A5101664587- Neurosurgical Procedures and Complications
- Intracranial Aneurysms: Treatment and Complications
- Traumatic Brain Injury and Neurovascular Disturbances
- Intracerebral and Subarachnoid Hemorrhage Research
- Glioma Diagnosis and Treatment
- Spinal Fractures and Fixation Techniques
- Cerebrospinal fluid and hydrocephalus
- Obstructive Sleep Apnea Research
- Spine and Intervertebral Disc Pathology
- Dialysis and Renal Disease Management
- Blood Pressure and Hypertension Studies
- Dysphagia Assessment and Management
- Moyamoya disease diagnosis and treatment
- Traumatic Brain Injury Research
- Cerebral Venous Sinus Thrombosis
- Testicular diseases and treatments
- Cerebrovascular and Carotid Artery Diseases
- Pituitary Gland Disorders and Treatments
- Migraine and Headache Studies
- Cancer and Skin Lesions
- Vascular Malformations Diagnosis and Treatment
- Ophthalmology and Eye Disorders
- Chronic Kidney Disease and Diabetes
- Cardiac Arrest and Resuscitation
- Tracheal and airway disorders
Fukuyama City Hospital
2024
St. Marianna University School of Medicine
2022
Shizuoka Red Cross Hospital
2022
Tokyo Medical University Hospital
2022
Suzuki (Japan)
2022
Yokohama City Seibu Hospital
2022
keiyu Hospital
2022
Nerima General Hospital
2012-2019
Tokyo Medical University
2006-2018
Hakodate National Hospital
2015
A new syndrome of 'pure agraphia for Kanji' is described in 3 Japanese subjects with lesions the left posteroinferior temporal region. Kanji (ideogram or morphogram) can be compared orthographically irregular ambiguous words some European languages, since it impossible to write characters unless each one them learned and memorized. In contrast, Kana (phonogram syllabogram) are comparable regular nonsense words, because writing system depends on strict phonological rules (almost one-to-one...
The authors illustrate a new method to identify the pre- and postcentral gyri on computed tomographic (CT) magnetic resonance (MR) images of brain basis pattern medullary branches cerebral white matter. most commonly used depends recognition central sulcus by surface arrangement sulci. two methods were compared analysis CT 104 subjects who had normal findings (age range, newborn 60 years; 57 males 47 females). usefulness was also determined in angiographic studies nine patients with...
To assess the attitudes of practitioners with respect to net ultrafiltration prescription and practice among critically ill patients acute kidney injury treated renal replacement therapy.
An infant who suffered acute subdural hematoma due to minor head trauma twice in a short period is presented. Each hematoma, showing high density on computed tomographic scanning, resolved with unusual rapidity, resulting full recovery after nonsurgical management. The mechanism of this rapid resolution each was thought be participation cerebrospinal fluid secondary tearing the arachnoid membrane.
A cooperative study was made of 4750 intracranial aneurysm cases collected from 133 neurosurgical clinics in Japan by letter inquiry for the period 2 years January 1974 to December 1975. Among them, 4124 (87%) had a single aneurysm, and 626 (13%) multiple ones. Direct radical surgery done 78% all cases, carotid ligation 2% non-surgical treatment 17%. mortality rate 15% ruptured 7% nonruptured cases. Radical within 24 hours after rupture 51%, while those 1 week weeks were 39% 30%...
✓ A case is reported in which a human chorionic gonadotropin (HCG)-producing ectopic pinealoma was found 5-year-old girl with precocious puberty. Physical examination revealed abnormal breast enlargement. Endocrinological study disclosed high plasma HCG concentration of 1192 ng/ml normal follicular stimulating hormone (FSH) level. The content the tumor as 400 ng/mg acetone dried tissue, but no FSH detectable. This first puberty associated pineal female.
A rare case of epidural hematoma the clivus is reported in an 11-year-old girl involved a traffic accident which caused severe hyperextension injury. Only one similar has been literature. The mechanism for formation this region discussed.
Four neurosurgical patients with acute renal failure are presented. Intracranial pressure (ICP), cerebrospinal fluid (CSF) osmolality, and plasma osmolality were measured before, during, after hemodialysis. There was an increase in ICP during all six hemodialyses performed on these patients. An gradient established between the CSF four two but not one hemodialysis other patient. Continuous ventricular drainage monitoring simple effective clinical methods to avoid irreversible herniation A...
During the last 3 years, 46 cases of hypertensive intracerebral hemorrhage were treated by CT-guided stereotactic surgery. Our present report is concerned with evaluation this procedure in treatment hematoma, terms rate aspirated hematoma and follow-up study patients. It difficult to draw any definite conclusion about operative indications. aspiration, however, can be evaluated as a less invasive more definitive basal ganglia thalamus.
Abstract Recent randomized trials demonstrating the beneficial effects of sodium-glucose cotransporter 2 inhibitors (SGLT2is) in type diabetes suggest that early reductions eGFR upon initiation SGLT2i therapy are associated with improved renal outcomes. Multiple concomitant medications, including antidiabetic and antihypertensive agents, commonly used, however, which may modify hemodynamic action SGLT2is. Here we found background treatment metformin diminished SGLT2i-induced after 3 months...
Crowned dens syndrome (CDS) is characterized by calcification around the odontoid process, accompanied neck pain. Although CDS supposedly rare, we regularly diagnose and manage this condition, indicating a perception gap between previous studies our experience. The purpose of study was to determine annual incidence CDS, time diagnosis in as well features CDS.The design retrospective case series conducted at eight teaching hospitals Japan. We identified cases from April 2013-March 2015....
Abstract Background Hypertensive emergency is a critical disease that causes multifaceted sequelae, including end-stage kidney and cardiovascular disease. Although the renin–angiotensin–aldosterone (RAA) system enormously activated in this disease, there are few reports attempt to characterize effect of early use RAA inhibitors (RASi) on temporal course function. Methods This retrospective cohort study was conducted clarify whether RASi during hospitalization offered more favorable benefits...
Obstructive sleep apnea (OSA) is a significant social and health issue. An integrated multidisciplinary approach to OSA management may be the most effective owing its multifactorial etiology. In this study, we evaluated frequency efficacy of various treatment modalities for administered via an care delivery model, assessed role dental medicine as part team.We retrospectively 1115 patients with treated at Tokyo Medical University Hospital's Outpatient Clinic by team under one roof. The...
Abstract Recent advances in biologic therapy have enabled reduction of the progression destructive arthritis rheumatoid arthritis. Once destroyed, however, affected bones and cartilage are not fully repaired. We describe case an 8‐year‐old girl with anti‐citrullinated peptide antibody ( ACPA )‐positive polyarticular juvenile idiopathic (p‐JIA). Destructive progressed during combination infliximab, methotrexate, mizoribine prednisolone. Clinical remission was achieved, after switching agent...
In an effort to express the grades of mild disturbance consciousness (MDOC), or clouding consciousness, 25 items were selected for application in clinical examination. Factor analysis revealed that MDOC has a two-factor structure; namely, performance factor (F1) and verbal (F2). This structure was maintained sequential examinations. Guttman's scale showed using may be considered approximate unidimensional scale. By item selection according communality, could reduced 12 without losing...
A female case of precocious puberty associated with HCG-producing ectopic pinealoma was reported. The patient, a 5-year-old girl, referred to the hospital because headache and choked discs. Physical examination revealed normal physical growth breast enlargement. Endocrinological study high plasma HCG concentration 1192ng/ml FSH level. None HCG, LH did respond LH-RH test. partial resection tumor an external X-ray irradiation relieved symptoms enlargement subsided remarkable decrease in...