脳神経外科

ドクター 時間
秋山 克彦 午前    
関 泰弘    
米岡 有一郎      
大学医師        

●は隔週で交替

 

当科では急性硬膜下血腫、慢性硬膜下血腫、脳挫傷等の頭部外傷、神経膠腫、髄膜腫、聴神経腫瘍、下垂体腫瘍などの各種脳腫瘍、脳動脈瘤、脳動静脈奇形、脳卒中などの脳血管障害、顔面けいれん、三叉神経痛、難治性てんかんなどの機能的脳神経外科疾患、特発性正常圧水頭症、先天性水頭症、先天奇形などの小児神経外科疾患等、脳神経外科疾患全般にわたって、新潟大学脳神経外科学教室と連携して対応しております。外来受診に当たって、新患は月〜金曜日に受け付けていますが、前医からの紹介状やCT・MRIなどの画像情報があると診察が円滑に進みます。

疾患名 内容
頭部外傷 頭部外傷全般について手術対応可能です。
脳血管障害 脳梗塞・脳出血・くも膜下出血等の治療を行っております。脳出血においては定位脳手術装置による血腫除去、神経内視鏡による血腫除去も可能です。またくも膜下出血に対しては脳動脈瘤に対し開頭手術や新潟大学脳神経外科血管班による血管内手術も行っております。
良性能腫瘍 髄膜腫に対する手術が可能です。聴神経腫瘍、下垂体腫瘍などの各種脳腫瘍は新潟大学脳神経外科腫瘍班と連携し対応しております。
悪性脳腫瘍 神経膠腫や悪性リンパ腫等の悪性脳腫瘍は、平成27年12月より、手術・放射線治療・化学療法が可能となります。
小児脳外科疾患 先天性水頭症、先天奇形などの小児神経外科疾患等は、新潟大学脳神経外科小児班と連携し、治療を行っております。神経内視鏡を使った水頭症の治療等が可能で、緊急時の対応も可能です。
老年脳神経外科疾患 特発性正常圧水頭症や嚢胞性疾患に伴う認知症等の手術治療が可能です。

 

米岡 有一郎

新潟大学地域医療教育センター 特任教授 脳神経外科部長

秋山 克彦

診療部長

関 泰弘

脳神経外科部長

平成30年度(2018.4~2019.3)

 

論文(症例報告)

 

Kasuya C, Suzuki M, Koda Y, Sato H, Kashima K, Honda K, Kazama Y, Akiyama K, Seki Y, Yoneoka Y. A headache-free reversible cerebral vasoconstriction syndrome (RCVS) with symptomatic brain stem ischemia at late pregnancy as a rare manifestation of RCVS resolved with termination of pregnancy by semi-urgent cesarean section. Oxf Med Case Reports. 2018 (12): doi:10.1093/omcr/omy101, 2018.

 

Yoneoka Y, Ikeda R, Aizawa N, Seki Y, Akiyama K. Medial pontomedullary junctional infarction presenting vertigo, ipsilateral facial paresis, contralateral thermal hypoalgesia and dysphagia without lateral gaze palsy, curtain sign and hoarseness: a case presentation of a novel brain stem stroke syndrome with sensory disturbance-based dysphagia and review of the literature. Oxf Med Case Reports. 2019 (1): doi:10.1093/omcr/omy121, 2019.

 

学会・研究会・講演会

 

米岡有一郎、藤井幸彦. 小児における硬膜縫合を用いない比較的簡便な鞍底形成法. 第27回脳神経外科手術と機器学会, 口演, 奈良, 2018/4/13-14.

 

米岡有一郎、藤井幸彦. 内視鏡下経蝶形骨洞下垂体腺腫摘出後の下垂体前葉機能回復. 第91回日本内分泌学会学術総会, 口演, 宮崎, 2018/4/26-28.

 

米岡有一郎、藤井幸彦. 小児における硬膜縫合を用いない比較的簡便な鞍底形成法. 第46回日本小児神経外科学会, 口演, 東京, 2018/6/8-9.

