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2013 Fiscal Year Final Research Report

Inflammation and platelet aggregation may be related to delayed ischemic neurological deficits after subarachnoid hemorrhage

Research Project

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Project/Area Number 23592103
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Cerebral neurosurgery
Research InstitutionIwate Medical University

Principal Investigator

KUBO Yoshitaka  岩手医科大学, 医学部, 講師 (00316366)

Project Period (FY) 2011 – 2013
Keywordsくも膜下出血 / 脳血管攣縮 / 食欲 / アドレノメデュリン / 炎症 / 血小板
Research Abstract

Adrenomedullin (AM) is secreted into the cerebrospinal fluid (CSF) from the choroid plexus and regulates appetite. AM concentration in the CSF is elevated 7–10 days after the onset of aneurysmal subarachnoid hemorrhage (SAH). All outcome variables were measured at an early (Day 3) and late (Day 8) time point after SAH onset (Day 0). Dietary oral calorie intake, self-reported appetite level, hemoglobin, albumin, glucose, and insulin levels were lower at the late time point than at the early time point. CSF AM concentration was higher at the late time point than at the early time point. There was a significant negative correlation between AM concentration and dietary oral calorie intake and self-reported appetite level at the late time point. Six patients (27%) developed DIND. AM concentration at the late time point was significantly higher in patients who developed DIND than in patients who did not. CSF AM concentration 8 days after SAH onset is related to appetite loss and DIND.

  • Research Products

    (44 results)

All 2014 2013 2012 2011 Other

All Journal Article (17 results) Presentation (23 results) Book (4 results)

  • [Journal Article] Appetite loss may be induced by lower serum ghrelin and higher serum leptin concentrations in subarachnoid hemorrhage patients2013

    • Author(s)
      Kubo Y, Koji T, Kashimura H, Otawara Y, Ogawa A, Ogasawara K
    • Journal Title

      Nutr Neurosci

  • [Journal Article] Changes in cognitive function after caroti endarterectomy in older patients : comparison with younger patients2013

    • Author(s)
      Takahashi Y, Ogasawara K, Matsumoto Y, Kobayashi M, Yoshida K, Kubo Y, Beppu T, Murakami T, Nanba T, Ogawa A
    • Journal Title

      Neurol Med Chir (Tokyo)

      Volume: 53(6) Pages: 353-9

  • [Journal Article] Postoperative increase in cerebral white matter fractional anisotropy on diffusion tensor magnetic resonance imaging is associated with cognitive improvement after uncomplicated carotid endarterectomy : tract-based spatial statistics analysis2013

    • Author(s)
      Sato Y, Ito K, Ogasawara K, Sasaki M, Kudo K, Murakami T, Nanba T, Nishimoto H, Yoshida K, Kobayashi M, Kubo Y, Mase T, Ogawa A
    • Journal Title

      Neurosurgery

      Volume: 73(4) Pages: 592-8

  • [Journal Article] Detection of misery perfusion in the cerebral hemisphere with chronic unilateral major cerebral artery steno-occlusive disease using crossed cerebellar hypoperfusion : comparison of brain SPECT and PET imaging2013

    • Author(s)
      Matsumoto Y, Ogasawara K, Saito H, Terasaki K, Takahashi Y, Ogasawara Y, Kobayashi M, Yoshida K, Beppu T, Kubo Y, Fujiwara S, Tsushima E, Ogawa A
    • Journal Title

      Eur J Nucl Med Mol Imaging

      Volume: 40(10) Pages: 1573-81

  • [Journal Article] Adrenomedullin concentration in the cerebrospinal fluid is related to appetite loss and delayed ischemic neurological deficits after subarachnoid hemorrhage2013

    • Author(s)
      Kubo Y, Koji T, Kashimura H, Otawara Y, Ogawa A, Ogasawara K
    • Journal Title

      Neurol Res

      Volume: 35(7) Pages: 713-8

  • [Journal Article] Postoperative changes in cerebral metabolites associated with cognitive improvement and impairment after carotid endarterectomy : a 3T proton MR spectroscopy study2013

    • Author(s)
      Saito H, Ogasawara K, Nishimoto H, Yoshioka Y, Murakami T, Fujiwara S, Sasaki M, Kobayashi M, Yoshida K, Kubo Y, Beppu T, Ogawa A
    • Journal Title

      AJNR Am Neuroradiol

      Volume: 34(5) Pages: 976-82

  • [Journal Article] 頸動脈内膜剥離術においてMRSで測定される術前後の脳代謝産物の変化は術後認知機能の改善および悪化に関与する2013

    • Author(s)
      斎藤秀夫、小笠原邦昭、西本英明、村上寿孝、藤原俊朗、小林正和、吉田研二、久保慶高、小川彰、佐々木真理
    • Journal Title

