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Biomedical subjects

C Kukita

Publications and source records attributed to C Kukita.

8 recordsLinked to original sources
PubMed1998

Irrigation system equipped on a high-speed air drill--technical note.

An irrigation system which can easily be applied to the conventional high-speed air drill was developed to allow simultaneous irrigation during micro-drilling. The irrigation system is constructed with a tube of 0.8 mm outer diameter and supporting rings. Irrigation is entirely coordinated with drilling by a single foot switch. The tube of the system ejects normal saline intermittently toward the cutter bar tip. Use of this system in skull base surgery showed that effective irrigation and a clean operative field was achieved even in a narrow space under the operating microscope, saline is ejected exactly on the point of drilling and over-heating does not occur so that heat-related damage to the local nerves and blood vessels is avoided. The system can easily be applied to any type of high-speed air drill by using supporting rings of the correct size. This irrigation system is particularly useful in microneurosurgery using the high-speed air drill.

Air Pressure↗
PubMed1998

Intracranial pressure monitoring using a newly developed transducer-tipped ventricular drainage catheter.

A transducer-tipped ventricular drainage catheter (TVDC) was developed to allow continuous measurement of intracranial pressure (i.c.p.) without interrupting cerebrospinal fluid (CSF) drainage. The 8.5 Fr catheter with a double lumen has 16 side holes for CSF drainage and a small silicone strain-gauge transducer on the side of the catheter tip to measure the ICP directly. The transducer is composed of a 2 x 1 mm2 silicone plate. Calibration must be performed before insertion. The calibrated catheter is inserted into the ventricles, usually via the anterior horn of the lateral ventricles to the foramen of Monro. Recalibration is not necessary even if the patient's head is tilted. The TVDC was applied to patients in whom ICP was suspected to be high and in whom the ventricles were large enough for tapping. The ICP wave form and values measured by the TVDC and the manometer method were equivalent. The drift phenomenon did not occur throughout the entire measurement period. The TVDC is very useful for both controlling and monitoring ICP.

Catheterization↗
PubMed1990

[Stereotactic aspiration using coordinate software for hypertensive intracerebral hematomas].

Stereotactic aspiration for intracerebral hematoma has become widely used due to improvements in computed tomography (CT). CT-guided stereotactic aspiration for hypertensive intracranial hematomas was performed in 46 cases. Stereotactic aspiration with coordinate software was carried out among 16 cases. We compared the clinical results of conventional stereotactic aspiration with results of the new method using coordinate software. Using coordinate software, we can examine the route for the target point, as well as the target point of the hematoma before surgery. Therefore we can avoid obstacles such as ventricles and internal capsules. Further, we can aspirate hematoma by using only this one procedure. Mean hematoma aspiration percentage has risen from 44.9 to 87.2% by using coordinate software. Rate of drainage tube insertion after operation has decreased from 90 to 50%. The period of placement of the drainage tube and the frequency of infection due to the drainage tube has become lower, too. Therefore we can say that the outcome of treatment of hypertensive intracranial hematomas is improved by using coordinate software.

Cerebral Hemorrhage↗
PubMed1990

[Non-ketotic hyperosmolar diabetic coma in neurosurgical cases; review of 7 cases].

Neurosurgical patients with non-ketotic hyperosmolar diabetic coma (NHC) in our institution were analysed retrospectively. Seven cases were diagnosed as NHC being 0.47% of the number of inpatients in the last 5 years. The age ranged from 60 to 72 years old (mean 65) and there were 6 males and 1 female. Only 2 patients (29%) had a clear past history of diabetes mellitus. Prior to the NHC, systemic infection was present in 2 cases. Intravenous hyperalimentation (IVH) was performed in 5 cases, glycerol osmotherapy in 3 cases, diphenylhydantion therapy in 3 cases and tube feeding in 2 cases. The overall mortality rate in our series was 71% (5 cases), of which 2 cases died within 2 days due to cardiopulmonary failure, and 3 cases in the chronic stage died due to disseminated intravascular coagulopathy (DIC), or due to renal failure. The prognosis of NHC in neurosurgical patients is generally bad because of the presence of consciousness disturbance prior to the onset of NHC, which may mask the symptoms occurring from the NHC. Other predisposing factors could be systemic infection, IVH or tube feeding, and osmotic agents which are frequently used in neurosurgical patients. There was a tendency for NHC to occur predominantly in the chronic stage after the blood sugar had returned to normal range from the hyperglycemic state in the acute stage.(ABSTRACT TRUNCATED AT 250 WORDS)

Aged↗
PubMed1987

[Spontaneous occlusion of a cerebral arteriovenous malformation--report of a case].

The authors report a case of spontaneous occlusion of an arteriovenous malformation (AVM) verified by the second angiography performed 3 days after the initial one. This 65-year-old man had a sudden attack of headache, nausea, and vomiting and was admitted to our hospital next day. On admission, CT scan showed subcortical hemorrhage in the right temporo-parietal area and right CAG showed a small AVM in the same area. The main feeder was a MCA distal branch and the drainer joined Labbe's vein. Repeated angiography 3 days after initial one failed to demonstrate the AVM. Craniotomy was performed and thrombosed AVM was totally removed. Mechanism for disappearance of the malformation is assumed to be acute thrombosis due to intracranial hemorrhage and arteriosclerotic change. The literature is reviewed.

Aged↗