 

米岡有一郎関 泰弘秋山克彦. 眩暈と脳梗塞. 第32回上中越臨床神経疾患研究会, 口演, 長岡, 2018/6/13.

 

米岡有一郎関 泰弘秋山克彦小原伸雅小松 健. 地域医療における先端巨大症の診断過程の一例. 第107回新潟内分泌代謝同好会, 口演, 新潟市, 2018/6/16.

 

米岡有一郎関 泰弘秋山克彦. 予期せぬ術中出血-2例の供覧から-. 第75回新潟脳卒中研究会, 口演, 新潟市, 2018/6/23.

 

米岡有一郎関 泰弘秋山克彦. 地域医療における下垂体腺腫の診断と外科治療の実際-症例提示からの問題提起-. 第23回日本脳腫瘍の外科学会, 口演, 和歌山, 2018/9/14-15.

 

米岡有一郎関 泰弘秋山克彦. 地域医療における下垂体腺腫の診断と外科治療の実際. 第77回日本脳神経外科学会学術総会, 口演, 仙台, 2018/10/10-12.

 

大口陽子桑原貴之大津裕樹関 悟米岡有一郎. 急性期脳卒中離床基準の作成と運用成果. 第2回日本リハビリテーション医学会秋季学術集会, ポスター, 仙台, 2018/11/2-4.

 

米岡有一郎関 泰弘秋山克彦谷 卓寺島健史小澤鉄太郎. 外傷後の全身倦怠で発症した脳梗塞の真の原因. 第33回上中越臨床神経疾患研究会, 口演, 長岡, 2018/11/7.

 

米岡有一郎関 泰弘秋山克彦小原伸雅小松 健. ソマトスタチンアナログ治療を選択するも副作用により断念し,手術により良好な治療経過を得た先端巨大症例. 第108回新潟内分泌代謝同好会, 口演, 新潟市, 2018/12/1.

 

米岡有一郎、藤井幸彦. 経鼻内視鏡下頭蓋咽頭腫摘出術における下垂体・下垂体柄温存. 第29回日本間脳下垂体腫瘍学会, 口演,

大阪, 2019/2/22-23.

 