      東北脳循環カンファランス

      Volume: 19 Pages: 21-24

  • [Journal Article] 自然閉塞した椎骨動脈解離から2年後に対側の椎骨動脈が解離により破裂を来した1例2013

    • Author(s)
      小守林靖一、久保慶高、幸治孝裕、西川泰正、小川彰、小笠原邦昭
    • Journal Title

      脳卒中

      Volume: 35 Pages: 291-294

  • [Journal Article] Ischemic events due to intraoperative microemboli developing in the cerebral hemisphere contralateral to carotid endarterectomy in a patient with preoperative cerebral hemodynamic impairment2012

    • Author(s)
      Kobayashi M, Ogasawara K, Suzuki T, Kuroda H, Yamashita T, Yoshida K, Kubo Y, Ogawa A
    • Journal Title

      Neurol Med Chir (Tokyo)

      Volume: 52(3) Pages: 161-4

  • [Journal Article] Improvement and impairment in cognitive function after carotid endarterectomy : comparison of objective and subjective assessments2012

    • Author(s)
      Yoshida K, Ogasawara K, Kobayashi M, Yoshida K, Kubo Y, Otawara Y, Ogawa A
    • Journal Title

      Neurol Med Chir (Tokyo)

      Volume: 52(3) Pages: 154-60

  • [Journal Article] Accuracy of central benzodiazepine receptor binding potential/cerebral blood flow SPECT imaging for detecting misery perfusion in patients with unilateral major cerebral artery occlusive diseases : comparison with cerebrovascular reactivity to acetazolamide and cerebral blood flow SPECT imaging2012

    • Author(s)
      Kuroda H, Ogasawara K, Suzuki T, Chida K, Aso K, Kobayashi M, Yoshida K, Terasaki K, Fujiwara S, Kubo Y, Ogawa A
    • Journal Title

      Clin Nucl Med

      Volume: 37(3) Pages: 235-40

  • [Journal Article] Combination of preoperative cerebral blood flow and 123I-iomazenil SPECT imaging predicts postoperative cognitive improvement in patients undergoing uncomplicated endarterectomy for unilateral carotid stenosis2012

    • Author(s)
      Yamashita T, Ogasawara K, Kuroda H, Suzuki T, Chida K, Kobayashi M, Yoshida K, Kubo Y, Ogawa A
    • Journal Title

      Clin Nucl Med

      Volume: 37(2) Pages: 128-33

  • [Journal Article] Adverse effects of intravenous acetazolamide administration for evaluation of cerebrovascular reactivity using brain perfusion single-photon emission computed tomography in patients with major cerebral artery steno-occlusive diseases2011

    • Author(s)
      Saito H, Ogasawara K, Suzuki T, Kuroda H, Kobayashi M, Yoshida K, Kubo Y, Ogawa A
    • Journal Title

      Neurol Med Chir (Tokyo)

      Volume: 51(7) Pages: 479-83

  • [Journal Article] Intentional hypertension during dissection of carotid arteries in endarterectomy prevents postoperative development of new cerebral ischemic lesions caused by intraoperative microemboli2011

    • Author(s)
      Kobayashi M, Ogasawara K, Yoshida K, Sasaki M, Kuroda H, Suzuki T, Kubo Y, Fujiwara S, Ogawa A
    • Journal Title

      Neurosurgery

      Volume: 69(2) Pages: 301-7

  • [Journal Article] Hemorrhagic infarction at 33 days after birth in a healthy full-term neonate2011

    • Author(s)
      Kubo Y, Ogasawara K, Kurose A, Kashimura H, Koji T, Otawara Y, Kamei J, Akasaka M, Sasaki M, Ogawa A
    • Journal Title

      Vasc Health Risk Manag

      Volume: 7 Pages: 667-70

  • [Journal Article] 動脈瘤体部に癒着した前側頭動脈を切除•端々吻合することにより根治せしめた未破裂動脈瘤の1例2011

    • Author(s)
      斎藤秀夫、小笠原邦昭、久保慶高、樫村博史、小川彰
    • Journal Title

      脳神経外科ジャーナル

      Volume: 20 Pages: 400-403

  • [Journal Article] Female sex is a risk factor for the growth of asymptomatic unruptured cerebral saccular aneurysms in elderly patients

    • Author(s)
      Kubo Y, Koji T, Kashimura H, Otawara Y, Ogawa A, Ogasawara K
    • Journal Title

      J Neurosurg

      Volume: (in press)

  • [Presentation] 脳血管攣縮期における食欲低下には髄液中のアドレノメデュリン濃度上昇が関与している2014

    • Author(s)
      久保慶高幸治孝裕樫村博史太田原康成斎藤秀夫佐浦宏明佐藤由衣子吉田浩二小笠原邦昭.
    • Organizer
      Stroke 2014(スパスムシンポジウム)
    • Year and Date
      20140000
  • [Presentation] 70歳以上高齢者における未破裂嚢状脳動脈瘤の増大因子とは?-単施設における前向き研究より-Female sex is a risk factor for the growth of asymptomatic unruptured cerebral saccular aneurysms in elderly patients2014

