{"id":6928,"date":"2015-03-08T12:33:09","date_gmt":"2015-03-08T03:33:09","guid":{"rendered":"\/sawamura\/?p=6928"},"modified":"2022-09-20T08:21:28","modified_gmt":"2022-09-19T23:21:28","slug":"ota","status":"publish","type":"post","link":"https:\/\/plaza.umin.ac.jp\/sawamura\/surgtech\/ota\/","title":{"rendered":"OTA \u7d4c\u30c6\u30f3\u30c8\u6cd5"},"content":{"rendered":"<h1>Occipital Transtentorial Approach<\/h1>\n<h5>\u5c71\u672c\u54f2\u54c9\u3082\u8a18\u8f09\u3057\u3066\u3044\u307e\u3059<\/h5>\n<h5><span style=\"color: #000080;\">\u89e3\u5256\u5b66\u7684\u306a\u5fdc\u7528\u7bc4\u56f2<\/span><\/h5>\n<p><span style=\"color: #000080;\"><strong>\u677e\u679c\u4f53\uff0c\u4e2d\u8133\u5185\u90e8\uff0c\u56db\u4e18\u4f53\u69fd\uff0c\u4e0a\u5c0f\u8133\u69fd\uff0c\u5c0f\u8133\u4e0a\u9762\uff0c\u7b2c\uff13\u8133\u5ba4\u5f8c\u534a\u90e8\uff0c\u8fc2\u56de\u69fd\u5f8c\u534a\u90e8\uff0c\u8996\u5e8a\u5f8c\u5185\u9762\uff08\u7b2c3\u8133\u5ba4\u9762\uff09<\/strong><\/span><\/p>\n<p>\u7d4c\u30c6\u30f3\u30c8\u6cd5\u306f\uff0c\u677e\u679c\u4f53\u816b\u760d\u306e\u624b\u8853\u3067\u6709\u540d\u306a\u306e\u3067\u3059\u304c\uff0c\u69d8\u3005\u306a\u30c6\u30f3\u30c8\u76f4\u4e0b\u75c5\u5909\u306b\u5fdc\u7528\u3067\u304d\u307e\u3059\u3002\u4e2d\u8133\u3068\u5c0f\u8133\u816b\u760d\u306e\u624b\u8853\u30d3\u30c7\u30aa\u3092\u306e\u305b\u307e\u3057\u305f\u3002<\/p>\n<h4>2008\u5e74\u306e\u4e2d\u8133\u6bdb\u69d8\u7d30\u80de\u6027\u661f\u7d30\u80de\u816b\u306e\u624b\u8853\u30d3\u30c7\u30aa<\/h4>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/760329ff64cff0f59417979f5b71d487.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-7753\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/760329ff64cff0f59417979f5b71d487-200x200.jpg\" alt=\"midbrainpilo1\" width=\"200\" height=\"200\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/560e2a0cd35e3362a2f150fda3fe7543.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-7755\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/560e2a0cd35e3362a2f150fda3fe7543-200x200.jpg\" alt=\"\u6728\u65b9post-3\" width=\"200\" height=\"200\" \/><\/a><\/p>\n<p>\u5de6\u306f\u8853\u524d\uff0c\u53f3\u306f\u624b\u8853\u76f4\u5f8c\u306eMRI\u3067\u3059\u3002\u3053\u306e\u30d3\u30c7\u30aa\u3092\u898b\u3066\uff0c\u304a\u3088\u305d\u306e\u624b\u6280\u306e\u9806\u756a\u306e\u307f\u628a\u63e1\u3057\u3066\u4e0b\u3055\u3044\u3002<\/p>\n<h5><span style=\"color: #000080;\"><a href=\"http:\/\/youtu.be\/QTSGvitQHW4\">\u3053\u3053\u3092\u30af\u30ea\u30c3\u30af\u3059\u308b\u3068\u30d3\u30c7\u30aa\uff11<br \/>\n<\/a><a href=\"http:\/\/youtu.be\/ZgfBR_P3vqg\">\u3053\u3053\u3092\u30af\u30ea\u30c3\u30af\u3059\u308b\u3068\u30d3\u30c7\u30aa\uff12\u304c\u898b\u3048\u307e\u3059<\/a><\/span><\/h5>\n<h4>\u00a02016\u5e74\u306e\u5c0f\u8133\u816b\u760d\u306e\u624b\u8853\u30d3\u30c7\u30aa<\/h4>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/pilomr1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-10122\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/pilomr1-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/pilomr1-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/pilomr1-144x144.jpg 144w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/pilomr2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-10123\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/pilomr2-200x200.jpg\" alt=\"\" width=\"200\" height=\"200\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/pilomr2-200x200.jpg 200w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/pilomr2-144x144.jpg 144w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/a><\/p>\n<p>\u5c0f\u8133\u4e0a\u9762\u306e\u5c0f\u5150\u306e\u6bdb\u69d8\u7d30\u80de\u6027\u661f\u7d30\u80de\u816b\u3067\u3059\u3002\u7d4c\u30c6\u30f3\u30c8\u6cd5\u4ee5\u5916\u3067\u306f\u5c0f\u8133\u640d\u50b7\u3092\u514d\u308c\u307e\u305b\u3093\u3002OTA\u304c\u5fc5\u9808\u306e\u624b\u8853\u6cd5\u3067\u3059\u3002<\/p>\n<h5><a href=\"https:\/\/www.youtube.com\/watch?v=837WAfGkzTc&amp;feature=youtu.be\">\u3053\u3053\u3092\u30af\u30ea\u30c3\u30af\u3059\u308b\u3068\u30d3\u30c7\u30aa\u304c\u898b\u3048\u307e\u3059<\/a><\/h5>\n<p>&nbsp;<\/p>\n<h1>\u677e\u679c\u4f53\u816b\u760d\u306e\u624b\u8853\u306e\u624b\u6280 technical note for pineal tumor<\/h1>\n<h5>\u3044\u308d\u3044\u308d\u306a\u3082\u306e\u3092\u66f8\u304f\u3068\u6df7\u4e71\u3059\u308b\u306e\u3067\uff0c\u3053\u308c\u304b\u3089\u4e0b\u306f\u4e3b\u3068\u3057\u3066\u677e\u679c\u4f53\u816b\u760d\u306e\u624b\u8853\u3064\u3044\u3066\u66f8\u304d\u307e\u3059\uff0c\u677e\u679c\u4f53\u816b\u760d\u304c\u4e00\u756a\u96e3\u3057\u3044\u306e\u3067\uff0c\u3053\u308c\u3092\u5fdc\u7528\u3057\u3066\u304f\u3060\u3055\u3044<\/h5>\n<h5>\u89e3\u5256\u5b66\u7528\u8a9e\u306f\u65e5\u672c\u8a9e\u3068\u82f1\u8a9e\u304c\u4ea4\u3058\u3063\u3066\u3044\u307e\u3059\u304c\uff0c\u65e5\u5e38\u7684\u306a\u624b\u8853\u5ba4\u4f1a\u8a71\u3067\u4f7f\u3044\u3084\u3059\u3044\u65b9\u3092\u7528\u3044\u3066\u3044\u307e\u3059<\/h5>\n<p>&nbsp;<\/p>\n<h5>\u6982\u5ff5\u7684\u306b\u5927\u5207\u306a\u3053\u3068<\/h5>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/pptid1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-large wp-image-6932\" title=\"pptid1\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/pptid1-550x456.jpg\" alt=\"\" width=\"550\" height=\"456\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/pptid1-550x456.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/pptid1-300x249.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/pptid1.jpg 850w\" sizes=\"auto, (max-width: 550px) 100vw, 550px\" \/><\/a><\/p>\n<p>\u677e\u679c\u4f53\u816b\u760d\u3078\u306eOTA\u306e\u30eb\u30fc\u30c8\u3067\u3059\u3002occipital transtentorial apporach\u3068\u3044\u3046\u306e\u306f\u9ec4\u8272\u306e\u77e2\u5370\u306b\u6cbf\u3063\u3066\u30ac\u30ec\u30f3\u5927\u9759\u8108\u306e\u4e0b\u306b\u5165\u308b\u65b9\u6cd5\u3067\u3042\u308a\uff0c\u305d\u3053\u304b\u3089\u677e\u679c\u4f53\u90e8\u3092\u901a\u3063\u3066\u7b2c3\u8133\u5ba4\u5185\u3078\u76f4\u7dda\u7684\u306a\u8996\u91ce\u304c\u5c55\u958b\u3057\u307e\u3059\u3002<\/p>\n<p>\u4e00\u65b9\uff0c\u8d64\u306e\u77e2\u5370\u306b\u6cbf\u3063\u305f\u30eb\u30fc\u30c8\u306f parieto-occipital transtentorial approach\u3067\u3059\u3002\u3053\u306e\u30eb\u30fc\u30c8\u3067\u306f\u5185\u5927\u8133\u9759\u8108 internal cerebral veins \u3092\u898b\u308b\u3053\u3068\u304c\u304b\u306a\u308a\u96e3\u3057\u3044\u3067\u3059\u3002\u66f4\u306b\uff0c\u7b2c3\u8133\u5ba4\u306b\u5165\u308b\u305f\u3081\u306b\u306f\u8133\u6881\u81a8\u5927\u90e8 splenium\u3092\u5207\u65ad\u3059\u308b\u5fc5\u7528\u304c\u3042\u308a\u307e\u3059\u3002\u305f\u3060\u3057\uff0c\u5c0f\u8133\u4e0a\u90e8\u3084\u7b2c\uff14\u8133\u5ba4\u3092\u898b\u308b\u3068\u304d\u306b\u306fparietal\u5bc4\u308a\u306e\u30eb\u30fc\u30c8\u3092\u4f7f\u3044\u307e\u3059\u3002<\/p>\n<p>\u3053\u306e2\u3064\u306e\u30eb\u30fc\u30c8\u3092\u6df7\u540c\u3057\u3066\u3044\u308b\u8133\u5916\u79d1\u306e\u5148\u751f\u306f\u3068\u3066\u3082\u591a\u3044\u3068\u601d\u3044\u307e\u3059\u3002OTA\u3068\u306f\uff0c\u5916\u5f8c\u982d\u9686\u8d77\u3092\u524a\u9664\u3057\u3066\uff0c\u5f8c\u982d\u6975\uff08\u5f8c\u982d\u8449\uff09\u3092\u727d\u5f15\u3057\u3066\uff0c\u30c6\u30f3\u30c8\u306e\u5168\u9577\u3092\u5207\u958b\u3057\u306a\u3051\u308c\u3070\u9042\u884c\u3067\u304d\u306a\u3044\u5230\u9054\u6cd5\u3067\u3042\u308b\u3053\u3068\u3092\u8a8d\u8b58\u3057\u3066\u4e0b\u3055\u3044\u3002<\/p>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/pptid2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-6933 size-medium\" title=\"pptid2\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/pptid2-300x291.jpg\" alt=\"\" width=\"300\" height=\"291\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/pptid2-300x291.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/pptid2-550x534.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/pptid2.jpg 709w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><br \/>\n\u3055\u3089\u306b\u8981\u70b9\u3068\u3057\u3066\u306f\uff0c\u9759\u8108\u6d1e\u4ea4\u4f1a confluence \u306b\u8fd1\u3044\u3068\u3053\u308d\u306b\u8996\u8ef8\u304c\u304f\u308b\u306e\u3067\uff0c\u6a2a\u9759\u8108\u6d1e\u3068\u4e0a\u77e2\u72b6\u9759\u8108\u6d1e\u306e\u4ea4\u70b9\u306e\u30ae\u30ea\u30ae\u30ea\u307e\u3067\u786c\u819c\u5207\u958b\u3092\u3059\u308b\u5fc5\u7528\u304c\u3042\u308a\u307e\u3059\u3002\u677e\u679c\u4f53\u90e8\u304b\u3089\u7b2c3\u8133\u5ba4\u306b\u5165\u308b\u305f\u3081\u306b\u306f\u30ed\u30fc\u30bc\u30f3\u30bf\u30fc\u30eb\u9759\u8108\u3092\u5341\u5206\u5265\u96e2\u3057\u3066\u53ef\u52d5\u5316\u3057\uff0c\u5de6\u53f3\u306e\u8853\u91ce\u5c55\u958b\u3092\u3057\u3066\u884c\u304d\u307e\u3059\u3002<\/p>\n<h5>\u3082\u3063\u3068\u3082\u9ad8\u5ea6\u306a\u77e5\u8b58<\/h5>\n<p>\u5f8c\u308d\u306e\u65b9\u306b\u3042\u308b\uff0c<span style=\"color: #ff0000;\"><strong>\u8133\u69fd\u306e\u958b\u653e\u306e\u9806\u756a<\/strong><\/span>\u304c\u7406\u89e3\u3067\u304d\u305f\u3089\u9054\u4eba\u3067\u3059<\/p>\n<h5>\u5b9f\u969b\u306e\u624b\u8853\u624b\u6280\u306e\u9806\u5e8f<\/h5>\n<h5>\u5de6\u53f3\uff0c\u3069\u3061\u3089\u304b\u3089\u5165\u308b\u304b\uff1f<\/h5>\n<p>\u5f8c\u982d\u8449\u306e\u5148\u7aef occipital pole\u3092\u5916\u5074\u306b\u727d\u5f15\u3057\u3066\u5927\u8133\u534a\u7403\u9593\u88c2\u306e\u7247\u5074\u3092\u5e83\u3052\u3066\u30b9\u30da\u30fc\u30b9\u3092\u4f5c\u308b\u306e\u3067\uff0c\u4e0a\u77e2\u72b6\u6d1e\u3068\u5f8c\u982d\u8449\u306e\u9593\u304c\u5e83\u304c\u308c\u3070\u8853\u91ce\u306f\u5e83\u304c\u308b\u3053\u3068\u306b\u306a\u308a\u307e\u3059\u3002\u5f8c\u982d\u8449\u306f\u304b\u306a\u308a\u727d\u5f15\u3067\u304d\u307e\u3059\u304c\uff0c\u77e2\u72b6\u6d1e\u306f\u52d5\u304d\u307e\u305b\u3093\u3002<br \/>\n\u4e0a\u77e2\u72b6\u6d1e\u304c\u5de6\u306b\u5c48\u66f2\u3057\u3066\u3044\u308c\u3070\u53f3\u5f8c\u982d\u90e8\u304b\u3089\u5165\u308a\u307e\u3059\uff08\u4e2d\u65ad\u306e\u56f3\uff09\u3002\u53f3\u5074\u304b\u3089\u5165\u308c\u3070\uff0c\u53f3\u306e\u5916\u5074\uff08\u53f3\u8996\u5e8a\u3084\u53f3\u8133\u8fc2\u56de\u69fd\uff09\u304c\u6b63\u4e2d\uff08\u77e2\u72b6\u6d1e\uff09\u5074\u304b\u3089\u898b\u3084\u3059\u304f\u306a\u308a\u307e\u3059\u3002\u5bfe\u3057\u3066\u5de6\u5074\u3092\u898b\u308b\u3068\u304d\u306b\u306f\u5f8c\u982d\u8449\u9762\u304b\u3089\u306e\u8996\u91ce\u306b\u306a\u308a\u307e\u3059\u3002<\/p>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/sagitalsinus1-1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-7473 