  1. Yoneoka Y, Ikeda R, Aizawa N, Seki Y, Akiyama K. Medial pontomedullary junctional infarction presenting vertigo, ipsilateral facial paresis, contralateral thermal hypoalgesia and dysphagia without lateral gaze palsy, curtain sign and hoarseness: a case presentation of a novel brain stem stroke syndrome with sensory disturbance-based dysphagia and review of the literature. Oxf Med Case Reports. 2019 Jan 24;2019(1):omy121. doi: 10.1093/omcr/omy121. eCollection 2019 Jan. PubMed PMID: 30697437; PubMed Central PMCID: PMC6345094.
  2. Kasuya C, Suzuki M, Koda Y, Sato H, Kashima K, Honda K, Kazama Y, Akiyama K, Seki Y, Yoneoka Y. A headache-free reversible cerebral vasoconstriction syndrome (RCVS) with symptomatic brain stem ischemia at late pregnancy as a rare manifestation of RCVS resolved with termination of pregnancy by semi-urgent cesarean section. Oxf Med Case Reports. 2018 Nov 21;2018(12):omy101. doi:10.1093/omcr/omy101. eCollection 2018 Dec. PubMed PMID: 30487987; PubMed Central PMCID: PMC6247141.
  3. Ohara N, Hirokawa M, Kobayashi M, Ikeda Y, Yoneoka Y, Seki Y, Akiyama K, Tani T, Terajima K, Ozawa T. Reversible Non-parkinsonian Bradykinesia with Impaired Frontal Lobe Function as the Predominant Manifestation of Adrenal Insufficiency. Intern Med. 2018 Dec 1;57(23):3399-3406. doi: 10.2169/internalmedicine.1101-18. Epub 2018 Aug 10. PubMed PMID: 30101905; PubMed Central PMCID: PMC6306535.
  4. Yoneoka Y, Akiyama K, Seki Y, Hasegawa G, Kakita A. Frontoethmoidal Schwannoma with Exertional Cerebrospinal Fluid Rhinorrhea: Case Report and Review of Literature. World Neurosurg. 2018 Mar;111:381-385. doi:10.1016/j.wneu.2018.01.015. Epub 2018 Jan 9. Review. PubMed PMID: 29330076.
  5. Ohara N, Ohashi K, Fujisaki T, Oda C, Ikeda Y, Yoneoka Y, Hashimoto T, Hasegawa G, Suzuki K, Takada T. Isolated Adrenocorticotropin Deficiency due to Nivolumab-induced Hypophysitis in a Patient with Advanced Lung Adenocarcinoma: A Case Report and Literature Review. Intern Med. 2018 Feb 15;57(4):527-535. doi:10.2169/internalmedicine.9074-17. Epub 2017 Nov 20. Review. PubMed PMID:29151505; PubMed Central PMCID: PMC5849549.
  6. Ohno H, Yoneoka Y, Jinguji S, Watanabe N, Okada M, Fujii Y. Has acromegaly been diagnosed earlier? J Clin Neurosci. 2018 Feb;48:138-142. doi:10.1016/j.jocn.2017.10.086. Epub 2017 Nov 4. PubMed PMID: 29113856.
  7. Yoneoka Y, Yoshimura J, Sano M, Okada M, Kakita A, Fujii Y. Third Ventricle Germ Cell Tumor Originating from the Infundibulum with Rapidly Expansive Enlargement. Pediatr Neurosurg. 2018;53(1):49-54. doi: 10.1159/000480021. Epub 2017 Sep 26. PubMed PMID: 28946146.
  8. Ohara N, Yoneoka Y, Seki Y, Akiyama K, Arita M, Ohashi K, Suzuki K, Takada T. Acute hypopituitarism associated with periorbital swelling and cardiac dysfunction in a patient with pituitary tumor apoplexy: a case report. J Med Case Rep. 2017 Aug 24;11(1):235. doi: 10.1186/s13256-017-1371-7. PubMed PMID:28835258; PubMed Central PMCID: PMC5569541.
  9. Yoneoka Y, Yoshimura J, Okada M, Fujii Y. Perifocal Inflammatory Reaction with Volume Fluctuation Caused by Diagnostic Radiation-Induced Regression in Germinoma Makes Histological Diagnosis Difficult despite Its Disappearance following Treatment: A Significant Pitfall and Countermeasures to It. Pediatr Neurosurg. 2017;52(2):87-92. doi: 10.1159/000450583. Epub 2016 Nov 11. PubMed PMID: 27832656.
