肝移植前後の脳波所見の変化に関する検討
下 田 順 子*1 角 田 洋 子*2 関 口 桂 子*3
福 村 幸 仁*4 久保田 文 雄*5 村 上 正 巳*6
Studies on Electroencephalographic Changes after Liver Transplantation
Jyunko SHIMODA*1, Yoko TUNODA*2, Keiko SEKIGUTI*3,
Yukihito FUKUMURA*4, Fumio KUBOTA, MD*5 and Masami MURAKAMI, MD*6
EEG was performed before and after surgery in the patients who received living donor livers at our hospital between 1999 and 2001. There were ten patients(6 men and 4 women) and mean ages were 37.0 years. Their disorders were citrullinemia, biliary atresia, liver cirrhosis, and liver cell cancer. EEG was performed at 17 sites according to 10-20 international methods. Power spectra analysis using FFT was also performed.
We classified the ten patients into Group A, one patient; Group B, three patients; and Group C; five patients based on EEG basal activity before the operation. Eight of ten patients showed improvement in EEG findings, and two patients showed no change after the operation. One patient of these two patients did not show improvement in liver function after the operation. The other developed cerebral infarction after the operation.
EEG is useful for the evaluation of brain function after the liver transplantation.
[Rinsho Byori 51 : 798～804, 2003]
*1Department of Laboratory Medicine and Clinical Laboratory Center, Gunma University School of Medicine, Maebashi 371-8511
【Key Words】electroencephalogram(脳波)，liver transplantation(肝移植)，cerebral function(脳機能)，liver function(肝機能)
*1～4,6群馬大学医学部臨床検査医学, 附属病院検査部，*5同 大学保健管理センター(〒371-8511 前橋市昭和町3-39-15)
E-mail :jshimoda@showagunma-u.ac.jp