size-thumbnail\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/sagitalsinus1-1-200x200.jpg\" alt=\"sagitalsinus1-1\" width=\"200\" height=\"200\" \/><\/a><br \/>\n\u9759\u8108\u6d1e\u4ea4\u4f1a\u306b\u5165\u308b\u524d\u306e\u77e2\u72b6\u6d1e\u306b\u306f\u3055\u307e\u3056\u307e\u306a\u5f62\u614b\u304c\u3042\u308a\u307e\u3059\u3002\u5de6\u306e\u753b\u50cf\u306f\u4e8c\u80a1\u306b\u5206\u304b\u308c\u3066\uff0c\u5de6\u53f3\u306e\u6a2a\u9759\u8108\u6d1e\u304c\u7e4b\u304c\u308b\u798f\u8def\u304c\u3042\u308a\u307e\u3059\u3002\u3053\u306e\u8981\u306a\u6642\u306b\u306f\u5de6\u53f3\u3069\u3061\u3089\u5074\u306e\u958b\u982d\u3092\u884c\u3063\u3066\u3082\u540c\u3058\u3067\u3059\u3002<\/p>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/sagitalsinus1-2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-7474\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/sagitalsinus1-2-200x200.jpg\" alt=\"sagitalsinus1-2\" width=\"200\" height=\"200\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/sagitalsinus2-2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-7483\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/sagitalsinus2-2-200x200.jpg\" alt=\"sagitalsinus2-2\" width=\"129\" height=\"132\" \/><\/a>\u3082\u3057\uff0c\u3053\u306e\u3088\u3046\u306b\u77e2\u72b6\u6d1e\u304c\u5de6\u306b\u5bc4\u3063\u3066\u3044\u308b\u30bf\u30a4\u30d7\u3067\u3042\u308c\u3070\uff0c\u53f3\u5f8c\u982d\u958b\u982d\u3092\u3057\u3066\uff0c\u53f3\u306e\u5f8c\u982d\u6975\u3092\u727d\u5f15\u3057\u3066\uff0c\u5927\u8133\u534a\u7403\u9593\u88c2\u306e\u53f3\u5074\u304b\u3089\u5165\u3063\u305f\u65b9\u304c\u6709\u5229\u3067\u3059\u3002\u7406\u89e3\u3057\u3084\u3059\u3044\u3088\u3046\u306b\u5de6\u53f3\u53cd\u8ee2\u3057\u3066\u3044\u307e\u3059\u306e\u3067\uff0cMRI\u306f\u5de6\u53f3\u9006\u3067\u307f\u3066\u304f\u3060\u3055\u3044\u3002<\/p>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/sagitalsinus1-3.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-7475\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/sagitalsinus1-3-200x200.jpg\" alt=\"sagitalsinus1-3\" width=\"200\" height=\"200\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/sagitalsinus2-1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-7484\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/sagitalsinus2-1-200x200.jpg\" alt=\"sagitalsinus2-1\" width=\"133\" height=\"136\" \/><\/a>\u9006\u306b\uff0c\u77e2\u72b6\u6d1e\u304c\u53f3\u306b\u5bc4\u3063\u3066\u308b\u306e\u3067\u3042\u308c\u3070\uff0c\u5de6\u5f8c\u982d\u958b\u982d\u3092\u3057\u3066\uff0c\u5de6\u306e\u5f8c\u982d\u6975\u3092\u727d\u5f15\u3057\u3066\uff0c\u5927\u8133\u534a\u7403\u9593\u88c2\u306e\u53f3\u5074\u304b\u3089\u5165\u3063\u305f\u65b9\u304c\uff0c\u677e\u679c\u4f53\u90e8\u306a\u3069\u306e\u4e2d\u5fc3\u69cb\u9020\u306f\u3088\u304f\u898b\u3048\u307e\u3059\u3002\u53f3\u5229\u304d\u306e\u8853\u8005\u306f\u5de6\u5f8c\u982d\u958b\u982d\u306e\u65b9\u304c\u53f3\u624b\u3092\u7b2c3\u8133\u5ba4\u4e0a\u58c1\u306b\u5165\u308c\u3084\u3059\u3044\u3067\u3059\u3002<\/p>\n<h5>\u4f53\u4f4d<\/h5>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/position3.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-large wp-image-6937\" title=\"position\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/position3-550x276.jpg\" alt=\"\" width=\"550\" height=\"276\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/position3-550x276.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/position3-300x150.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/position3.jpg 992w\" sizes=\"auto, (max-width: 550px) 100vw, 550px\" \/><\/a><br \/>\n<a href=\"\/sawamura\/surgtech\/ota\/attachment\/position-2\/\" rel=\"attachment wp-att-6935\"><br \/>\n<\/a><a href=\"\/sawamura\/surgtech\/ota\/attachment\/position\/\" rel=\"attachment wp-att-6934\"><br \/>\n<\/a><\/p>\n<p>\u4f53\u4f4d\u306f\u5de5\u592b\u3059\u308b\u5fc5\u8981\u3082\u306a\u304f\uff0c\u5358\u306a\u308b\u8179\u81e5\u4f4d\u3067\u5341\u5206\u3067\u3059\u3002\u3053\u308c\u304c\u4e00\u756a\u697d\u306a\u4f53\u4f4d\u3067\u3059\u3057\uff0c\u3069\u306e\u3088\u3046\u306b\u5927\u304d\u306a\u677e\u679c\u4f53\u816b\u760d\u3067\u3082\u8133\u30d9\u30e9 brain retractor\u3092\u307b\u3068\u3093\u3069\u4f7f\u7528\u3057\u306a\u3044\u3067\u3082\u6458\u51fa\u3067\u304d\u307e\u3059\u3002\u4f53\u3092\u5074\u81e5\u4f4d\u306b\u3057\u305f\u308a\uff0c\u4e0a\u80a2\u3092\u843d\u3068\u3057\u305f\u308a\uff0c\u982d\u90e8\u3092\u56de\u65cb\u3055\u305b\u305f\u308a\u3059\u308b\u5fc5\u7528\u306f\u5168\u304f\u3042\u308a\u307e\u305b\u3093\u3002\u9006\u306b\u305d\u3046\u3057\u306a\u3044\u65b9\u304c\u5c55\u958b\u306f\u697d\u3067\u3059\u3002\u65e5\u672c\u306e\u8133\u5916\u79d1\u306e\u6559\u79d1\u66f8\u306b\u3042\u308b\u8a18\u8ff0\u3068\u306f\u7570\u306a\u308b\u3082\u306e\u3067\u3059\u3002\u8853\u8005\u306f\u958b\u982d\u5074\u306b\u7acb\u3061\uff0c\u307b\u3068\u3093\u3069\u771f\u6a2a\u304b\u3089\u624b\u8853\u64cd\u4f5c\u3059\u308b\u3053\u3068\u306b\u306a\u308a\u307e\u3059\u3002\u30d9\u30c3\u30c9\u306f\u56de\u65cb rotation\u3059\u308b\u3053\u3068\u3082\u3042\u308b\u306e\u3067\u4f53\u5074\u652f\u6301\u5668\u3067\u652f\u3048\u3066\u304a\u304d\u307e\u3059\u3002<\/p>\n<p>\u624b\u8853\u4e2d\u306e\u4f53\u4f4d\u5909\u63db\u306f\u4e3b\u3068\u3057\u3066\uff0c\u9759\u8108\u304b\u3089\u306e\u51fa\u8840\u3092\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u3059\u308b\u305f\u3081\u306e\uff0c\u982d\u90e8\u6319\u4e0a\u3067\u3059\u3002\u9759\u8108\u51fa\u8840\u304c\u4e88\u60f3\u3055\u308c\u308b\u5834\u9762\u3067\u306f\u30d9\u30c3\u30c9\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u3067\u982d\u90e8\u3092\u4e0a\u3052\u307e\u3059\u3002\u305d\u308c\u3092\u4e88\u60f3\u3057\u3066\u4f53\u3092\u30d9\u30c3\u30c9\u306b\u56fa\u5b9a\u3057\u3066\u304f\u3060\u3055\u3044\u3002\u6ce8\u610f\u3059\u308b\u3053\u3068\u306f\uff0c\u982d\u90e8\u306e\u6319\u4e0a\u306b\u3088\u3063\u3066\u56fa\u5b9a\u3055\u308c\u305f\u982d\u3068\u56fa\u5b9a\u3055\u308c\u3066\u3044\u306a\u3044\u4f53\u306e\u9593\u3067\u981a\u690e\u304c\u727d\u5f15\u3055\u308c\u308b\u3053\u3068\u3067\u3059\u3002\u9ac4\u6db2\u6392\u51fa\u306b\u3088\u3063\u3066\u5927\u8133\u304c\u843d\u3061\u8fbc\u307f\u3059\u304e\u305f\u308a\u67b6\u6a4b\u9759\u8108\u304c\u904e\u5ea6\u306b\u9032\u5c55\u3055\u308c\u308b\u5834\u5408\u306b\u306f\uff0c\u8133\u5727\u30fb\u9ac4\u6db2\u5727\u30fb\u9759\u8108\u5727\u3092\u4e0a\u3052\u308b\u305f\u3081\u306b\u9006\u306b\u982d\u90e8\u3092\u4e0b\u3052\u307e\u3059\u3002<\/p>\n<h5>\u76ae\u819a\u5207\u958b<\/h5>\n<p>\u5243\u6bdb\u305b\u305a\u306b\uff0c\u5f8c\u982d\u90e8\u6b63\u4e2d\u3092\u76f4\u7dda\u5207\u958b straight linear incision \u3057\u307e\u3059\u3002\u3053\u306e\u5207\u958b\u7dda\u306f\u304d\u308c\u3044\u306b\u9589\u9396\u3067\u304d\u307e\u3059\u304b\u3089\u8853\u5f8c\u306b\u5275\u90e8\u304c\u76ee\u7acb\u3061\u307e\u305b\u3093\u3057\uff0c\u5f8c\u982d\u90e8\u611f\u899a\u969c\u5bb3\u3082\u306a\u304f\uff0c\u50e7\u5e3d\u7b4b\u640d\u50b7\u3082\u7121\u3044\u306e\u3067\u5275\u90e8\u75db\u304c\u5c11\u306a\u304f\uff0c\u3082\u3057\u76ae\u4e0b\u9ac4\u6db2\u6f0f\u304c\u751f\u3058\u3066\u3082\u81ea\u7136\u6cbb\u7652\u3057\u307e\u3059\u3002\u5916\u5f8c\u982d\u9686\u8d77\u306e3cm\u304f\u3089\u3044\u4e0a\u3092\u4e2d\u5fc3\u3068\u3057\u3066\u9577\u3081\u306e\u76ae\u5207\u3092\u884c\u3046\u306e\u304c\u30b3\u30c4\u3067\u3059\u3002\u76ae\u5207\u3092\u884c\u3063\u305f\u3089\uff0c\u4e21\u5074\u306e\u9aa8\u819c\u4e0b\u3092\u5265\u96e2 subperiosteal dissection \u3057\u3066\u30b2\u30eb\u30d4\u30fc\u958b\u5275\u5668\u3067\u5e83\u3052\u307e\u3059\u3002<br \/>\n\u76ae\u819a\u5207\u958b\u3092\u958b\u59cb\u3059\u308b\u524d\u306b\u30de\u30f3\u30cb\u30c8\u30fc\u30eb\u306e\u70b9\u6ef4\u3092\u958b\u59cb\u3057\u307e\u3059\u3002\u786c\u819c\u5207\u958b\u3092\u7d42\u3048\u305f\u9803\u306b\u30de\u30f3\u30cb\u30c8\u30fc\u30eb\u306e\u52b9\u679c\u304c\u6700\u5927\u3068\u306a\u308b\u3088\u3046\u306a\u6642\u9593\u306e\u5de5\u592b\u3092\u3057\u307e\u3059\u3002\u7406\u7531\u306f\uff0c\u5f8c\u982d\u8449\u3092\u5f15\u3044\u3066\u9ac4\u6db2\u6392\u51fa\u3059\u308b\u6642\u3068\u30c6\u30f3\u30c8\u5207\u958b\u3059\u308b\u6642\u306b\u5f8c\u982d\u8449\u306e\u8133\u5727\u3092\u4e0b\u3052\u308b\u305f\u3081\u3067\u3059\u3002<\/p>\n<h5><a href=\"https:\/\/youtu.be\/SKxytxBLatc\">\u76ae\u5207\u3068\u958b\u982d\uff08\u30d3\u30c7\u30aa\u306f\u3053\u3053\u3092\u30af\u30ea\u30c3\u30af\uff09<\/a><\/h5>\n<h5>\u00a0\u958b\u982d<\/h5>\n<ul>\n<li><span style=\"color: #000080;\"><strong>\u8981\u70b9\u306f\uff0c\u5185\u30fb\u5916\u5f8c\u982d\u9686\u8d77\u306e\u30c9\u30ea\u30eb\u306b\u3088\u308b\u524a\u9664\u3067\u3059<\/strong><\/span><\/li>\n<li><span style=\"color: #000080;\"><strong>\u76ee\u7684\u306f\uff0c\u786c\u819c\u3068\u982d\u84cb\u9aa8\u5185\u9762\u3092\u5265\u96e2\u3059\u308b\u305f\u3081\u3067\u3059<\/strong><\/span><\/li>\n<\/ul>\n<p>\u30d3\u30c7\u30aa\u3067\u306f\u5916\u5f8c\u982d\u9686\u8d77\u90e8\u306e\u30c9\u30ea\u30eb\u524a\u9664\u306e\u307f\u3067\u306e\u5de6\u5bc4\u308a\u306e\u4e21\u5074\u5f8c\u982d\u958b\u982d\u3092\u898b\u305b\u3066\u3044\u307e\u3059\u304c\uff0c\u7121\u7406\u306a\u3089\u982d\u9802\u5074\u306e\u4e0a\u77e2\u72b6\u9759\u8108\u6d1e\u306e\u76f4\u4e0a\u306b\u30d0\u30eb\u30db\u30fc\u30eb\u3092\u4e00\u3064\u304a\u3044\u3066\u3082\u3044\u3044\u3067\u3057\u3087\u3046\u3002<\/p>\n<p>\u7559\u610f\u70b9\u306f\uff0c\u9759\u8108\u6d1e\u4ea4\u4f1a\u3068\u30a2\u30d7\u30ed\u30fc\u30c1\u5074\u306e\u6a2a\u9759\u8108\u6d1e\u306e\u9732\u51fa\u3067\u3059\u3002\u3053\u306e\u304f\u3089\u3044\u307e\u3067\u5e83\u304f\u3057\u307e\u305b\u3093\u3068\uff0c\u7b2c\uff13\u8133\u5ba4\u4e0a\u58c1\u3092\u898b\u308b\u3068\u304d\u306b\u958b\u982d\u7e01\u306e\u9aa8\u7a1c\u3067\u5c3e\u5074\u304b\u3089\u306e\u8996\u91ce\u304c\u5236\u9650\u3055\u308c\u307e\u3059\u3002<br \/>\n\u30c9\u30ea\u30eb\u3067\u9aa8\u524a\u9664\u3092\u3059\u308b\u7406\u7531\u306f\uff0c\u5185\u5f8c\u982d\u9686\u8d77\u3068\u9759\u8108\u6d1e\u4ea4\u4f1a\u306e\u500b\u4f53\u5dee\u304c\u5927\u304d\u3044\u304b\u3089\u3067\u3059\u3002\u5185\u5f8c\u982d\u9686\u8d77\u306e\u4e0a\u534a\u5206\u306f\u524a\u9664\u3059\u308b\u306e\u3067\u3059\u304c\uff0c\u5927\u304d\u306a\u9686\u8d77\u3084\u7a1c