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The evaluation of cerebral protective effect of hypothermia therapy for traumatic brain injury patients with evacuated mass lesions

Research Project

Project/Area Number 25462219
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Neurosurgery
Research InstitutionYamaguchi University

Principal Investigator

SUEHIRO Eiichi  山口大学, 医学部附属病院, 助教 (10363110)

Co-Investigator(Kenkyū-buntansha) TSURUTA Ryousuke  山口大学, 大学院医学系研究科, 教授 (30263768)
ODA Yasutaka  山口大学, 大学院医学系研究科, 准教授 (40397998)
KOIZUMI Hiroyasu  山口大学, 医学部, 特別医学研究員 (40423389)
FUJITA Motoki  山口大学, 大学院医学系研究科, 助教 (50380001)
SUZUKI Michiyasu  山口大学, 大学院医学系研究科, 教授 (80196873)
Project Period (FY) 2013-04-01 – 2016-03-31
Project Status Completed (Fiscal Year 2015)
Budget Amount *help
¥4,680,000 (Direct Cost: ¥3,600,000、Indirect Cost: ¥1,080,000)
Fiscal Year 2015: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Fiscal Year 2014: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2013: ¥2,470,000 (Direct Cost: ¥1,900,000、Indirect Cost: ¥570,000)
Keywords頭部外傷 / 脳低温療法 / バイオマーカー / フリーラジカル / 神経集中治療 / 重症頭部外傷 / 二次性脳損傷 / 積極的平温療法 / 頭蓋内圧
Outline of Final Research Achievements

The cerebral protective effect of hypothermia therapy was investigated in patients with head injury who had traumatic intracranial hematoma requiring craniotomy. Reactive oxygen production upon decompressive craniectomy promotes brain damage and was investigated using a biomarker. Only 13 patients met the inclusion criteria over a 3-year period due to the recent decrease in patients with head injury. The favorable outcome rates were 100% (5/5) in the hypothermia group and 62.5% (5/8) in the normothermia group, but the difference was not significant. There was no reactive oxygen production upon decompressive craniectomy based on the biomarker. The small number of patients prevented observation of the efficacy of hypothermia therapy. There is a need to examine more cases through performance of a multicenter study.

Report

(3 results)
  • 2015 Annual Research Report   Final Research Report ( PDF )
  • 2013 Research-status Report
  • Research Products

    (9 results)

All 2016 2015 2014 2013

All Journal Article (3 results) (of which Peer Reviewed: 2 results) Presentation (6 results) (of which Int'l Joint Research: 1 results,  Invited: 3 results)

  • [Journal Article] 頭部外傷に対する脳低温療法2016

    • Author(s)
      末廣栄一、鈴木倫保
    • Journal Title

      日本医事新報

      Volume: 4788 Pages: 58-58

    • Related Report
      2015 Annual Research Report
  • [Journal Article] Neurocritical Care for Traumatic Brain Injury2016

    • Author(s)
      末廣栄一、小泉博靖、井上貴雄、藤山雄一、篠山瑞也、出口誠、米田浩、石原秀行、野村貞宏、鈴木倫保
    • Journal Title

      Japanese Journal of Neurosurgery

      Volume: 25 Issue: 3 Pages: 214-219

    • DOI

      10.7887/jcns.25.214

    • NAID

      130005138811

    • ISSN
      0917-950X, 2187-3100
    • Related Report
      2015 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Diverse effects of hypothermia therapy in patients with severe traumatic brain injury based on the CT classification of the Traumatic Coma Data Bank2015

    • Author(s)
      Suehiro E, Koizumi H, Fujisawa H, Fujita M, Kaneko T, Oda Y, Yamashita S, Tsuruta R, Maekawa T, Suzuki M
    • Journal Title

      J Neurotrauma

      Volume: 32 Issue: 5 Pages: 353-358

    • DOI

      10.1089/neu.2014.3584

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed
  • [Presentation] 外傷性頭蓋内血腫除去術周術期における酸化ストレス度の測定2015

    • Author(s)
      末廣栄一、野島順三、藤山雄一、小泉博靖、鈴木倫保
    • Organizer
      第18回日本脳低温療法学会
    • Place of Presentation
      香川県高松市(アルファあなぶきホール)
    • Year and Date
      2015-07-10
    • Related Report
      2015 Annual Research Report
  • [Presentation] 重症頭部外傷患者に対する神経集中治療のエビデンス2015

    • Author(s)
      末廣栄一、小泉博靖、藤山雄一、石原秀行、野村貞宏、鈴木倫保
    • Organizer
      第28回日本脳死・脳蘇生学会 総会学術集会
    • Place of Presentation
      愛知県名古屋市(名鉄グランドホテル)
    • Year and Date
      2015-07-04
    • Related Report
      2015 Annual Research Report
  • [Presentation] Neurocritical care based on Japanese guideline for management of TBI and clinical practices from the Japan Neurotrauma Data Bank2015

    • Author(s)
      Eiichi Suehiro, and Michiyasu Suzuki
    • Organizer
      1st Huashan Traumatic Brain Injury and Neurosurgery Critical Care Summit
    • Place of Presentation
      Shanghai, China
    • Year and Date
      2015-06-07
    • Related Report
      2015 Annual Research Report
    • Int'l Joint Research / Invited
  • [Presentation] 頭部外傷集中治療の実態2015

    • Author(s)
      末廣栄一、小泉博靖、藤山雄一、篠山瑞也、出口誠、米田浩、石原秀行、野村貞宏、鈴木倫保
    • Organizer
      第35回日本脳神経外科コングレス総会
    • Place of Presentation
      神奈川県横浜市(パシフィコ横浜)
    • Year and Date
      2015-05-08
    • Related Report
      2015 Annual Research Report
    • Invited
  • [Presentation] Future directions of hypothermia therapy for traumatic brain injury from clinical studies in Japan2014

    • Author(s)
      Eiichi Suehiro, Yuichi Fujiyama, Hiroyasu Koizumi, and Michiyasu Suzuki
    • Organizer
      The 11th Symposium of The International Neurotrauma Society
    • Place of Presentation
      Intercontinental Budapest (Hungary)
    • Related Report
      2013 Research-status Report
  • [Presentation] Recent advances and future directions: suggestions from clinical studies2013

    • Author(s)
      末廣栄一、藤山雄一、小泉博靖、鈴木倫保
    • Organizer
      日本脳神経外科学会第72回学術総会
    • Place of Presentation
      パシフィコ横浜(神奈川県)
    • Related Report
      2013 Research-status Report
    • Invited

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Published: 2014-07-25   Modified: 2019-07-29  

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