{"id":258,"date":"2012-04-22T22:18:07","date_gmt":"2012-04-22T13:18:07","guid":{"rendered":"\/sawamura\/?p=258"},"modified":"2025-12-26T16:34:36","modified_gmt":"2025-12-26T07:34:36","slug":"trigmvd","status":"publish","type":"post","link":"https:\/\/plaza.umin.ac.jp\/sawamura\/cranialnerve\/trigmvd\/","title":{"rendered":"\u4e09\u53c9\u795e\u7d4c\u75db\u306e\u5916\u79d1\u6cbb\u7642"},"content":{"rendered":"<h5>\u307e\u305a\uff0c\u57fa\u790e\u77e5\u8b58<\/h5>\n<h5>\u4e09\u53c9\u795e\u7d4c\u75db\u3068\u4e09\u53c9\u795e\u7d4c\u969c\u5bb3\u306e\u9055\u3044<\/h5>\n<ul>\n<li>18\u4e16\u7d00\u30d5\u30e9\u30f3\u30b9\u795e\u7d4c\u5b66\u306e\u5b9a\u7fa9\u306e\u554f\u984c\u3067\u3059<\/li>\n<li>\u4e09\u53c9<span style=\"color: #000080;\"><strong>\u795e\u7d4c\u75db neuralgia<\/strong><\/span> \u306f\uff0c\u4e09\u53c9\u795e\u7d4c\u6a5f\u80fd\u304c\u7570\u5e38\u306b\u4ea2\u9032\u3059\u308b\u305f\u3081\u306b\u751f\u3058\u308b\u611f\u899a\u969c\u5bb3\u3092\u4f34\u308f\u306a\u3044\uff0c\u77ac\u6642\u306e\u6fc0\u75db\u3067\u3059<\/li>\n<li>\u4e09\u53c9<span style=\"color: #000080;\"><strong>\u795e\u7d4c\u969c\u5bb3 neuropathy<\/strong><\/span> \u306f\uff0c\u4e09\u53c9\u795e\u7d4c\u306e\u6a5f\u80fd\u4f4e\u4e0b\u3067\u751f\u3058\u308b\u7570\u5e38\u611f\u899a\uff08\u7570\u611f\u899a\uff09\u3067\u306e\u9854\u9762\u75db\u3067\uff0c\u591a\u304f\u306f\u6301\u7d9a\u6027\u75bc\u75db\u3067\u3059<\/li>\n<li>\u4e09\u53c9\u795e\u7d4c\u75db\u306f\u5916\u79d1\u6cbb\u7642\u3067\u6cbb\u308a\u307e\u3059\u304c\uff0c\u9006\u306b\u4e09\u53c9\u795e\u7d4c\u969c\u5bb3\u306f\u60aa\u5316\u3057\u307e\u3059<\/li>\n<li>\u3053\u306e<span style=\"color: #000080;\"><strong>\u8a3a\u65ad\u3092\u8aa4\u308b\u3068\u624b\u8853\u3067\u9854\u9762\u75db\u304c\u60aa\u5316<\/strong><\/span>\u3057\u307e\u3059\uff0c\u3042\u308b\u3044\u306f\u6cbb\u305b\u308b\u306e\u306b\u6cbb\u3055\u306a\u3044\u3053\u3068\u306b\u306a\u308a\u307e\u3059<\/li>\n<\/ul>\n<h5>\u5916\u79d1\u6cbb\u7642\u306e\u30bf\u30a4\u30df\u30f3\u30b0<\/h5>\n<div class=\"setumei\">\n<ul>\n<li class=\"nameAddress\">\u4e09\u53c9\u795e\u7d4c\u75db\u306f\uff0c\u5468\u56f2\u306e\u4eba\u306b\u306f\u308f\u304b\u3089\u306a\u3044\u3051\u308c\u3069\u7f79\u60a3\u8005\u306b\u3068\u3063\u3066\u306f\u8010\u3048\u96e3\u3044\u75bc\u75db\u3067\u3059<\/li>\n<li class=\"nameAddress\">\u3082\u3057\u6cbb\u7642\u6cd5\u304c\u3042\u308b\u306a\u3089\u3070\uff0c\u6cbb\u7642\u306e\u6642\u671f\u3092\u9045\u3089\u305b\u308b\u3079\u304d\u3067\u306f\u3042\u308a\u307e\u305b\u3093<\/li>\n<li class=\"nameAddress\">\u3053\u306e\u610f\u5473\u306b\u304a\u3044\u3066\u306f\uff0c\u9854\u9762\u75db\u3092\u8a34\u3048\u308b\u60a3\u8005\u3092\u8a3a\u308b\u8a3a\u65ad\u533b\u306f\uff0c\u3042\u3089\u3086\u308b\u6cbb\u7642\u6cd5\u3068\u305d\u306e\u52b9\u679c\u306b\u3082\u7cbe\u901a\u3059\u308b\u3079\u304d\u3067\u3059<\/li>\n<li>\u4e09\u53c9\u795e\u7d4c\u75db\u306e\u6cbb\u7642\u306b\u306f\u5185\u670d\u6cbb\u7642\uff08\u30ab\u30eb\u30d0\u30de\u30bc\u30d4\u30f3\uff09\u3001\u958b\u982d\u624b\u8853\uff0c\u30d6\u30ed\u30c3\u30af\u7642\u6cd5\u3001\u5b9a\u4f4d\u653e\u5c04\u7dda\u6cbb\u7642\u306a\u3069\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u552f\u4e00\u306e<span style=\"color: #000080;\"><strong>\u6839\u6cbb\u7642\u6cd5\u306f\uff0c\u5fae\u5c0f\u8840\u7ba1\u6e1b\u5727\u8853 MVD<\/strong><\/span>\u00a0(microvascular decompression\uff09\u3067\u3059<\/li>\n<li>\u6839\u6cbb\u7642\u6cd5\u3067\u3059\u304c\uff0c\u958b\u982d\u624b\u8853\u3067\u3059\u304b\u3089\u305d\u308c\u306a\u308a\u306e\u30ea\u30b9\u30af\u3082\u3042\u308a\u307e\u3059<\/li>\n<li>\u307e\u305a\u306f<span style=\"color: #ff0000;\"><strong>\u30ab\u30eb\u30d0\u30de\u30bc\u30d4\u30f3\uff08\u30c6\u30b0\u30ec\u30c8\u30fc\u30eb\uff09\u306e\u5185\u670d\u6cbb\u7642\u304b\u3089\u958b\u59cb<\/strong><\/span>\u3057\u307e\u3059<\/li>\n<li>\u305d\u306e\u52b9\u679c\u3092\u307f\u306a\u304c\u3089\u6839\u6cbb\u7642\u6cd5\u3067\u3042\u308b\u5916\u79d1\u6cbb\u7642\u3092\u60a3\u8005\u3055\u3093\u3068\u76f8\u8ac7\u3057\u306a\u304c\u3089\u691c\u8a0e\u3057\u307e\u3059<\/li>\n<li>\u30d6\u30ed\u30c3\u30af\u7642\u6cd5\u3068\u5b9a\u4f4d\u653e\u5c04\u7dda\u6cbb\u7642\uff08\u30ac\u30f3\u30de\u30ca\u30a4\u30d5\u306a\u3069\uff09\u306f\u3042\u307e\u308a\u304a\u52e7\u3081\u3067\u304d\u307e\u305b\u3093<\/li>\n<\/ul>\n<h4><strong><span style=\"color: #000080;\">\u30d6\u30ed\u30c3\u30af\u7642\u6cd5\u3068\u5b9a\u4f4d\u653e\u5c04\u7dda\u6cbb\u7642\u306e\u5371\u967a\u6027\u306b\u6ce8\u610f!<\/span><\/strong><\/h4>\n<ul>\n<li>\u795e\u7d4c\u30d6\u30ed\u30c3\u30af\u3068\u5b9a\u4f4d\u653e\u5c04\u7dda\u6cbb\u7642\u306f\uff0c\u4e09\u53c9\u795e\u7d4c\u306e\u75db\u307f\u306e\u4f1d\u5c0e\u8def\u3092\u906e\u65ad\u3057\u3066\u75db\u307f\u3092\u8efd\u304f\u3057\u3088\u3046\u3068\u3059\u308b\u6cbb\u7642\u6cd5\u3067\u3059<\/li>\n<li>\u3042\u308b\u610f\u5473\u3067\u306f<span style=\"color: #000080;\"><strong>\u4e09\u53c9\u795e\u7d4c\u3092\u75db\u3081\u3064\u3051\u308b\u624b\u6bb5<\/strong><\/span>\u3068\u3082\u8a00\u3048\u307e\u3059\u304b\u3089\uff0c\u4e09\u53c9\u795e\u7d4c\u969c\u5bb3\u304c\u751f\u3058\u308b\u53ef\u80fd\u6027\u304c\u9ad8\u3044\u3082\u306e\u3067\u3059<\/li>\n<li>\u30c6\u30b0\u30ec\u30c8\u30fc\u30eb\u304c\u52b9\u304b\u306a\u304f\u3066\uff0c\u795e\u7d4c\u8840\u7ba1\u6e1b\u5727\u8853\u3082\u96e3\u3057\u3044\u3088\u3046\u306a\u5834\u5408\u306b\u306e\u307f\u9078\u629e\u3057\u307e\u3059<\/li>\n<\/ul>\n<h5>1. \u30d6\u30ed\u30c3\u30af\u6cbb\u7642<\/h5>\n<ul>\n<li>\u9854\u9762\u306e\u76ae\u819a\u304b\u3089\u7d4c\u76ae\u7684\u306b\u91dd\u3092\u523a\u5165\u3057\u3001\u85ac\u6db2\u6ce8\u5165\u3042\u308b\u3044\u306f\u9ad8\u5468\u6ce2\u71b1\u51dd\u56fa\u3092\u884c\u3063\u3066\uff0c\u4e09\u53c9\u795e\u7d4c\u306e\u4f1d\u5c0e\u3092\u6291\u5236\u3057\u3066\u75db\u307f\u306e\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u3092\u306f\u304b\u308b\u6cbb\u7642\u6cd5\u3067\u3059<\/li>\n<li>\u773c\u7aa9\u4e0a\u795e\u7d4c\uff0c\u773c\u7aa9\u4e0b\u795e\u7d4c\uff0c\u4e0a\u984e\u795e\u7d4c\uff0c\u304a\u3068\u304c\u3044\u795e\u7d4c\uff0c\u4e0b\u984e\u795e\u7d4c\uff0c\u30ac\u30c3\u30bb\u30eb\u795e\u7d4c\u7bc0\u3092\u30d6\u30ed\u30c3\u30af\u3059\u308b\u65b9\u6cd5\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u85ac\u5264\u3068\u3057\u3066\u306f<span style=\"color: #000080;\"><strong>\u5c40\u6240\u9ebb\u9154\u5264<\/strong><\/span>\u307e\u305f\u306f<strong><span