crista\u3092\u5f62\u6210\u3057\u3066\u3044\u305f\u308a\uff0c\u4e0a\u77e2\u72b6\u6d1e\u3084\u305d\u306e\u526f\u6d1e\u304c\u9aa8\u5185\u306b\u30c8\u30f3\u30cd\u30eb\u72b6\u306b\u306a\u3063\u3066\u3044\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002\u7a7f\u982d\u5668 \u30d0\u30eb\u30db\u30fc\u30eb\u3092\u7528\u3044\u308c\u3070\u9759\u8108\u6d1e\u3092\u640d\u50b7\u3059\u308b\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n<p>\u9aa8\u524a\u9664\u306f\uff0c\u5916\u5f8c\u982d\u9686\u8d77\u304b\u3089\u59cb\u3081\u307e\u3059\u304c\uff0c\u305d\u306e\u524d\u306b\u3059\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002\u5916\u5f8c\u982d\u9686\u8d77\u3068\u3044\u3046\u306e\u306f\u50e7\u5e3d\u7b4b\u306e\u8d77\u59cb\u90e8\u3067\u3059\u3002\u50e7\u5e3d\u7b4b\u306f\u7b4b\u7dca\u5f35\u3067\u5916\u5f8c\u982d\u9686\u8d77\u306e\u9aa8\u9686\u8d77\u3092\u9ad8\u3081\u308b\u7b4b\u7d44\u7e54\u3067\u3059\u3002\u3067\u3059\u304b\u3089\uff0c\u50e7\u5e3d\u7b4b\u529b\u304c\u5f37\u3044\u4eba\u306f\u5916\u5f8c\u982d\u9686\u8d77\u304c\u767a\u9054\u3057\u307e\u3059\u3002\u5916\u5f8c\u982d\u9686\u8d77\u3092\u524a\u9664\u3059\u308b\u305f\u3081\u306b\uff0c\u5916\u5f8c\u982d\u9686\u8d77\u306b\u4ed8\u7740\u3057\u3066\u3044\u308b\u82e5\u5e72\u306e\u50e7\u5e3d\u7b4b\u8171\u3092\u5265\u96e2\u3057\u307e\u3059\u3002<\/p>\n<p>\u30c9\u30ea\u30eb\u306f\u9aa8\u9ac4\u3092\u524a\u9664\u3059\u308b\u307e\u3067\u306f5mm steel cutting bar\u3092\u7528\u3044\u308b\u3068\u3044\u3044\u3067\u3057\u3087\u3046\u3002\u982d\u84cb\u9aa8\u5185\u677f\u306e\u9aa8\u76ae\u8cea cortical bone \u304c\u307f\u3048\u305f\u3089coarse diamond bar\u306b\u4ee3\u3048\u3066\u786c\u819c\uff08\u9759\u8108\u6d1e\u58c1\uff09\u640d\u50b7\u3092\u907f\u3051\u307e\u3059\u3002\u899a\u3048\u3066\u304a\u304f\u3053\u3068\u306f\uff0c\u5916\u5f8c\u982d\u9686\u8d77\u306e\u65b9\u304c\u5185\u5f8c\u982d\u9686\u8d77\u3088\u308a\u4e0a\u65b9\uff08\u982d\u5074\uff09\u306b\u3042\u308b\u3053\u3068\u3067\u3059\u3002\u3067\u3059\u304b\u3089\u5916\u5f8c\u982d\u9686\u8d77\u3092\u524a\u9664\u3057\u3066\u3044\u304f\u3068\u5185\u5f8c\u982d\u9686\u8d77\u306e\u4e0a\u534a\u5206\u304c\u524a\u9664\u3055\u308c\u307e\u3059\u3002\u5185\u5f8c\u982d\u9686\u8d77\u306e\u4e0b\u534a\u5206\u306f\u524a\u9664\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u305b\u3093\u3002\u306a\u305c\u306a\u3089\u9759\u8108\u6d1e\u4ea4\u4f1a\u3068\u6a2a\u9759\u8108\u6d1e\u306f\u5185\u5f8c\u982d\u9686\u8d77\u306e\u9802\u90e8\u3088\u308a\u982d\u5074\u306b\u3042\u308b\u304b\u3089\u3067\u3059\u3002\u6a2a\u9759\u8108\u6d1e\u3088\u308a\u4e0b\u65b9\u306e\u5f8c\u982d\u7aa9\u786c\u819c\u3092\u9732\u51fa\u3059\u308b\u5fc5\u8981\u306f\u306a\u3044\u3068\u899a\u3048\u3066\u304a\u304f\u3068\u3088\u3044\u3067\u3057\u3087\u3046\u3002<br \/>\n<a href=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/otabone.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-thumbnail wp-image-7513\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/otabone-200x200.jpg\" alt=\"otabone\" width=\"200\" height=\"200\" \/><\/a>\u30d3\u30c7\u30aa\u306b\u898b\u305b\u3066\u3044\u308b\u3088\u3046\u306b\u4e0b\u65b9\u304b\u3089\u9664\u3044\u3066\u6a2a\u306b\u30c9\u30ea\u30eb\u3092\u52d5\u304b\u3057\u306a\u304c\u3089\u524a\u9664\u3059\u308b\u306e\u304c\u52b9\u7387\u7684\u3067\u3059\u3002\u6b63\u4e2d\u306f\u5185\u5f8c\u982d\u9686\u8d77\u306e\u305f\u3081\u306b\u3068\u3066\u3082\u6df1\u304f\u539a\u3044\u9aa8\u524a\u9664\uff08\u9ec4\u8272\u306e\u7dda\uff09\u3068\u306a\u308a\u307e\u3059\u3002\u3057\u304b\u3057\uff0c\u5de6\u53f3\u5916\u5074\u65b9\u5411\u306f\u5f8c\u982d\u8449\u5f8c\u982d\u6975\u304c\u3042\u308a\u307e\u3059\u306e\u3067\u982d\u84cb\u9aa8\u304c\u76f8\u5bfe\u7684\u306b\u8584\u304f\u786c\u819c\u304c\u3059\u3050\u306b\u3067\u307e\u3059\u3002\u4e21\u5074\u306e\u5f8c\u982d\u6975\u786c\u819c\u3092\u78ba\u8a8d\u3057\u3066\u304a\u3044\u3066\u304b\u3089\uff0c\u5185\u5f8c\u982d\u9686\u8d77\u306e\u6df1\u3044\u9aa8\u7a1c\u3092\u524a\u9664\u3059\u308b\u3053\u3068\u304c\u5b89\u5168\u3067\u3059\u3002\u5f8c\u982d\u6975\u3092\u8986\u3046\u982d\u84cb\u9aa8\u306e\u539a\u3055\u306b\u306f\u500b\u4eba\u5dee\u304c\u3042\u308a\uff0c\u3068\u3066\u3082\u8584\u3044\u9aa8\u306e\u4eba\u304c\u3044\u307e\u3059\u306e\u3067\u6c17\u3092\u3064\u3051\u307e\u3059\u3002\u7dd1\u306e\u7dda\u306e\u5e45\u304f\u3089\u3044\u3092\u6a2a\u306b\u5e83\u304f\u958b\u3051\u307e\u3059\u3002<\/p>\n<p>\u30c9\u30ea\u30eb\u306b\u3088\u308b\u7a7f\u5b54\u304c\u7d42\u308f\u308c\u3070\uff0c\u786c\u819c\u5265\u96e2\u5b50 dissector \u3067\u786c\u819c\u3092\u9aa8\u5185\u9762\u304b\u3089\u5265\u96e2 detouch\u3057\u307e\u3059\u3002\u3053\u306e\u90e8\u4f4d\u306e\u4e0a\u77e2\u72b6\u6d1e\u3068\u6a2a\u9759\u8108\u6d1e\u306e\u5916\u58c1\u306f\u4e08\u592b\u306a\u306e\u3067\u6ec5\u591a\u306a\u3053\u3068\u3067\u306f\u7834\u308c\u307e\u305b\u3093\u3002\u958b\u982d\u306e\u9aa8\u304d\u308a\u306f\u4e0a\u77e2\u72b6\u6d1e\u3092\u307e\u305f\u3044\u3067\u4e21\u5074\u5f8c\u982d\u90e8\u306b\u884c\u3044\u307e\u3059\u3002\u30a2\u30d7\u30ed\u30fc\u30c1\u5074\u3067\u306f\u6a2a\u9759\u8108\u6d1e\u3092\u5341\u5206\u306b\u9732\u51fa\u3057\u307e\u3059\u3002\u3053\u306e\u64cd\u4f5c\u4e2d\u306b\u9759\u8108\u51fa\u8840\u304c\u591a\u3044\u5834\u5408\u306b\u306f\uff0c\u30d9\u30c3\u30c9\u64cd\u4f5c\u3067\u982d\u90e8\u3092\u6319\u4e0a head up\u3057\u3066\u51fa\u8840\u3092\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u3057\u307e\u3059\u3002\u786c\u819c\u9732\u51fa\u3057\u305f\u6642\u306b\u3082\u9759\u8108\u6d1e\u8868\u9762\u304b\u3089\u306e\u51fa\u8840\u3092\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u3067\u304d\u308b\u306e\u3067\u7a7a\u6c17\u585e\u6813\u304c\u751f\u3058\u306a\u3044\u7a0b\u5ea6\u306b\u5fae\u5999\u306b\u8abf\u7bc0\u3057\u307e\u3059\u3002<\/p>\n<p>\u9589\u982d\u6642\u306b\uff0c\u9aa8\u524a\u9664\u3067\u6b20\u640d\u3057\u305f\u5916\u5f8c\u982d\u9686\u8d77\u90e8\u306e\u9aa8\u306f\uff0c\u9aa8\u5c51\u3068\u30d5\u30a3\u30d6\u30ea\u30f3\u3067\u57cb\u3081\u308b\u304b\uff0c\u30c1\u30bf\u30f3\u30e1\u30c3\u30b7\u30e5\uff08\u30d7\u30ec\u30fc\u30c8\uff09\u3067\u8986\u3046\u304b\uff0c\u30d0\u30a4\u30aa\u30da\u30c3\u30af\u30b9\u306a\u3069\u306e\u9aa8\u88dc\u586b\u6750\u3092\u7528\u3044\u307e\u3059\u3002<\/p>\n<h5><span style=\"color: #ff0000;\">pitfall<\/span> : \u958b\u982d\u3092\u7e26\u306b7-8cm\u304f\u3089\u3044\u3068\u9577\u3081\u306b\u3059\u308b\u7406\u7531<\/h5>\n<p>\u4e00\u822c\u7684\u306b\uff0c\u5f8c\u982d\u8449\u8868\u9762\u306e\u9759\u8108\u306f\u96c6\u5408\u3057\u3066\u5927\u8133\u534a\u7403\u9593\u70c8\u306b\u8fd1\u3044\u90e8\u5206\u3067\u982d\u9802\u5074\u3078\u3068\u8d70\u884c\u3057\uff0c<span style=\"color: #000080;\"><strong>\u5927\u304d\u306a\u67b6\u6a4b\u9759\u8108 bridging vein<\/strong><\/span>\u3068\u306a\u3063\u3066\u4e0a\u77e2\u72b6\u9759\u8108\u6d1e\u3078\u3068\u6d41\u5165\u3057\u307e\u3059\u3002\u786c\u819c\u306e\u4e0b\u306b\u3042\u308b\u3053\u306ebridging vein\u306e\u4f4d\u7f6e\u307e\u3067\u958b\u982d\u3092\u5e83\u3052\u3066\u304a\u304f\u3088\u3046\u306b\u3057\u307e\u3059\u3002\u306a\u305c\u306a\u3089\uff0c\u5f8c\u306e\u5f8c\u982d\u8449\u727d\u5f15\u306e\u6642\uff0c\u3042\u308b\u3044\u306f\u8133\u5ba4\u304b\u3089\u9ac4\u6db2\u304c\u6392\u51fa\u3055\u308c\u5f8c\u982d\u8449\u304cshrunk\u3057\u3066\u6c88\u307f\u8fbc\u3093\u3060\u6642\u306b\uff0c\u9759\u8108\u306e\u5f15\u304d\u629c\u304d\u640d\u50b7\u304c\u3042\u308b\u304b\u3089\u3067\u3059\u3002\u3053\u306e\u9759\u8108\u304b\u3089\u306e\u51fa\u8840\u306f\uff0c\u306e\u3061\u306e\u3061\u816b\u760d\u6458\u51fa\u3057\u3066\u3044\u308b\u6642\u306b\u3082\u7a81\u7136\u306b\u751f\u3058\u307e\u3059\u3002\u6b62\u8840\u3057\u3088\u3046\u3068\u3057\u305f\u6642\u306b\uff0c\u4e0a\u77e2\u72b6\u9759\u8108\u6d1e\u3078\u306e\u6d41\u5165\u90e8\u3067\u51fa\u8840\u3057\u3066\u3044\u308b\u3053\u3068\u304c\u591a\u3044\u306e\u3067\uff0c\u30d5\u30a3\u30d6\u30ea\u30f3\u30b5\u30fc\u30b8\u30bb\u30eb\u3067\u5727\u8feb\u6b62\u8840\u3057\u3088\u3046\u306b\u3082\uff0c\u958b\u982d\u304c\u3053\u306e\u9759\u8108\u306e\u4f4d\u7f6e\u307e\u3067\u53ca\u3093\u3067\u3044\u306a\u3044\u3068\u6b62\u8840\u64cd\u4f5c\u304c\u3067\u304d\u307e\u305b\u3093\u3002\u786c\u819c\u5207\u958b\u3067\u306f\u3053\u306e\u67b6\u6a4b\u9759\u8108\u3092\u9732\u51fa\u3057\u307e\u305b\u3093\u304b\u3089\uff0c\u624b\u8853\u4e2d\u306f\u5e38\u306b\u786c\u819c\u4e0b\u306b\u3042\u308a\u898b\u3048\u307e\u305b\u3093\u3002<\/p>\n<h5>\u786c\u819c\u5207\u958b\u306e\u307e\u3048\u306e\u6e1b\u5727\uff0c\u9589\u585e\u6027\u6c34\u982d\u75c7\u304c\u3042\u308b\u3068\u304d<\/h5>\n<p>\u3059\u3067\u306b\u30b7\u30e3\u30f3\u30c8\u8853\u3084\u7b2c\uff13\u8133\u5ba4\u958b\u7a93\u8853\u304c\u306a\u3055\u308c\u3066\u3044\u308b\u6642\u306f\u554f\u984c\u3042\u308a\u307e\u305b\u3093\u3002\u9ad8\u5ea6\u306e\u9589\u585e\u6027\u6c34\u982d\u75c7\u304c\u3042\u308b\u5834\u5408\u306b\u306f\uff0c\u3067\u304d\u308c\u3070\u30ca\u30d3\u30b2\u30fc\u30b7\u30e7\u30f3\u3092\u7528\u3044\u3066\uff0c\u5074\u8133\u5ba4\u5f8c\u89d2\u3092\u7a7f\u523a\u3057\u30c9\u30ec\u30ca\u30fc\u30b8\u3092\u7559\u7f6e\u3057\u3066\u6e1b\u5727\u3057\u307e\u3059\u3002\u3067\u3082\u8efd\u5ea6\u306e\u6c34\u982d\u75c7\u3067\u3042\u308c\u3070\u5fc5\u8981\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n<h5>\u786c\u819c\u5207\u958b<\/h5>\n<p>\u786c\u819c\u5207\u958b\u306f\uff0c\u5f8c\u982d\u8449\u306e\u5f8c\u982d\u6975\uff08\u77e2\u72b6\u9759\u8108\u6d1e\u3068\u6a2a\u9759\u8108\u6d1e\u306e\u4ea4\u70b9\u306b\u3042\u308a\u307e\u3059\uff09\u3092\u5341\u5206\u306b\u9732\u51fa\u3059\u308b\u3088\u3046\u306b\u884c\u3044\u307e\u3059\u3002\u6b63\u4e2d\u3067\u306f\u4e0a\u77e2\u72b6\u6d1e\u3092\uff0c\u30c6\u30f3\u30c8\u5074\u3067\u306f\u6a2a\u9759\u8108\u6d1e\u3092\u7ffb\u8ee2\u3067\u304d\u308b\u304f\u3089\u3044\u307e\u3067\uff0c\u30ae\u30ea\u30ae\u30ea\u306b\u786c\u819c\u3092\u5207\u308a\u8fbc\u307f\u307e\u3059\u3002\u9759\u8108\u6d1e\u306b\u8fd1\u3044\u3068\u3053\u308d\u307e\u3067\u786c\u819c\u3092\u5207\u958b\u3057\u3066\u884c\u304f\u3068\uff0c\u9759\u8108\u6d1e\u5074\u58c1\u3067\u306f\u786c\u819c\u304c\u539a\u304f\u306a\u308a2\u679a\u306b\u306a\u308b\u306e\u304c\u308f\u304b\u308a\u307e\u3059\u304b\u3089\u305d\u3053\u3067\u6b62\u3081\u307e\u3059\u3002\u8aa4\u3063\u3066\uff08\u3068\u3044\u3046\u304b\u610f\u56f3\u7684\u306b\uff09\u9759\u8108\u6d1e\u3092\u5207\u958b\u3057\u3066\u3057\u307e\u3063\u3066\u9759\u8108\u6027\u51fa\u8840\u304c\u751f\u3058\u305f\u5834\u5408\u306b\u306f\uff0c\u786c\u819c\u5207\u958b\u65ad\u7aef\u3092\u7e2b\u5408\u3057\u3066\u6b62\u8840\u3057\u307e\u3059\u3002\u6b62\u8840\u5264\u3092\u5f53\u3066\u3066\u3082\u6b62\u307e\u308a\u307e\u305b\u3093\u3057\uff0c\u5f8c\u306b\u8996\u91ce\u306e\u90aa\u9b54\u306b\u306a\u308a\u307e\u3059\u3002\u51fa\u8840\u304c\u591a\u3044\u5834\u5408\u306b\u306f\u30d9\u30c3\u30c9\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u3067\u982d\u90e8\u3092\u6319\u4e0a\u3059\u308c\u3070\uff0c\u614c\u3066\u306a\u3044\u3067\u7e2b\u5408\u304c\u3067\u304d\u307e\u3059\u3002<br \/>\n\u786c\u819c\u5207\u958b\u306e\u5f8c\u3067\uff0c\u9759\u8108\u6d1e\u306e\u8868\u9762\u3092\u8584\u3044\u30b5\u30fc\u30b8\u30bb\u30eb\u3067\u8986\u3063\u3066\u306b\u3058\u3080\u3088\u3046\u306a\u51fa\u8840\u3092\u6b62\u3081\u3066\u304a\u304d\u307e\u3059\u3002\u307e\u305f\u524d\u8ff0\u306e\u982d\u9802\u5074\u306b\u3042\u308b\u8133\u8868\u67b6\u6a4b\u9759\u8108\u3092\u786c\u819c\u306e\u4e0b\u304b\u3089\u8997\u3044\u3066\uff0c\u9759\u8108\u304c\u77e2\u72b6\u6d1e\u306b\u5165\u308b\u3068\u3053\u308d\u3067\u30d5\uff0c\u30a3\u30d6\u30ea\u30f3\u30b5\u30fc\u30b8\u30bb\u30eb\u3092\u5dfb\u304d\u4ed8\u3051\u3066\u304a\u304d\u307e\u3059\u3002\u3053\u308c\u306f\u9759\u8108\u306e\u88dc\u5f37\u306b\u306a\u308a\uff0c\u9759\u8108\u304c\u907f\u3051\u308b\u3053\u3068\u3092\u9632\u3050\u3053\u3068\u3068\uff0c\u9759\u8108\u5727\u306e\u4f4e\u4e0b\u306b\u3088\u308a\u9759\u8108\u6d41\u304c\u7121\u304f\u306a\u3063\u305f\u3068\u304d\u306b\u9759\u8108\u304c\u7d30\u304f\u306a\u3063\u3066\u8840\u6813\u6027\u9589\u585e\u3059\u308b\u306e\u3092\u4e88\u9632\u3059\u308b\u3053\u3068\u306b\u3082\u306a\u308a\u307e\u3059\u3002<\/p>\n<h5>\u5f8c\u982d\u8449\u306e\u727d\u5f15\u3068\u9ac4\u6db2\u5438\u5f15<\/h5>\n<p>\u8133\u30d8\u30e9\u56fa\u5b9a\u5668\u3092\u30bb\u30c3\u30c6\u30a3\u30f3\u30b0\u3057\u307e\u3059\u3002\u8133\u30d8\u30e9\u306f\u30c6\u30f3\u30c8\u5207\u958b\u3092\u884c\u3046\u307e\u3067\u4f7f\u7528\u3057\u307e\u3059\u304c\uff0c\u305d\u306e\u5f8c\u306e\u30af\u30e2\u819c\u5207\u958b\u3084\u816b\u760d\u6458\u51fa\u306e\u6642\u306b\u306f\u4e0d\u8981\u3068\u306a\u308a\u307e\u3059\u3002\u307e\u305a\uff0c\u5f8c\u982d\u8449\u3092\u5f15\u3044\u3066\u30c6\u30f3\u30c8\u3068\u5927\u8133\u938c\u306e\u63a5\u70b9\u306b\u3042\u308b\u76f4\u9759\u8108\u6d1e\u3092\u63a2\u3057\u307e\u3059\u3002\u76f4\u9759\u8108\u6d1e\u306f\u3046\u3059\u9752\u304f\u900f\u3051\u3066\u898b\u3048\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u304c\uff0c\u5927\u8133\u938c\u3068\u30c6\u30f3\u30c8\u3068\u540c\u3058\u8272\u3067\u5168\u304f\u898b\u3048\u306a\u3044\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002\u9759\u8108\u6d1e\u58c1\u306e\u786c\u819c\u306e\u539a\u3055\u306b\u3088\u308b\u5dee\u3067\u3059\u3002\u89e3\u308a\u306b\u304f\u3051\u308c\u3070\uff0c\u30c9\u30c3\u30d7\u30e9\u30fc\u30b5\u30a6\u30f3\u30c9\u3092\u805e\u304f\u3068\u7c21\u5358\u306b\u4f4d\u7f6e\u304c\u308f\u304b\u308a\u307e\u3059\u3002<\/p>\n<p>\u76f4\u9759\u8108\u6d1e\u3092\u4e0a\u65b9\u306b\u8fbf\u3063\u3066\u884c\u304f\u3068\uff0c\u30c6\u30f3\u30c8\u7e01 free edge\u306b\u51fa\u307e\u3059\u304c\uff0c\u3053\u308c\u304c\u307e\u305f\u89e3\u308a\u306b\u304f\u3044\u3067\u3059\u3002\u3053\u306e\u8fba\u304b\u306a\u3068\u601d\u3063\u305f\u3089\uff0c<span style=\"color: #000080;\"><strong>\u8133\u6881\u81a8\u5927\u90e8 splenium<\/strong><\/span> \u304c\u898b\u3048\u3066\u3044\u306a\u3044\u304b\u3069\u3046\u304b\u63a2\u3057\u307e\u3059\u3002galenic\u00a0cistern\u306e\u30af\u30e2\u819c\u306f\u767d\u6fc1\u3057\u3066\u3044\u3066\u9759\u8108\u306a\u3069\u306f\u900f\u3051\u3066\u898b\u3048\u307e\u305b\u3093\u304b\u3089\uff0c\u305d\u308c\u3088\u308a\u543b\u5074\u306b\u8133\u6881\u304c\u898b\u3048\u3066\u6765\u308b\u306f\u305a\u3067\u3059\u3002\u8133\u6881\u306f\u7279\u6709\u306e\u767d\u3063\u307d\u3044\u8272\u8abf\u3092\u3057\u3066\u3044\u308b\u304b\u3089\u8a8d\u8b58\u3067\u304d\u308b\u3067\u3057\u3087\u3046\u3002\u8133\u6881\u306e\u8868\u9762\u306b\u306f<span style=\"color: #000080;\"><strong>paracallosal cistern<\/strong><\/span>\u304c\u3042\u308a\u307e\u3059\u3002\u5e83\u3044\u306e\u306f\u5e2f\u72b6\u56de\u3068\u8133\u6881\u306e\u63a5\u70b9\u3067\u3059\u304b\u3089\u3084\u3084\u5916\u5074\u306e\u3068\u3053\u308d\u3067\u30af\u30e2\u819c\u3092\u5207\u958b\u3057\u307e\u3059\u3002\u3053\u306e\u90e8\u5206\u3067\u306f\u9593\u9055\u3063\u3066\u3082\u8133\u6881\u8868\u9762\u3092\u5c11\u3057\u640d\u50b7\u3059\u308b\u3060\u3051\u306a\u306e\u3067\u5fc3\u914d\u306f\u8981\u308a\u307e\u305b\u3093\u3002\u30af\u30e2\u819c\u304c\u5207\u308c\u308b\u3068\u30b8\u30ef\u30fc\u30fc\u30fc\u30c3\u3068\u9ac4\u6db2\u304c\u306b\u3058\u307f\u51fa\u3066\u304d\u307e\u3059\u3002\u30b6\u30c3\u3068\u306f\u3067\u307e\u305b\u3093\u306e\u3067\u3057\u307f\u51fa\u3059\u3088\u3046\u306a\u9ac4\u6db2\u3092\u8f9b\u62b1\u5f37\u304f\u5438\u5f15\u3057\u307e\u3059\u3002\u5c11\u3057\u3065\u3064\u5f8c\u982d\u8449\u306etension\u304c\u7de9\u3093\u3067\u304f\u308b\u306e\u304c\u89e3\u308b\u306f\u305a\u3067\u3059\u3002paracallosal cistern\u3092\u9577\u3081\u306b\u958b\u3044\u3066\u304a\u304f\u3068\uff0c\u8133\u6881\u3068\u5e2f\u72b6\u56de\u306e\u9593\u306e\u7652\u7740\u304c\u5265\u304c\u308c\u3066\u5f8c\u982d\u8449\u306e\u727d\u5f15\u304c\u5bb9\u6613\u306b\u306a\u308a\u307e\u3059\u3002<\/p>\n<p>\u3053\u306e\u6642\u306b\u6c17\u3092\u3064\u3051\u306a\u3051\u308c\u3070\u306a\u3089\u306a\u3044\u306e\u304c\uff0c\u8133\u30d8\u30e9\u306b\u3067\u306e\u5f8c\u982d\u8449\u727d\u5f15\u306b\u3088\u308b<span style=\"color: #000080;\"><strong>\u5185\u5f8c\u982d\u9759\u8108 internal occipital veins<\/strong><\/span>\u306e\u5f15\u304d\u629c\u304d\u640d\u50b7\u3067\u3059\u3002\u3053\u306e\u5f8c\u982d\u8449\u9ce5\u8ddd\u6e9d calcarine sulcus\u306b\u6cbf\u3046\u5c0e\u51fa\u9759\u8108\u306f\uff0c\u5f8c\u982d\u8449\u304b\u3089\u96e2\u308c\u30ac\u30ec\u30f3\u5927\u9759\u8108\uff0c\u5185\u5927\u8133\u9759\u8108 ICV\uff0c\u30ed\u30fc\u30bc\u30f3\u30bf\u30fc\u30eb\u9759\u8108\u306e\u3044\u305a\u308c\u304b\u306b\u6d41\u5165\u3057\uff0c\u500b\u4f53\u5dee\u304c\u5927\u304d\u3044\u3082\u306e\u3067\u3059\u3002internal occipital vein\u3092\u640d\u50b7\u3059\u308b\u3068\u5f8c\u982d\u8449\u5185\u5074\u9762\u306e\u9759\u8108\u6897\u585e\u3068\u306a\u308a\uff0c\u8996\u91ce\u6b20\u640d\u304c\u751f\u3058\u307e\u3059\u3002\u3053\u306einternal occipital vein\u306fparacallosal cistern\u3092\u958b\u3044\u3066\u884c\u304f\u3068\u5f8c\u982d\u8449\u5185\u9762\u304b\u3089\u304c\u30ec\u30f3\u5927\u9759\u8108\u306e\u65b9\u3078\u4f38\u3073\u308b\u306e\u304c\u898b\u3048\u3066\u304f\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u304c\uff0c\u539a\u3044\u30af\u30e2\u819c\u3067\u8986\u308f\u308c\u3066\u306f\u3063\u304d\u308a\u8996\u8a8d\u3067\u304d\u306a\u3044\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002\u539a\u3044\u30af\u30e2\u819c\u306b\u8986\u308f\u308c\u3066\u3044\u308b\u3046\u3061\u306f\u5f15\u304d\u629c\u304d\u640d\u50b7\u306f\u751f\u3058\u307e\u305b\u3093\u304c\u8981\u6ce8\u610f\u3067\u3059\u3002<\/p>\n<p>\u306a\u305cgalenic\u00a0cistern\u3092\u958b\u304b\u306a\u3044\u304b\u3068\u3044\u3046\u3068\uff0c\u6163\u308c\u3066\u3044\u306a\u3044\u3068\u5371\u967a\u3060\u304b\u3089\u3067\u3059\u3002\u3053\u306e\u90e8\u5206\u306e\u30af\u30e2\u819c\u306f\u539a\u304f\u767d\u6fc1\u3057\u3066\u3044\u308b\u3053\u3068\u304c\u591a\u3044\u306e\u3067\u30af\u30e2\u819c\u306e\u4e0b\u306b\u3042\u308b\uff0c\u30ed\u30fc\u30bc\u30f3\u30bf\u30fc\u30eb\u9759\u8108\uff0c\u5185\u5f8c\u982d\u9759\u8108\uff0c\u5f8c\u5927\u8133\u52d5\u8108\u306e\u5206\u679d\u304c\u306f\u3063\u304d\u308a\u898b\u3048\u305a\uff0c\u30af\u30e2\u819c\u5207\u958b\u306e\u6642\u306b\u640d\u50b7\u3057\u3066\u3057\u307e\u3046\u3053\u3068\u304c\u3042\u308b\u304b\u3089\u3067\u3059\u3002\u3082\u3061\u308d\u3093\u30ac\u30ec\u30f3\u5927\u9759\u8108\u3084\u30ed\u30fc\u30bc\u30f3\u30bf\u30fc\u30eb\u9759\u8108\u3092\u3053\u306e\u6642\u70b9\u3067\u50b7\u3064\u3051\u308c\u3070\u30b2\u30fc\u30e0\u30aa\u30fc\u30d0\u30fc\u3067\u3059\u3002\u9006\u306b\uff0c\u304b\u306a\u308a\u624b\u6163\u308c\u305f\u8853\u8005\uff0c\u3053\u308c\u3089\u306e\u8840\u7ba1\u304c\u900f\u3051\u3066\u898b\u3048\u308b\u5834\u5408\u306b\u306f\uff0cgalenic cistern\u3068ambient cistern\u3092\u76f4\u63a5\u958b\u3051\u305f\u65b9\u304c\u9ac4\u6db2\u5438\u5f15\u9664\u5727\u306f\u624b\u3063\u53d6\u308a\u65e9\u304f\u884c\u3048\u308b\u3067\u3057\u3087\u3046\u3002<\/p>\n<h5>\u30c6\u30f3\u30c8\u5207\u958b<\/h5>\n<p>\u5f8c\u982d\u8449\u3092\u727d\u5f15\u3057\u3066\u76f4\u9759\u8108\u6d1e straight sinus\u3092\u518d\u78ba\u8a8d\u3057\u307e\u3059\u3002\u30c6\u30f3\u30c8\u5207\u958b\u306f\u6a2a\u9759\u8108\u6d1e\uff08\u9759\u8108\u6d1e\u4ea4\u4f1a\uff09\u306b\u3067\u304d\u308b\u9650\u308a\u8fd1\u3044\u3068\u3053\u308d\u304b\u3089\u306f\u3058\u3081\u3066\uff0c\u76f4\u9759\u8108\u6d1e\u306b\u6cbf\u3063\u3066\uff0c\u30ac\u30ec\u30f3\u5927\u9759\u8108\u306b\u3067\u304d\u308b\u3060\u3051\u8fd1\u3044\u30c6\u30f3\u30c8\u306efree edge\u307e\u3067\u5207\u65ad\u3057\u307e\u3059\u3002\u3082\u3061\u308d\u3093\uff0c\u9759\u8108\u6d1e\u306b\u8fd1\u3065\u3051\u3070\u51fa\u8840\u306e\u5371\u967a\u304c\u3042\u308b\u306e\u3067\u3059\u304c\uff0c\u9060\u3056\u304b\u308c\u3070\u305d\u306e\u5f8c\u306b\u8853\u91ce\u304c\u5236\u9650\u3055\u308c\u307e\u3059\u3002\u30ae\u30ea\u30ae\u30ea\u306e\u3068\u3053\u308d\u3067\u9811\u5f35\u308a\u307e\u3059\u3002<\/p>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/cuttingtent.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-7998\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/cuttingtent-300x281.jpg\" alt=\"cuttingtent\" width=\"300\" height=\"281\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/cuttingtent-300x281.