[Clinical evaluation of head and neck tumor scintigram with 201Tl-chloride].
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Biomedical subjects
Publications and source records attributed to F Shimada.
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We observed electronmicroscopically and clinically a case of multiple chemodectoma, which has occurred from glomus caroticum sinistra and glomus jugularis sinistra of a 18 year old boy. The diagnosis was especially made by an angiography of the left common carotid artery and by a retrograde venography of the left internal jugular vein. Electronmicroscopically two kinds of tumor cells in this chemodectoma were identified. These cytoplasmas showed cored neurosecretory granules measured 125 to 250 A in diameter markedly increasing in number. Moreover in the island of the tumor cells of the carotid body tumor we happened to observe the nerve ending.
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The effect of nociceptive stimulation of various skin areas of the neck, chest and abdomen on the heart rate was examined in anesthetized rats with the cord intact and in acute spinal rats, at different body temperatures. In the anesthetized rats with the cord intact, the stimulation on the neck, chest and abdominal skin areas caused reflex changes in heart rate. At a rectal temperature of 38.0-38.9 degrees C the response was usually an increase in heart rate, whereas the response at 36.0-36.9 degrees C was a decrease. The heart rate reflex response at 37.0-37.9 degrees C was a monophasic increase or decrease, or a biphasic initial decrease followed by an increase. The reflex increase or decrease in heart rate produced by cutaneous stimulation was mediated by a reflex increase or decrease in the efferent discharges of the cardiac sympathetic nerve. In acute spinal rats, only stimulation on the chest skin area, at a rectal temperature of 36.0-38.9 degrees C, would always produce a reflex increase in heart rate. This reflex increase in heart rate was also produced by an increase in efferent discharges of the cardiac sympathetic nerve.
(1) The effect of stimulation of various skin areas on the function of the bladder was examined in anesthetized rats with the CNS intact, in decerebrated non-anesthetized rats and in spinal rats. The tone and contraction of the bladder was measured by the intravesical ballon method. (2) When the volume of the intravesical ballon was expanded so that the resting vesical pressure was increased from O to approximately 40 mm H2O level, the bladder revealed small spontaneous contractions in all experiments. Under these conditions intravesical pressure was increased approximately 40 mm H2O by application of tactile or nociceptive stimulation of the skin in the perineal area. This excitatory perneal-bladder response existed befor and after spinal transection and was shown to be a propriospinal reflex for which reflexly increased nerve discharges of vesical branches of the pelvic nerves were responsible. (3) When the volume of the intravesical ballon was further expanded so that the resting vesical pressure was kept about 200 mm H2O, the bladder had the usual large rhythmic contractions (micturition contractions) with amplitudes of about 610 mm H2O, and rhythms of 1--3/min in the CNS intact or decrebrated rats. These large contractions were driven by the rhythmic bust discharges of the vesical nerve branches of the pelvic nerves. The occurrence of the large contractions of the bladder could be inhibited by nociceptive stimulation which was localized in the perineal area. This inhibition of the large contractions was caused by disappearance of the rhythmic burst discharges in the vesical branches of the pelvic nerves. (4) On some occasions in the CNS intact anesthetized and in the decerebrated non-anesthetized rats the large contractions of the bladder disappeared during experiments even when the bladder was expanded enough for producing normal large contractions and kept at high intravesical pressure. Regardless of whether the large contractions existed or not at the high intravesical pressure, the vesical pressure was increased by perineal stimulation due to the same neural mechanism mentioned in (2) above.
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