style=\"color: #000080;\">\u795e\u7d4c\u7834\u58ca\u85ac<\/span><\/strong>\u3092\u795e\u7d4c\u306b\u6ce8\u5165\u3057\u307e\u3059<\/li>\n<li>\u5c40\u6240\u9ebb\u9154\u5264\u3067\u884c\u3046\u5834\u5408\u306f\u3001\u4e00\u822c\u7684\u306b\u52b9\u679c\u306e\u6301\u7d9a\u306f\uff0c\u85ac\u5264\u6fc3\u5ea6\u306b\u3088\u3063\u3066\u305b\u3044\u305c\u3044\u6570\u6642\u9593\u304b\u3089\u6570\u65e5\uff0c\u3082\u3063\u3066\u3082\u6570\u9031\u9593\u4ee5\u5185\u3067\u3059<\/li>\n<li>\u9ebb\u9154\u85ac\u3067\u6570\u30f6\u6708\u52b9\u679c\u304c\u3042\u308b\u3068\u3044\u3046\u306e\u306f\uff0c\u9ad8\u6fc3\u5ea6\u5c40\u6240\u9ebb\u9154\u85ac\u306e\u795e\u7d4c\u6bd2\u6027\u3092\u5fdc\u7528\u3059\u308b\u3082\u306e\u3067\u795e\u7d4c\u7834\u58ca\u85ac\u306e\u4f5c\u7528\u306b\u8fd1\u3044\u3082\u306e\u306b\u306a\u308a\u307e\u3059<\/li>\n<li>\u4e00\u65b9\uff0c\u795e\u7d4c\u7834\u58ca\u85ac\u3084<strong><span style=\"color: #000080;\">\u9ad8\u5468\u6ce2\u71b1\u51dd\u56fa\u306b\u3088\u308b\u30ac\u30c3\u30bb\u30eb\u795e\u7d4c\u7bc0\u30d6\u30ed\u30c3\u30af<\/span><\/strong>\u3092\u7528\u3044\u308b\u3068\uff0c\u52b9\u679c\u306f\u3088\u308a\u9577\u304f\u6301\u7d9a\u3057\u307e\u3059\u304c\u3001\u611f\u899a\u4f4e\u4e0b\u3084\u3057\u3073\u308c\u611f\u306a\u3069\u3092\u6b8b\u3057\u307e\u3059<\/li>\n<li>\u795e\u7d4c\u7834\u58ca\u85ac\u3084\u71b1\u51dd\u56fa\u306b\u3088\u308b\u30d6\u30ed\u30c3\u30af\u3092\u884c\u3046\u3068\uff0c\u5f53\u7136\u3067\u3059\u304c<strong><span style=\"color: #000080;\"><span style=\"color: #ff0000;\">\u4e09\u53c9\u795e\u7d4c\u306e\u640d\u50b7<\/span>\uff08\u4e09\u53c9\u795e\u7d4c\u969c\u5bb3\uff09<\/span><\/strong>\u304c\u751f\u3058\u307e\u3059<\/li>\n<li>\u305d\u3046\u306a\u3063\u3066\u3057\u307e\u3046\u3068\uff0c\u9854\u304c\u4e00\u65e5\u4e2d\u713c\u3051\u3064\u304f\u3088\u3046\u306b\u75db\u3044\uff0c\u30b8\u30ea\u30b8\u30ea\u30d3\u30ea\u30d3\u30ea\u3057\u305f\u6fc0\u75db\u304c\u6b62\u3080\u3053\u3068\u304c\u306a\u3044\uff0c\u3068\u3044\u3046\u3072\u3069\u3044\u72b6\u614b\u306b\u306a\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u6700\u60aa\u306e\u5834\u5408\u306b\u306f\uff0c \u9854\u9762\u306e\u611f\u899a\u306f\u306a\u3044\u306e\u306b\u6fc0\u75db\u3092\u5e38\u306b\u611f\u305a\u308b\u72b6\u614b anesthesia dolorosa \u306b\u306a\u308b\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u3053\u306e\u4e09\u53c9\u795e\u7d4c\u306e\u640d\u50b7\u306b\u3088\u3063\u3066\u751f\u3058\u308b<span style=\"color: #ff0000;\"><strong>\u795e\u7d4c\u906e\u65ad\u6027\u75bc\u75db\u306b\u306f\u6cbb\u7642\u6cd5\u304c\u3042\u308a\u307e\u305b\u3093<\/strong><\/span><\/li>\n<li>\u9854\u9762\u75db\u306e\u305f\u3081\u306b\u65e5\u5e38\u751f\u6d3b\u304c\u307e\u3068\u3082\u306b\u3067\u304d\u306a\u3044\u72b6\u614b\u3068\u306a\u308b\u3053\u3068\u3082\u3042\u308a\u5f97\u307e\u3059\u304b\u3089\uff0c\u52b9\u679c\u306e\u9577\u7d9a\u304d\u3059\u308b\u3068\u3044\u3046\u30d6\u30ed\u30c3\u30af\u6cbb\u7642\u306f\uff0c\u3088\u307b\u3069\u306e\u7406\u7531\u304c\u306a\u3044\u9650\u308a\u53d7\u3051\u308b\u3079\u304d\u3067\u306f\u306a\u3044\u3067\u3059<\/li>\n<\/ul>\n<h5>2. \u5b9a\u4f4d\u653e\u5c04\u7dda\u6cbb\u7642<\/h5>\n<\/div>\n<ul>\n<li>\u88c5\u7f6e\u3068\u3057\u3066\u306f\u30ac\u30f3\u30de\u30ca\u30a4\u30d5\u304c\u7528\u3044\u3089\u308c\u308b\u3053\u3068\u304c\u591a\u3044\u3067\u3059<\/li>\n<li>2015\u5e74\u306b\u4e09\u53c9\u795e\u7d4c\u75db\u306b\u5bfe\u3059\u308b\u30ac\u30f3\u30de\u30ca\u30a4\u30d5\u6cbb\u7642\u306f\u4fdd\u967a\u9069\u5fdc\u3068\u306a\u308a\u307e\u3057\u305f<\/li>\n<li>\u30b5\u30a4\u30d0\u30fc\u30ca\u30a4\u30d5\u3084\u30ea\u30cb\u30a2\u30c3\u30af\u306a\u3069\u3067\u3082\u52b9\u679c\u306f\u540c\u7b49\u306e\u3082\u306e\u3067\u3059<\/li>\n<li>\u6700\u3082\u6c4e\u7528\u3055\u308c\u308b\u7167\u5c04\u6761\u4ef6\u306f\uff0c\u8133\u5e79\u90e8\u3092\u542b\u307e\u306a\u3044\u5c0f\u8133\u6a4b\u89d2\u69fd\u306e\u4e09\u53c9\u795e\u7d4c\u6839\u306b\uff0c70-90Gy\u3092single 4-mm isoceter\u3067\u4e00\u56de\u7167\u5c04\u3059\u308b\u65b9\u6cd5\u3067\u3059<\/li>\n<li>\u6570\u9031\u9593\u5f8c\u306b\u306f\uff0c\u306f\u3063\u304d\u308a\u3057\u305f\u795e\u7d4c\u75db\u306e\u8efd\u6e1b\u304c\u5f97\u3089\u308c\u308b\u3053\u3068\u304c\u591a\u3044\u3068\u3044\u3048\u307e\u3059<\/li>\n<li>\u6570\u65e5\u304b\u3089\u6570\u30f6\u6708\u4ee5\u5185\u306b80\uff05\u307b\u3069\u306e\u60a3\u8005\u3055\u3093\u3067\u75db\u307f\u304c\u6d88\u5931\u3057\u307e\u3059<\/li>\n<li>\u518d\u767a\u7387\u3082\u9ad8\u3044\u306e\u3067\u3059\u304c\uff0c10\u5e74\u5f8c\u304f\u3089\u3044\u306e\u6cbb\u7642\u6210\u7e3e\u3067\u306f50%\u304f\u3089\u3044\u306e\u60a3\u8005\u3055\u3093\u3067\u75db\u307f\u304c\u306a\u304f\u306a\u3063\u3066\u3044\u307e\u3059<\/li>\n<li>\u3057\u304b\u3057\uff0c\u5b9a\u4f4d\u7684\u653e\u5c04\u7dda\u6cbb\u7642\u306f\uff0c\u795e\u7d4c\u30d6\u30ed\u30c3\u30af\u3068\u540c\u3058\u3088\u3046\u306b\u60a3\u8005\u3055\u3093\u3078\u306f\u4f4e\u4fb5\u8972\u6cbb\u7642\u3067\u3059\u304c\uff0c<strong><span style=\"color: #ff0000;\">\u4e09\u53c9\u795e\u7d4c\u7d44\u7e54\u3078\u306f\u7834\u58ca\u7684\u6cbb\u7642<\/span><\/strong>\u3067\u3059<\/li>\n<li>\u6700\u3082\u5371\u60e7\u3055\u308c\u308b\u306e\u306f\uff0c\u7167\u5c04\u5f8c\u6570\u30f6\u6708\u304b\u3089\u6570\u5e74\u3067\u751f\u3058\u308b<span style=\"color: #000080;\"><strong>\u4e09\u53c9\u795e\u7d4c\u969c\u5bb3\u3068\u3057\u3066\u306e\u7570\u611f\u899a<\/strong><\/span> dysesthesia\u3067\u3059<\/li>\n<li>\u30b8\u30ea\u30b8\u30ea\u3059\u308b\u75db\u307f\u3084\u3057\u3073\u308c\uff0c\u713c\u3051\u4ed8\u304f\u3088\u3046\u306a\u611f\u899a\u304c\u6301\u7d9a\u3057\u3066\u6b62\u307e\u308a\u307e\u305b\u3093<\/li>\n<li>\u3053\u306e\u4e09\u53c9\u795e\u7d4c\u640d\u50b7\u306b\u3088\u308b\u75bc\u75db\u306e\u6cbb\u7642\u306f\u3068\u3066\u3082\u56f0\u96e3\u3067\u85ac\u3067\u6291\u3048\u304d\u308b\u3053\u3068\u304c\u3067\u304d\u307e\u305b\u3093<\/li>\n<li>\u3072\u3069\u3044\u3068<span style=\"color: #000080;\"><strong>\u9ebb\u85ac\u6027\u93ae\u75db\u5264\u3084\u6297\u9b31\u5264<\/strong><\/span>\u3092\u591a\u91cf\u306b\u670d\u7528\u3059\u308b\u3053\u3068\u306b\u306a\u308a\u307e\u3059<\/li>\n<li>\u6700\u60aa\u306e\u795e\u7d4c\u906e\u65ad\u6027\u75bc\u75db deafferentation pain\u3068\u3057\u3066\u306eanesthesia