Žs—§Žl“úŽs•a‰@ƒgƒbƒvƒy[ƒW@>@f—ÉȈꗗ@>@”]_ŒoŠO‰ÈE”]_ŒoŒŒŠÇ“àŽ¡—ÉÈ

”]_ŒoŠO‰ÈE”]_ŒoŒŒŠÇ“àŽ¡—ÉÈ

ƒXƒ^ƒbƒt

’†—с@‹K—e@•›‰@’·A”]_ŒoŠO‰È•”’·

@–¼ŒÃ‰®‘åŠwˆãŠw•”@º˜a60”N‘²‹Æ@ˆãŠw”ŽŽm

@ê–å—̈æ
@@”]_ŒoŠO‰È‘S”ʁA”]ŒŒŠÇáŠQA”]ŒŒŠÇ“àŽ¡—ÁA”]ŽîᇁAÒ’ŐҐ‘Ž¾Š³
@Ž‘Ši
@@”]_ŒoŠO‰Èê–åˆãEŽw“±ˆãA”]‘²’†Šw‰ïê–åˆãA“ú–{”]‘²’†‚ÌŠO‰ÈŠw‰ï‹ZpŽw“±ˆãA
@@”]_ŒoŒŒŠÇ“àŽ¡—ÃŽw“±ˆãAê–åˆã
@@ƒŠƒnƒrƒŠƒe[ƒVƒ‡ƒ“”F’è—Տ°ˆãA_Œo“àŽ‹‹¾”F’èˆãA‚ª‚ñŽ¡—ÔF’èˆã

@@–¼ŒÃ‰®‘åŠwˆãŠw•”—Տ°uŽt


‘ŠŒ©@—L—@•›•”’·

@–¼ŒÃ‰®Žs—§‘åŠwˆãŠw•”@•½¬6”N‘²‹Æ@ˆãŠw”ŽŽm

@ê–å—̈æ
@@”]_ŒoŠO‰È‘S”ʁAŠÔ”]‰º‚‘ÌŽ¾Š³A—ǐ«”]ŽîᇁA”]ŒŒŠÇáŠQAÒ’ŐҐ‘Ž¾Š³
@Ž‘Ši
@@”]_ŒoŠO‰Èê–åˆãEŽw“±ˆãA”]‘²’†Šw‰ïê–åˆãA“ú–{”]‘²’†‚ÌŠO‰ÈŠw‰ï‹ZpŽw“±ˆãA
@@_Œo“àŽ‹‹¾”F’èˆãAW’†Ž¡—Ðê–åˆãA“ú–{–ƒŒ‰ÈŠw‰ï”F’èˆãA
@@“ú–{”]_ŒoŒŒŠÇ“àŽ¡—Êw‰ïê–åˆã


‹g“c@ŒõG@•›•”’·

@“Œ–k‘åŠwˆãŠw•”@•½¬8”N‘²‹Æ

@ê–å—̈æ
@@”]_ŒoŠO‰È‘S”ʁAÒ’ŐҐ‘Ž¾Š³A”]ŒŒŠÇáŠQA”]Žîá‡
@Ž‘Ši
@@”]_ŒoŠO‰Èê–åˆãEŽw“±ˆãA_Œo“àŽ‹‹¾”F’èˆãAÒ‘ŠO‰ÈŠw‰ï”F’èˆã


