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氏　名 井口　保之　(いぐち　やすゆき)
出身地 千葉県



　
職　歴
平成 5年3月 東京慈恵会医科大学 卒業
平成 5年4月 杏林大学附属病院 救命救急センター配属 研修医
平成 7年5月 東京慈恵会医科大学附属柏病院　総合内科
平成 9年10月 国立循環器病センター　内科脳血管部門
任意研修生
平成10年10月 東京慈恵会医科大学附属柏病院　総合内科　助手
平成12年4月 東京慈恵会医科大学内科学　神経内科　助手
平成15年1月 テキサス大学医学部ヒューストン校神経内科留学
平成16年4月 川崎医科大学　内科学　脳卒中部門　講師
平成18年4月 川崎医科大学　脳卒中医学　講師
平成19年5月 川崎医科大学　脳卒中医学　准教授
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認定医:
　日本内科学会認定内科医　日本神経学会専門医
　日本脳卒中学会脳卒中専門医
学会役員:
　日本脳卒中学会　評議員　日本脳神経超音波学会　評議員　
所属学会:
　日本脳卒中学会　　日本神経学会　日本内科学会
　日本脳神経超音波学会
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-メッセージ-NEW
　あっという間に3月。梅と思ったら桜と、例年になく春の訪れが早いと実感する今日この頃です。例年この時期は、人事異動が多く病棟編成を組むのが大変ですが、今年は予想される転入転出が少なく比較的おちついています。一方で入院患者例の出入りは激しく「脳卒中未だ征圧ならず」といった感があります。皆さん、日々の臨床から得られる「ひらめき」が新たな発見への「ときめき」へと昇華されることを願いましょう。このような新鮮な気持ちで、新たな学びを求める皆さんを楽しく、そして暖かくお迎えしたいとおもいます。さあ、もうすぐ春本番ですね。

筆頭業績 2009/12/08更新
  1. Iguchi Y, Kimura K, Sakai K, Matsumoto N, Aoki J, Yamashita M.
    Hyper-acute stroke patients associated with aortic dissection. Intern Med.
    In press.NEW
  2. Iguchi Y, Kimura K, Shibazaki K, Aoki J. Number of stroke physicians is
    the key to preparing IV rt-PA. Cerebrovasc dis. 2009; 28 (5): 460-467.
  3. Iguchi Y, Kimura K, Shibazaki K, Iwanaga T. Increasing number of stroke
    specialists should contribute to utilization of IV rt-PA: Results of
    questionnaires from 1466 hospitals in Japan. J Neurol Sci. 2009, 279 (1-2)
    66-69.
  4. Iguchi Y, Kimura K, Kobayashi K, Aoki J, Sakai K, Terasawa Y, Uemura J,
    Shibazaki K.Detection of right-to-left shunts may be associated with a body
    size. J Neuroimaging In press.
  5. Iguchi Y, Kimura K, Kobayashi K, Aoki J, Terasawa Y, Sakai K, Uemura J,
    Shibazaki K. Relation of atrial fibrillation to glomerular filtration
    rate.Am J Cardiol. 2008;102(8):1056-9.
  6. Iguchi Y, Kimura K, Kobayashi K, Tachi T, Aihara T, Harada T.　Sudden deafness and right-to-left shunts.　Cerebrovasc dis. 2008; 26(4): 409-412.
  7. Iguchi Y, Kimura K, Aoki J, Kobayashi K Terasawa Y Sakai K, Shibazaki K:Prevalence of atrial fibrillation in community-dwelling Japanese aged 40 years or older in Japan: analysis of 41,436 non-employee residents in urashiki City.Circ J. 2008 Jun;72(6):909-13.
  8. Iguchi Y, Kimura K, Kobayashi K, Ueno Y, Shibazaki K, Inoue T. Microembolic
    signals at 48 hours of stroke onset contribute to new ischemia within a
    week. J Neurol Neurosurg Psychiatry. 2008. 79 (3) 253-9.
  9. Yasuyuki Iguchi, Kazumi Kimura, Kazuto Kobayashi, Shinji Yamashita, Kensaku Shibazaki, Takeshi Inoue. Microembolic signals after 7 days but not within 24 hours of stroke onset should be predictor of stroke recurrence. J Neurol Sci. 2008. 263 (1-2) 54-58.
  10. Yasuyuki Iguchi, Kazumi Kimura, Youhei Tateishi, Kensaku Shibazaki,Takeshi Iwanaga, Takeshi Inoue. Microembolic signals are associated with progression of arterial lesion in Moyamoya disease: A case report. J Neurol Sci. 2007, 260 253-255.
