BRAIN and NERVE－神経研究の進歩76巻8号

2024年08月発行

特集 Common diseaseは神経学の主戦場である—revisited

脳卒中の現場における脳神経内科医の存在意義

著者： 出口一郎¹ 髙尾昌樹²

所属機関： ¹埼玉医科大学国際医療センター脳神経内科・脳卒中内科 ²国立精神・神経医療研究センター病院臨床検査部・総合内科

ページ範囲：P.911 - P.916

文献概要

脳卒中診療において脳神経内科医は，急性期再灌流療法（rt-PA静注療法および血栓回収療法）の適応を判断し，stroke mimics，stroke chameleonsを見極め，かつその後に適切な薬剤選択，全身状態の管理を行うことを求められる。そのためには，脳神経内科医が持つ神経症候学に基づく確かな診断力と，内科医としての幅広い知識および洞察力が重要であり，患者の予後を改善することにつながる。

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