A5039365570- Intracranial Aneurysms: Treatment and Complications
- Pain Management and Treatment
- Vascular Malformations Diagnosis and Treatment
- Pain Mechanisms and Treatments
- Meningioma and schwannoma management
- Musculoskeletal pain and rehabilitation
- Spine and Intervertebral Disc Pathology
- Neurological disorders and treatments
- Cerebrospinal fluid and hydrocephalus
- Glioma Diagnosis and Treatment
- Spinal Fractures and Fixation Techniques
- Moyamoya disease diagnosis and treatment
- Epilepsy research and treatment
- Neurosurgical Procedures and Complications
- Traumatic Brain Injury and Neurovascular Disturbances
- Neurological Complications and Syndromes
- Trigeminal Neuralgia and Treatments
- Migraine and Headache Studies
- Botulinum Toxin and Related Neurological Disorders
- EEG and Brain-Computer Interfaces
- Cervical and Thoracic Myelopathy
- Cerebrovascular and Carotid Artery Diseases
- Intracerebral and Subarachnoid Hemorrhage Research
- Pelvic and Acetabular Injuries
- Transcranial Magnetic Stimulation Studies
Nagoya University
2008-2025
Ogaki Municipal Hospital
2025
Yokkaichi Municipal Hospital
2025
Komaki City Hospital
2019-2023
Nagoya University Hospital
2022-2023
Nagoya Central Hospital
2010-2019
Toyohashi Municipal Hospital
2006-2008
Paroxysmal sympathetic hyperactivity occurs primarily after severe traumatic brain injury and is characterized by abnormal paroxysmal surges in nervous system activity. The clinical symptoms of may resemble those epilepsy or sepsis, leading to delayed diagnosis inadequate treatment. A 16-year-old male individual suffered a following traffic accident. His Glasgow Coma Scale score was 4/15 (E1V1M2). Magnetic resonance imaging revealed cerebral contusion bilateral frontal lobes, genu, splenium...
Adjacent vertebral fractures after balloon kyphoplasty are speculated to occur in association with increased mechanical pressure due rigid cement-augmented vertebrae. This study aimed clarify whether adjacent more likely for osteoporotic when the intervening disc degeneration is advanced. We retrospectively reviewed findings 99 patients who underwent first-ever fracture at thoracolumbar junction levels (T11-L2). Radiological parameters and clinical data were compared cranial caudal vertebrae...
Mesial temporal lobe epilepsy (MTLE) is associated with disruptions in the temporo-amygdala-orbitofrontal (TAO) network, a key component of limbic system. We aimed to investigate TAO network alterations patients MTLE using magnetoencephalography (MEG), which overcomes susceptibility artifacts that limit functional MRI analysis orbitofrontal cortex. Nine seizure-free post-temporal lobectomy and nine age- sex-matched healthy controls were recruited. Preoperative MEG data collected segmented...
Background/Objectives: Lasmiditan is a newly developed drug for the acute treatment of migraine attacks, but factors associated with its efficacy remain unclear. This study aimed to confirm lasmiditan started at 50 mg under various dosing conditions and identify efficacy. Methods: There were four reasons prescribing lasmiditan: add-on triptan, ineffectiveness side effects triptan contraindicated. was dose mg. Efficacy defined as disappearance headache or 50% greater reduction in intensity...
Abstract Objective Patients with epilepsy have high risk of experiencing uncommon causes death. This study aimed to evaluate patients who underwent unusual deaths related and identify factors that may contribute these also include sudden unexpected death in (SUDEP). Methods We analyzed 5291 cases which a postmortem imaging (PMI) was performed using plane CT, because an unexplained A rapid troponin T assay peripheral blood samples. Clinical information including the cause suspected by...
The usefulness of 1.5-T high-field intraoperative magnetic resonance (iMR) imaging during transsphenoidal surgery for functioning pituitary adenomas was retrospectively evaluated based on long-term endocrine remission from the records 14 patients who underwent with iMR microadenomas and small located in intrasellar region. maximum tumor diameter 9.3 ± 2.6 mm. Patients were diagnosed acromegaly (n = 7), prolactinoma 4), Cushing's disease 3). If detected remnants after resection, resection...