  11. Yasuyuki Iguchi, Kazumi Kimura, Kazuto Kobayashi, Yuji Ueno, Kensaku Shibazaki, Takeshi Iwanaga, Takeshi Inoue. In-hospital onset ischemic stroke may be associated with atrial fibrillation and right-to-left shunt. J Neurol Sci. 2007 15;254(1-2):39-43
  12. Yasuyuki Iguchi,Kazumi Kimura,Kensaku Shibazaki,Takeshi Iwanaga,Kazuto Kobayashi,Takeshi Inoue:Spontaneous recanalization at sub-acute phase of stroke may be dramatic. Journal of the Neurological Sciences. 2007 252; 92-95.
  13. Yasuyuki Iguchi, Kazumi Kimura.　A case of brain embolism during catheter embolization of head arteriovenous malformation. What is the mechanism of stroke? JNNP 2007, 78(1), 81.
  14. Yasuyuki Iguchi, Kazumi Kimura, Kazuto Kobayashi, Yuji Ueno, Takeshi Inoue:
    Ischemic stroke with malignancy may be frequently caused by paradoxical embolism. J Neurol Neurosurg Psychiatry. 2006 Dec;77(12):1336-1339.
  15. Yasuyuki Iguchi, Kuniyasu Wada, Kensaku Shibazaki, Takeshi Inoue, Yuji Ueno, Shinji Yamashita, Kazumi Kimura. First impression at stroke onset plays an important role in early hospital arrival. Intern Med.45(7):447-51, 2006.
  16. Yasuyuki Iguchi, Kazumi Kimura, Mitsue Rikimaru, Tsuyoshi Inoue, Kuniyasu Wada, Yoshihide Sunada. Dysarthria-clumsy hand syndrome originating in the corona radiata: A case report, Eur J Neruol. 2006, 13(8) e6 2006.
  17. Yasuyuki Iguchi, Kazumi Kimura, Kensaku Shibazaki, Takeshi Iwanaga, Yuji Ueno, Takeshi Inoue. Transcranial Doppler and carotid duplex ultrasonography findings in bow hunter’s syndrome. J Neuroimaging. 2006 Jul;16(3):278-80.
  18. Yasuyuki Iguchi, Kazumi Kimura, Tsuyoshi Inoue, Kuniyasu Wada, Yuji Ueno, Yoshihide Sunada.Diffusion-weighted MR images in patient with neuropsychiatric lupus: A case report. JCN. 2006, 14(3). 273-275.
  19. Yasuyuki Iguchi, Kazumi Kimura, Kazuo Minematsu, Masahiro Yasaka, Kazuyuki Nagatusuka, Takenori Yamaguchi: Carotid ultrasonographic findings in Japanese Takayasu’s arteritis. Jikeikai Medical Journal, 46(3): 137〜147, 1999.
共著業績 2010/3/4更新
  1. Aoki J, Iguchi Y, Kimura K, Shibazaki K, Iwanaga T, Sakai K. Diameter of the
    basilar artery may be associated with neurological deterioration in acute
    pontine infarction. European Neurology. in press.NEW
  2. Terasawa Y, Kimura K, Iguchi Y, Kobayashi K, Aoki J, Shibazaki K, Kaji R. Clinical-diffusion mismatch determined using DWI ASPECTS can predict neurological improvement in acute stroke patients treated with IV t-PA. J Neurol Neurosurg Psychiatry. In press.
  3. Okada, Y, Shibazaki K, Kimura K, Iguchi Y, Miki T. Brain natriuretic peptide as a predictor of delayed atrial fibrillation after ischaemic stroke and transient ischaemic attack. Eur J Neurol. In press.
  4. Shibazaki K, Kimura K, Okada Y, Iguchi Y, Uemura J, Terasawa Y, Aoki J. Plasma brain natriuretic peptide as an independent predictor of in-hospital mortality after acute ischemic stroke. Intern Med. 2009. 48 (18) : 1601-6.
  5. Aoki J, Iguchi Y, Kimura K, Yamashita S, Shibazaki K, Terasawa Y. A
    pulmonary embolism caused by delayed-onset　heparin-induced thrombocytopenia
    in a patient with ischemic stroke.　 Intern Med. 2009, 48 (11): 921-4.
  6. Kimura K, Iguchi Y, Shibazaki K, Iwanaga T, Aoki J. Recanalization of the
    MCA should play an important role in dramatic recovery after t-PA therapy in
    patients with ICA occlusion. J Neurol Sci. inpress
  7. Terasawa Y, Kimura K, Iguchi Y, Okada Y, Shibazaki K, Matsumoto, N.Predictors of aortic complicated lesions in stroke patients. Hypertens Res.2009, 32(6):462-5.