Î“c@‰q@•›ˆã’·

@•½¬22”N‘²‹Æ

@ê–å—̈æ
@@”]ŒŒŠÇ“àŽ¡—ÁA”]ŠO‰Èˆê”Ê
@Ž‘Ši
@@”]_ŒoŠO‰Èê–åˆã
@@”]ŒŒŠÇ“àŽ¡—Ðê–åˆã


âV“¡@„@ˆãˆõ

@•½¬27”N‘²‹Æ

@ê–å—̈æ
@@”]_ŒoŠO‰È‘S”Ê


Ž›”ö@˜aˆê@ˆãˆõ

@•½¬29”N‘²‹Æ

@ê–å—̈æ
@@”]_ŒoŠO‰È‘S”Ê


à_ú±@ˆê@ˆãˆõ

@•½¬29”N‘²‹Æ

@ê–å—̈æ
@@”]_ŒoŠO‰È‘S”Ê


ˆÉ“¡@”ª•õ@–¼—_‰@’·

@ŽOd‘åŠwˆãŠw•”@º˜a43”N‘²‹Æ@ˆãŠw”ŽŽm

@ê–å—̈æ
@@”]_ŒoŠO‰È‘S”ʁA”]ŽîᇁA”]ŒŒŠÇáŠQAÒ’ŐҐ‘Ž¾Š³
@Ž‘Ši
@@”]_ŒoŠO‰Èê–åˆãA”]‘²’†Šw‰ïê–åˆãAÒ‘ŠO‰ÈŠw‰ï”F’èˆã


f—Õûji“Á’¥j

@ ‚d‚qAŽOŽŸ‹~–½‹~‹}ƒZƒ“ƒ^[‚ð—L‚·‚éŽOdŒ§–k¨’n‹æ‚̊•a‰@‚Å‚·Bº˜a‚S‚X”NŠJÝ‚³‚ꂽ”]_ŒoŠO‰È‚Å‚Í‘‡“I‚È”]_ŒoŠO‰ÈŽ¡—Ái”]ŽîᇁA”]ŒŒŠÇáŠQAŠOAÒ’ŐҐ‘Ž¾Š³A¬Ž™ŠïŒ`A‹@”\“IŽ¾Š³j‚ªs‚í‚ê‚Ä‚¨‚èA“Á‚É‹@”\—\ŒãA’áNPŽèp‚ðdŽ‹‚µA”]ŒŒŠÇ“àŽèpA“àŽ‹‹¾ŽèpAŠeŽíƒ‚ƒjƒ^[‚ð‹ìŽg‚µ‚½‘½Šp“IŽ¡—Âðs‚¢AŽ¡—ЬÑ‚ÌŒüã‚É“w‚ß‚Ä‚¢‚Ü‚·B”]ŽîᇁA”]“®Ã–¬ŠïŒ`‚È‚Ç‚ÌŽèp‚ł́AƒiƒrƒQ[ƒVƒ‡ƒ“Aƒ‚ƒjƒ^ƒŠƒ“ƒO‚ª‚Ù‚Ú•K{‚È‚à‚Ì‚Æ‚µ‚ÄŽg—p‚³‚êA‰º‚‘ÌŽîᇂ̑½‚­‚ÍŒo•@“I“àŽ‹‹¾Žèp‚ªs‚í‚êA”]“®–¬áŽ‚ÌŽ¡—Â͊J“ªp‚ƍǒŒp‚Í‚Ù‚Ú”¼”‚Æ‚È‚Á‚Ä‚¨‚èAŽ¡—ÓK‰ž‚Æ‚È‚éèò“®–¬‹·ó‚Ì‘å•”•ª‚ªƒXƒeƒ“ƒg‚É‚ÄŽ¡—³‚ê‚Ä‚¢‚Ü‚·BÒ’ÅŽèp‚É‚àÏ‹É“I‚ɃCƒ“ƒXƒcƒ‹ƒƒ“ƒgAƒ‚ƒjƒ^ƒŠƒ“ƒO‚ªŽg—p‚³‚êA“]ˆÚ«”]Žîᇂł͒èˆÊ•úŽËüŽ¡—ÃŽ{Ý‚ÉŠ³ŽÒ‚³‚ñ‚ðÏ‹É“I‚ɏЉ‚Ä‚¢‚Ü‚·B¡Œã‚àŠ³ŽÒ‚³‚ñ‚̃j[ƒY‚ɉž‚¦‚é‚ׂ­â‚¦ŠÔ‚È‚¢Œ¤èr‚ª•K—v‚ƍl‚¦‚Ä‚¢‚Ü‚·B

