A5079012017- Intracranial Aneurysms: Treatment and Complications
- Glioma Diagnosis and Treatment
- Traumatic Brain Injury and Neurovascular Disturbances
- Cerebrovascular and Carotid Artery Diseases
- Acute Ischemic Stroke Management
- Neurosurgical Procedures and Complications
- Moyamoya disease diagnosis and treatment
- Brain Metastases and Treatment
- Vascular Malformations Diagnosis and Treatment
- Spine and Intervertebral Disc Pathology
- Stroke Rehabilitation and Recovery
- Neurofibromatosis and Schwannoma Cases
- Neuroblastoma Research and Treatments
- Amyloidosis: Diagnosis, Treatment, Outcomes
- Spinal Hematomas and Complications
- Aortic Disease and Treatment Approaches
- Ocular Oncology and Treatments
- CNS Lymphoma Diagnosis and Treatment
- Meningioma and schwannoma management
- Intracerebral and Subarachnoid Hemorrhage Research
- Medical Imaging and Analysis
- Venous Thromboembolism Diagnosis and Management
- Alzheimer's disease research and treatments
- Infective Endocarditis Diagnosis and Management
- Spinal Fractures and Fixation Techniques
Fujita Health University Hospital
2016-2025
Fujita Health University
2019-2024
Karnofsky Performance Status (KPS) is a widely used scale to assess performance status. KPS ≥ 50% implies that patients can live at home. Therefore, maintaining important improve the quality of life with glioblastoma, whose median survival less than 2 years. This study aimed identify factors associated time maintenance (survival 50%) in IDH-wildtype. Ninety-eight glioblastomas, IDH-wildtype, who were treated concomitant radiotherapy (RT) and temozolomide (TMZ) followed by TMZ therapy, start...
It is impossible to predict underlying anomalies in acute large vessel occlusion and it could be a problem when performing mechanical thrombectomy (MT). We report case of MT for the fenestrated middle cerebral artery (MCA) M1 segment. A 49-year-old woman presented our hospital with dysarthria left hemiparesis. Acute ischemic stroke due right occluded MCA was diagnosed. During emergent MT, part segment revealed slit-shaped by digital subtraction angiography, suggesting MCA. The aspiration...
The Flow Re-direction Endoluminal Device (FRED) has recently become available for flow diversion in Japan. We have encountered cases that failed to deploy the FRED. In this study, we report our initial experience with FRED cerebral aneurysms and clarify causes of deployment.A retrospective data analysis was performed identify patients treated between June 2020 March 2021. Follow-up digital subtraction angiography at 3 6 months assessed using O'Kelly-Marotta (OKM) grading scale.Thirty-nine 36...
The extent of resection has been reported to be associated with overall survival in gliomas. use 5-aminolevulinic acid (5-ALA) recognized increase the tumor resection.To evaluate what factors affect intraoperative fluorescence after administration 5-ALA gliomas.Correlation and several clinical, radiographic, molecular biologic, histopathologic characters was retrospectively evaluated 104 patients (53 males 51 females; mean age 54.2 yr) gliomas at our institution. To clarify mechanisms that...
Abstract Seizures are common in patients with gliomas; however, the mechanisms of epileptogenesis gliomas have not been fully understood. This study hypothesized that analyzing quantified metabolites using magnetic resonance spectroscopy (MRS) might provide novel insights to better understand gliomas, and specific be indicators preoperative seizures gliomas. We retrospectively investigated patient information (gender, age at diagnosis tumor, their survival time) tumor (location, histology,...
The benefit of mechanical thrombectomy for acute ischemic stroke is highly time dependent. However, to treatment longer in-hospital patients than community-onset patients. This study aimed clarify the cause this difference.A retrospective single-center was performed analyze with large vessel occlusion who underwent between January 2017 and December 2019. Patients were divided into groups. Clinical characteristics intervals compared groups.One hundred four analyzed: 17 87 stroke. Patient did...
The PulseRider (Cerenovus, Johnson & Medical Devices, New Brunswick, NJ, USA) is a neck reconstruction device that used for the treatment of unruptured wide-necked bifurcation aneurysms. Herein, we describe case 51-year-old male patient with basilar apex aneurysm who was treated but had post-procedural brainstem infarctions caused by one proximal markers covering origin perforator. In such cases, repositioning should be performed to avoid infarctions.