    • Author(s)
      久保慶高、幸治孝裕、樫村博史、太田原康成、斎藤秀夫、佐浦宏明、佐藤由衣子、吉田浩二、小川彰、小笠原邦昭
    • Organizer
      第23回日本脳ドック学会総会
    • Year and Date
      20140000
  • [Presentation] Anxiety before and after surgical repair in patients with asymptomatic unruptured intracranial aneurysm2013

    • Author(s)
      Otawara Y., Kubo Y., Koji T., Ogawa A., Ogasawara K
    • Organizer
      The 6th Korea-Japan Joint Stroke Conference
    • Year and Date
      20130000
  • [Presentation] Preoperative evaluation of the origins of the perforating arteries using 7T MRI in patients with unruptured aneurysms2013

    • Author(s)
      Koji T., Kubo Y., Murakami T., Nanba T. Sasaki M., Ogawa A., Ogasawara K
    • Organizer
      ISMRM 21st Annual Meeting & Exhibition
    • Year and Date
      20130000
  • [Presentation] 小笠原邦昭.前床突起近傍に存在する破裂内頸チマメ状動脈瘤の手術戦略2013

    • Author(s)
      久保慶高、幸治孝裕、吉田研二、樫村博史、柿野俊介、太田原康成、小川彰
    • Organizer
      STROKE2013(第42回日本脳卒中の外科学会)
    • Year and Date
      20130000
  • [Presentation] 高齢者における頸動脈内膜剥離術後認知機能変化:若年者との比較2013

    • Author(s)
      斎藤秀夫、小笠原邦昭、小林正和、吉田研二、久保慶高、村上寿孝、南波孝昌
    • Organizer
      STROKE2013(第38回日本脳卒中学会総会)
    • Year and Date
      20130000
  • [Presentation] 頚動脈内膜剥離術後の認知機能改善および悪化:主観的評価と客観的評価の比較2013

    • Author(s)
      斎藤秀夫、小笠原邦昭、小林正和、吉田研二、久保慶高
    • Organizer
      第22回日本脳ドック学会総会
    • Year and Date
      20130000
  • [Presentation] 小笠原邦昭.高齢者未破裂嚢状脳動脈瘤患者におけるネッククリッピング前後の高次脳機能ならびに不安評価2013

    • Author(s)
      久保慶高、幸治孝裕、樫村博史、太田原康成、佐藤由衣子、佐浦宏明、吉田浩二
    • Organizer
      第22回日本脳ドック学会総会
    • Year and Date
      20130000
  • [Presentation] SPECT上のCrossed cerebellar hypoperfusionを用いた慢性一側性脳主幹動脈狭窄閉塞病変における貧困灌流の検出2013

    • Author(s)
      斎藤秀夫、小笠原邦昭、吉田浩二、佐浦宏明、南波孝昌、佐藤由衣子、小林正和、吉田研二、久保慶高、小川彰
    • Organizer
      第23回東北脳SPECT研究会
    • Year and Date
      20130000
  • [Presentation] 前床突起近傍に存在する破裂内頸チマメ状動脈瘤の手術戦略2013

    • Author(s)
      久保慶高、幸治孝裕、吉田研二、樫村博史、太田原康成、小川彰、小笠原邦昭
    • Organizer
      (社)日本脳神経外科学会第72回学術総会
    • Year and Date
      20130000
  • [Presentation] 高齢者における頚動脈内膜剥離術後認知機能変化:若年者との比較2013

    • Author(s)
      斎藤秀夫、小笠原邦昭、小林正和、吉田研二、久保慶高、村上寿孝、南波孝昌
    • Organizer
      (社)日本脳神経外科学会第72回学術総会
    • Year and Date
      20130000
  • [Presentation] 7T MRIを用いた未破裂脳動脈瘤患者における穿通枝の評価- 3T MRIとの比較2013

    • Author(s)
      幸治孝裕、久保慶高、南波孝昌、佐藤由衣子、佐々木真理、小川彰、小笠原邦昭
    • Organizer
      (社)日本脳神経外科学会第72回学術総会
    • Year and Date
      20130000
  • [Presentation] Crossed cerebellar hypoperfusionを用いた一側性脳主幹動脈閉塞性病変における貧困灌流の検出2013

    • Author(s)
      斎藤秀夫、小笠原邦昭、寺崎一典、小林正和、吉田研二、南波孝昌、佐藤由衣子、吉田浩二、佐浦宏明、久保慶高、小川彰
    • Organizer
      第25回日本脳循環代謝学会総会
    • Year and Date
      20130000
  • [Presentation] 7T MRIを用いた未破裂脳動脈患者における穿通枝の評価- 3T MRIとの比較2013