”]ŒŒŠÇ“àŽ¡—Âɂ‚¢‚Ä


ŠeŽ¾Š³‚ɂ‚¢‚Ä

”]Žîá‡
@_ŒoäPŽîA‘–ŒŽîA_ŒoâŽîA‰º‚‘Ì‘BŽî‚È‚Ç‚ÌŒ´”­«”]Žîᇂ©‚ç“]ˆÚ«Žîᇂ܂őS‚Ä‚Ì”]Žîᇂɂ‚«Ž¡—ªs‚í‚ê‚Ä‚¨‚èAŽ¡—ÃŒoŒ±‚à–L•x‚Å‚·B
@‰»Šw—Ö@A•úŽËü—Ö@‚ɂ‚¢‚Ä‚Í–¼ŒÃ‰®‘åŠw”]_ŒoŠO‰È‚̃vƒƒgƒR[ƒ‹‚ɏ]‚¢s‚í‚ê‚Ä‚¢‚Ü‚·B]—ˆ‚©‚ç‚ÌŠJ“ª‚É‚æ‚éŽîᇂ̓Eo‚ɉÁ‚¦A’áNPŽ¡—Âł ‚éƒKƒ“ƒ}[ƒiƒCƒtŽ¡—Âɂ‚¢‚Ă͋ߗ׎{Ý‚ÉŠ³ŽÒ‚³‚ñ‚ÌŠó–]Aó‘ԁAŽ¡—ÃŒø‰Ê‚ðl‚¦Ð‰î‚ðÏ‹É“I‚ɍs‚Á‚Ä‚¨‚è‚Ü‚·B
@‘–ŒŽî‚È‚ÇŽèp’†‚̏oŒŒ‚ª‘½‚­‚Ȃ銳ŽÒ‚³‚ñ‚ɂ͐ϋɓI‚ɏp‘O‚̍ǐðp‚ðs‚Á‚Ä‚¨‚è‚Ü‚·B

”]ŒŒŠÇáŠQ
@“–‰@‚É‚Í”]‘²’†Šw‰ïê–åˆã‚ª3–¼A”]ŒŒŠÇ“àŽ¡—ÃŽw“±ˆãAê–åˆã‚ª1–¼í‹Î‚µ‚Ä‚¨‚è‚Ü‚·B oŒŒ«‚Ì”]ŒŒŠÇáŠQ‚ÌŠ³ŽÒ‚³‚ñ‚Í”]_ŒoŠO‰È‚ÅŽ¡—ÂðŽó‚¯‚Ä‚¢‚½‚¾‚¢‚Ä‚¨‚è‚Ü‚·B“Á‚É‚­‚à–Œ‰ºoŒŒ‚ð‚¨‚±‚µ‚½”]“®–¬áŽ‚â–¢”j—ô”]“®–¬áŽ‚ɑ΂µ‚Ä‚ÍŠJ“ªƒNƒŠƒbƒsƒ“ƒOŽèp‚ƃRƒCƒ‹‚ð—p‚¢‚½”]ŒŒŠÇ“àŽèp‚ð“KØ‚ÉŽg‚¢•ª‚¯‚½Ž¡—ªs‚í‚ê‚Ä‚¨‚è‚Ü‚·B
@”]oŒŒ‚ɂ‚¢‚Ä‚Í‹Ù‹}ŠJ“ªŽèp‚©‚ç“àŽ‹‹¾ŽèpACT’èˆÊŒŒŽî‹zˆøp‚Ü‚ÅŽ{s‰Â”\‚Å‚·B
@‹H‚ÈŽ¾Š³‚Å‚ ‚é”]“®Ã–¬ŠïŒ`Ad–Œ“®Ã–¬á‘‚ɂ‚¢‚Ä‚àŽ¡—ÃŒoŒ±‚Í–L•x‚Å‚·B”][Ç‚Ȃǂ̕ǐ«Ž¾Š³‚ɂ‚¢‚Ä‚àƒoƒCƒpƒXŽèpAèò“®–¬ŒŒð“à–Œœ‹Žp‚ȂǏ]—ˆ‚©‚ç‚ ‚é”]_ŒoŠO‰ÈŽèp‚ÆŒŒð—n‰ð—Ö@AŒŒŠÇŠg’£pAƒXƒeƒ“ƒg—¯’up‚È‚Ç‚Ì”]ŒŒŠÇ“àŽèp‚ðŽg‚¢•ª‚¯‚½Ž¡—ªs‚í‚ê‚Ä‚¢‚Ü‚·B