  8. Shibazaki K, Kimura K, Okada Y, Iguchi Y, Terasawa Y, Aoki J. Heart Failure
    may be associated with onset of the Ischemic Stroke with Atrial Fibrillation
    -A Brain Natriuretic Peptide Study- J Neurol Sci.2009,15;281(1-2):55-7.
  9. Kimura K, Iguchi Y, Shibazaki K, Aoki J, Terasawa Y. Hemorrhagic transformation of ischemic brain tissue after t-PA thrombolysis as detected by MRI may be asymptomatic, but impair neurological recovery. J Neurol Sci. 2008 15; 272 (1-2): 136-42.
  10. Aoki J, Iguchi Y, Kimura K, Yamashita S, Shibazaki K, Terasawa Y. Serial
    T2*WI studies in acute phase of cerebral venous thrombosis. Intern Med. 2009, 48 (5): 383-5.
  11. Kimura K, Iguchi Y, Shibazaki K, Iwanaga T, Yamashita S, Aoki J. IV t-PA
    therapy in acute stroke patients with atrial fibrillation.J Neurol Sci.
    2009;276(1-2):6-8.
  12. Shibazaki K, Kimura K, Iguchi Y, Okada Y, Inoue T. Plasma brain natriuretic peptide can be a biological marker to distinguish cardioembolic stroke from other stroke types in acute ischemic stroke. Intern Med. in press.
  13. Kobayashi K, Iguchi Y, Kimura K, Okada Y, Terasawa Y, Matsumoto N,Sakai
    K, Aoki J, Shibazaki K. Contrast TCD can diagnose large patent foramen
    ovale. Cerebrovasc Dis. 2009 27(3):230-234.
  14. Tateishi Y, Iguchi Y, Kimura K, Kobayashi K, Shibazaki K, Eguchi
    K.Right-to-left shunts may be not uncommon cause of TIA in Japan.J Neurol
    Sci. 2009;277(1-2):13-16
  15. Kimrua K,　Iguchi Y,　Shibazaki K, Terasawa Y, Aoki J, Matsumoto N. The
    presence of a right-to-left shunt is associated with dramatic improvement
    after thrombolytic therapy in acute ischemic stroke patients. Stroke. 2009
    40(1):303-5.
  16. Terasawa Y,Iguchi Y, Kimura K, Kobayashi K, Aoki, J, Shibazaki K.
    Reversible diffusion-weighted lesion in a TIA patient without arterial
    recanalization: A case report. J Neurol Sci. 2008, 15; 272 (1-2) 183-5
  17. Tateishi Y, Iguchi Y, Kimura K, Aoki J, Uemura J, Shibazaki K. A Case of
    Autoimmune Thyroid Disease Presenting Posterior Reversible Encephalopathy
    Syndrome. J Neurol Sci. 2008, 271 (1-2): 203-6.
  18. Kimura K, Iguchi Y, Shibazaki, K, Kobayashi K, Uemura J, Aoki J,
    Yamashita S, Terasawa Y. Recanalization between 1 and 24 hours after t-PA
    therapy is a strong predictor of cerebral hemorrhage in acute ischemic
    stroke patients. J Neurol Sci. 2008 270(1-2):48-52.
  19. Terasawa Y,　Iguchi Y, Kimura K, Kobayashi K, Aoki J, Matsumoto N,
    Shibazaki K, Inoue T, Kaji R. Neurological deterioration in small vessel
    disease may be associated with increase of infarct volume. J Neurol Sci.
    2008, 269(1-2):35-40
  20. Kimura K, Iguchi Y, Shibazaki K, Terasawa Y, Inoue T, Uemura J, Aoki J.
    Large ischemic lesions on DWI done prior to IV t-PA thrombolysis predict a
    poor outcome in acute stroke patients. Stroke. 2008, 39(8):2388-91.
  21. Yohei Tateishi, Yasuyuki Iguchi , Kazumi Kimura , Takeshi Inoue , Kensaku Shibazaki , Katsumi Eguchi . Contrast-enhanced transcranial color-coded duplex sonography criteria for basilar artery stenosis . J Neuroimaging In press.
  22. Kimura K, Iguchi Y, Yamashita S, Shibazaki K, Kobayashi K, Inoue T.
    Atrial fibrillation as an independent predictor for no early recanalization
    after IV-t-PA in acute ischemic stroke. J Neurol Sci. 2008, 270 (1-2):
    48-52.