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/cuttingtent.jpg 372w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a>\u5de6\u306e\u5f8c\u982d\u8449\u3092\u53d6\u308a\u9664\u3044\u3066\uff0c\u5927\u8133\u938c\u3068\u76f4\u9759\u8108\u6d1e\u3068\u30c6\u30f3\u30c8\u3092\u898b\u3066\u3044\u307e\u3059\u3002\u30c6\u30f3\u30c8\u5207\u958b\u306f\u76f4\u9759\u8108\u6d1e\u306b\u8fd1\u3044\u3068\u3053\u308d\u3067\u7e26\u306b\u3067\u304d\u308b\u3060\u3051\u9577\u304f\u3057\u307e\u3059\u3002\u30c6\u30f3\u30c8\u7e01\u3067\u306f\u30ac\u30ec\u30f3\u5927\u9759\u8108\u306b\u8fd1\u3065\u304d\u307e\u3059\u304b\u3089\u614e\u91cd\u306b\u3002<br \/>\n\u30c6\u30f3\u30c8\u5207\u958b\u304c\u77ed\u3044\u3068\u3053\u306e\u30a2\u30d7\u30ed\u30fc\u30c1\u306f\u6210\u7acb\u3057\u307e\u305b\u3093\u3002<\/p>\n<p><strong><span style=\"color: #000080;\">\u76f4\u9759\u8108\u6d1e straight sinus<\/span><\/strong>\u306f\u9752\u304f\u8996\u8a8d\u3067\u304d\u308b\u3053\u3068\u304c\u591a\u3044\u306e\u3067\u3059\u304c\uff0c\u5927\u8133\u938c\u3068\u30c6\u30f3\u30c8\u3068\u540c\u3058\u8272\u8abf\u3067\u5168\u304f\u898b\u3048\u306a\u3044\u6642\u3082\u3042\u308a\u307e\u3059\u3002\u305d\u306e\u6642\u306b\u306f\uff0c<strong><span style=\"color: #000080;\">\u30c9\u30c3\u30d7\u30e9\u30fc\u3092\u7528\u3044\u3066\u4f4d\u7f6e\u3092\u78ba\u8a8d<\/span><\/strong>\u3057\u3066\u304a\u304f\u3068\u5b89\u5fc3\u611f\u304c\u51fa\u307e\u3059\u3002\u5927\u304d\u306alake\u4e0a\u3067\u3082\u6d41\u97f3\u304c\u3057\u307e\u3059\u3002<\/p>\n<p>\u30c6\u30f3\u30c8\u5185\u90e8\u306b\u306f\u76f4\u9759\u8108\u6d1e\u3068\u6a2a\u9759\u8108\u6d1e\u306b\u7d9a\u304f<span style=\"color: #000080;\"><strong>\u786c\u819c\u9759\u8108<\/strong><span style=\"color: #000000;\">\u3068<\/span><strong>dural sinus lake<\/strong><\/span>\u304c\u3042\u308a\u307e\u3059\u3002\u30c6\u30f3\u30c8\u5207\u958b\u3067\u3082\u3063\u3068\u3082\u3084\u3063\u304b\u3044\u306a\u3082\u306e\u3067\u3059\u3002\u771f\u3063\u9752\u306b\u898b\u3048\u308b\u5927\u304d\u306alake\u306f\u5207\u958b\u3059\u308b\u3068\u3059\u3054\u304f\u51fa\u8840\u3057\u307e\u3059\u304b\u3089\u907f\u3051\u3089\u308c\u308c\u3070\u907f\u3051\u307e\u3059\u3002\u3067\u3082\u305d\u3053\u3092\u5207\u3089\u306a\u3044\u3068\u30c6\u30f3\u30c8\u5207\u65ad\u304c\u5341\u5206\u3067\u304d\u306a\u3044\u6642\u306b\u306f\uff0c\u52c7\u6c17\u3092\u3082\u3063\u3066\u5207\u65ad\u3057\u307e\u3059\u3002<\/p>\n<p>\u6a2a\u9759\u8108\u6d1e\u306b\u8fd1\u3044\u3068\u3053\u308d\u306flake\u304c\u5927\u304d\u3051\u308c\u3070\u907f\u3051\u3066\uff0c\u5207\u65ad\u3092\u958b\u59cb\u3057\u307e\u3059\u300215\u756a\u306e\u30e1\u30b9\u3092\u3072\u3063\u304f\u308a\u8fd4\u3057\u3066\u5148\u7aef\u3067\u30c6\u30f3\u30c8\u3092\u64ab\u3067\u308b\u3088\u3046\u306b\u5207\u308b\u3068\u5207\u65ad\u3057\u3084\u3059\u3044\u3067\u3057\u3087\u3046\u3002\u30c6\u30f3\u30c8\u306f\u539a\u3044\u306e\u3067\u306a\u304b\u306a\u304b\u5207\u308a\u629c\u3051\u307e\u305b\u3093\u3002\u5207\u308a\u7d9a\u3051\u308b\u3068\u5f8c\u982d\u7aa9\u5c0f\u8133\u8868\u9762\u306e\u30af\u30e2\u819c\u304c\u308f\u305a\u304b\u306b\u898b\u3048\u3066\u304d\u307e\u3059\u304b\u3089\u305d\u3053\u3067\u30e1\u30b9\u3092\u6b62\u3081\u307e\u3059\u3002\u3053\u306e\u6642\uff0c\u786c\u819c\u304b\u3089\u9759\u8108\u51fa\u8840\u3057\u3066\u3082\u3042\u308f\u3066\u307e\u305b\u3093\u3002\u307e\u305a\u5927\u304d\u3081\u306e\u30cf\u30b5\u30df\u3092\u4f7f\u7528\u3057\u3066\uff0c\u30c6\u30f3\u30c8\u3092\u76f4\u9759\u8108\u6d1e\u306e5-7mm\u304f\u3089\u3044\u5916\u5074\u3067\u7e26\u306b\u3056\u3063\u304f\u308a10mm\u304f\u3089\u3044\u306f\u5207\u65ad\u3057\u307e\u3059\u3002\u305d\u308c\u304b\u3089\u30c6\u30f3\u30c8\u306e\u4e21\u65ad\u7aef\u3092\u592a\u3081\u306e\u30d0\u30a4\u30dd\u30fc\u30e9\u3067\u631f\u3093\u3067\u5f37\u3044\u51fa\u529b\u3067\u51dd\u56fa\u3059\u308b\u3068\u5bb9\u6613\u306b\u6b62\u8840\u3067\u304d\u307e\u3059\u3002\u540c\u3058\u64cd\u4f5c\u3092\u7d9a\u3051\u3066\u30c6\u30f3\u30c8\u7e01\u307e\u3067\u81f3\u308a\u307e\u3059\u3002\u9014\u4e2d\u3067\u5927\u5207\u306a\u3053\u3068\u306f\uff0c\u786c\u819c\u304b\u3089\u9759\u8108\u51fa\u8840\u3057\u3066\u3082\u3042\u308f\u3066\u305a\u306b\uff0c\u30cf\u30b5\u30df\u3067\u30c6\u30f3\u30c8\u5207\u958b\u3092\u3057\u3066\uff0c\u5341\u5206\u306a\u8ddd\u96e2\u3092\u5207\u3063\u305f\u3068\u3053\u308d\u3067\u30c6\u30f3\u30c8\u5207\u958b\u65ad\u7aef\u3092\u713c\u304f\u3068\u3044\u3046\u3053\u3068\u3092\u7e70\u308a\u8fd4\u3059\u3053\u3068\u3067\u3059\u3002\u30c6\u30f3\u30c8\u306e\u7dca\u5f35\u304c\u5f37\u3044\u3068\u30c6\u30f3\u30c8\u306e\u65ad\u7aef\u3092\u30d0\u30a4\u30dd\u30fc\u30e9\u3067\u631f\u3093\u3067\u713c\u3044\u3066\u3082\u6b62\u8840\u3057\u3065\u3089\u3044\u304b\u3089\u3067\u3059\u3002\u30af\u30ea\u30c3\u30d7\u306a\u3069\u3092\u4f7f\u7528\u3059\u308b\u5fc5\u8981\u306f\u5168\u304f\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n<p>lake\u3042\u308b\u3044\u306f\u786c\u819c\u9759\u8108\u304b\u3089\u306e\u51fa\u8840\u304c\u30d0\u30a4\u30dd\u30fc\u30e9\u3067\u51dd\u56fa\u3057\u3066\u3082\u6b62\u8840\u3067\u304d\u306a\u3044\u6642\u306b\u306f\uff0c\u30c6\u30f3\u30c8\u65ad\u9762\u306b\u5927\u304d\u306a\u5b54\uff08\u51fa\u8840\u53e3\uff09\u304c\u958b\u3044\u3066\u3044\u308b\u306f\u305a\u3067\u3059\u3002\u305d\u306e\u5b54\u304b\u3089\u5341\u5206\u306f\u6163\u308c\u305f\u3068\u3053\u308d\u307e\u3067\u30c6\u30f3\u30c8\u3092\u5207\u958b\u3057\u3066\u4f59\u88d5\u3092\u3082\u3063\u305f\u5f8c\u306b\uff0c\u30b5\u30fc\u30b8\u30bb\u30eb\u3092\u5c0f\u3055\u304f\u4e38\u3081\u305f\u3082\u306e\u306b\u30d5\u30a3\u30d6\u30ea\u30ce\u30fc\u30b2\u30f3\uff08\u3044\u308f\u3086A\u6db2\uff0c\u9752\u30d9\u30ea\uff09\u3092\u3057\u6d78\u3057\u3066\u5b54\u306b\u3064\u3063\u3053\u307f\u307e\u3059\u3002\u6570\u79d2\u6291\u3048\u308c\u3070\u305d\u308c\u3060\u3051\u3067\u6b62\u8840\u3067\u304d\u307e\u3059\u3002\u76f4\u9759\u8108\u6d1e\u306b\u3068\u3066\u3082\u8fd1\u3044\u3068\u3053\u308d\u3067\u5927\u304d\u306avenous lake\u3092\u5207\u3063\u3066\u3057\u307e\u3063\u305f\u6642\u306b\u306f\uff0c\u7e2b\u5408\u3059\u308b\u5fc5\u8981\u304c\u3042\u308b\u304b\u3082\u3057\u308c\u307e\u305b\u3093\u304c\uff0c\u305d\u3093\u306a\u3053\u3068\u306f\u307b\u3068\u3093\u3069\u3042\u308a\u5f97\u306a\u3044\u3068\u8003\u3048\u3066\u304a\u3044\u3066\u3082\u3044\u3044\u3067\u3057\u3087\u3046\u3002\u4e07\u4e00\u306e\u6642\u306b\u306f\uff0c\u30d9\u30c3\u30c9\u64cd\u4f5c\u3067head-up\u3057\u3066\u307e\u305a\u9759\u8108\u5727\u3092\u4e0b\u3052\u3066\u6b62\u3081\u3066\u3057\u307e\u3044\u307e\u3059\u3002\u7a7a\u6c17\u585e\u6813\u304c\u751f\u3058\u306a\u3044\u30ae\u30ea\u30ae\u30ea\u3067\u306f\uff0c\u5c11\u3057\u306f\u51fa\u8840\u3059\u308b\u306e\u3067\u3059\u304c\uff0c\u4f55\u3068\u304b\u7e2b\u5408\u306f\u3042\u308b\u3044\u306f\u786c\u819c\u30af\u30ea\u30c3\u30d7\u306b\u3088\u308b\u6b62\u8840\u306f\u53ef\u80fd\u3067\u3057\u3087\u3046\u3002\u3061\u306a\u307f\u306b\u79c1\u306f\u786c\u819c\u30af\u30ea\u30c3\u30d7\u306e\u7528\u610f\u306f\u3057\u307e\u305b\u3093\u3002<\/p>\n<p>\u30c6\u30f3\u30c8\u7e01\u306e\u88cf\u5074\uff08\u5c0f\u8133\u9762\uff09\u306b\uff0cSCA\u304b\u3089\u30c6\u30f3\u30c8\u3092\u6804\u990a\u3059\u308b\u7d30\u3044\u52d5\u8108 tentorial branch of SCA\u304c\u5165\u3063\u3066\u304d\u307e\u3059\u3002\u5207\u308b\u3068\u82e5\u5e72\u306e\u52d5\u8108\u51fa\u8840\u304c\u751f\u3058\u307e\u3059\u304c\uff0c\u7c21\u5358\u306b\u6b62\u8840\u3067\u304d\u307e\u3059\u3002<\/p>\n<h5><span style=\"color: #ff0000;\">pitfall<span style=\"color: #000080;\">\uff1a\u30c6\u30f3\u30c8\u306b\u6d41\u5165\u3059\u308b\u5c0f\u8133\u9759\u8108<\/span><\/span><\/h5>\n<p>\u5c0f\u8133\u4e0a\u9762\u304b\u3089\u5927\u304d\u306a\u9759\u8108\u304c\u30c6\u30f3\u30c8\u306b\u6d41\u5165\u3057\uff0c\u30c6\u30f3\u30c8\u5185\u786c\u819c\u9759\u8108\u3068\u306a\u308a\u76f4\u9759\u8108\u6d1e\u306b\u5165\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002\u6709\u540d\u306asuperior vermian vein\u306f\uff0cprecetral cerebellar vein\u306b\u5408\u6d41\u3059\u308b\u306e\u3067\u554f\u984c\u306f\u3042\u308a\u307e\u305b\u3093\u3002\u6ce8\u610f\u3059\u308b\u3079\u304d\u306f\uff0c\u30c6\u30f3\u30c8\u306b\u5165\u308b\u5c0f\u8133\u534a\u7403\u4e0a\u90e8\u306e\u8840\u6d41\u3092\u96c6\u3081\u308b\u9759\u8108\u3067\u3059\u3002\u3053\u308c\u306f\u30c6\u30f3\u30c8\u306e\u88cf\u9762\uff08\u5c0f\u8133\u5074\uff09\u306b\u3042\u308b\u306e\u3067\uff0c\u30c6\u30f3\u30c8\u3092\u5207\u958b\u3057\u3066\u3044\u308b\u6642\u306b\u8996\u8a8d\u3067\u304d\u307e\u305b\u3093\u3002\u3067\u3059\u304b\u3089\uff0c\u30c6\u30f3\u30c8\u5207\u65ad\u3092\u3057\u3066\u3044\u308b\u6642\u306b\uff0c\u5927\u304d\u306a\u786c\u819c\u9759\u8108\u304c\u3042\u308a\u305d\u3046\u306a\u6642\u306b\u306f\uff0c\u88cf\u5074\u306b\u306f\u5c0f\u8133\u9759\u8108\u304c\u3042\u308b\u304b\u3082\u3057\u308c\u306a\u3044\u3068\u8003\u3048\u307e\u3059\u3002\u30c6\u30f3\u30c8\u3054\u3068\u5207\u65ad\u3059\u308b\u3068\uff0c\u8853\u5f8c\u306b\u5c0f\u8133\u534a\u7403\u4e0a\u90e8\u306e\u9759\u8108\u6027\u6897\u585e\u3092\u751f\u3058\u3066\u5c0f\u8133\u6d6e\u816b\u3068\u306a\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002\u79c1\u306e\u7d4c\u9a13\u3067\u306f\uff0c\u5c0f\u8133\u816b\u8139\u3067\u8133\u30d8\u30eb\u30cb\u30a2\u3092\u751f\u3058\u305f\u308a\uff0c\u5c0f\u8133\u6897\u585e\u3067\u5931\u8abf\u75c7\u3092\u6b8b\u3059\u3068\u3044\u3046\u3088\u3046\u306a\u3053\u3068\u306f\u3042\u308a\u307e\u305b\u3093\u3067\u3057\u305f\u3002<\/p>\n<h5>\u306a\u305c\u30c6\u30f3\u30c8\u3092\u9577\u304f\u5207\u65ad\u3059\u308b\u304b<\/h5>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/pinealokasag-2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-9750\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/pinealokasag-2-294x300.jpg\" alt=\"\" width=\"294\" height=\"300\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/pinealokasag-2-294x300.jpg 294w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/pinealokasag-2-550x561.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/pinealokasag-2.jpg 651w\" sizes=\"auto, (max-width: 294px) 100vw, 294px\" \/><\/a><br \/>\n\u5c0f\u3055\u306a\u677e\u679c\u4f53\u5947\u5f62\u816b\u3067\u3059\u3002<br \/>\nOTA\u3067\u3053\u306e\u5947\u5f62\u816b\u3092\u898b\u3088\u3046\u3068\u3059\u308b\u5834\u5408\u306b\uff0c\u30c6\u30f3\u30c8\u3092\u9759\u8108\u6d1e\u4ea4\u4f1a\u306e\u4f4e\u3044\u4f4d\u7f6e\u307e\u3067\u5207\u65ad\u3057\u306a\u3051\u308c\u3070\uff0c\u76f4\u9759\u8108\u6d1e\u306e\u6a2a\u304b\u3089\u677e\u679c\u4f53\u90e8\u3092\u307f\u308b\u3053\u3068\u306f\u3067\u304d\u307e\u305b\u3093\u3002\u307e\u305f\uff0c\u9ec4\u8272\u306e\u77e2\u5370\u306e\u65b9\u5411\u306b\u8996\u91ce\u304c\u5165\u308b\u306e\u3067\uff0c\u307e\u305a\u6700\u521d\u306b\u90aa\u9b54\u306b\u306a\u308b\u306e\u306f\u5c0f\u8133\u4e0a\u6975\u3067\u3059\u3002\u4e0a\u5c0f\u8133\u5c64\u3092\u5de6\u53f3\u3068\u3082\u306b\u5341\u5206\u5265\u96e2\u3059\u308b\u3068\uff0c\u5c0f\u8133\u304c\u53ef\u52d5\u5316\u3057\u3066\uff0c\u305d\u306e\u5411\u3053\u3046\u306b\uff0cprecentral cerebellar vein\u304c\u898b\u3048\u307e\u3059\u3002\u3053\u306evein\u3092\u30ac\u30ec\u30f3\u5927\u9759\u8108\u3078\u306e\u6d41\u5165\u90e8\u304b\u3089\u5c0f\u8133\u524d\u9762\u306b\u6cbf\u3063\u3066\u5265\u96e2\u3057\u3066\u3044\u304f\u3068\uff0c\u5c0f\u8133\u4e0a\u6975\u304c\u3055\u3089\u306b\u53ef\u52d5\u5316\u3057\u3066\u677e\u679c\u4f53\u3078\u306e\u8996\u91ce\u304c\u958b\u307e\u3059\u3002<\/p>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/otaambient1-2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-9746\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/otaambient1-2-300x294.jpg\" alt=\"\" width=\"300\" height=\"294\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/otaambient1-2-300x294.