Ò’ŐҐ‘Ž¾Š³
@“–‰@‚ɂ͐Ґ‘ŠO‰ÈŠw‰ïê–åˆã‚ª2–¼í‹Î‚µ‚Ä‚¨‚è‚Ü‚·Bèò’ŁA‹¹’ŁA˜’ł̕ϐ¬Ž¾Š³AÒ‘ŽîᇁAÒ’ÅŠO‚·‚ׂĂ̗̈æ‚ɑΉž‚µ‚ÄŽ¡—ªs‚í‚ê‚Ä‚¢‚Ü‚·B“Á‚ÉŒz’ÅŽ¾Š³‚ɂ‚¢‚Ä‚ÍŒoŒ±‚ª–L•x‚Å‚·B
@Š³ŽÒ‚³‚ñ‚̏Ǐó‚É‚ ‚킹‚Ä’áNP‚ÈŽ¡—©‚çŽíX‚̃Cƒ“ƒXƒcƒ‹ƒƒ“ƒe[ƒVƒ‡ƒ“‚ð—p‚¢‚½Šg‘åŽèp‚܂ōs‚í‚ê‚Ä‚¢‚Ü‚·B

‹@”\“IŽ¾Š³
@ŽO³_Œo’ɁAŠç–Ê‚¯‚¢‚ê‚ñ‚ɑ΂·‚é_ŒoŒŒŠÇŒ¸ˆ³p‚ɂ‚¢‚Ä‚ÍŽ¡—ÃŒoŒ±‚ª–L•x‚Å‚·B


”F’èŽ{Ý

–¼ŒÃ‰®‘åŠw”]_ŒoŠO‰ÈŒ¤CƒvƒƒOƒ‰ƒ€@Œ¤C•a‰@
”]‘²’†Šw‰ï”F’苳ˆç•a‰@
“ú–{”]_ŒoŒŒŠÇ“àŽ¡—Êw‰ï”F’茤CŽ{Ý


ˆã—Ðݔõ

‚b‚si‚R‘äjA‚l‚q‚hi‚R‘äjA‚R‚c‚c‚r‚`AƒŠƒjƒAƒbƒNAŽèp—pŒ°”÷‹¾i‚Q‘äjA”]_ŒoŠO‰È—p“àŽ‹‹¾A’´‰¹”gƒƒXAp’†ŒŒŠÇŽB‰e‘•’uA‚q‚h|‚r‚o‚d‚b‚s


ŠO—ˆf—Ã

ŒŽ`‹à‚̌ߑOB
‰fŽó•t‚͌ߑO‚WŽž‚R‚O•ª`‚P‚PŽž‚R‚O•ª

ˆÉ“¡–¼—_‰@’· –Ø
’†—Ñ•”’· ŒŽE‹à


Ÿ—ߘa2”N“xf—ÃŽÀÑ@‡T“ü‰@Ž¾Š³

‡T“ü‰@Ž¾Š³•ª—Þ (ŠT—v)

”]Žîᇠ73
”j—ô”]“®–¬áŽ 54
–¢”j—ô“®–¬áŽ 54
”]oŒŒE”]Žº“àoŒŒ 125
AVM 7
dAVF 11
•ÂÇ«”]ŒŒŠÇáŠQ 44
“ª•”ŠO 178
Ò’ŐҐ‘Ž¾Š³E––½_ŒoŽ¾Š³ 109
¬Ž™EŠïŒ`E…“ªÇ 18
Š´õ«Ž¾Š³ 6
‹@”\“I”]ŠO‰ÈŽ¾Š³E‚Ä‚ñ‚©‚ñ 17
‚»‚Ì‘¼ 40
‘Œv 736