The surgical techniques for treatment of chronic subdural hematoma (CSDH), a common neurosurgical condition, have been discussed in lot clinical literature. However, the recurrence proportion after CSDH surgery remains high, ranging from 10 to 20%. standard procedure involves craniostomy evacuate hematoma, but irrigating cavity during is debatable. authors hypothesized that choice irrigation fluid might be key factor affecting outcomes surgery. This multicenter randomized controlled trial...
Three of 4 cases dural arteriovenous fistulas (DAVFs) in the anterior cranial fossa were detected incidentally by magnetic resonance (MR) imaging, and one case manifested as intracerebral hemorrhage. Cerebral angiography revealed located fossa. patients underwent surgery, successfully obliterated. One patient with nonruptured DAVF requested conservative medical management. Incidental detection asymptomatic or DAVFs has increased wider use MR imaging. Increase size a venous varix is indicator...
Motor cortex stimulation (MCS) has now become the preferred option for neurosurgical management of intractable central neuropathic pain such as post-stroke and trigeminal pain. However, efficacy MCS other resulting from spinal cord or brainstem lesions is unclear. We retrospectively reviewed 11 consecutive patients with who underwent in our institution. Eight had poststroke caused by thalamic hemorrhage (n = 5) infarction 3) (thalamic group). Two postoperative lesions, one patient facial a...
The efficacy and predictive factors associated with successful spinal cord stimulation (SCS) for central post-stroke pain (CPSP) have yet to be definitively established. Thus, this study evaluated the rates of relief found after more than 12 months success SCS CPSP. degree in 18 patients CPSP was assessed using Visual Analog Scale preoperatively, at 1, 6 surgery, time last follow-up. After calculating percentage (PPR), were separated into two groups. first group exhibited continuing PPR ≥30%...
Abstract Background Neuropathic pain after spinal cord injury (SCI), both traumatic and non-traumatic, is refractory to various treatments. Spinal stimulation (SCS) one of the neuromodulation therapies for neuropathic pain, although SCS has insufficient efficacy SCI. The reasons are presumed be inappropriate locations leads conventional tonic itself does not have a sufficient analgesic effect pain. In patients with past surgical histories, cylinder-type likely placed on caudal side SCI...
A 60-year-old man presented with a rare case of primary angiitis the central nervous system mimicking tumor-like lesion and manifesting as slight disorientation, left hemiparesis, motor aphasia. Computed tomography showed multiple low density lesions in frontal lobe, brain stem, right parietal lobe. Magnetic resonance images revealed slightly enhanced mass lobe surrounding edema. Serum, cerebrospinal fluid, other image examinations did not show any abnormal findings, so surgical removal was...
The information about long-term risks of hemorrhage and late adverse radiation effects (AREs) after stereotactic radiosurgery for brain arteriovenous malformations (AVMs) is lacking.To evaluate the ARE rates in patients with AVM treated Gamma Knife surgery (GKS).We examined 1249 GKS. Spetzler-Martin grade was I 313 (25%), II 394 (32%), III 458 (37%), IV/V 84 (7%). median treatment volume 2.5 cm3, marginal dose 20 Gy.The follow-up period 61 months. 5- 10-year nidus obliteration were 63% 82%,...
Magnetic resonance-guided focused ultrasound (MRgFUS) thalamotomy is an effective treatment for essential tremor (ET). However, its long-term outcomes and prognostic factors remain unclear. This study aimed to retrospectively investigate 38 patients with ET who underwent MRgFUS were followed up >2 years. The improvement in was evaluated using the Clinical Rating Scale Tremor (CRST). Adverse events documented, correlations factors, such as skull density ratio (SDR), maximum mean temperature...
Central poststroke pain is a chronic, intractable, central neuropathic pain. Spinal cord stimulation neuromodulation therapy for chronic The conventional method induces sense of paresthesia. Fast-acting subperception one the latest new methods without A case achieving relief affecting both arm and leg on side by double-independent dual-lead spinal using fast-acting presented. 67-year-old woman had due to right thalamic hemorrhage. numerical rating scale scores left were 6 7, respectively....
Stereotactic electroencephalography (SEEG) is receiving increasing attention as a safe and effective technique in the invasive evaluation for epileptogenic zone (EZ) detection. The main clinical question whether use of SEEG truly improves outcomes. Herein, we compared outcomes our patients after three types intracranial EEG (iEEG): SEEG, subdural electrode (SDE), combined method using depth strip electrodes. We present here preliminary results from two demonstrative cases. Several...