  10. Jinguji S, Yoshimura J, Nishiyama K, Yoneoka Y, Sano M, Fukuda M, Fujii Y. Long-term outcomes in patients with pineal nongerminomatous malignant germ cell tumors treated by radical resection during initial treatment combined with adjuvant therapy. Acta Neurochir (Wien). 2015 Dec;157(12):2175-83. doi: 10.1007/s00701-015-2614-2. Epub 2015 Oct 20. PubMed PMID: 26482943.
  11. Yoneoka Y, Hatase T, Watanabe N, Jinguji S, Okada M, Takagi M, Fujii Y. Early morphological recovery of the optic chiasm is associated with excellent visual outcome in patients with compressive chiasmal syndrome caused by pituitary tumors. Neurol Res. 2015 Jan;37(1):1-8. doi: 10.1179/1743132814Y.0000000407. Epub 2014 Jun 18. PubMed PMID: 24938320.
  12. Yoneoka Y, Watanabe N, Okada M, Fujii Y. Observation of the neurohypophysis, pituitary stalk, and adenohypophysis during endoscopic pituitary surgery: demonstrative findings as clues to pituitary-conserving surgery. Acta Neurochir (Wien). 2013 Jun;155(6):1049-55. doi: 10.1007/s00701-013-1687-z. Epub 2013 Mar 27. PubMed PMID: 23532346.
  13. Jinguji S, Yoshimura J, Nishiyama K, Aoki H, Nagasaki K, Natsumeda M, Yoneoka Y, Fukuda M, Fujii Y. Factors affecting functional outcomes in long-term survivors of intracranial germinomas: a 20-year experience in a single institution. J Neurosurg Pediatr. 2013 Apr;11(4):454-63. doi: 10.3171/2012.12.PEDS12336. Epub 2013 Feb 1. PubMed PMID: 23373627.
  14. Jinguji S, Nishiyama K, Yoshimura J, Yoneoka Y, Harada A, Sano M, Fujii Y. Endoscopic biopsies of lesions associated with a thickened pituitary stalk. Acta Neurochir (Wien). 2013 Jan;155(1):119-24; discussion 124. doi:10.1007/s00701-012-1543-6. Epub 2012 Oct 30. PubMed PMID: 23108562.
  15. Jinguji S, Okamoto K, Yoshimura J, Yoneoka Y, Ogura R, Saito A, Fujii Y. Occurrence of metachronous pure germinomas long after treatment of a mixed germ cell tumor containing yolk sac tumor and germinoma. J Neurosurg Pediatr. 2013 Jan;11(1):68-73. doi: 10.3171/2012.9.PEDS12151. Epub 2012 Oct 19. PubMed PMID: 23082803.
  16. Jinguji S, Oyama T, Yoneoka Y, Fukuda M, Fujii Y. [Case of unifocal orbital langerhans cell histiocytosis in an adult]. No Shinkei Geka. 2011 Dec;39(12):1183-8. Review. Japanese. PubMed PMID: 22128274.
  17. Ishida G, Oishi M, Jinguji S, Yoneoka Y, Sato M, Fujii Y. [Depiction of the cranial nerves around the cavernous sinus by 3D reversed FISP with diffusion weighted imaging (3D PSIF-DWI)]. No Shinkei Geka. 2011 Oct;39(10):953-61. Japanese. PubMed PMID: 21972184.
  18. Yoneoka Y, Tsumanuma I, Jinguji S, Natsumeda M, Fujii Y. Synchronized multiple regression of diagnostic radiation-induced rather than spontaneous: disseminated primary intracranial germinoma in a woman: a case report. J Med Case Rep. 2011 Jan 27;5:39. doi: 10.1186/1752-1947-5-39. PubMed PMID: 21272331; PubMed Central PMCID: PMC3041761.
  19. Nakayama Y, Jinguji S, Kumakura S, Nagasaki K, Natsumeda M, Yoneoka Y, Saito T, Fujii Y. Thyroid-stimulating hormone (thyrotropin)-secretion pituitary adenoma in an 8-year-old boy: case report. Pituitary. 2012 Mar;15(1):110-5. doi: 10.1007/s11102-010-0275-y. PubMed PMID: 21113740.
  20. Yoneoka Y, Isogawa M, Terumitsu M, Matsuzawa H, Fujii Y. Insidious extension of pituitary prolactinoma: two can’t-miss findings depicted on a 3.0-T MR system. J Neuroimaging. 2010 Jul;20(3):267-71. doi: 10.1111/j.1552-6569.2009.00364.x. Epub 2009 Apr 27. PubMed PMID: 19453836.