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/otaambient1-2-768x754.jpg 768w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/otaambient1-2-550x540.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/otaambient1-2.jpg 850w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/otaambient2-2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-9747\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/otaambient2-2-300x286.jpg\" alt=\"\" width=\"300\" height=\"286\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/otaambient2-2-300x286.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/otaambient2-2-768x733.jpg 768w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/otaambient2-2-550x525.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/otaambient2-2.jpg 850w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p>\u677e\u679c\u4f53\u816b\u760d\u306e\u624b\u8853\u3067\u306f\uff0c\u4e2d\u8133\u80cc\u9762\u3092\u898b\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002\u7279\u306b\u4e0a\u4e18\u3068\u305d\u308c\u306b\u9023\u7d9a\u3059\u308b\u5f8c\u4ea4\u9023 posterior commissure\u3092\u5341\u5206\u306b\u89b3\u5bdf\u3059\u308b\u305f\u3081\u306b\u5468\u56f2\u7d44\u7e54\u306e\u5265\u96e2\u3092\u884c\u3044\u307e\u3059\u3002\u5177\u4f53\u7684\u306b\u306f\u8fc2\u56de\u69fd\u3068\u4e0b\u4e18\u306e\u5468\u56f2\u306e\u30af\u30e2\u819c\u7d44\u7e54\u3092\u5265\u96e2\u3057\u307e\u3059\u3002\u5bfe\u5074\u4e2d\u8133\u3068\u8fc2\u56de\u69fd\u3092\u898b\u308b\u6642\u306b\u59a8\u3052\u306b\u306a\u308b\u306e\u304c\uff0c\u7dd1\u306e\u77e2\u5370\u3067\u793a\u3057\u305f\u76f4\u9759\u8108\u6d1e\u3067\u3059\u3002\u30c6\u30f3\u30c8\u304c\u9577\u304f\u5207\u65ad\u3057\u3066\u3042\u3063\u3066\u76f4\u9759\u8108\u6d1e\u304c\u5927\u8133\u938c\u3068\u4e00\u7dd2\u306b\u52d5\u304b\u305b\u308b\u3068\u5bfe\u5074\u3092\u898b\u308b\u306e\u304c\u3068\u3066\u3082\u7c21\u5358\u306b\u306a\u308a\u307e\u3059\u3002<\/p>\n<h5><a href=\"https:\/\/youtu.be\/UP_7WMiIBBc\">\u30c6\u30f3\u30c8\u5207\u958b\u3068\u4e0a\u5c0f\u8133\u69fd\u306e\u5c55\u958b\u306e\u30d3\u30c7\u30aa\u306f\u3053\u3053\u3092\u30af\u30ea\u30c3\u30af<\/a><\/h5>\n<p>\u30c6\u30f3\u30c8\u306e\u5207\u65ad\u3092\u3057\u3066\u304b\u3089\uff0c\u76f4\u9759\u8108\u6d1e\u3092\u5bfe\u5074\u306b\u8133\u30d8\u30e9\u3067\u3088\u3051\u3066\uff0c\u4e0a\u5c0f\u8133\u69fd\u3092\u958b\u653e\u3057\u3066\u3044\u307e\u3059\u3002\u677e\u679c\u4f53\u816b\u760d PPTID \u304c\u7c21\u5358\u306b\u307f\u3048\u3066\u304d\u307e\u3059\u3002<\/p>\n<h4>\u4e88\u5099\u77e5\u8b58\uff1a<strong>galenic venous system<\/strong><\/h4>\n<p>\u30ac\u30ec\u30f3\u5927\u9759\u8108\u306b\u6d41\u5165\u3059\u308b\u9759\u8108\u7cfb\u3067\u5265\u96e2\u3059\u308b\u5fc5\u8981\u304c\u3042\u308b\u306e\u306f\uff0c\u30a2\u30d7\u30ed\u30fc\u30c1\u5074\u306e\u5185\u5f8c\u982d\u9759\u8108 <span style=\"color: #000080;\"><strong>ICV\u00a0internal occipital vein<\/strong><\/span>\uff0c\u4e21\u5074\u306e\u30ed\u30fc\u30bc\u30f3\u30bf\u30fc\u30eb\u9759\u8108 <strong><span style=\"color: #000080;\">basal vein of Rosental<\/span><\/strong>\uff0c\u524d\u4e2d\u5fc3\u5c0f\u8133\u9759\u8108 <span style=\"color: #000080;\"><strong>precetral cerebellar vein<\/strong><\/span>\uff0c\u4e21\u5074\u306e\u5185\u5927\u8133\u9759\u8108<strong><span style=\"color: #000080;\"> ICV<\/span><\/strong>\u3067\u3059\u3002<\/p>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/galen.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-large wp-image-8013\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/galen-550x358.jpg\" alt=\"galen\" width=\"550\" height=\"358\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/galen-550x358.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/galen-300x195.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/galen.jpg 851w\" sizes=\"auto, (max-width: 550px) 100vw, 550px\" \/><\/a><\/p>\n<h5>\u3053\u306e\u56f3\u306f\u5de6\u5f8c\u982d\u958b\u982d\u3067\u5f8c\u982d\u8449\u3092\u727d\u5f15\u3057\u3066\u898b\u3048\u308b\u6642\u306e\uff0cgalenic system\u306e\u5404\u9759\u8108\u306e\u4f4d\u7f6e\u95a2\u4fc2\u3092\u793a\u3057\u307e\u3059\u3002\u592a\u3055\u3082\u3053\u306e\u304f\u3089\u3044\u306e\u3082\u306e\u3067\u3059\u3002\u89e3\u308a\u3084\u3059\u3044\u3088\u3046\u306b\uff0c\u5c11\u3005parietal side\u304b\u3089\u307f\u3066\u3044\u307e\u3059\u3002<\/h5>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/pptid3.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-8007\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/pptid3-300x206.jpg\" alt=\"pptid3\" width=\"300\" height=\"206\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/pptid3-300x206.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/pptid3-550x379.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/pptid3.jpg 1527w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a>\u30ac\u30ec\u30f3\u5927\u9759\u8108\u306b\u6d41\u5165\u3059\u308b\u5185\u5927\u8133\u9759\u8108 ICV\u3068\u30ed\u30fc\u30bc\u30f3\u30bf\u30fc\u30eb\u9759\u8108\u3068precetral cerebellar vein\u306e\u4f4d\u7f6e\u95a2\u4fc2\u3092\u4fef\u77b0\u3057\u305f\u56f3\u3067\u3059\u3002\u3053\u306e\u4f8b\u3067\u306f\u30ac\u30ec\u30f3\u5927\u9759\u8108\u3068\u76f4\u9759\u8108\u6d1e\u306e\u63a5\u5408\u90e8\u304c\u9ad8\u3044\u4f4d\u7f6e\u306b\u3042\u308a\u307e\u3059\uff0cgalenic point\u304c\u9ad8\u3044\uff0c\u3042\u308b\u3044\u63a5\u5408\u90e8\u304csteep angle\u3067\u3042\u308b\u3068\u8868\u73fe\u3057\u307e\u3059\u3002\u500b\u4eba\u5dee\u304c\u5927\u304d\u3044\u3082\u306e\u3067\u3059\u304c\uff0cgalenic point\u304c\u9ad8\u3044\u65b9\u304c\u30ac\u30ec\u30f3\u306e\u53ef\u52d5\u6027\u304c\u5927\u304d\u304f\u3066\u624b\u8853\u306f\u3057\u3084\u3059\u3044\u3068\u3044\u3048\u307e\u3059\u3002<\/p>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/galenicsystem1.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-8009\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/galenicsystem1-300x236.jpg\" alt=\"galenicsystem1\" width=\"300\" height=\"236\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/galenicsystem1-300x236.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/galenicsystem1-550x432.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/galenicsystem1.jpg 914w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a>\u5b9f\u969b\u306b\u898b\u308b\u9759\u8108\u306f\u3053\u306e\u9818\u57df\u3067\u3059\u3002\u56f3\u306e\u8aac\u660e\u306f\u5074\u65b9\u304b\u3089\u898b\u3066\u3044\u307e\u3059\u304c\uff0c\u624b\u8853\u3067\u306f\u8179\u81e5\u4f4d\u3067\u5f8c\u982d\u6975\u65b9\u5411\u304b\u3089\u307f\u307e\u3059\u3002\u3067\u3059\u304b\u3089\uff0c\u9ec4\u8272\u306e\u77e2\u5370\u306e\u8996\u8ef8\u3067\u30ed\u30fc\u30bc\u30f3\u30bf\u30fc\u30eb\u9759\u8108\u3092\u898b\u308b\u306e\u3067\uff0c\u30ed\u30fc\u30bc\u30f3\u30bf\u30fc\u30eb\u9759\u8108\u306f\u8853\u91ce\u306e\u6df1\u3044\u3068\u3053\u308d\u306b\u6c88\u3093\u3067\u884c\u304f\u3088\u3046\u306b\u898b\u3048\u307e\u3059\u3002\u540c\u69d8\u306b\u8d64\u306e\u77e2\u5370\u3067ICV\u3092\u898b\u307e\u3059\u304b\u3089\uff0cICV\u3082\u6df1\u304f\u6c88\u3093\u3067\u884c\u304f\u3088\u3046\u306b\u8d70\u884c\u3057\u3066\u884c\u304f\u3088\u3046\u306b\u898b\u3048\u307e\u3059\u3002\u5f93\u3063\u3066\uff0c\u4e21\u9759\u8108\u3092\u5265\u96e2\u3057\u3066\u884c\u304f\u3068\u624b\u8853\u64cd\u4f5c\u91ce\u306f\u6df1\u304f\u6df1\u304f\u306a\u308a\u307e\u3059\u3002<\/p>\n<h5>\u304f\u3082\u819c\u5207\u958b\u306b\u3088\u308bgalenic cistern\u306e\u5c55\u958b<\/h5>\n<h4>\u4e88\u5099\u77e5\u8b58 :\u00a0<strong>quadrigerminal cistern\u00a0=\u00a0cisterna venae magnae Galeni<\/strong><\/h4>\n<ul>\n<li>\u56db\u4e18\u4f53\u69fd\u306f\u30ac\u30ec\u30f3\u5927\u9759\u8108\u69fd\u3068\u3082\u3044\u308f\u308c\u307e\u3059\uff0c\u82f1\u8a9e\u3067\u7565\u3057\u3066<span style=\"color: #000080;\"><strong>galenic cistern<\/strong><\/span><\/li>\n<li><span style=\"color: #000080;\"><span style=\"color: #000000;\">galenic cistern\u306e\u524d\u9762\u306fquadrigerminal plates\u3068pineal body\uff0c\u4e0a\u9762\u306ftentorium\u3068splenium\uff0c\u4e0b\u9762\u306fcerebellar\u00a0lingula\u3068superior medullary vellum \u4e0a\u9ac4\u5e06\u3067\u3059<\/span><\/span><\/li>\n<li><span style=\"color: #000080;\"><span style=\"color: #000000;\">\u5916\u5074\u3067\uff0c<span style=\"color: #000080;\"><strong>ambient cistern<\/strong><\/span>\u00a0\u8fc2\u56de\u69fd\u3068\u306e\u5883\u754c\u306f\u5b9a\u7fa9\u3055\u308c\u3066\u3044\u307e\u305b\u3093\uff0c\u3042\u3084\u3075\u3084\u3067\u3059<\/span><\/span><\/li>\n<li><span style=\"color: #000080;\"><span style=\"color: #000000;\">\u3067\u3082\u56db\u4e18\u4f53\u69fd\u3088\u308a\u5916\u5074\u306f\u3060\u3044\u305f\u3044ambient cistern\u3067\u3059\uff0ctrochlear nerve \u6ed1\u8eca\u795e\u7d4c\u304c\u3042\u308b\u5834\u6240\u3060\u304b\u3089\uff0c\u5b9f\u969b\u306f\u304b\u306a\u308a\u6df1\u3044<\/span><\/span><\/li>\n<li><span style=\"color: #000080;\"><span style=\"color: #000000;\"><span style=\"color: #000080;\"><strong>supracerebellar cistern<\/strong><\/span>\u00a0\u4e0a\u5c0f\u8133\u69fd\u306f\u30c6\u30f3\u30c8\u3092\u5207\u958b\u3057\u306a\u3044\u3068\u51fa\u3066\u304d\u307e\u305b\u3093\u3057\uff0cprecentral cerebellar vein\u3088\u308a\u80cc\u5074\u3067\u3059<\/span><\/span><\/li>\n<li><span style=\"color: #000080;\"><span style=\"color: #000000;\">quadrigerminal cistern\u3068\u3044\u3046\u3068\u56db\u4e18\u4f53\u69fd\u306e\u80cc\u5074\u306e\u307f\u3092\u610f\u5473\u3057\u3084\u3059\u3044\u306e\u3067\uff0cgalenic cistern\u3068\u547c\u3093\u3060\u65b9\u304c\u3067\u3057\u3087\u3046\uff0c\u306a\u3093\u3068\u8a00\u3063\u3066\u3082\u30ac\u30ec\u30f3\u5927\u9759\u8108\u304c\u4e2d\u592e\u306b\u30c9\u30f3\u3068\u3044\u308b\u304b\u3089\u3067\u3059<\/span><\/span><\/li>\n<li><span