dolorosa\u304c\u751f\u3058\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059\uff0c\u751f\u304d\u3066\u3044\u304b\u308c\u306a\u3044\u3088\u3046\u306a\u3072\u3069\u3044\u75db\u307f\u3067\u3059<\/li>\n<\/ul>\n<div class=\"setumei\">\n<h4><strong><span style=\"color: #000080;\">\u5fae\u5c0f\u8840\u7ba1\u6e1b\u5727\u8853 MVD\u00a0(microvascular decompression\uff09<\/span><\/strong><\/h4>\n<p>MVD\u306f\uff0c1932\u5e74\u306bDandy\u306b\u3088\u3063\u3066\u8a18\u8f09\u3055\u308c\uff0c1962\u5e74\u306bGardner\u306b\u3088\u308a\u518d\u8a8d\u8b58\u3055\u308c\uff0c\u305d\u306e\u5f8cJannetta\u306b\u3088\u3063\u3066\u4e00\u822c\u306b\u5e83\u304f\u77e5\u3089\u308c\u308b\u3088\u3046\u306b\u306a\u308a\u307e\u3057\u305f\u304b\u3089\uff0c\u30b8\u30e3\u30cd\u30c3\u30bf\u624b\u8853\u3068\u547c\u3070\u308c\u307e\u3059<\/p>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/07\/microvasculardecom\/mvdskin.png\"><img loading=\"lazy\" decoding=\"async\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/07\/microvasculardecom\/mvdskin.png\" alt=\"\" width=\"206\" height=\"221\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/07\/microvasculardecom\/mvdskull.png\"><img loading=\"lazy\" decoding=\"async\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/07\/microvasculardecom\/mvdskull.png\" alt=\"\" width=\"212\" height=\"232\" \/><\/a><\/p>\n<\/div>\n<div class=\"setumei\">\n<ul>\n<li>\u8033\u4ecb\u5f8c\u90e8\u306b\u308f\u305a\u304b\u306a\u90e8\u5206\u5243\u6bdb\u3092\u3057\u3066\uff0c\u4e73\u69d8\u7a81\u8d77\u306e\u5f8c\u90e8\u3092\u7e26\u306b\u6570cm\u5207\u958b\u3057\u307e\u3059<\/li>\n<li>\u4e73\u69d8\u7a81\u8d77\u306e\u5f8c\u7e01\u3067\u5f8c\u982d\u9aa8\u3092\u958b\u982d\u3057\u3066\uff0c\u6a2a\u9759\u8108\u6d1e\u3068S\u72b6\u9759\u8108\u6d1e\u306e\u4e00\u90e8\u3092\u9732\u51fa\u3057\u307e\u3059<\/li>\n<li>\u786c\u819c\u3092\u958b\u3051\u3066\u5c0f\u8133\u3092\u727d\u5f15\u3057\uff0c\u5c0f\u8133\u6a4b\u89d2\u69fd\u306b\u3042\u308b\u9310\u4f53\u9759\u8108 petrosal vein \u3092\u5265\u96e2\u53ef\u52d5\u5316\u3057\u307e\u3059<\/li>\n<li>\u4e09\u53c9\u795e\u7d4c\u6839\u3092\u89b3\u5bdf\u3059\u308b\u3068\uff0c\u4e0a\u5c0f\u8133\u52d5\u8108\u3042\u308b\u3044\u306f\u524d\u4e0b\u5c0f\u8133\u52d5\u8108\u3088\u308b\u5727\u8feb\u304c\u591a\u3044\u3067\u3059<\/li>\n<li>\u52d5\u8108\u304c\u98df\u3044\u8fbc\u3093\u3067\u795e\u7d4c\u6839\u306e\u5f2f\u66f2\u3084\u5727\u75d5\u3092\u307f\u308b\u3053\u3068\u304c\u591a\u3044\u3067\u3059<\/li>\n<li>\u9759\u8108\u306b\u3088\u308b\u5727\u8feb\u3042\u308b\u3044\u306f\u304f\u3082\u819c\u306e\u7652\u7740\u3067\uff0c\u4e09\u53c9\u795e\u7d4c\u304c\u5909\u5f62\u5c48\u66f2\u3057\u3066\u795e\u7d4c\u75db\u3092\u751f\u3058\u3066\u3044\u308b\u5834\u5408\u3082\u3042\u308a\u307e\u3059<\/li>\n<li>\u3053\u308c\u3089\u306e\u8840\u7ba1\u3092\u304f\u3082\u819c\u3092\u5207\u65ad\u3057\u3066\u4e09\u53c9\u795e\u7d4c\u304b\u3089\u5265\u96e2\u3057\u307e\u3059<\/li>\n<li>\u3053\u306e\u6642\u306b\u52d5\u8108\u304b\u3089\u5206\u679d\u3059\u308b\u5fae\u5c0f\u306a\u7a7f\u901a\u679d\u3092\u640d\u50b7\u3059\u308b\u3068\uff0c\u8133\u5e79\u90e8\u6897\u585e\u3092\u751f\u3058\u308b\u306e\u3067\u7279\u306b\u614e\u91cd\u306a\u64cd\u4f5c\u304c\u5fc5\u8981\u3067\u3059<\/li>\n<li>\u5168\u4f53\u306e\u6570\uff05\u304f\u3089\u3044\u3067\u592a\u3044\u690e\u9aa8\u52d5\u8108\u3042\u308b\u3044\u306f\u8133\u5e95\u52d5\u8108\u304c\u4e09\u53c9\u795e\u7d4c\u3092\u5727\u8feb\u3057\u3066\u3044\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u3053\u306e\u5834\u5408\uff0c\u624b\u8853\u306f\u56f0\u96e3\u306a\u3082\u306e\u3068\u306a\u308a\u5408\u4f75\u75c7\u306e\u767a\u751f\u7387\u3084\u518d\u767a\u7387\u304c\u9ad8\u304f\u306a\u308a\u307e\u3059<\/li>\n<li>\u8cac\u4efb\u8840\u7ba1\u3092\u4e09\u53c9\u795e\u7d4c\u6839\u304b\u3089\u5341\u5206\u306a\u8ddd\u96e2\u306b\u904a\u96e2\u3057\u3066\u304b\u3089\uff0c\u4e21\u8005\u306e\u9593\u306b\u30af\u30c3\u30b7\u30e7\u30f3 prosthesis \u3092\u633f\u5165\u3059\u308b\u3053\u3068\u304c\u591a\u3044\u3067\u3059<\/li>\n<li>\u3053\u306e\u624b\u6cd5\u3067\u306fprosthesis\u304c\u795e\u7d4c\u3068\u7652\u7740\u3057\u518d\u767a\u3092\u751f\u305a\u308b\u53ef\u80fd\u6027\u304c\u6307\u6458\u3055\u308c\u3066\u3044\u307e\u3059\u304b\u3089\uff0cprosthesis\u3092\u4e09\u53c9\u795e\u7d4c\u306b\u89e6\u308c\u306a\u3044\u3088\u3046\u306b\u3057\u3066\u56fa\u5b9a\u3057\u307e\u3059<\/li>\n<li>prosthesis\u3092\u5165\u308c\u306a\u3044\uff0c\u3042\u308b\u3044\u306f\u52d5\u8108\u3092\u786c\u819c\/\u30c6\u30f3\u30c8\u306b\u63a5\u7740\u3059\u308b\u3068\u3044\u3046\u65b9\u6cd5\u3082\u5e83\u307e\u308a\u307e\u3057\u305f\u304c\uff0c\u7d50\u679c\u7684\u306b\u305d\u308c\u304c\u307e\u305f\u96e2\u308c\u3066\u79fb\u52d5\u3057\u3066\u4e09\u53c9\u795e\u7d4c\u75db\u306e\u518d\u767a\u3092\u62db\u304f\u3053\u3068\u304c\u5c11\u306a\u304f\u3042\u308a\u307e\u305b\u3093<\/li>\n<\/ul>\n<h5><span style=\"color: #000080;\">\u5fae\u5c0f\u8840\u7ba1\u6e1b\u5727\u8853\u306e\u6cbb\u7642\u6210\u7e3e<\/span><\/h5>\n<ul>\n<li>\u4e00\u822c\u7684\u306b\u306f\u624b\u8853\u76f4\u5f8c\u3088\u308a\u75bc\u75db\u306f\u5b8c\u5168\u306b\u6d88\u5931\u3057\u307e\u3059<\/li>\n<li>\u591a\u304f\u306f\u9ebb\u9154\u304b\u3089\u899a\u9192\u3059\u308b\u3068\u540c\u6642\u306b\uff0c\u4e09\u53c9\u795e\u7d4c\u75db\u304b\u3089\u306e\u89e3\u653e\u3092\u81ea\u899a\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u307e\u3059<\/li>\n<li>\u5b9a\u578b\u7684\u306a\u4e09\u53c9\u795e\u7d4c\u75db\u306b\u5bfe\u3059\u308b\u795e\u7d4c\u8840\u7ba1\u6e1b\u5727\u8853\u306b\u3088\u308b\u9577\u671f\u9593\u306e\u75bc\u75db\u5bdb\u89e3\u7387\u306f\uff0c70%\uff5e90%\u304f\u3089\u3044\u3068\u5831\u544a\u3055\u308c\u3066\u3044\u307e\u3059<\/li>\n<li>Barker, Jannetta\u306f\uff0c1,155\u624b\u8853\u4f8b\uff08\u8ffd\u8de1\u671f\u9593\u4e2d\u592e\u50246\u5e74\uff09\u306730%\u306e\u60a3\u8005\u3055\u3093\u306b\u75bc\u75db\u306e\u518d\u767a\u304c\u3042\u3063\u305f\u3068\u5831\u544a\u3057\u307e\u3057\u305f<\/li>\n<\/ul>\n<h5><span style=\"color: #000080;\">MVD\u306e\u624b\u8853\u5408\u4f75\u75c7\u3001\u554f\u984c\u70b9<\/span><\/h5>\n<ul>\n<li>\u672c\u6765\u306f\uff0c\u5408\u4f75\u75c7\uff08\u5f8c\u907a\u75c7\uff09\u3092\u751f\u3058\u3066\u306f\u306a\u3089\u306a\u3044\u6a5f\u80fd\u5916\u79d1\u624b\u8853\u3067\u3059<\/li>\n<li>\u5408\u4f75\u75c7\u306f\u7121\u304f\u3066\u5f53\u7136\u3068\u3044\u3046\u5272\u5408\u3067\u306a\u3051\u308c\u3070\u306a\u3089\u306a\u3044\u624b\u8853\u3067\u3059<\/li>\n<li>\u3067\u3082\u624b\u8853\u306f\u3046\u307e\u304f\u884c\u304b\u306a\u3044\u3053\u3068\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>Jannetta\u3092\u4e2d\u5fc3\u3068\u3059\u308b\u30b0\u30eb\u30fc\u30d7\u306e1990\u5e74\u4ee5\u964d\u306b\u624b\u8853\u3055\u308c\u305f1995\u4f8b\u306e\u6210\u7e3e\u3067\u306f\uff0c\u5c0f\u8133\u640d\u50b7 