Objective: A case of cerebral embolism due to left atrial myxoma successfully treated using a direct aspiration first pass technique (ADAPT) is reported with review the literature.
Introduction : Condoliase injection for lumbar disc herniation is less invasive than surgical treatment and has been widely used in recent years. We encountered a case which herniated worsened after with condoliase (Hernicore®) injection. Thereafter discectomy was performed. also report the pathology of removed immediately
脳底動脈の血豆状動脈瘤(blood blister-like aneurysm: BBA)に対して,ステントアシストコイル塞栓術を行い,治癒できた症例を経験したため報告する.症例は53歳男性で,頭痛にて救急搬送され,頭部CTでくも膜下出血と診断された.出血源が明らかでなく,フォローアップのDSAで上位脳底動脈側壁の膨隆を徐々に認め,出血源と診断し,第25病日にステントアシストコイル塞栓術を同部位に施行した.治療直後からblebの造影はなくなり,半年後のフォローアップDSAでは,母血管壁にwhite collar signも認め,治癒と判断した.本症例では,ステントアシストコイル塞栓術を施行し,コイル塞栓による確実な止血とネックブリッジステントの整流効果によって,根治が得られたと考えた.
中大脳動脈M2部閉塞に対する機械的血栓回収療法は,M1部閉塞に対する場合と異なりエビデンスがいまだ確立されていない.本研究の目的は,自験例でのM2部閉塞の治療成績を,M1部閉塞のそれと比較検証することである.
Endovascular treatment of posterior communicating artery aneurysms with fetal-type originating from the aneurysm dome is often challenging because, conventional techniques, dense packing for preservation difficult; moreover, flow-diversion devices are reportedly less effective. Herein, we describe a novel method called λ stenting technique that involves deploying stents into internal carotid and artery.Between January 2018 September 2020, was performed to treat eight consecutive cases...
Recurrent complex middle cerebral artery (MCA) aneurysms after combined clipping and endovascular surgery are challenging, if conventional techniques adapted, advanced surgical, endovascular, a combination of both often required. For such aneurysms, safe effective straightforward for all neurovascular surgeons warranted. We describe the details staged hybrid with bypass followed by flow diverter deployment in patient MCA aneurysm.A 69-year-old woman presented left recurrent large aneurysm...
We report a case of vertebral artery dissecting aneurysm (VADA) that developed with subarachnoid hemorrhage and was found to be occluded based on subsequent digital subtraction angiography. Few reports have been published ruptured VADA in which ipsilateral arteries are occluded. The proper management this type is controversial. A 44-year-old woman sudden onset headache. Computed tomography three-dimensional computed were immediately performed showed distal the right posterior inferior...
Background: Cerebral amyloid angiopathy-related inflammation (CAA-I) presents with slowly progressive nonspecific neurological symptoms, such as headache, cognitive function disorder, and seizures. Pathologically, the deposition of amyloid-β proteins at cortical vascular wall is a characteristic definitive finding. Differential diagnoses include infectious encephalitis, neurosarcoidosis, primary central nervous system lymphoma, glioma. Here, we report case CAA-I showing acute progression,...
Transvenous embolization (TVE) through the superior ophthalmic vein (SOV) is a useful approach for treatment of cavernous sinus (CS) dural arteriovenous fistulae (DAVFs). This venous route usually confirmed by angiography. Herein, we present case favorable CS DAVF angiographically occlusive SOV. A 61-year-old man presented with progressive exophthalmos and hypertonia. The patient was diagnosed DAVF, TVE planned. first inferior petrosal infeasible; therefore, attempted to fistula left facial...
Background Reperfusion therapy for acute ischemic stroke efficacy is highly time dependent; therefore, centers are required to further reduce the delays from hospital arrival treatment efficiently. We developed a visual task management application, Task Calculation Stroke (Task Calc. Stroke: TCS), facilitate by supporting parallel staff completion. evaluated TCS reduction of reperfusion and improvement clinical outcomes. Methods In this multicenter cohort study, patients were directly...