style=\"color: #000080;\"><span style=\"color: #000000;\"><span style=\"color: #ff0000;\"><strong>OTA\u306e\u57fa\u672c\u306f\uff0c\u30ac\u30ec\u30f3\u5927\u9759\u8108\u3068\u305d\u306e\u5206\u679d tributaries\u3092\u5265\u96e2\u3057\u3066\u53ef\u52d5\u5316\u3059\u308b<\/strong><\/span>\u3053\u3068\u306b\u3042\u308a\u307e\u3059 (mobilization of the galenic system)<\/span><\/span><\/li>\n<li><span style=\"color: #000080;\"><span style=\"color: #000000;\">\u8981\u3059\u308b\u306b\uff0c\u4e0a\u8a18\u306ecisterns\u306e\u30af\u30e2\u819c\u7d44\u7e54\u3092\u5fb9\u5e95\u7684\u306b\u5207\u308a\u523b\u3080\u306e\u304c\u5927\u5207\u3067\u3059<\/span><\/span><\/li>\n<li>\u53ef\u52d5\u5316\u306b\u3088\u3063\u3066\u8133\u3068\u9759\u8108\u304c\u52d5\u304d\uff0c\u677e\u679c\u4f53\u3078\u306e\u8853\u91ce\u304c\u5927\u304d\u304f\u5c55\u958b\u3055\u308c\u307e\u3059<\/li>\n<li><span style=\"color: #000080;\"><span style=\"color: #000000;\">\u79c1\u306f\u6559\u3048\u308b\u6642\u306b\u3088\u304f\u3053\u3046\u8a00\u3044\u307e\u3059\u300cgalen\u3068\u305d\u306etributary\u3092\u5fb9\u5e95\u7684\u306b\u5265\u96e2\u3057\u3066\u4e0b\u3055\u3044\u300d<\/span><\/span><\/li>\n<\/ul>\n<h5>\u958b\u653e\u3059\u308b\u8133\u69fd\u306e\u9806\u756a<\/h5>\n<ol>\n<li>\u508d\u8133\u6881\u69fd\u3000paracallosal cistern<\/li>\n<li>\u5185\u5f8c\u982d\u9759\u8108\u306e\u5265\u96e2 internal occipital veins<\/li>\n<li>\u30ed\u30fc\u30bc\u30f3\u30bf\u30fc\u30eb\u9759\u8108 vein of Rosenthal<\/li>\n<li>\u958b\u982d\u5074\u306e\u8fc2\u56de\u69fd ambient cistern<\/li>\n<li>\u4e0a\u5c0f\u8133\u69fd supracerebellar cistern<\/li>\n<li>\u5bfe\u5074\u306e\u8fc2\u56de\u69fd ambient cistern, contralateral side<\/li>\n<li>\u5bfe\u5074\u306e\u30ed\u30fc\u30bc\u30f3\u30bf\u30fc\u30eb\u9759\u8108 vein of Rosenthal, contralateral side<\/li>\n<li>\u56db\u4e18\u4f53\u69fd quadrigerminal cistern<\/li>\n<li>\u4e2d\u9593\u5e06\u69fd velum interpositum cistern<\/li>\n<\/ol>\n<h5>1.\u3000\u5185\u5f8c\u982d\u9759\u8108\u3068\u30ed\u30fc\u30bc\u30f3\u30bf\u30fc\u30eb\u9759\u8108\u306e\u5265\u96e2<\/h5>\n<p>\u307e\u305a\u6700\u521d\u306b\uff0cinternal occipital vein\u306e\u5265\u96e2\u3092\u884c\u3044\u307e\u3059\u3002\u6b21\u3044\u3067\uff0c\u5c0f\u8133\u4e0a\u9762\u306e\u30af\u30e2\u819c\u3092\u5207\u958b\u3059\u308b\u3053\u3068\u306b\u3088\u3063\u3066supracerebellar cistern\u304c\u958b\u653e\u3055\u308c\u3066\u5f8c\u982d\u8449\u306e\u727d\u5f15\u304c\u304b\u306a\u308a\u697d\u306b\u306a\u308a\u307e\u3059\u3002<\/p>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/straight-sinus.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-8010\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/straight-sinus-300x203.jpg\" alt=\"straight sinus\" width=\"300\" height=\"203\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/straight-sinus-300x203.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/straight-sinus-550x371.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/straight-sinus.jpg 551w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a>\u30ed\u30fc\u30bc\u30f3\u30bf\u30fc\u30eb\u9759\u8108\u306e\u80cc\u5074\u3092\u958b\u3051\u3066\u9759\u8108\u306e\u4f4d\u7f6e\u3092\u78ba\u8a8d\u3057\u306a\u304c\u3089\uff0c\u5265\u96e2\u3057\u3066\u884c\u304f\u3068\u3084\u304c\u3066ambient cistern\u306e\u4e2d\u306b\u5165\u3063\u3066\u884c\u304d\u307e\u3059\u3002\u4e0a\u4e18\u304c\u307f\u3048\u3066\u4e0b\u4e18\u304c\u307f\u3048\uff0c\u4e0b\u4e18\u306e\u5916\u5074\u306e\u6df1\u3044\u3068\u3053\u308d\u3067\uff0c<span style=\"color: #000080;\"><strong>\u6ed1\u8eca\u795e\u7d4c trochlear nerve<\/strong><\/span>\u304c\u78ba\u8a8d\u3067\u304d\u307e\u3059\u3002\u5fc5\u305a\u3057\u3082\u3053\u306e\u6642\u70b9\u3067trochlear nerve\u3092\u78ba\u8a8d\u3057\u306a\u3051\u308c\u3070\u306a\u3089\u306a\u3044\u8a33\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n<p>&nbsp;<\/p>\n<h5>2. precental cerebellar vein \u306f\u5207\u65ad\u3057\u3066\u3082\u3088\u3044\u304b\uff1f<\/h5>\n<p>\u304b\u306a\u308a\u592a\u3044\u3068\u611f\u3058\u3089\u308c\u308bprecetral cerebellar vein\u3067\u3082\uff0c\u304a\u305d\u3089\u304f\u5207\u65ad\u3057\u3066\u3082\u3088\u3044\u3067\u3059\u3002\u5207\u65ad\u306e\u65b9\u6cd5\u306a\u3069\u306f\uff0c<span style=\"color: #000080;\"><strong><a style=\"color: #000080;\" href=\"\/sawamura\/surgtech\/veins\/\">\u9759\u8108\u5207\u65ad<\/a><\/strong><\/span>\u3068\u3044\u3046\u9805\u76ee\u304c\u5225\u30da\u30fc\u30b8\u306b\u3042\u308b\u306e\u3067\u8aad\u3093\u3067\u307f\u3066\u304f\u3060\u3055\u3044\u3002\u305f\u3060\u3057\uff0c\u4e0a\u8ff0\u306e\u30c6\u30f3\u30c8\u5207\u65ad\u306e\u3068\u3053\u308d\u3067\uff0c\u30c6\u30f3\u30c8\u4e0b\u9762\u306b\u6d41\u5165\u3059\u308b\u5927\u304d\u306a\u5c0f\u8133\u67b6\u6a4b\u9759\u8108\u3092\u5207\u65ad\u3057\u305f\u5834\u5408\u306b\u306f\u305d\u306e\u9650\u308a\u3067\u306f\u306a\u304f\uff0c\u5c0f\u8133\u4e0a\u534a\u90e8\u306e\u9759\u8108\u9084\u6d41\u304c\u9b31\u6ede\u3057\u3066\u5c0f\u8133\u816b\u8139\u3092\u62db\u304f\u30ea\u30b9\u30af\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n<p>\u5c0f\u3055\u306a\u677e\u679c\u4f53\u816b\u760d\u3084\u306e\u3046\u80de\u6027\u306e\u677e\u679c\u4f53\u7d30\u80de\u816b\u3067\u306fprecentral cerebellar vein\u3092\u6e29\u5b58\u3057\u3066\u624b\u8853\u3092\u7d42\u3048\u308b\u3053\u3068\u304c\u3067\u304d\u307e\u3059\u3002\u3057\u304b\u3057\uff0c\u5927\u304d\u306a\u5947\u5f62\u816b\u3084\u51fa\u8840\u304c\u8457\u3057\u3044PPTID\u306a\u3069\u3067\u306f\u816b\u760d\u6458\u51fa\u3059\u308b\u524d\u306bprecentral cerebellar vein\u3092\u5207\u65ad\u3057\u3066\u3057\u307e\u3063\u305f\u65b9\u304c\u3088\u3044\u3067\u3059\u3002precentral cerebellar vein\u3092\u6e29\u5b58\u3057\u305f\u307e\u307e\u816b\u760d\u6458\u51fa\u3092\u3059\u308b\u3068\uff0c\u816b\u760d\u5c0e\u51fa\u9759\u8108\u3067\u3042\u308bpineal vein\u304c\u30ac\u30ec\u30f3\u3042\u308b\u3044\u306fICV\u306b\u6d41\u5165\u3059\u308b\u3068\u3053\u308d\u3067\u5207\u65ad\u3059\u308b\u3068\u304d\u306b\u90aa\u9b54\u306b\u306a\u308a\u307e\u3059\u3002<\/p>\n<p>\u30ac\u30ec\u30f3\u5927\u9759\u8108\u306b\u8fd1\u3044\u90e8\u5206\u306eprecentral cerebellar vein\u306e\u5468\u56f2\u306e\u304f\u3082\u819c\u7d44\u7e54\u3092\u3066\u3044\u306d\u3044\u306b\u5265\u96e2\u3057\u307e\u3059\u3002\u5206\u679d\u3092\u53ef\u80fd\u306a\u9650\u308a\u6e29\u5b58\u3057\u307e\u3059\u306e\u3067\uff0c\u30ac\u30ec\u30f3\u5927\u9759\u8108\u306b\u3067\u304d\u308b\u3060\u3051\u8fd1\u3044\u3068\u3053\u308d\u3067\u5207\u65ad\u3057\u307e\u3059\u3002\u5207\u65ad\u3059\u308b\u524d\u306b\u30d0\u30a4\u30dd\u30fc\u30e9\u3067precentral cerevellar vein\u3092\u713c\u707c\u3057\u307e\u3059\u304c\uff0c\u713c\u304d\u3064\u304b\u306a\u3044\u3088\u3046\u306b\u6c17\u3092\u4ed8\u3051\u308b\u306e\u306f\u308b\u306e\u306f\u5f53\u7136\u3067\u3059\u3002<\/p>\n<h5>3. ICV\u3068cisterna velum interpositum (velum interpositum cistern)<\/h5>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/splenium.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-8017\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/splenium-300x191.jpg\" alt=\"splenium\" width=\"300\" height=\"191\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/splenium-300x191.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/splenium-550x350.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/splenium.jpg 850w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a>splenium\u3092\u6301\u3061\u4e0a\u3052\u308b\u304b\uff0c\u30ac\u30ec\u30f3\u5927\u9759\u8108\u3068ICV\u306e\u4ea4\u4f1a\u90e8\u3092\u62bc\u3057\u4e0b\u3052\u308b\u3068\uff0c<span style=\"color: #000080;\"><strong>velum interpositum cistern<\/strong><\/span>\u304c\u958b\u304d\u307e\u3059\u3002<\/p>\n<p>\u4e2d\u9593\u5e06\u69fd velum interpositum cistern\u306f\uff0c\u624b\u7db1\u4ea4\u9023 havenular commissure\u304b\u3089\u30e2\u30f3\u30ed\u30fc\u5b54\u307e\u3067\uff0c\u8133\u6881\u306e\u4e0b\u9762\u3067\u4e2d\u9593\u5e06\uff08\u4e2d\u83ef\u98ef\u3067\u306f\u3042\u308a\u307e\u305b\u3093\uff09<span style=\"color: #000080;\"><strong>velum interpositum<\/strong><\/span> (\u7b2c\uff13\u8133\u5ba4\u4e0a\u58c1\uff09\u306e\u9593\u306e\u3053\u3068\u3092\u8a00\u3044\u307e\u3059\u3002\u3053\u306e\u8133\u69fd\u306e\u4e2d\u306b\u91cd\u8981\u306aICV\u306f\u4f4d\u7f6e\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n<p>havenular\u306f\u677e\u679c\u4f53\u306e\u543b\u5074\u306b\u3042\u308b\u306e\u3067\u3059\u304c\uff0c\u677e\u679c\u4f53\u816b\u760d\u306e\u6642\u306b\u306f\u76ee\u8996\u3067\u304d\u305f\u3053\u3068\u304c\u3042\u308a\u307e\u305b\u3093\u3002<strong><span style=\"color: #ff0000;\">velum intepositium\u306f\uff0cICV\u306e\u4e0b\u9762\u306b\u3042\u308a\u304b\u3064\u677e\u679c\u4f53\u306e\u4e0a\u8868\u9762\u306b\u5b58\u5728\u3057\u307e\u3059\u3002\u3067\u3059\u304b\u3089\uff0c\u677e\u679c\u4f53\u816b\u760d\u3068ICV\u3092\u5265\u96e2\u3059\u308b\u6642\u306eplain\u306b\u306a\u308a\u307e\u3059<\/span><\/strong>\u3002<\/p>\n<h5><span style=\"color: #ff0000;\">\u91cd\u8981\uff1a\u816b\u760d\u9759\u8108\u306e\u5207\u65ad<\/span><\/h5>\n<p><span style=\"color: #000080;\"><strong>\u677e\u679c\u4f53\u816b\u760d\u306e\u624b\u8853\u3067\u306f\u3053\u306e\u64cd\u4f5c\u3067\u306e\u4e8b\u6545\u304c\u6700\u3082\u591a\u3044<\/strong><\/span>\u3068\u3044\u3048\u307e\u3059\u3002\u5185\u5927\u8133\u9759\u8108 ICV\u306e\u640d\u50b7\u3067\u591a\u91cf\u306e\u51fa\u8840\u3092\u751f\u3058\u3066\uff0c\u6df1\u90e8\u8133\u9759\u8108\u6897\u585e\uff0c\u8996\u5e8a\u4e2d\u8133\u640d\u50b7\uff0c\u624b\u8853\u4e2d\u306e\u8133\u816b\u8139\u306a\u3069\u306e\u91cd\u5927\u306a\u4e8b\u614b\u3092\u62db\u304f\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/icv2.