0.45%(<span style=\"color: #000080;\"><strong>\u3075\u3089\u3064\u304d\u306a\u3069\u306e\u5931\u8abf\u75c7<\/strong><\/span>\u304c\u751f\u3058\u307e\u3059)\uff0c\u8074\u795e\u7d4c\u640d\u50b7 0.8%(<strong><span style=\"color: #000080;\">\u60a3\u5074\u306e\u8074\u529b\u6d88\u5931<\/span><\/strong>)\uff0c<span style=\"color: #000080;\"><strong>\u9ac4\u6db2\u6f0f<\/strong><\/span> 1.85%(\u3053\u308c\u306f\u6cbb\u3059\u3053\u3068\u304c\u3067\u304d\u307e\u3059)\uff0c\u6b7b\u4ea1\u7387 0.2%\u3060\u305d\u3046\u3067\u3059<\/li>\n<li>\u624b\u8853\u306b\u3088\u308b\u4e09\u53c9\u795e\u7d4c\u640d\u50b7\u306b\u3088\u308b<strong><span style=\"color: #000080;\">\u9854\u9762\u306e\u3057\u3073\u308c<\/span><\/strong> persistent facial numbness \u304c\u6570\uff05\u306b\u751f\u3058\u305f\u3068\u306e\u5831\u544a\u3082\u3042\u308a\u307e\u3059<\/li>\n<li><span style=\"color: #000080;\"><strong>\u6ed1\u8eca\u795e\u7d4c\u9ebb\u75fa(\u7d30\u304f\u3066\u4e09\u53c9\u795e\u7d4c\u306e\u3059\u3050\u8fd1\u304f\u306b\u3042\u308a\u307e\u3059)\u304c\u304a\u304d\u308b\u30682\u91cd\u306b\u307f\u3048\u307e\u3059(<\/strong><\/span>\u8907\u8996)\uff0c\u3067\u3082\u6ed1\u8eca\u795e\u7d4c\u3092\u5207\u3063\u305f\u308a\u3057\u306a\u3051\u308c\u3070\u6570\u30f6\u6708\u3067\u6539\u5584\u3057\u307e\u3059<\/li>\n<li>\u610f\u5916\u306b\u591a\u304f\u3066\u60a3\u8005\u3055\u3093\u304c\u56f0\u3063\u3066\u3044\u308b\u306e\u306f\uff0c<span style=\"color: #000080;\"><strong>\u624b\u8853\u5275\u90e8\u306e\u75bc\u75db\uff08\u6fc0\u75db\uff09<\/strong><\/span>\u3067\u3059\uff0c\u9854\u9762\u306e\u75bc\u75db\u304c\u7121\u304f\u306a\u3063\u3066\u3082\u5207\u3063\u305f\u3068\u3053\u308d\u304c\u3059\u3054\u304f\u75db\u3044\u3068\u3044\u3046\u3082\u306e\u3067\u3059\uff0c\u4f55\u3058\u3083\u3053\u308a\u3083\u3068\u601d\u3046\u306e\u3067\u3059\u304c\uff0c\u8a34\u3048\u3066\u3082\u4e3b\u6cbb\u533b\u3067\u3042\u308b\u8133\u5916\u79d1\u533b\u306f\u3042\u307e\u308a\u53d6\u308a\u5408\u3063\u3066\u304f\u308c\u307e\u305b\u3093\uff0c\u5f8c\u982d\u90e8\u306e\u76ae\u819a\u306b\u3042\u308b\u5f8c\u982d\u795e\u7d4c\u3092\u640d\u50b7\u3059\u308b\u304b\u3089\u751f\u3058\u308b\u3082\u306e\u3067\u3059<\/li>\n<li>\u690e\u9aa8\u52d5\u8108\u3084\u8133\u5e95\u52d5\u8108\u5727\u8feb\u4f8b\u3067\u306f\u5408\u4f75\u75c7\u306e\u767a\u751f\u7387\u306f\u6bd4\u3079\u3066\u8457\u3057\u304f\u9ad8\u304f\u306a\u308a\u307e\u3059<\/li>\n<li>\u8853\u4e2d\u306e\u8840\u7ba1\u5727\u8feb\u6240\u898b\u304c\u5b9a\u304b\u3067\u306a\u3044\u75c7\u4f8b\u3067\u306f\u75db\u307f\u306e\u5bdb\u89e3\u304c\u5f97\u3089\u308c\u306a\u3044\u4f8b\u304c\u3042\u308a\u3001\u307e\u305f\u9759\u8108\u5727\u8feb\u4f8b\u3067\u306f\u518d\u767a\u3057\u3084\u3059\u3044\u3053\u3068\u304c\u6307\u6458\u3055\u308c\u3066\u3044\u307e\u3059<\/li>\n<li>\u4e09\u53c9\u795e\u7d4c\u304c\u59d4\u7e2e\u306b\u9665\u3063\u3066\u3044\u308b\u4f8b\u3067\u306f\u75bc\u75db\u304c\u6cbb\u3089\u306a\u3044\uff0c\u3042\u308b\u3044\u306f\u65e9\u671f\u306b\u518d\u767a\u3059\u308b\u50be\u5411\u304c\u3042\u308a\u307e\u3059<\/li>\n<li>\u6700\u3082\u91cd\u7be4\u306a\u3082\u306e\u306f\uff0c\u5c0f\u8133\u306e\u727d\u5f15\u5727\u8feb\u640d\u50b7\uff0c\u8133\u5e79\u90e8\u3078\u306e\u7a7f\u901a\u52d5\u8108\u306e\u640d\u50b7\uff0c\u8133\u5e79\u90e8\u5074\u9762\u306e\u5927\u304d\u306a\u9759\u8108\uff08\u9310\u4f53\u9759\u8108\uff09\u306e\u640d\u50b7\uff0c\u5f8c\u982d\u7aa9\u306e\u8853\u5f8c\u51fa\u8840\u3067\u3059\uff0c\u3053\u308c\u3089\u306f\u91cd\u7be4\u306a\u969c\u5bb3\u3092\u6b8b\u3057\u305f\u308a\uff0c<strong><span style=\"color: #000080;\">\u6700\u60aa\u306e\u5834\u5408\uff0c\u624b\u8853\u95a2\u9023\u6b7b<\/span><\/strong>\u3068\u3044\u3046\u7d50\u679c\u3068\u306a\u308a\u307e\u3059<\/li>\n<li>\u79c1\u304c\u7d4c\u9a13\u7684\u306b\u3088\u304f\u8033\u306b\u3059\u308b\u306e\u306f\uff0c<strong><span style=\"color: #000080;\">\u9310\u4f53\u9759\u8108\u3092\u5207\u65ad<\/span><\/strong>\u3057\u3066\u3057\u307e\u3063\u3066\u8853\u5f8c\u306b\u91cd\u75c7\u306e\u5c0f\u8133\u6897\u585e\u3092\u751f\u3058\u3066\u8133\u30d8\u30eb\u30cb\u30a2\u304c\u751f\u3058\u3066\uff0c\u610f\u8b58\u304c\u306a\u304f\u306a\u3063\u305f\uff0c\u547c\u5438\u304c\u6b62\u307e\u3063\u305f\u3068\u3044\u3046\u3053\u3068\u3067\u3059\uff0c\u3053\u306e\u3088\u3046\u306a\u3053\u3068\u306f\u5b66\u4f1a\u3067\u767a\u8868\u3055\u308c\u307e\u305b\u3093\u3057\uff0c\u6587\u732e\u306b\u3082\u3042\u307e\u308a\u66f8\u304b\u308c\u307e\u305b\u3093\uff0c\u3067\u3082\u5b9f\u969b\u306f\u65e5\u672c\u3067\u3082\u5c11\u306a\u304b\u3089\u305a\u8d77\u3053\u3063\u3066\u3044\u307e\u3059<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-large wp-image-8320\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/owlfly-550x431.jpg\" alt=\"owlfly\" width=\"550\" height=\"431\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/owlfly-550x431.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/owlfly-300x235.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2012\/04\/owlfly.jpg 747w\" sizes=\"auto, (max-width: 550px) 100vw, 550px\" \/><\/p>\n<h1>\u79c1\u304c\u4e09\u53c9\u795e\u7d4c\u306e\u624b\u8853\u3067\u3061\u3087\u3063\u3068\u6c17\u306b\u3057\u3066\u3044\u308b\u30dd\u30a4\u30f3\u30c8\u3067\u3059<\/h1>\n<p>\u56f3\u304c\u306a\u304f\u3066\u7533\u3057\u8a33\u3042\u308a\u307e\u305b\u3093\uff0c\u305d\u306e\u3046\u3061\u52a0\u3048\u307e\u3059<\/p>\n<h5>\u91cd\u8981<\/h5>\n<ul>\n<li><span style=\"color: #ff0000;\"><strong>\u4e09\u53c9\u795e\u7d4c\u75db\u306e\u624b\u8853\u306e\u30ea\u30b9\u30af\u306f\uff0cS\u72b6\u9759\u8108\u6d1e\u306e\u5f8c\u7e01\u306e\u30c9\u30ea\u30eb\u306b\u3088\u308b\u9732\u51fa\u3068\u4e0a\u9310\u4f53\u9759\u8108\u306e\u5265\u96e2\u64cd\u4f5c\u306b\u3042\u308a\u307e\u3059<\/strong><\/span><\/li>\n<li><span style=\"color: #ff0000;\"><strong>\u73fe\u5b9f\u7684\u306b\uff0c\u8853\u5f8c\u5408\u4f75\u75c7\u3068\u3057\u3066\u9759\u8108\u6897\u585e\u304c\u3082\u3063\u3068\u3082\u983b\u5ea6\u304c\u9ad8\u304f\u91cd\u7be4\u306a\u3082\u306e\u3067\u3059<\/strong><\/span><\/li>\n<li>\u5c0f\u8133\u816b\u8139\u306b\u3088\u308b\u8133\u30d8\u30eb\u30cb\u30a2\uff0c\u91cd\u7be4\u306a\u5931\u8abf\u75c7\u3084\u8133\u5e79\u90e8\u75c7\u72b6\u3092\u6b8b\u3059\u3053\u3068\u304c\u3042\u308a\u307e\u3059<\/li>\n<\/ul>\n<h5>\u76ae\u5207\u3068\u958b\u982d<\/h5>\n<ul>\n<li>\u76ae\u819a\u5207\u958b\u306e\u6642\u306b\u5f8c\u982d\u795e\u7d4c\u3092\u5207\u3089\u306a\u3044\uff0c\u5207\u3063\u3066\u306f\u306a\u3089\u306a\u3044\u592a\u3044\u5927\u5f8c\u982d\u795e\u7d4c\u306f\u80f8\u9396\u4e73\u7a81\u7b4b\u306e\u5f8c\u7e01\u306b\u3042\u308a\u307e\u3059<\/li>\n<li>\u5927\u5f8c\u982d\u795e\u7d4c\u306f\u9589\u5275\u306e\u6642\u306b\u3082\u6c17\u306b\u304b\u3051\u3066\uff0c\u76ae\u4e0b\u306e\u7e2b\u5408\u306a\u3069\u3067\u795e\u7d4c\u3092\u7e2b\u3044\u8fbc\u307e\u306a\u3044\uff08\u7d5e\u627c\u6027\u795e\u7d4c\u969c\u5bb3\u306b\u3088\u308b\u9811\u75db\u306b\u306a\u308a\u307e\u3059\uff09<\/li>\n<li>\u3053\u306e\u610f\u5473\u3067\u306f\uff0c\u5927\u5f8c\u982d\u795e\u7d4c\u3092\u6a2a\u5207\u308b\u3088\u3046\u306a\u76ae\u819a\u5207\u958b\u306e\u8a2d\u8a08\u305d\u306e\u3082\u306e\u304c\u8aa4\u308a\u3068\u8a00\u3048\u307e\u3059<\/li>\n<li>\u4e09\u53c9\u795e\u7d4c\u3092\u307f\u308b\u8996\u8ef8\u306f\uff0c\u6a2a\u9759\u8108\u6d1e transeverse sinus\u3068S\u72b6\u9759\u8108\u6d1e sigmoid sinus\u306e\u66f2\u304c\u308a\u89d2\u3042\u305f\u308a\u304b\u3089\u3067\u3059<\/li>\n<li>\u958b\u982d\u3067\u306f\u306e\u9759\u8108\u6d1e\u306e\u89d2\u304b\u3089\u9310\u4f53\u9aa8\u7e01\u306b\u307e\u3063\u3059\u3050\u5411\u304b\u3046\u8996\u91ce\u3092\u4f5c\u308a\u307e\u3059<\/li>\n<li>\u3067\u3059\u304b\u3089\uff0cS\u72b6\u9759\u8108\u6d1e\u306e\u5f8c\u7e01\uff0c\u6a2a\u9759\u8108\u6d1e\u306e\u4e0b\u7e01\u306f\uff0c\u9aa8\u524a\u9664\u3057\u3066\u9732\u51fa\u3057\u3066\u304a\u304d\u307e\u3059<\/li>\n<li>S\u72b6\u9759\u8108\u6d1e\u306f\u640d\u50b7\u3057\u6613\u3044\u306e\u3067\u3059\u304c\uff0c\u6a2a\u9759\u8108\u6d1e\u306f\u4e08\u592b\u306a\u306e\u3067\u7834\u3051\u307e\u305b\u3093<\/li>\n<li>\u305d\u3046\u3057\u306a\u3044\u3068\u786c\u819c\u304c\u5341\u5206\u306b\u5c55\u958b\u3067\u304d\u306a\u3044\u306e\u3067\uff0c\u8133\u5e79\u90e8\u306e\u3042\u305f\u308a\u306e\u6df1\u90e8\u3067\u8996\u91ce\u306e\u78ba\u4fdd\u306e\u305f\u3081\u306b\u4f59\u5206\u306b\u5c0f\u8133\u727d\u5f15\u3092\u3057\u3066\u4e8b\u6545\u3092\u751f\u3058\u308b\u539f\u56e0\u306b\u306a\u308a\u307e\u3059<\/li>\n<li>\u958b\u982d\u306f\u5c0f\u3055\u904e\u304e\u3066\u3082\u6df1\u90e8\u3067\u306e\u5371\u967a\u304c\u5897\u3059\u3060\u3051\u3067\u3059\u304b\u3089\uff0c\u9759\u8108\u6d1e\u3092\u6050\u308c\u306a\u3044\u3067\u9811\u5f35\u308a\u307e\u3059<\/li>\n<li>S\u72b6\u9759\u8108\u6d1e\u306e\u5f8c\u7e01\u3092\u30c9\u30ea\u30eb\u3067\u524a\u9664\u3059\u308b\u6642\u306b\u4e73\u69d8\u7a81\u8d77\u306eair cell\u304c\u958b\u304f\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u304c\u3001\u958b\u3044\u305f\u3089\u9aa8\u308d\u3046 bone wax \u3067\u57cb\u3081\u307e\u3059<\/li>\n<li>\u958b\u982d\u304c\u5c11\u3057\u304f\u3089\u3044\u5927\u304d\u3044\u306e\u3068\uff0c\u9310\u4f53\u9759\u8108\u5207\u65ad\u3057\u3066\u8133\u30d8\u30eb\u30cb\u30a2\u3092\u751f\u3058\u308b\u306e\u3068\uff0c\u3069\u3061\u3089\u304c\u5927\u304d\u306a\u554f\u984c\u306b\u306a\u308b\u304b\u3092\u3088\u304f\u3088\u304f\u8003\u3048\u307e\u3059<\/li>\n<li>\u786c\u819c\u5207\u958b\u306f\uff0c\u9310\u4f53\u9aa8\u5074\u306f\u786c\u819c\u3092S\u72b6\u9759\u8108\u6d1e\u3078\u304b\u3076\u305b\u308b\u3088\u3046\u306b\uff0c\u30c6\u30f3\u30c8\u5074\u306f\u786c\u819c\u3092\u6a2a\u9759\u8108\u6d1e\u306b\u304b\u3076\u305b\u308b\u3088\u3046\u306b\u958b\u304d\u307e\u3059<\/li>\n<li>\u7279\u306b\u6a2a\u9759\u8108\u6d1e\u3068S\u72b6\u9759\u8108\u6d1e\u306e\u66f2\u304c\u308a\u89d2\u306e\u3068\u3053\u308d\u306f\uff0c\u305f\u3068\u3048\u9759\u8108\u6d1e\u3092\u958b\u3051\u3066\u3057\u307e\u3063\u3066\u3082\u5207\u308a\u8fbc\u3080\u304f\u3089\u3044\u306b\u958b\u304d\u307e\u3059<\/li>\n<li>\u30b3\u30c4\u306f\uff0c\u5f8c\u982d\u7aa9\u306e\u786c\u819c\u3092\u5207\u958b\u3057\u3066\u3044\u304f\u3068\uff0c\u786c\u819c\u304c\u5f90\u3005\u306b\u539a\u304f\u306a\u3063\u3066\u304d\u307e\u3059\uff0c\u786c\u819c\u304c2\u679a\u306b\u898b\u3048\u3066\u304d\u305f\u3089\u9759\u8108\u6d1e\u58c1\u3067\u3059<\/li>\n<li>2\u679a\u306b\u306a\u308b\u3068\u3053\u308d\u307e\u3067\u5207\u308a\u8fbc\u3080\u3068\uff0c\u9759\u8108\u6d1e\u304c\u900f\u3051\u3066\u9ed2\u304f\u898b\u3048\u307e\u3059<\/li>\n<li>\u3082\u3057\u9759\u8108\u6d1e\u3092\u958b\u3051\u3066\u3057\u307e\u3063\u3066\u9759\u8108\u51fa\u8840\u304c\u3042\u3063\u305f\u3089\uff0c\u30d9\u30c3\u30c9\u3092\u64cd\u4f5c\u3057\u3066\u982d\u90e8\u3092\u6319\u4e0a\u3057\u307e\u3059<\/li>\n<li>\u305d\u3046\u3059\u308b\u3068\u9759\u8108\u6d1e\u304b\u3089\u306e\u51fa\u8840\u304c\u5c11\u306a\u304f\u306a\u308a\u307e\u3059\u304b\u3089\uff0c\u786c\u819c\u3092\u7e2b\u5408\u3057\u3066\u6b62\u8840\u3057\u307e\u3059<\/li>\n<li>\u3053\u306e\u6642\u306e\u30b3\u30c4\u306f\uff0c\u786c\u819c\u30922\u65b9\u5411\u306b\u7e2b\u5408\u3059\u308b\u3053\u3068\u3067\u3059\uff0c\u6a2a\u9759\u8108\u6d1e\u65b9\u5411\u306b1\u91dd\uff0cS\u72b6\u9759\u8108\u6d1e\u65b9\u5411\u306b1\u91dd\u3067\u3059\uff0c\u305d\u3046\u3059\u308b\u3053\u3068\u3067\u786c\u819c\u5c55\u958b\u304c\u5e83\u304f\u4fdd\u3066\u307e\u3059<\/li>\n<li>\u614c\u3066\u306a\u304f\u3066\u3082\u3067\u304d\u307e\u3059\u304b\u3089\u7126\u308a\u307e\u305b\u3093<\/li>\n<\/ul>\n<h5><span style=\"color: #ff0000;\">\u786c\u819c\u5185\u64cd\u4f5c\u306f\u9759\u8108 venous structure \u306e\u5265\u96e2\u304c\u91cd\u8981<\/span><\/h5>\n<ul>\n<li>\u786c\u819c\u5185\u3067\u306f\uff0c\u53ef\u80fd\u306a\u9650\u308a\u7d30\u3044\u30d0\u30a4\u30dd\u30fc\u30e9\u3092\u4f7f\u7528\u3057\u307e\u3059<strong><a href=\"\/sawamura\/surgtech\/bipolarforceps\/\">\uff08\u3053\u3053\u3092\u30af\u30ea\u30c3\u30af\u3059\u308b\u3068\u30d0\u30a4\u30dd\u30fc\u30e9\u306e\u5199\u771f\u304c\u307f\u3048\u307e\u3059\uff09<\/a><\/strong><\/li>\n<li>\u786c\u819c\u3092\u958b\u3051\u3066\u307e\u305a\u6700\u521d\u306b\u898b\u308b\u306e\u304c\uff0c\u5c0f\u8133\u4e0a\u9762\u304b\u3089\u30c6\u30f3\u30c8\u306b\u6d41\u5165\u3059\u308b\u67b6\u6a4b\u9759\u8108 bridging tentorial vein (supracerebellar