    • Author(s)
      幸治孝裕、久保慶高、南波孝昌、佐藤由衣子、佐々木真理、小川彰、小笠原邦昭
    • Organizer
      第36回東北脳血管障害研究会
    • Year and Date
      20130000
  • [Presentation] チタン合金製脳動脈瘤クリップの長期埋入後性能評価2012

    • Author(s)
      幸治孝裕、太田原康成、久保慶高、村上寿孝、山下武志、小川彰、小笠原邦昭
    • Organizer
      第41回日本脳卒中の外科学会(Stroke2012)
    • Year and Date
      20120000
  • [Presentation] 頭蓋頸椎移行部破裂硬膜動静脈瘻の1例:その組織学的検討2012

    • Author(s)
      村上寿孝、幸治孝裕、久保慶高、麻生謙太、小川彰、小笠原邦昭
    • Organizer
      第48回(社)日本脳神経外科学会東北地方会
    • Year and Date
      20120000
  • [Presentation] 自然閉塞した椎骨動脈解離から2年後に体側の椎骨動脈解離によりくも膜下出血をきたした1例2012

    • Author(s)
      小守林靖一、久保慶高、幸治孝裕、西川泰正、小川彰、小笠原邦昭
    • Organizer
      第48回(社)日本脳神経外科学会東北地方会
    • Year and Date
      20120000
  • [Presentation] 未破裂脳動脈瘤患者に於ける7T MRIを用いた穿通枝起始部の評価2012

    • Author(s)
      幸治孝裕、久保慶高、村上寿孝、南波孝昌、佐々木真理、小川彰、小笠原邦昭
    • Organizer
      (社)日本脳神経外科学会第71回学術総会
    • Year and Date
      20120000
  • [Presentation] CEAにおいてMRSで測定される術前後の脳代謝産物の変化は術後認知機能の改善および悪化に関与する2012

    • Author(s)
      斎藤秀夫、小笠原邦昭、西本英明、吉岡芳親、村上寿孝、佐々木真理、藤原俊朗、小林正和、吉田研二、久保慶高、小川彰
    • Organizer
      第24回日本脳循環代謝学会総会
    • Year and Date
      20120000
  • [Presentation] 小笠原邦昭.未破裂脳動脈瘤患者に於ける7T MRIを用いた穿通枝起始部の評価2012

    • Author(s)
      幸治孝裕、久保慶高、吉田浩二、村上寿孝、南波孝昌、佐々木真理、小川彰
    • Organizer
      第35回東北脳血管障害研究会
    • Year and Date
      20120000
  • [Presentation] 術前の脳血流SPECTとiomazenil-SPECTはCEA後の認知機能改善を予知する2012

    • Author(s)
      斎藤秀夫、小笠原邦昭、黒田博紀、鈴木太郎、千田光平、小林正和、吉田研二、久保慶高、小川彰
    • Organizer
      第37回日本脳卒中学会総会(Stroke2012)
    • Year and Date
      20120000
  • [Presentation] 高齢未破裂嚢状脳動脈瘤患者におけるネッククリッピング前後の認知機能ならびに不安評価2011

    • Author(s)
      久保慶高、幸治孝裕、樫村博史、太田原康成、山下武志、村上寿孝、小川彰、小笠原邦昭
    • Organizer
      (社)日本脳神経外科学会第70回学術総会
    • Year and Date
      20110000
  • [Presentation] チタン合金製脳動脈クリップの長期埋入後性能評価2011

    • Author(s)
      幸治孝裕、太田原康成、久保慶高、村上寿孝、山下武志、小川彰、小笠原邦昭
    • Organizer
      (社)日本脳神経外科学会第70回学術総会
    • Year and Date
      20110000
  • [Book] 未破裂脳動脈瘤の経過観察をどう行うか2013

    • Author(s)
      久保慶高、小笠原邦昭
    • Total Pages
      412-413
    • Publisher
      Clinical Neuroscience
  • [Book] 出血性脳血管障害の初期診断2012

    • Author(s)
      久保慶高
    • Total Pages
      16-21
    • Publisher
      レジデント
  • [Book] くも膜下出血.医学と薬学2012

    • Author(s)
      幸治孝裕、久保慶高、小笠原邦昭
    • Total Pages
      68
  • [Book] 椎骨・脳底動脈系の脳動脈瘤に対する手術.ビジュアル脳神経外科3脳幹・基底核・小脳2011

    • Author(s)
      幸治孝裕、久保慶高、小笠原邦昭
    • Total Pages
      138-149
    • Publisher
      メジカルビュー社

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Published: 2015-07-16  

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