医療法人福智会 すずかけクリニック

てんかん・統合失調症・うつ病治療 名古屋・今池の精神科クリニック

052-731-8300


〒464-0850 名古屋市千種区今池 5-19-12

04月

5月のデイケアプログラム

こんにちは。デイケアの5月のプログラムができました。

5月1日から元号が令和に変わりますね!デイケアでもコラージュやダイエットクラブなど、新しいプログラムがいくつか始まるのでぜひ参加してみてくださいね。

2019年5月プログラム

2019年4月のてんかん症例検討会

4月17日(水)、すずかけクリニックにて定例のてんかん症例検討会が開催されました。検討された症例は以下の通りです(プライバシーにかかわる内容は一部事実と異なる内容となっています)。

1.以前に検討された症例ですが、新たに出現したPNES様の症状について検討されました。主に心理学側面から多様な意見が集められました。

2.他院からの症例呈示で、患者さんのライフプランの希望と外科治療の選択について検討されました。のちのライフプランに影響が出にくく、リスクの少ない術式がよいだろうということで意見が交わされました。

3.CPSやGTCはなく、発作はすべて既知感等の前兆のみで終わるという症例でした。薬物療法によって発作は抑制されましたが、大変興味深いケースでした。

4.前頭葉てんかんの方で、睡眠時のみ発作が出現する方の症例でした。前頭葉広範囲において発作が出現しており、薬物療法で発作を止めることは難しいだろうとの意見が出ました。

5.意識消失のエピソードがいくつかありますが、どれもてんかん発作ではなく失神であろうと結論付けられました。無意識のうちに意識消失を誘発する要因があったのかもしれないとの意見もありました。

次回は5月23日(木)、愛知医科大学にて開催予定となっております。

 

 

<English>

Monthly Epilepsy Case Study (April 17th)

1. Due to newly found PNES-ish symptoms, this case has been studied again. Psychologic views were gathered.
2. Surgery procedures and life plan were considered. It was concluded that surgery with low risks were desired.
3. No CPS or GTC were observed. All seizures ended only with premonition such as déjà vu. Seizures were reduced after medical treatment.
4. Case of frontal lobe epilepsy. Seizures occurred only during sleep. Difficult to stop seizures with medicine.
5. Faints several times, but none of them were epileptic.

Next conference will be at Aichi Medical University on May 23th (Thurs.)

 

 

当院が新聞で紹介されました

すずかけクリニックが4月11日中部経済新聞「町のお医者さん」コーナーに掲載されました。

今後もメディアを通じて情報を発信していけたらと思います。

 

<English>

Suzukake clinic was introduced in the newspaper Chubu Keizai Shimbun on April 11th.

~English Translation Below~

Suzukake clinic is located in a quiet corner in Imaike in Nagoya city. It was opened as a Psychiatric and Psychosomatic clinic 10 years ago. It has several offices such as day care and employment training in the same building.

Director Fukuchi Toshihiko is a specialist in epilepsy. Epilepsy might seem an well-known disease, but Dr Fukuchi says that it its reality is little known.

Most people might imagine that people with epilepsy have seizures that faints and falls down. However, there are few people that actually collapses. Many are still standing or sitting even while they are losing consciousness.

Some might think that epilepsy is a disease for children, but as Dr Fukuchi says, “Epilepsy can often start after age 65. Sometimes it is difficult to distinguish from dementia, and these could happen at the same time. In this case, the initial response can be very difficult.”
Epilepsy is completly different from dementia, so the medical care and treatment is differs too. “Even doctors sometimes do not know well about epilepsy. Informing medical staff about them is also an task.”

Becase epilepsy is widely misunderstood, patients sometimes are unaccepted in the local society. If the patients themselves understand their condition well, and the people around them know what to do when a seizure occures, then the patients should not have much trouble with their daily lives. The misbelief that people with epilepsy must quit their jobs, and that they cannot marry or have children, is driving the patients into the shadows.

The Suzukake clinic also owns an apartment in Nagoya, where patients can practice living by themselves. By making them more confident, they can have an easier life. Dr Fukuchi emphasizes that “Recovery”, to let people decide for themselves, and to live independently even if they have an handicap, is important in epilepsy care.

As a part of an project to spread correct understanding of epilepsy, there is a campaign called “Purple Day”, on March 26th. It aims to encourage people with epilepsy. This year Dr Fukuchi himself participated in the event in Sakae, wearing a purple Tshirt.

Near the clinic, there is also the Cafe “Sunshin”, and the Jazz Bar “Imago”, both an workplace for patients. “Of course, medical treatment is important, but to make the patients lead their lives more smoothly is also our job”, Dr Fukuchi says.