  23. Shibazaki K, Iguchi Y, Kimura K, Ueno Y, Inoue T. New asymptomatic
    ischemic lesions on diffusion-weighted imaging after cerebral angiography. J
    Neurol Sci. 2008, 266 (1-2):150-5
  24. Kimura K, Inoue T, Iguchi Y, Shibazaki K. Kurashiki prehospital stroke
    scale.Cerebrovasc Dis. 2008, 25 (1-2) :189-91
  25. Yuji Ueno, Kazumi Kimura, Yasuyuki Iguchi, Kensaku Shibazak, Takeshi Inoue, Nobutaka Hattori, Takao Urabe. Mobile aortic plaques are a cause of multiple brain infarcts seen on diffusion-weighted imaging. Stroke. 2007, 38:2470-6.
  26. Kazumi Kimura, Yasuyuki Iguchi, Takeshi Inoue, Kensaku Shibasaki, Noriko Matsumoto, Kazuto Kobayashi, Shinji Yamashita. Hyperglycemia independently increases the risk of early death in acute spontaneous intracerebral hemorrhage. J Neurol Sci. 2007 15;255(1-2):90-4.
  27. Yuji Ueno, Kazumi Kimura, Yasuyuki Iguchi, Takeshi Inoue, Kuniyasu Wada, Takeo Urabe, Yoshihide Sunada. Acute confusional state caused by a large number of small brain infarcts. Eur J Neurol. 2006 Sep;13(9):e2-3.
  28. Takeshi Iwanaga, Yasuyuki Iguchi, Kensaku Shibazaki, Takeshi Inoue, Kazumi Kimura. An evidential case of paradoxical brain embolism. Journal of the neurological sciences. J Neurol Sci. 2007 Mar 15;254(1-2):102-4
  29. Koji Hayashi, Yasuyuki Iguchi, Kazumi Kimura, Kensaku Shibazaki, Kazuto Kobayashi, Takeshi Inoue. Paradoxical brain embolism as a cause of central retinal arterial occlusion. A case report. J Neuroimaging. 2007 Jul;17(3):255-257.
  30. Yuji Ueno, Kazumi Kimura, Yasuyuki Iguchi, Kensaku Shibazaki, Takeshi Inoue, Takeko Urabe. Right-to-left shunt and lacunar stroke in patients without hypertension and diabetes. Neurology. 68(7):528-31, 2007.
  31. Ueno Y, Iguchi Y, Inoue T, Sibazaki K, Urabe T, Kimura K. Paradoxical
    brain embolism may not be uncommon-Prospective study in acute ischemic
    stroke-. J Neruol 2007;254(6):763-6.
  32. Sibazaki S, Iguchi Y, Kimura K, Inoue T, Ueno Y, Sunada Y. Serial
    contrast saline transcranial doppler examination in a patient with
    paradoxical brain embolism associated with pulmonary embolis. J Clin
    Neurosci. 2007;14(8):780-2.
  33. Chernyshev OY, Garami Z, Calleja S, Song J, Campbell MS, Noser EA, Shaltoni H, Chen CI, Iguchi Y, Grotta JC, Alexandrov AV. Yield and accuracy of urgent combined carotid/transcranial ultrasound testing in acute cerebral ischemia. Stroke. 2005 Jan;36(1):32-7.
  34. Y. Nishio, Y. Itou, Y Iguchi, H Sato. : MPO-ANCA-associated pseudovasculitis in cardiac myxoma. Euro J Neuro, 12: 619-620, 2005
  35. Kuniyasu Wada, Kazumi Kimura, Yasuyuki Iguchi, Takeshi Inoue, Noriko Matsumoto, Kensaku Shibasaki, Yuji Ueno and Yoshihide Sunada. Spuriously large subcortex infarct due to confluent smaller lesions: a diffusion- weighted MRI-CT study. Europeal Neurol.2005;54(3):161-2.
  36. Shibazaki K, Iguchi Y, Kimura K, Inoue T, Ueno Y, Sunada Y. Paradoxical
    brain embolism associated with HCV-related type II mixed cryoglobulinemia. J
    Clin Neurosci. 2007, 14 (8) 788-91.
  37. Chen CI, Iguchi Y, Garami Z, Malkoff MD, Smalling RW, Campbell MS, Alexandrov AV.　Analysis of Emboli during Carotid Stenting with Distal Protection Device.　Cerebrovasc Dis. 2006;27;21(4):223-228.
  38. Chen CI, Iguchi Y, Grotta JC, Garami Z, Uchino K, Shaltoni H, Alexandrov AV.　Intravenous TPA for very old stroke patients.　Eur Neuro. 2005;54(3):140-4.
  39. Nobuyoshi Fukumitsu, Masahiko Suzuki, Yasuhiko Ito, Yasuyuki Iguchi, Yutaka MoriA. comparative study of blood flow in the cerebellum and brainstem between Machado-Joseph disease and olivopontocerebellar atrophy. 　Jikeikai Med J 2002; 49(4): 157-62
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