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-8021\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/icv2-300x247.jpg\" alt=\"icv2\" width=\"300\" height=\"247\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/icv2-300x247.jpg 300w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/icv2-550x452.jpg 550w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/icv2.jpg 927w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a>\u816b\u760d\u304b\u3089\u306e\u5c0e\u51fa\u9759\u8108\u306e\u30a4\u30e1\u30fc\u30b8\u56f3\u3067\u3059\u3002\u677e\u679c\u4f53\u816b\u760d\u306a\u306e\u3067\uff0c<span style=\"color: #000080;\"><strong>\u677e\u679c\u4f53\u9759\u8108 pieal veins<\/strong><span style=\"color: #000000;\">\uff08\u8d64\u304f\u306c\u3063\u305f\u9759\u8108\uff09<\/span><\/span><span style=\"color: #000000;\">\u00a0<\/span>\u304b\u3089\u5c0e\u51fa\u3055\u308c\u307e\u3059\uff0c\u30ac\u30ec\u30f3\u5927\u9759\u8108\u306e\u8179\u5074\uff0cICV\u306e\u8179\u5074\u306b\u9084\u6d41\u3057\u307e\u3059\u3002\u677e\u679c\u4f53\u9759\u8108\u306e\u4ed6\u306b\u3082\u7b2c\uff13\u8133\u5ba4\u4e0a\u90e8\u306e\u9759\u8108\u304cICV\u306b\u816b\u760d\u9759\u8108\u3068\u306a\u3063\u3066\u8907\u6570\u9084\u6d41\u3057\u3066\u3044\u307e\u3059\u3002<br \/>\n\u554f\u984c\u306f\uff0c\u3053\u308c\u3089\u306e\u9759\u8108\u304c\u816b\u760d\u8868\u9762\u304b\u3089\u3044\u304d\u306a\u308a\u30ac\u30ec\u30f3\u3084ICV\u306b\u5165\u308b\u3053\u3068\u3067\u3059\u3002<\/p>\n<p>\u5168\u3066\u306e\u624b\u8853\u64cd\u4f5c\u3092\u901a\u3057\u3066\u3082\u3063\u3068\u3082\u56f0\u96e3\u306a\u90e8\u4f4d\u3067\u3042\u308a\uff0c\u3053\u306e\u90e8\u5206\u304c\u4e0a\u624b\u306b\u5265\u96e2\u3067\u304d\u306a\u3044\u3068\uff0c\u300c\u816b\u760d\u90e8\u5206\u6458\u51fa\u300d\u3068\u3044\u3046\u7d50\u679c\u306b\u306a\u308a\u307e\u3059\u3002\u4e00\u65b9\uff0c\u3053\u306e\u9759\u8108\u3092\u5207\u65ad\u3057\u640d\u306a\u3063\u305f\u308a\u3061\u304e\u3063\u3066\u3057\u307e\u3046\u3068\uff0cICV\u304b\u3089\u306e\u5927\u91cf\u306e\u51fa\u8840\u3092\u62db\u304d\uff0c\u624b\u8853\u6b7b\u4ea1\u3084\u8996\u5e8a\u306e\u5927\u304d\u306a\u6897\u585e\u306a\u3069\u306e\u91cd\u7be4\u306a\u5408\u4f75\u75c7\u3092\u751f\u3058\u307e\u3059\u3002<\/p>\n<h5>4. \u677e\u679c\u4f53\u816b\u760d\u3078\u306e\u816b\u760d\u52d5\u8108 feeding arteries<\/h5>\n<p><span style=\"color: #000080;\"><strong>medial posterior choroidal arteries<\/strong><\/span>\u304c\u677e\u679c\u4f53\u816b\u760d\u3092\u6804\u990a\u3057\u307e\u3059\u3002\u5f8c\u5927\u8133\u52d5\u8108\u306eP2 segment\u304b\u3089\u51fa\u3066\uff0c\u8fc2\u56de\u69fd\u3092\u56de\u308a\u816b\u760d\u306e\u524d\u65b9\u4e0b\u5916\u5074\u304b\u3089\u816b\u760d\u306b\u5165\u3063\u3066\u304d\u307e\u3059\u3002\u624b\u8853\u91ce\u306e\u624b\u524d\u3092\u8996\u5e8a\u65b9\u5411\u3078\u5265\u96e2\u3057\u3066\u884c\u304f\u3068\u304b\u306a\u308a\u6df1\u90e8\u306b\u898b\u3064\u304b\u308a\u307e\u3059\u3002\u3067\u3059\u304b\u3089\uff0c\u677e\u679c\u4f53\u816b\u760d\u306e\u624b\u8853\u3067\u6700\u521d\u306bfeeder\u3092\u6b62\u3081\u308b\u3068\u3044\u3046\u3053\u3068\u306f\u3067\u304d\u307e\u305b\u3093\u3002\u8981\u9818\u3068\u3057\u3066\u306f\uff0c\u816b\u760d\u8868\u9762\u306b\u3042\u308b\u5c0f\u3055\u306a\u816b\u760d\u52d5\u8108\u3092\u8ffd\u3063\u3066\u884c\u304f\u3068medial posterior choroidal artery\u306e\u672c\u5e79\u306e\u65b9\u306b\u8fd1\u3065\u3044\u3066\u884c\u304f\u3068\u3044\u3046\u3053\u3068\u3067\u3059\u3002\u5bfe\u5074\u306e\u3082\u306e\u306f\u816b\u760d\u3092\u304b\u306a\u308a\u6458\u51fa\u3057\u3066\u304b\u3089\u3067\u3057\u304b\u78ba\u4fdd\u3067\u304d\u307e\u305b\u3093\u3002<br \/>\nP2 segment\u304b\u3089\u306e\u307f\u306a\u3089\u305amedial posterior choroidal artery\u306f\uff0cparieto-occiptal artery,\u00a0calcarine artery, splenial artery\u304b\u3089\u3082\u5206\u679d\u3057\u307e\u3059\u3002\u3053\u308c\u3089\u306f\u3088\u308a\u6d45\u3044\u90e8\u4f4d\u3067\u78ba\u4fdd\u3067\u304d\u307e\u3059\u3002<br \/>\n\u3053\u306emedial posterior choroidal artery\u306e\u672c\u5e79\u3092\u30d0\u30a4\u30dd\u30fc\u30e9\u306a\u3069\u3067\u713c\u707c\u3057\u3066\u3057\u307e\u3046\u3068\uff0c\u652f\u914d\u9818\u57df\u306e\u6897\u585e\u3092\u751f\u3058\u307e\u3059\u3002\u4e2d\u8133\u8996\u84cb tectum, \u4e2d\u8133\u88ab\u84cb\u00a0midbrain tegmentum, \u8996\u5e8a\u5185\u5074\u5f8c\u90e8 posterior\u00a0thalamus\u306a\u3069\u3067\u3059\u3002\u8996\u5e8a\u6897\u585e\u306f\u591a\u304f\u306e\u5834\u5408\u306f\u91cd\u7be4\u306a\u8853\u5f8c\u5408\u4f75\u75c7\u3068\u306a\u308a\u307e\u305b\u3093\u304c\uff0c\u773c\u7403\u904b\u52d5\u969c\u5bb3\u304c\u4e0d\u53ef\u9006\u7684\u306b\u306a\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n<h5>5. \u5f8c\u4ea4\u9023\u3000PC posterior commissure<\/h5>\n<p><a href=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/visualcenter.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-medium wp-image-6998\" title=\"visualcenter\" src=\"\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/visualcenter-262x300.jpg\" alt=\"\" width=\"262\" height=\"300\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/visualcenter-262x300.jpg 262w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/visualcenter-525x600.jpg 525w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/visualcenter.jpg 709w\" sizes=\"auto, (max-width: 262px) 100vw, 262px\" \/><\/a>\u677e\u679c\u4f53\u816b\u760d\u304c\u4e0a\u4e18\u3092\u5727\u8feb\u3057\u3066\u773c\u7403\u904b\u52d5\u969c\u5bb3\u3092\u5448\u3059\u308b\u3053\u3068\u306f\u826f\u304f\u77e5\u3089\u308c\u3066\u3044\u307e\u3059\u3002\u5b9f\u969b\u306b\u677e\u679c\u4f53\u816b\u760d\u306e\u624b\u8853\u3067\u4e0a\u4e18\u3092\u640d\u50b7\u3059\u308b\u3053\u3068\u306f\u307b\u3068\u3093\u3069\u306a\u304f\uff0c<strong><span style=\"color: #000080;\">\u8853\u5f8c\u306b\u6b8b\u308b\u5fae\u5999\u306a\u8907\u8996<\/span><\/strong>\u306f\uff0c\u5f8c\u4ea4\u9023 (PC posterior commissure) \u306e\u640d\u50b7\u306b\u3088\u3063\u3066\u751f\u3058\u307e\u3059\u3002\u5de6\u306e\u753b\u50cf\u306e\u3088\u3046\u306b\uff0c\u677e\u679c\u4f53\u816b\u760d\u304c\u7b2c\uff13\u8133\u5ba4\u65b9\u5411\u306b\u4f38\u5c55\u5897\u5927\u3059\u308b\u3068\u5f8c\u4ea4\u9023\u3092\u5727\u6392\u3057\u3066\uff0c\u5f8c\u4ea4\u9023\u306f\u6241\u5e73\u5316\u3057\u307e\u3059\u3002\u624b\u8853\u4e2d\u306b\u306f\uff0c\u4e0a\u4e18\u306e\u5965\u306b\uff0c\u4e0a\u4e18\u3068\u9023\u7d9a\u3057\u3066\u767d\u304f\u8584\u3044\u8106\u5f31\u306a\u767d\u8cea\u7d44\u7e54\u304c\u898b\u3048\u307e\u3059\u3002\u305d\u308c\u304c\u5f8c\u4ea4\u9023\u3067\u3059\u3002\u5de6\u53f3\u306b\u3082\u9577\u3044\u767d\u8cea\u7d44\u7e54\u306a\u306e\u3067\uff0c\u816b\u760d\u5e95\u9762\u304b\u3089\u975e\u5e38\u306b\u614e\u91cd\u306b\u5265\u96e2\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002\u5f8c\u4ea4\u9023\u306e\u5265\u96e2\u304c\u7d42\u308f\u308b\u3068\u7b2c\uff13\u8133\u5ba4\u5185\u306e\u9ac4\u6db2\u8154\u306b\u629c\u3051\u307e\u3059\u3002<\/p>\n<p>\u5de6\u306e\u56f3\u306f\uff0c\u773c\u7403\u904b\u52d5\u306b\u95a2\u308f\u308b\u4e2d\u67a2\u3068\u795e\u7d4c\u3092\u8868\u3057\u305f\u3082\u306e\u3067\u3059\u304c\uff0cPTA\u306e\u624b\u8853\u3067\u640d\u50b7\u3059\u308b\u306e\u306f\uff0cPC \u5f8c\u4ea4\u9023\u3068SC \u4e0a\u4e18\u304f\u3089\u3044\u306a\u3082\u306e\u3067\uff0c\u4e0a\u4e18\u306f\u4e08\u592b\u306a\u7d44\u7e54\u306a\u306e\u3067\uff0c\u8853\u5f8c\u5408\u4f75\u75c7\u3067\u3042\u308b\u8907\u8996\u306f\u5f8c\u4ea4\u9023\u640d\u50b7\u3067\u3042\u308b\u3053\u3068\u304c\u591a\u3044\u306e\u3067\u3059\u3002<\/p>\n<h5>6. \u4e2d\u8133\u4e2d\u5fc3\u7070\u767d\u8cea periaquedactal gray matter<\/h5>\n<p>\u75bc\u75db\u6291\u5236\u7cfb\u3001\u6050\u308c\u3084\u4e0d\u5b89\u3001\u767a\u58f0\u3001\u6027\u884c\u52d5\u306e\u5236\u5fa1\u3001\u60c5\u52d5\u884c\u52d5\u3001\u5fc3\u8840\u7ba1\u7cfb\u3001\u4f53\u6e29\u8abf\u7bc0\u3001\u4e0a\u65b9\u6ce8\u8996\u6a5f\u69cb\u306a\u3069\u304c\u3042\u308b\u3068\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u4e2d\u8133\u6c34\u9053\u306e\u5165\u53e3\u90e8\u306b\u816b\u760d\u304c\u98df\u3044\u8fbc\u3080\u3053\u3068\u304c\u591a\u3044\u306e\u3067\uff0cOTA\u3067\u306eperiaquedactal gray matter\u306e\u640d\u50b7\u306f\u5c11\u306a\u304f\u3042\u308a\u307e\u305b\u3093\u3002\u624b\u8853\u5f8c\u306b\uff0c<strong><span style=\"color: #000080;\">\u9ad8\u5ea6\u306e<\/span><span style=\"color: #000080;\">\u4e0a\u65b9\u6ce8\u8996\u969c\u5bb3<\/span><\/strong>\uff08\u30d1\u30ea\u30ce\u30fc\u73fe\u8c61\uff09\uff0c\u8996\u5e8a\u75db\u306e\u3088\u3046\u306a<strong><span style=\"color: #000080;\">\u534a\u8eab\u306e\u75bc\u75db<\/span><\/strong>\uff0c\u60c5\u52d5\u884c\u52d5\u306e\u7570\u5e38\u306b\u3088\u308b\u8a8d\u77e5\u6a5f\u80fd\u7570\u5e38\uff0c\u4f53\u6e29\u8abf\u7bc0\u969c\u5bb3\u306a\u3069\u3092\u751f\u3058\u308b\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n<h1>\u307e\u305f\u5f8c\u65e5\uff0c\u7d9a\u304d\u3092\u66f8\u304d\u307e\u3059\u3002<\/h1>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-medium wp-image-11323\" src=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/tsubasa-233x300.jpg\" alt=\"\" width=\"233\" height=\"300\" srcset=\"https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/tsubasa-233x300.jpg 233w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/tsubasa-465x600.jpg 465w, https:\/\/plaza.umin.ac.jp\/sawamura\/wp\/wp-content\/uploads\/2015\/03\/tsubasa.jpg 645w\" sizes=\"auto, (max-width: 233px) 100vw, 233px\" \/><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Occipital Transtentorial Approach \u5c71\u672c\u54f2\u54c9\u3082\u8a18\u8f09\u3057\u3066\u3044\u307e\u3059 \u89e3\u5256\u5b66\u7684\u306a\u5fdc\u7528\u7bc4\u56f2 \u677e\u679c\u4f53\uff0c\u4e2d\u8133\u5185\u90e8\uff0c\u56db\u4e18\u4f53\u69fd\uff0c\u4e0a\u5c0f\u8133\u69fd\uff0c\u5c0f\u8133\u4e0a\u9762\uff0c\u7b2c\uff13\u8133\u5ba4\u5f8c\u534a\u90e8\uff0c\u8fc2\u56de\u69fd\u5f8c\u534a\u90e8\uff0c\u8996\u5e8a\u5f8c\u5185\u9762\uff08\u7b2c3\u8133\u5ba4\u9762\uff09 \u7d4c [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[17],"tags":[],"class_list":["post-6928","post","type-post","status-publish","format-standard","hentry","category-surgtech"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/posts\/6928","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\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/comments?post=6928"}],"version-history":[{"count":105,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/posts\/6928\/revisions"}],"predecessor-version":[{"id":20494,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/posts\/6928\/revisions\/20494"}],"wp:attachment":[{"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/media?parent=6928"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/categories?post=6928"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/plaza.umin.ac.jp\/sawamura\/wp-json\/wp\/v2\/tags?post=6928"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}