‡U“ü‰@Ž¾Š³•ª—Þ (Ú×)

TUMOR
pilocytic astrocytoma 1
astrocytoma→
diffuse astrocytoma
2
glioblastoma 5
anaplastic oligoastrocytoma 3
ganglioglioma and gangliocytoma 1
meningioma (convexity) 1
meningioma (parasagital) 1
meningioma (tuberculum sellae) 4
meningioma (sphenoid ridge) 5
meningioma (tentorium) 3
meningioma (posterior fossa) 2
meningioma (others) 1
atypical meningioma 5
solitary fibrous tumor  1
malignant lymphoma 4
Rathke's cleft cyst 1
epidermoid cyst 7
non-functioning adenoma 9
prolactinoma 1
Cushing disease 1
craniopharyngioma 2
hemangioma 1
cavernous angioma 4
hemangioblastoma 2
metastatic tumor (lung) 2
metastatic tumor (breast) 1
metastatic tumor (others) 1
metastatic tumor (unknown) 1
unverified tumor 1
VASCULAR
saccular aneurysm (ruptured) 48
saccular aneurysm (unruptured) 48
fusiform aneurysm (ruptured) 4
fusiform aneurysm (unruptured) 2
dissecting aneurysm (ruptured) 2
dissecting aneurysm (unruptured) 4
AVM 7
dural AVF 9
Direct CCF 2
ICH 125
infarction (main trunk) 35
infarction (other) 3
TIA 1
sinus thrombosis 2
moyamoya disease 3
other vascular lesion 38
TRAUMA
skull fructure 5
epidural hematoma 12
subdural hematoma 40
traumatic ICH 3
traumatic SAH 32
chronic SDH 59
concussion 7
contusion 20
JUVENILE/MULFORMATION
Chiari malformation 1
lumbosacral lipoma 1
hydrocephalus 16
SPINE
spinal tumor (extradural) 2
spinal tumor (intradural extramed.) 3
spinal tumor (intramedullary) 1
cervical spondylosis 17
lumbar herniation 9
lumber canal stenosis 15
thoracic degenerative disease 1
OPLL 11
OYL/CYL 5
spinal infection 1
Other anomaly 1
Spine trauma 38
Other spinal lesions 5
FUNCTIONAL
trigeminal neuralgia 3
epilepsy 14
INFLAMATORY
brain abscess 2
epidural abscess 2
meningitis 1
others inframatory disease 1
OTHERS
others 2

Ÿ—ߘa2”N“xf—ÃŽÀÑ@‡UŽèpŽÀÑ

MAJOR SURGERY
craniotomy (tumor resection) 28
craniotomyianeurysm surgeryj 27
craniotomyiICHj 13
craniotomy (anastomosis) 4
craniotomy (other vascular disease) 4
craniotomy (head trauma) 4
carniotomy (neurovascular decompression) 2
Cervical spine anterior approach 8
Cervical spine posterior approach 42
Thoraicic spine posterior approach 12
Lumbar spine posterior approach 29
Lumbar spine lateral approach 3
Tumor removal (intradural intramedullary) 1
Tumor removal (extradural) 2
Anomaly 2
Other spine surgery 8
transsphenoidal surgery(endoscopic) 11
endoscopic surgery(ICH) 3
endoscopic surgery(hydrocephalus) 4
others 2
MINOR SURGERY
ventriclar drainage 20
drainage (CSDH) 62
other drainage 1
V-P shunt 18
biopsy 1
cranioplasty 4
others 22
ENDOVASCULAR
embolization (aneurysm) 43
embolization (AVM) 1
embolization (DAVF) 5
angioplasty (cervical) 20
fibrinolysis or clot-removal 33
embolization (tumor) 4
others 2
RADIOSURGERY
radiosurgery (linac knife) 32


All Rights Reserved. Copyright(C) 2006 Žs—§Žl“úŽs•a‰@.@Šeƒy[ƒW‚Ì‹LŽ–A‰æ‘œ“™‚Ì–³’f“]Ú‚ð‹Ö‚¶‚Ü‚·B