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Biomedical subjects

G Momose

Publications and source records attributed to G Momose.

At least 19 recordsLinked to original sources

[The experiences of a large amount of steroid therapy for symptomatic vasospasm after subarachnoid hemorrhage: clinical analysis of 21 cases].

Among 48 cases of subarachnoid hemorrhage, 21 cases (43.8%) showed symptomatic vasospasm. We attempted treatment, using a large amount of steroid therapy for them in accord with our own protocol. In the 21 cases who received steroid therapy for symptomatic vasospasm, 18 cases (85.7%) showed improvement of their symptoms. This was especially evident in about 8 cases where the steroid effect was remarkable. There was a serious side effect, GI--tract bleeding, in one case. Although the effect of the steroid therapy was evident for slight or moderate spasm cases, 5 severe spasm cases responded poorly. We concluded that a large amount of steroid therapy was effective for slight or moderate symptomatic vasospasm cases, and that in severe ones possibly another therapy combined with steroid therapy would be necessary.

Adult↗

[Traumatic subarachnoid hemorrhage--clinical study of 16 cases].

Three hundred and eighty three cases with head injury were admitted to our hospital during period from March 1985 to October 1986. Among these cases, 16 (4.2%) had subarachnoid hemorrhage as revealed on computerized tomography (CT) scan; other CT findings included epidural hematoma, subdural hematoma and/or cerebral contusion. Traumatic subarachnoid hemorrhage was most frequently found in the ambient and/or sylvian fissure. This suggests that head blow tended to product shear strain at the brainstem and in the direction from temporal tip to frontal base. Furthermore tentorial edge and sphenoid ridge may have played an important role in producing subarachnoid hemorrhage. Of the 6 cases with the hemorrhage localized in the unilateral cisterns, 5 cases had the hemorrhage in the cisterns opposite to the blow site. This suggests that shear strain was produced more strongly at the opposite side to the blow site. The cases with subarachnoid hemorrhage in the prepontine and/or interpeduncular cistern had severe brainstem damage and their prognosis was very poor, while those with the hemorrhage localized in the ambient cistern, quadrigeminal cistern and/or sylvian fissure without other findings had good prognosis.

Adolescent↗

Intracranial adenoid cystic carcinoma. A case report.

A rare case of operatively verified intracranial adenoid cystic carcinoma is reported. In this case, haematogeneous metastasis to the brain parenchyma was suspected. The computer tomography showed a large hypodense mass in the left frontal lobe. The lateral wall of the tumour was irregularly enhanced with contrast media.

Brain Neoplasms↗

Therapeutic experience in renal hypertension: response treatment in 47 cases.

We report our experience in the treatment of 47 cases of renal hypertension patients with renovascular hypertension or hypertensive reno-parenchymal disease surgical therapy is essential and non-surgical therapy has its limitations. The necessity for an operation can be based on the determination of bilateral renal vein plasma renin values. Blood should be drawn from both renal veins in patients in an upright position. Surgical treatment usually produces excellent results in patients in whom renin activity on the side of the lesion is more than normal and more than 2 times that on the uninvolved side. It is advisable to perform an operation within 4 years of the onset of renal hypertension. Complete surgical cure of renal hypertension is accomplished more frequently in patients with fibromuscular dysplasia than in those atherosclerosis. The therapeutic effect of an operation in correcting hypertension is virtually the same, regardless of whether the arterial stenotic lesions are in the main renal artery or in the intrarenal arterial branches. We have found nephrectomy or dacron bypass graft to be the surgical procedure of choice in renovascular hypertension cases.

Adolescent↗