse of NSAID rather than SLE itself. Wed, 27 Jun 2001 15:00:00 GMT http://hdl.handle.net/10564/658 2001-06-27T15:00:00Z http://hdl.handle.net/10564/657 タイトル: SIGNIFICANCE IN FORENSIC IDENTIFICATION : CHARACTERIZED HARD TISSUE FINDINGS IN 3 SKULLS 著者: Inoue, Takamro; Hatake, Katsuhiko 抄録: In the field of forensic odontology, judgement and identification of unknown bleached bone skulls is an important function. However, as it is possible for teeth to drop out after death, in such cases characterized hard tissue findings may be im- portant. In this report we note relatively rare hard tissue findings in 3 cases. Case 1 was a frontal suture (metopism) in a 36-year-old male, Case 2 was a so-called Os Incae, and Case 3 was an exostosis. The frequency of metopism in Japanese adults is about 6.9%, Os Incae in males is 3.1% and 2.2% in females, while exostosis is 7-15.6%. It is consid- ered that metopism, Os Incae and exostosis may play important roles in identification, es- pecially if an X-ray photograph of the skull has been taken during that person's lifetime. Wed, 27 Jun 2001 15:00:00 GMT http://hdl.handle.net/10564/657 2001-06-27T15:00:00Z