vein)\u304c\u306a\u3044\u304b\u3069\u3046\u304b\u3067\u3059<\/li>\n<li>\u3053\u308c\u306f\u6a2a\u9759\u8108\u6d1e\u306b\u304b\u306a\u308a\u8fd1\u3044\u6d45\u3044\u4f4d\u7f6e\u306b\u3082\u5b58\u5728\u3059\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u304b\u3089\uff0c\u78ba\u8a8d\u3057\u306a\u3044\u3067\u3046\u3063\u304b\u308a\u5c0f\u8133\u3092\u727d\u5f15\u3059\u308b\u3068\uff0c\u5f15\u304d\u629c\u3051\u3066\uff0c\u3044\u304d\u306a\u308a\u5c0f\u8133\u4e0a\u9762\u304b\u3089\u306e\u591a\u91cf\u306e\u9759\u8108\u51fa\u8840\u306b\u906d\u9047\u3057\u307e\u3059<\/li>\n<li>\u9006\u306b\uff0c\u5c0f\u8133\u6a4b\u89d2\u90e8\u30fb\u9310\u4f53\u9aa8\u90e8\u65b9\u5411\u306b\u306f\u5c0f\u8133\u304b\u3089\u786c\u819c\u306b\u5165\u308b\u9759\u8108\u306f\u3042\u308a\u307e\u305b\u3093<\/li>\n<li>\u30c6\u30f3\u30c8\u306b\u5411\u304b\u3046\u9759\u8108\u306f\u304b\u306a\u308a\u5927\u304d\u306a\u3082\u306e\u3067\u3059\u3068\u5207\u65ad\u3067\u304d\u307e\u305b\u3093<\/li>\n<li>\u305d\u3046\u306a\u308b\u3068\u5c0f\u8133\u4e0a\u9762\u65b9\u5411\u304b\u3089\uff0c\u8fc2\u56de\u69fd\uff0c\u6ed1\u8eca\u795e\u7d4c\uff0c\u4e0a\u5c0f\u8133\u9759\u8108\u306b\u81f3\u308b\u8996\u91ce\u304c\u78ba\u4fdd\u3067\u304d\u306a\u304f\u306a\u308a\u307e\u3059\uff0c\u3068\u3066\u3082\u96e3\u3057\u3044\u624b\u8853\u306b\u306a\u3063\u3066\u3057\u307e\u3044\u307e\u3059\u304c\uff0c\u5c0f\u8133\u6a4b\u89d2\u69fd\u65b9\u5411\u304b\u3089\u306e\u307f\u3067\u304c\u3093\u3070\u308a\u307e\u3059<\/li>\n<li>\u5c0f\u8133\u3092\u727d\u5f15\u3059\u308b\u306e\u306b\u306f\u8133\u30d8\u30e9\u3092\u4f7f\u3044\u307e\u305b\u3093\uff0820\u5e74\u4ee5\u4e0a\u4f7f\u3063\u305f\u3053\u3068\u304c\u3042\u308a\u307e\u305b\u3093\uff09<\/li>\n<li>\u5c0f\u8133\u3092\u5f15\u3044\u3066\u307e\u305a\u898b\u3064\u3051\u308b\u306e\u304c<span style=\"color: #ff0000;\"><strong>\u4e0a\u9310\u4f53\u9759\u8108 superior petrosal vein<\/strong><\/span>\u3067\u3059\uff0c\u306a\u305c\u306a\u3089\u5f15\u304d\u629c\u304d\u640d\u50b7\u3092\u907f\u3051\u308b\u305f\u3081\u3067\u3059<\/li>\n<li>\u5c0f\u8133\u3092\u5f15\u3044\u3066\u3042\u3061\u3053\u3061\u89b3\u5bdf\u3057\u3066\u3044\u308b\u3068\uff0c\u7a81\u3063\u5f35\u3063\u3066\u3044\u308b\u9310\u4f53\u9759\u8108\u304c\u5f15\u3063\u3053\u629c\u3051\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059<\/li>\n<li><strong><span style=\"color: #000080;\">\u4e0a\u9310\u4f53\u9759\u8108\u5468\u56f2\u306e\u304f\u3082\u819c\u3092\u5fb9\u5e95\u7684\u306b\u5207\u65ad\u5265\u96e2<\/span><\/strong>\u3057\u307e\u3059<\/li>\n<li>\u4e09\u53c9\u795e\u7d4c\u75db\u624b\u8853\u306e\u3082\u3063\u3068\u3082\u91cd\u8981\u306a\u3068\u3053\u308d\u3067\uff0c\u6700\u5927\u306e\u30ea\u30b9\u30af\u5834\u9762\u3067\u3082\u3042\u308a\u307e\u3059<\/li>\n<li>\u3053\u306e\u64cd\u4f5c\u306b\u3088\u3063\u3066\uff0c\u9310\u4f53\u9759\u8108\u3068\u305d\u306e\u5206\u679d tributaries\u304c<span style=\"color: #000080;\"><strong>\u53ef\u52d5\u5316 mobilization<\/strong><\/span> \u3067\u304d\u3066\u5c0f\u8133\u727d\u5f15\u304c\u3057\u3084\u3059\u304f\u306a\u308a\uff0c\u9759\u8108\u306e\u5f15\u304d\u629c\u304d\u640d\u50b7\u3082\u9632\u3052\u307e\u3059<\/li>\n<li>\u672c\u5e79\u306f\u591a\u304f\u306e\u5834\u5408\uff11\u672c\u3067\uff0c\u4e0a\u9310\u4f53\u9759\u8108\u6d1e superior petrosal sinus\u3092\u8986\u3046\u786c\u819c\u5185\u306b\u5165\u308a\u307e\u3059<\/li>\n<li>\u786c\u819c\u306b\u5165\u308b\u4f4d\u7f6e\u306f\uff0c\u4e09\u53c9\u795e\u7d4c\u306b\u3068\u3066\u3082\u8fd1\u3044\u6df1\u3044\u3068\u3053\u308d\u3082\uff0c\u3082\u3063\u3068\u6d45\u3044\u4f4d\u7f6e\u3067\u4e09\u53c9\u795e\u7d4c\u304b\u3089\u304b\u306a\u308a\u8ddd\u96e2\u304c\u3042\u308b\u5834\u5408\u3082\u3042\u308a\u307e\u3059<\/li>\n<li>\u9310\u4f53\u9759\u8108\u672c\u5e79\u3078\u306f\u5c0f\u8133\u534a\u7403\u3084\u8133\u5e79\u5074\u9762\u304b\u3089\u6570\u672c\u306emajor branches\u304c\u6d41\u5165\u3057\u307e\u3059<\/li>\n<li>\u307e\u305a\uff0c\u5927\u304d\u306a\u5c0f\u8133\u306e\u8133\u6e9d horizontal fissure\u3092\u76ee\u5b89\u306b\u3057\u3066\uff0c\u304f\u3082\u819c\u4e0b\u8154\u304c\u5e83\u3044\u3068\u3053\u308d\u306b\u30cf\u30b5\u30df\u3092\u5165\u308c\u307e\u3059<\/li>\n<li>\u5f53\u305f\u308a\u524d\u3067\u3059\u304c\uff0c\u9759\u8108\u3092\u640d\u50b7\u3057\u306a\u3044\u305f\u3081\u306b\u304f\u3082\u819c\u3068\u9759\u8108\u58c1\u3068\u306e\u9593\u304c\u5e83\u3044\u3068\u3053\u308d\u304b\u3089\u59cb\u3081\u307e\u3059<\/li>\n<li>\u9310\u4f53\u9759\u8108\u306e\u672c\u5e79\u306f\u5f8c\u56de\u3057\u306b\u3057\u3066\uff0c\u6d41\u5165\u3057\u3066\u304f\u308b\u5c0f\u8133\u8868\u9762\u306e\u4e3b\u3060\u3063\u305f\u679d\u3092\u5265\u96e2\u3057\u3066\u3044\u304d\u307e\u3059<\/li>\n<li>horizontal fissure\u306e\u4e21\u5074\u304b\u3089\u5165\u308b\u9759\u8108\u3092\u5265\u96e2\u3057\u3066\u3044\u304f\u3068\u5927\u304d\u306a\u9699\u9593\u304c\u3067\u304d\u3066\uff0c\u3053\u3053\u304b\u3089\u4e09\u53c9\u795e\u7d4c\u304c\u898b\u3048\u307e\u3059\u3057\uff0c\u4e09\u53c9\u795e\u7d4c\u306e\u9664\u5727\u3092\u3053\u306e\u9759\u8108\u9593\u306e\u9699\u9593\u304b\u3089\u884c\u3046\u3053\u3068\u3082\u3042\u308a\u307e\u3059<\/li>\n<li>\u3053\u306e\u6642\u306b\u4e09\u53c9\u795e\u7d4c\u6839\u304c\u9732\u51fa\u3057\u3066\u3057\u307e\u3044\u307e\u3059\u304c\uff0c\u795e\u7d4c\u306f\u307e\u3060\u3044\u3058\u308a\u307e\u305b\u3093<\/li>\n<\/ul>\n<h5>\u8133\u69fd\u306e\u5c55\u958b<\/h5>\n<ul>\n<li>\u305d\u308c\u304b\u3089\u30c6\u30f3\u30c8\u4e0b\u304b\u3089\u8fc2\u56de\u69fd\u306b\u9855\u5fae\u93e1\u8996\u91ce\u3092\u5411\u3051\u3066\uff0c\u8133\u69fd\u304f\u3082\u819c\u5207\u958b\u3067\u3059<\/li>\n<li>\u8fc2\u56de\u69fd\u306e\u304f\u3082\u819c\u306f\u4e2d\u8133\u306e\u5074\u9762\u306b\u3042\u308a\u307e\u3059<\/li>\n<li>\u3053\u3053\u306e\u304f\u3082\u819c\u3092\u5207\u958b\u3059\u308b\u3068\u4e0a\u5c0f\u8133\u52d5\u8108 SCA\u304c\u307f\u3048\u307e\u3059<\/li>\n<li>SCA\u5468\u56f2\u306e\u304f\u3082\u819c\u7d44\u7e54\u3082\u5207\u308a\u6255\u3046\u3068\uff0cSCA\u672b\u68a2\u304c\u52d5\u304f\u3088\u3046\u306b\u306a\u308a\u307e\u3059<\/li>\n<li>SCA\u304b\u3089\u306f\u7d30\u3044\u30c6\u30f3\u30c8\u679d tenurial branch, meningeal branch\u304c\u51fa\u3066\u3044\u308b\u6642\u306b\u306f\u5207\u65ad\u3057\u3066\u304a\u304d\u307e\u3059<\/li>\n<li>\u3053\u306e\u6642\u306b\u30c6\u30f3\u30c8\u5207\u75d5\u76f4\u4e0b\u306b\uff0c\u6ed1\u8eca\u795e\u7d4c trochlear