A5083654145- Trigeminal Neuralgia and Treatments
- Facial Nerve Paralysis Treatment and Research
- Botulinum Toxin and Related Neurological Disorders
- Cerebral Venous Sinus Thrombosis
- Neurosurgical Procedures and Complications
- Vascular Malformations Diagnosis and Treatment
- Meningioma and schwannoma management
- Moyamoya disease diagnosis and treatment
- Cerebrovascular and Carotid Artery Diseases
- Intracranial Aneurysms: Treatment and Complications
- Bone Tumor Diagnosis and Treatments
- Soft tissue tumor case studies
- Intracerebral and Subarachnoid Hemorrhage Research
- Head and Neck Surgical Oncology
- Hemostasis and retained surgical items
- Epilepsy research and treatment
- Oropharyngeal Anatomy and Pathologies
- Ocular Oncology and Treatments
- Oral and Maxillofacial Pathology
- Sexual function and dysfunction studies
- Ophthalmology and Eye Disorders
- Histiocytic Disorders and Treatments
- Neurological Complications and Syndromes
- Case Reports on Hematomas
Nakamura Memorial Hospital
2017-2025
Committee on Publication Ethics
2022
There is no established treatment for the acute exacerbation of trigeminal neuralgia. We aimed to investigate efficacy and safety intravenous fosphenytoin this disease. conducted a retrospective observational study data from 41 patients with neuralgia who received therapy. Fosphenytoin diluted physiological saline was administered intravenously at loading dose 9.8-20.7 mg/kg or 7.5-9.5 when maintenance therapy needed. Pain evaluated using numerical rating scale (NRS), assessed immediately...
BACKGROUND AND IMPORTANCE: We report the first case of microvascular decompression (MVD) performed for superior oblique myokymia (SOM) caused by vascular compression peripheral trochlear nerve, leading to successful resolution symptoms. CLINICAL PRESENTATION: A 46-year-old man with no significant medical history experienced intermittent fluttering sensations in his left eye 6 years. Initial examinations revealed an intorsional microtremor diagnosed as SOM. Conventional brain MRI showed...
Although microvascular decompression (MVD) is a reliable treatment for hemifacial spasm (HFS), postoperative delayed relief of persistent HFS one the main issues. In patients with spasm, stimulation branch affected facial nerve elicits an abnormal response in muscles innervated by another branch. Several specific types waves were found muscle (AMR). This study aimed to confirm relationship between initial morphology AMR wave and after MVD. We retrospectively analyzed compared data from 47...
Organized hematoma, which exhibits a net-like appearance on imaging studies, is one of the predisposing factors for recurrence chronic subdural hematoma. Patients who are positive often treated with only burr hole surgery. We investigated relationship between postoperative structural changes in and rate Of 949 patients hematoma primary surgery January 2010 April 2021 at our hospital, 268 were considered T2- T2 star-weighted magnetic resonance images extracted. followed postoperatively...
Hemifacial spasm (HFS) patients occasionally present with preoperative facial weakness (PFW) or develop delayed palsy (DFP) after microvascular decompression (MVD). This study is aimed to evaluate the neurophysiology underlying nerve motor dysfunction in HFS preoperatively and postoperatively. In all, 54 without prior botulinum toxin injection who underwent MVD were retrospectively reviewed. The compound muscle action potential (CMAP) amplitude ratios of affected unaffected nerves, measured...
Skull bone tumor resection is sometimes difficult, when hidden under the surface or similar to normal in appearance. Indocyanine green (ICG) fluorescence has been used various surgical fields for visualizing vascular and tissues. This first report show that intraoperative ICG useful skull resection. Four patients underwent from June December 2014. Two had Langerhans cell histiocytosis, others hemangiomas. During treatment, injection revealed tumors tissue real time. Three of four were...
This study discusses the key microvascular decompression(MVD)techniques for treatment of hemifacial spasm(HFS). The author's experience is based on their institution's cases, highlighting three critical techniques. (1)Vertebral artery(VA)repositioning: Repositioning VA essential in challenging cases. article focuses relocation proximal portion and importance careful dissection. (2)Relocating vessels compressing peripheral branches facial nerve: HFS can result from nerve compression at...