  21. Yoneoka Y, Tsumanuma I, Fukuda M, Tamura T, Morii K, Tanaka R, Fujii Y. Cranial base chordoma–long term outcome and review of the literature. Acta Neurochir (Wien). 2008 Aug;150(8):773-8; discussion 778. doi: 10.1007/s00701-008-1600-3. Epub 2008 Jun 12. Review. PubMed PMID: 18548191.
  22. Yoneoka Y, Watanabe M, Nishino K, Ito Y, Kwee IL, Nakada T, Fujii Y. Evaluation of post-procedure changes in aneurysmal lumen following detachable coil-placement using multi-planar reconstruction of high-field (3.0T) magnetic resonance angiography. Acta Neurochir (Wien). 2008 Apr;150(4):351-8; discussion 358. doi: 10.1007/s00701-008-1418-4. Epub 2008 Feb 25. PubMed PMID: 18297232.
  23. Yoneoka Y, Watanabe N, Matsuzawa H, Tsumanuma I, Ueki S, Nakada T, Fujii Y. Preoperative depiction of cavernous sinus invasion by pituitary macroadenoma using three-dimensional anisotropy contrast periodically rotated overlappingparallel lines with enhanced reconstruction imaging on a 3-tesla system. J Neurosurg. 2008 Jan;108(1):37-41. doi: 10.3171/JNS/2008/108/01/0037. PubMed PMID:18173308.
  24. Oishi M, Uzuka T, Yoneoka Y, Fujii Y, Igarashi H. [New diagnostic imaging methods in neurosurgery: advent of anatomical and functional neuroimaging]. No Shinkei Geka. 2007 Mar;35(3):291-300. Japanese. PubMed PMID: 17352155.
  25. Yoneoka Y, Takeda N, Inoue A, Ibuchi Y, Kumagai T, Sugai T, Takeda KI, Ueda K. Human Kluver-Bucy syndrome following acute subdural haematoma. Acta Neurochir (Wien). 2004 Nov;146(11):1267-70. Epub 2004 Sep 13. PubMed PMID: 15365793.
  26. Yoneoka Y, Takeda N, Akira I, Ibuchi Y, Kumagai T, Sugai T, Takeda KI, Ueda K. Ruptured de novo intracranial aneurysms. Acta Neurochir (Wien). 2004 Sep;146(9):979-81; discussion 981. Epub 2004 Jun 28. PubMed PMID: 15340808.
  27. Yoneoka Y, Takeda N, Inoue A, Ibuchi Y, Kumagai T, Sugai T, Takeda K, Ueda K. Acute Korsakoff syndrome following mammillothalamic tract infarction. AJNR Am J Neuroradiol. 2004 Jun-Jul;25(6):964-8. PubMed PMID: 15205131.
  28. Yoneoka Y, Tokita K, Yamauchi JI, Takeda N, Ohta H, Shindo T. Successful management for spontaneous intracranial haemorrhage under critical thrombocytopenia (platelets < 1000/mm(3)) due to adolescence-onset idiopathic thrombocytopenic purpura. Acta Neurochir (Wien). 2004 Feb;146(2):199-201. Epub 2003 Dec 22. PubMed PMID: 14963758.
  29. Kumagai T, Takeda N, Fukase S, Koshu H, Inoue A, Ibuchi Y, Yoneoka Y. Intra-arterial Chemotherapy for Malignant Tumors of Head and Neck Region Using Three Types of Modified Injection Method. Interv Neuroradiol. 2003 May 15;9(Suppl 1):113-23. Epub 2004 Oct 22. PubMed PMID: 20591239; PubMed Central PMCID: PMC3553465.
  30. Yoneoka Y, Fujii Y, Takahashi H, Nakada T. Pre-operative histopathological evaluation of meningiomas by 3 0T T2R MRI. Acta Neurochir (Wien). 2002 Oct;144(10):953-7; discussion 957. PubMed PMID: 12382122.
  31. Ozawa T, Minakawa T, Saito A, Yoneoka Y, Yoshimura J, Arai H. MRA
    demonstration of “periarteritis” in Tolosa-Hunt syndrome. Acta Neurochir (Wien). 2001;143(3):309-12. PubMed PMID: 11460920.
  32. Yoneoka Y, Fujii Y, Tanaka R. Growth of incidental meningiomas. Acta Neurochir (Wien). 2000;142(5):507-11. PubMed PMID: 10898357.

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研究・業績集