nerve\u304c\u307f\u3048\u307e\u3059\u304c\uff0c\u7d30\u3044\u795e\u7d4c\u306a\u306e\u3067\u5f37\u3044\u5438\u5f15\u529b\u306e\u72b6\u614b\u306e\u5438\u5f15\u7ba1\u3092\u8fd1\u3065\u3051\u308b\u3068\uff0c\u5438\u5f15\u529b\u3067\u640d\u50b7\u3042\u308b\u3044\u306f\u5207\u308c\u3066\u3057\u307e\u3046\u306e\u3067\u6c17\u3092\u3064\u3051\u307e\u3059<\/li>\n<li>\u305d\u308c\u304b\u3089\u9310\u4f53\u9759\u8108\u306e\u65b9\u5411\u3078\u307f\u3066\u3044\u304f\u3068\uff0c\u4e09\u53c9\u795e\u7d4c\u6839\u304c\u6a4b\u3078\u5165\u308bREZ root entry zone\u304c\u307f\u3048\u3066\u304d\u307e\u3059<\/li>\n<li>\u3053\u306e\u6642\u70b9\u3067\u3059\u3067\u306bSCA\u304c\u53ef\u52d5\u5316\u3055\u308c\u3066\u3044\u307e\u3059\u304b\u3089\uff0cSCA\u306b\u3088\u308b\u4e09\u53c9\u795e\u7d4c\u6839\u306e\u5727\u8feb\u304c\u89e3\u9664\u3055\u3066\u3044\u308b\u304b\u3082\u3057\u308c\u307e\u305b\u3093<\/li>\n<li>\u3067\u3082\u3088\u304f\u89b3\u5bdf\u3059\u308b\u3068SCA\u304c\u4e09\u53c9\u795e\u7d4c\u6839\u3068\u6a4b\u306e\u9593\u306b\u98df\u3044\u8fbc\u3093\u3067\u3044\u305f\u3053\u3068\u306f\u5bb9\u6613\u306b\u8a8d\u8b58\u3067\u304d\u307e\u3059<\/li>\n<li>\u5178\u578b\u7684\u306aSCA\u306b\u3088\u308b\u4e09\u53c9\u795e\u7d4c\u5727\u8feb\u306f\u3053\u308c\u3067\u89e3\u9664\u3067\u304d\u3066\uff0c\u4e09\u53c9\u795e\u7d4c\u75db\u306f\u6cbb\u3063\u3066\u3044\u308b\u306f\u305a\u3067\u3059<\/li>\n<li>\u719f\u7df4\u3059\u308b\u3068\u624b\u8853\u6642\u9593\u306fskin to skin\u30671\u6642\u9593\u534a\u304f\u3089\u3044\u3067\u3059<\/li>\n<\/ul>\n<h5>\u78ba\u5b9f\u6027\u3092\u5f97\u308b\u305f\u3081\u306e\u304a\u307e\u3051\u306e\u64cd\u4f5c<\/h5>\n<ul>\n<li>SCA\u3092\u4e09\u53c9\u795e\u7d4c\u304b\u3089\u5341\u5206\u306b\u5265\u96e2\u3057\u3066\u304b\u3089\uff0c\u4e09\u53c9\u795e\u7d4c\u6839\u5168\u9577\u306e\u5468\u56f2\u306e\u5265\u96e2\u3092\u7d9a\u3051\u307e\u3059<\/li>\n<li>\u9664\u5727\u3092\u78ba\u5b9f\u306b\u3059\u308b\u305f\u3081\u3067\u3059<\/li>\n<li>\u3068\u304d\u3069\u304d\u9759\u8108\u306a\u3069\u304c\u4e09\u53c9\u795e\u7d4c\u6839\u3068\u4e00\u7dd2\u306b\u8d70\u884c\u3057\u3066\u3044\u307e\u3059\u304c\uff0c\u3053\u308c\u3082\u5265\u96e2\u3057\u3066\u306f\u304c\u3057\u307e\u3059<\/li>\n<li>\u4e09\u53c9\u795e\u7d4c\u6839\u304c\u304f\u3082\u819c\u7d44\u7e54\u3067\u30c6\u30f3\u30c8\u306b\u304f\u3063\u3064\u3044\u3066\u3044\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u304c\uff0c\u3053\u308c\u3082\u304f\u3082\u819c\u7d44\u7e54 travecle\u3092\u5207\u65ad\u3057\u3066\u96e2\u3057\u307e\u3059<\/li>\n<li>\u3084\u304c\u3066\u4e09\u53c9\u795e\u7d4c\u304c\u30e1\u30c3\u30b1\u30eb\u8154\u306b\u5165\u308b\u3068\u3053\u308d\uff0ctrigeminal impression\u306e\u3068\u3053\u308d\uff08\u9310\u4f53\u9aa8\u7e01\uff09\u306b\u81f3\u308a\u307e\u3059<\/li>\n<li>\u30e1\u30c3\u30b1\u30eb\u8154\u306b\u5165\u3063\u3066\u3044\u304f\u4e09\u53c9\u795e\u7d4c\u306f\u898b\u3048\u307e\u3059\u3057\uff0c\u30e1\u30c3\u30b1\u30eb\u8154\u5185\u90e8\u306b\u5265\u96e2\u5b50\u3092\u5165\u308c\u308b\u3053\u3068\u3082\u3067\u304d\u307e\u3059<\/li>\n<li>\u3053\u306e\u6642\u306b\u306f\uff0c\u4e09\u53c9\u795e\u7d4c\u6839\u3068\u4e0b\u9762\uff08\u8074\u795e\u7d4c\u65b9\u5411\uff09\u3082\u898b\u3048\u3066\u3044\u307e\u3059<\/li>\n<li>\u3082\u3057\u524d\u4e0b\u5c0f\u8133\u52d5\u8108 AICA\u304c\u8cac\u4efb\u8840\u7ba1\u3068\u3057\u3066\u95a2\u4e0e\u3057\u3066\u3044\u308c\u3070\u305d\u308c\u3082\u5265\u96e2\u3057\u3066\u79fb\u884c\u3055\u305b\u307e\u3059<\/li>\n<li>SCA\u3068\u306f\u3061\u304c\u3063\u3066\uff0cAICA\u306f\u5341\u5206\u306b\u53ef\u52d5\u5316\u3057\u3066\u304a\u3051\u3070\u5143\u306e\u4f4d\u7f6e\u306b\u623b\u3063\u3066\u3057\u307e\u3046\u3053\u3068\u306f\u5c11\u306a\u3044\u3067\u3059<\/li>\n<li>\u3053\u3053\u307e\u3067\u306e\u64cd\u4f5c\u3067\u4e09\u53c9\u795e\u7d4c\u306f\uff0cSCA, AICA, \u5916\u5074\u6a4b\u9759\u8108\u304b\u3089\u9310\u4f53\u9759\u8108\uff0c\u304f\u3082\u819c\u3068\u30c6\u30f3\u30c8\u304b\u3089\u5b8c\u5168\u306b\u5265\u96e2\u3055\u308c\u3066\u3001\u904a\u96e2\u3057\u3066\u3044\u308b\u306f\u305a\u3067\u3059<\/li>\n<li>\u8074\u795e\u7d4c\u306e\u5468\u56f2\u306e\u304f\u3082\u819c\u306f\u958b\u304d\u307e\u305b\u3093<\/li>\n<li>\u9589\u5275\u6642\u306b\u786c\u819c\u306fwater tight\u306b\u7e2b\u5408\u3067\u304d\u307e\u3059\u304b\u3089\uff0c\u7b4b\u819c\u3084\u9aa8\u819c\u3084\u4eba\u5de5\u786c\u819c\u3092\u4f7f\u7528\u3059\u308b\u5fc5\u7528\u306f\u5168\u304f\u3042\u308a\u307e\u305b\u3093<\/li>\n<\/ul>\n<\/div>\n<hr \/>\n<h4>\u30ac\u30f3\u30de\u30ca\u30a4\u30d5\u306e\u6cbb\u7642\u6210\u7e3e<\/h4>\n<p>R\u00e9gis J, et al.: Long-term safety and efficacy of Gamma Knife surgery in classical trigeminal neuralgia: a 497-patient historical cohort study. J Neurosurg, 2015<br \/>\n\u30b9\u30a4\u30b9\u3068\u30d5\u30e9\u30f3\u30b9\u30671992\u5e74\u304b\u30892010\u5e74\u307e\u3067\u306b\uff0c497\u4eba\u304c\u30ac\u30f3\u30de\u30ca\u30a4\u30d5\u3067\u6cbb\u7642\u3055\u308c\u307e\u3057\u305f\u3002\u8133\u69fd\u90e8\u306e\u4e09\u53c9\u795e\u7d4c\u6839\u306bsingle 4-mm isocenter\u3067\u4e2d\u592e\u502485 Gy (70-90 Gy) \u306e\u7167\u5c04\u304c\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u7167\u5c04\u5f8c10\u65e5\uff08\u4e2d\u592e\u5024; 1\u65e5-180\u65e5\uff09\u3067456\u4eba (92%)\u306e\u60a3\u8005\u3055\u3093\u3067\u795e\u7d4c\u75db\u304c\u306a\u304f\u306a\u308a\u307e\u3057\u305f\u30023\u5e74\uff0c5\u5e74\uff0c7\u5e74\uff0c10\u5e74\u3067\u306e\u85ac\u7269\u6cbb\u7642\u3092\u5fc5\u8981\u3068\u3057\u306a\u3044\u5272\u5408\u306f\uff0c72%, 65%, 60%, 45%\u3067\u3057\u305f\u3002\u518d\u767a\u307e\u3067\u306e\u671f\u9593\u4e2d\u592e\u5024\u306f24\u30f6\u6708\u3067\u3059\u3002\u9854\u9762\u306e\u611f\u899a\u4f4e\u4e0b\u304c20\uff05\u304f\u3089\u3044\u306e\u60a3\u8005\u3055\u3093\u3067\u751f\u3058\u3066\u3044\u307e\u3059\u3002\u3068\u3066\u3082\u56f0\u308b\u9854\u9762\u611f\u899a\u4f4e\u4e0b bothersome facial hypesthesia\u306f3\u4eba (0.6%) \u306e\u60a3\u8005\u3055\u3093\u3067\u751f\u3058\u305f\u3060\u3051\u3067\u3057\u305f\u3002<br \/>\n\u300c\u89e3\u8aac\u300d<span style=\"color: #000080;\"><strong>\u30d3\u30c3\u30af\u30ea\u304e\u3087\u3046\u3066\u3093<\/strong><\/span>! \u3067\u3059\u3002\u79c1\u304c\u7d4c\u9a13\u3057\u305f\u3060\u3051\u3067\u3082\u6570\u4eba\u306e\u60a3\u8005\u3055\u3093\u304c\u30ac\u30f3\u30de\u30ca\u30a4\u30d5\u5f8c\u306e\u75bc\u75db\u3067\u6cbb\u7642\u65b9\u6cd5\u304c\u306a\u304f\u3066\u82e6\u3057\u3093\u3067\u3044\u307e\u3057\u305f\u3002456\u4eba\u3082\u306e\u60a3\u8005\u3055\u3093\u3092\u30ac\u30f3\u30de\u30ca\u30a4\u30d5 