Although microvascular decompression (MVD) is a reliable treatment for hemifacial spasm (HFS), postoperative delayed relief one of its main issues. We previously evaluated the morphology lateral spread response (LSR) and reported correlation between after MVD polyphasic LSR. This study aimed to investigate LSR course recovery compound motor action potential (CMAP), better understand pathophysiology healing HFS. Based on pattern initial temporal marginal mandibular branches stimulation,...
Although microvascular decompression (MVD) is a reliable treatment for hemifacial spasm (HFS), delayed postoperative relief one of its main issues. We previously evaluated the morphology lateral spread response (LSR) and reported correlation between after MVD polyphasic LSR. The purpose this study was to investigate LSR with stimulation temporal mandibular branches facial nerve persistent HFS MVD. retrospectively analysed compared data from 49 205 consecutive patients who underwent at our...
Although microvascular decompression (MVD) is a reliable treatment for trigeminal neuralgia (TN), neurosurgeons sometimes encounter patients whose symptoms do not improve postoperatively or who experience good efficacy but develop other sensory disturbances. This study aims to objectively identify changes in nerve fibers before and after surgery by MRI clarify the relationship between residual postoperative symptoms. We retrospectively analyzed data from 36 consecutive underwent MVD...
Agenesis of the left common carotid artery with separate origins internal and external arteries from aorta is an extremely rare anomaly. This anomaly typically asymptomatic unless associated other conditions. We report a case in patient intracerebral hemorrhage. A 42-year-old man was transferred to our hospital by ambulance because hemiparesis. Computed tomography scan revealed right putaminal angiography digital subtraction demonstrated independent aortic arch. Right blood supply anterior...
Introduction Few treatments exist for acute attacks of glossopharyngeal neuralgia (GPN). We investigated the efficacy intravenous fosphenytoin therapy (IFT) during GPN crisis. Case Presentation evaluated records 4 consecutive patients with awaiting microvascular decompression (MVD) who received IFT (total, 750 mg). Pain severity was using a Numerical Rating Scale (NRS). The score 10 (maximum pain) before treatment. 1 (a 52-year-old woman, left GPN): 12 hours after IFT, pain eliminated (NRS...
We report our experience with a gelatin-human thrombin matrix (Floseal®) as an intraoperative hemostatic agent, which provided effective hemostasis, in patients undergoing carotid endarterectomy (CEA). Angioplasty using Hemashield patch graft was performed after intimal dissection 15 consecutive CEA. Floseal used at the suture site resumption of vascular clamping and bleeding from posterior surface artery.No postoperative hemorrhagic complications or lower cranial nerve dysfunction...
BACKGROUND AND IMPORTANCE: Hemi-laryngopharyngeal spasm (HeLPS) may result from vascular compression of the vagus nerve and can be treated using microvascular decompression. We describe clinical characteristics surgical treatment in a case concurrent trigeminal neuralgia (TN) HeLPS. CLINICAL PRESENTATION: A 44-year-old man presented with 12-month history right TN 8-month intermittent episodes repeated throat contractions associated very distressing choking sensation. Preoperative...
遺残三叉神経動脈 (PTA) やその変種 (PTA variants) が三叉神経痛 (TN) の責任血管となるのはまれである. さらに, PTA本幹から小脳の皮質動脈が分岐するパターンであるPTA intermediate typeがTNの原因となった報告は過去に2例のみである. われわれはPTA本幹から分岐したanomalous arteryが三叉神経を圧迫することで生じたTNの1例を経験した.
大型髄膜腫により上矢状静脈洞の狭窄・閉塞を認める症例では板間静脈が側副血行路として発達していることがある. 大出血や静脈性梗塞を防ぐためにはこれら板間静脈を可能なかぎり温存することが望ましいが, 板間静脈の温存法について言及している文献は乏しい. 今回, われわれは板間静脈を温存したうえでの腫瘍切除を行ったため報告する. 3DCTAは術前に腫瘍, 上矢状静脈洞および板間静脈の位置関係の把握に, 脳血管造影検査は詳細な静脈灌流動態の把握に有用であった. 術中はこれらの情報をもとに板間静脈を損傷しない開頭が必要であった.