85Gy \u3067\u6cbb\u7642\u3057\u3066\uff0c\u4e09\u53c9\u795e\u7d4c\u969c\u5bb3\u306b\u3088\u308b\u3064\u3089\u3044\u7570\u611f\u899a dysesthesia\u304c\u751f\u3058\u306a\u3044\u3068\u306f\u3068\u3066\u3082\u4fe1\u3058\u3089\u308c\u307e\u305b\u3093\u3002\u65e5\u672c\u3067\u306e\u6cbb\u7642\u65b9\u6cd5\u306f\u30e8\u30fc\u30ed\u30c3\u30d1\u3068\u9055\u3046\u3068\u3067\u3082\u3044\u3046\u306e\u3067\u3057\u3087\u3046\u304b\uff1f50\uff05\u5f31\u306e\u60a3\u8005\u3055\u3093\u3067\u75db\u307f\u304c\u6d88\u5931\u3059\u308b\u306e\u306f\u3044\u307e\u307e\u3067\u306e\u5831\u544a\u3068\u5927\u304d\u306a\u9055\u3044\u306f\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n<div class=\"setumei\">\n<h5>\u300c\u6587\u732e\u300d<\/h5>\n<ul>\n<li>Barker FG 2nd, Jannetta PJ, Bissonette DJ, Larkins MV, Jho HD: The long-term outcome of microvascular decompression for trigeminal neuralgia. N Engl J Med 334:1077-1083, 1996<\/li>\n<li>Barker FG 2nd, Jannetta PJ, Bissonette DJ, Jho HD: Trigeminal numbness and tic relief after microvascular decompression for typical trigeminal neuralgia. Neurosurgery 40:39-45, 1997<\/li>\n<li>Dandy W.E.: Concerning the cause of trigeminal neuralgia. Am J Surg\u3000 24: 447, 1934<\/li>\n<li>Flickinger JC, Pollock BE, Kondziolka D, Phuong LK, Foote RL, Stafford SL, Lunsford LD: Does increased nerve length within the treatment volume improve trigeminal neuralgia radiosurgery? A prospective double-blind, randomized study. Int J Radiat Oncol Biol Phys 51:449-54, 2001<\/li>\n<li>Gardner W.J.: Concerning the mechanism of trigeminal neuralgia and hemifacial spasm.\u3000 J Neurosurg 19: 947, 1962<\/li>\n<li>Jannetta P.J.: Treatment of trigeminal neuralgia by suboccipital and transtentorial cranial operation.\u3000 Clin Neurosurg 24: 538, 1977<\/li>\n<li>Jannetta P.J.: Microvascular decompression of the trigerminal nerve root entry zone.\u3000 Theoretical considerations, operative anatomy, surgica technique, and results. In Trigeminal Neuralgia (edited by Rovit R.L.,Murali R., &amp; Jannetta P.J.), Baltimore, Williams &amp; Willkins, 1990, p.201.<\/li>\n<li>Kondo A: Follow-up results of microvascular decompression in trigeminal neuralgia and hemifacial spasm. Neurosurgery 40: 46-51, 1997<\/li>\n<li>Kondziolka D, Lunsford LD, Flickinger JC: Stereotactic radiosurgery for the treatment of trigeminal neuralgia. Clin J Pain 18:42-47, 2002<\/li>\n<li>Linskey M.E., Jho H.D., Jannetta P.J.: Microvascular decompression for trigeminal neuralgia caused by vertebrobasilar compression.\u3000 J Neurosurg 81: 1-9, 1994<\/li>\n<li>McLaughlin MR, Jannetta PJ, Clyde BL, Subach BR, Comey CH, Resnick DK: Microvascular decompression of cranial nerves: lessons learned after 4400 operations. J Neurosurg 90: 1-8, 1999<\/li>\n<li>Pollock BE, Phuong LK, Foote RL, Stafford SL, Gorman DA: High-dose trigeminal neuralgia radiosurgery associated with increased risk of trigeminal nerve dysfunction. Neurosurgery 49: 58-62, 2001<\/li>\n<li>R\u00e9gis J, et al.: Long-term safety and efficacy of Gamma Knife surgery in classical trigeminal neuralgia: a 497-patient historical cohort study. J Neurosurg, 2015 [Epub]<\/li>\n<li>Zakrzewska, J.M., Thomas, D.G.T.: Patient&#8217;s assessment of outcome after three surgical procedures for the management of trigeminal neuralgia.\u3000 Acta Neurochir (Wien) 122: 225, 1993<\/li>\n<li>Ecker A: Prolonged relief of tic douloureux from partial root destruction is associated with localized analgesia. Ann Neurol 7:181-182.,1980<\/li>\n<li>Fujimaki T, Fukushima T, Miyazaki S: Percutaneous retrogasserian glycerol injection in the management of trigeminal neuralgia: long-term follow-up results. J Neurosurg 73:212-216.,1990<\/li>\n<li>Taha JM, Tew JM: Long-term results of surgical treatment of idiopathic neuralgias of the glossopharyngeal and vagal nerves. Neurosurgery 36:926-930; discussion 930-921.,1995<\/li>\n<li>Fujimaki T, Hoya K, Sasaki T, et al: Recurrent trigeminal neuralgia caused by an inserted prosthesis: report of two cases. Acta Neurochir 138:1307-1309,1996<\/li>\n<li>Premsagar IC, Moss T, Coakham HB: Teflon-induced granuloma following treatment of trigeminal neuralgia by microvascular decompression. Report of two cases. J Neurosurg 87:454-457.,1997<\/li>\n<li>Maher CO, Pollock BE: Radiation induced vascular injury after stereotactic radiosurgery for trigeminal neuralgia: case report. Surg Neurol 54:189-193.,2000<\/li>\n<li>Romansky, K.\u3000Stoianchev, N.\u3000Dinev, E.\u3000Iliev, I.<\/li>\n<li>Results of treatment of trigeminal neuralgia by microvascular decompression of the Vth nerve at its root entry zone<\/li>\n<li>Arch Physiol Biochem 106 p392-396, 1998<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>\u307e\u305a\uff0c\u57fa\u790e\u77e5\u8b58 \u4e09\u53c9\u795e\u7d4c\u75db\u3068\u4e09\u53c9\u795e\u7d4c\u969c\u5bb3\u306e\u9055\u3044 18\u4e16\u7d00\u30d5\u30e9\u30f3\u30b9\u795e\u7d4c\u5b66\u306e\u5b9a\u7fa9\u306e\u554f\u984c\u3067\u3059 \u4e09\u53c9\u795e\u7d4c\u75db neuralgia \u306f\uff0c\u4e09\u53c9\u795e\u7d4c\u6a5f\u80fd\u304c\u7570\u5e38\u306b\u4ea2\u9032\u3059\u308b\u305f\u3081\u306b\u751f\u3058\u308b\u611f\u899a\u969c\u5bb3\u3092\u4f34\u308f\u306a\u3044\uff0c\u77ac\u6642\u306e\u6fc0\u75db\u3067\u3059 \u4e09\u53c9\u795e\u7d4c\u969c\u5bb3 neu [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[17,10],"tags":[],"class_list":["post-258","post","type-post","status-publish","format-standard","hentry","category-surgtech","category-cranialnerve"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/posts\/258","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/comments?post=258"}],"version-history":[{"count":28,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/posts\/258\/revisions"}],"predecessor-version":[{"id":23888,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/posts\/258\/revisions\/23888"}],"wp:attachment":[{"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/media?parent=258"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/categories?post=258"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/tags?post=258"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}