PubMed Health⌕ Search

Biomedical subjects

I Fujimura

Publications and source records attributed to I Fujimura.

At least 19 recordsLinked to original sources
PubMed2000

Spontaneous disappearance and reappearance of a ruptured cerebral aneurysm: one case found in a group of 33 consecutive patients with subarachnoid hemorrhage who underwent repeat angiography.

The spontaneous disappearance and reappearance of a ruptured cerebral aneurysm is generally assumed to be a rare phenomenon although the actual incidence is unknown. Among 39 consecutive cases of acute subarachnoid hemorrhage (SAH), 33 were studied by three-dimensional computed tomographic angiography (CTA) within 6 h after the onset of SAH, followed by digital subtraction angiography (DSA) within 24 h after the ictus. Of those patients, one, a 58-year-old woman, had a saccular aneurysm at the distal anterior cerebral artery; the aneurysm was clearly demonstrated by CTA 2.5 h after the SAH onset, but was not shown by a subsequent DSA performed 8.5 h after the ictus. A follow-up DSA detected the neck of aneurysm on day 11, and the whole aneurysm was visualized on day 19. The observations in this particular case suggest that the spontaneous disappearance of a ruptured cerebral aneurysm may occur during the ultra-early stage of SAH and that reappearance may follow during the next few weeks. The patient did not suffer complications such as vasospasm or systemic hypotension nor was she treated with antifibrinolytic agents. The aneurysmal shape and the surrounding clot are considered as putative factors possibly related to the intermittent appearance of the aneurysm.

Aneurysm, Ruptured↗
PubMed1997

Prognostic factors to predict outcome following the administration of hypertonic/hyperoncotic solution in hypovolemic patients.

Hypertonic solutions effectively improve hemodynamic parameters in patients admitted to the emergency room. However, no significant differences in outcome were observed compared with standard isotonic treatment in most previously published studies. This study evaluates pretreatment prognostic factors that predict a beneficial effect of hypertonic solution in patients admitted to the emergency room with hemorrhagic hypovolemia in a prospective double-blind fashion. The patients (n = 212) were randomized upon admission to receive 250 mL intravenous (i.v.) bolus of hypertonic 7.5% NaCl + 6% dextran (HSD, n = 101), or isotonic 0.9% NaCl solutions (IS, n = 111) as the first treatment, followed by standard resuscitation. Pretreatment factors assessed were sex, age, cause of hypovolemia, revised trauma score (RTS), Glasgow index, and mean arterial pressure (MAP) on admission. Both groups were compared for survival at 24 h and 30 days postadmission. Infused volumes were registered. HSD administration significantly increased MAP and reduced i.v. crystalloid infusions to maintain hemodynamic parameters, compared with IS. There was no difference between groups in the number of blood transfusions administered. Overall complication rates in both groups were similar (24%). There was a significant difference (p < .03) in overall (30 days) survival rate between HSD (73%) and IS (64%) groups. The 24 h survival rate was significantly lower in IS (72%) compared with HSD (87%); p < .01. Multivariate analyses showed that RTS and MAP were identified as independent predictors for 24 h survival in the group that received HSD. When evaluated for overall survival rate, hypertonic infusion benefited significantly only patients with MAP < 70 mmHg (p < .01).

Adolescent↗
PubMed1994

Functional anatomy of the retro- and suprahepatic portions of the human inferior vena cava and their main affluents.

The arrangement of muscle, collagen and elastic fibers was studied in the retro- and suprahepatic (subdiaphragmatic) portions of the inferior vena cava, the hepatic veins and their main affluents. Distinctive features of the longitudinal and transverse muscle bundles are described. In these portions of the vena cava, both bundle systems are clearly separate and any continuity was observed only at the entrances of the hepatic veins. A musculo-venulolymphatic complex was noted in spurs formed by the vascular junctions. The hepatic veins and their main affluents exhibit an elliptical contour in transverse section, which apparently results from cranial and caudal thickenings of the longitudinal muscle layer. Many of these bundles are in continuity with those of the transverse muscle layer. Terminal elastic tendons were rarely observed in connection with muscle fibers of the inferior vena cava and are not present in the hepatic veins and their main affluents. In terms of form and function, the relatively thin muscular layer has a dilating action on the hepatic venous system because of the external fixed insertion point of the muscle bundles. Such an arrangement and a "polar" disposition of the muscle bundles in the hepatic venous system may assists in "suction" of the blood toward the heart. A sphincteric control of the ostia by means of crossed muscular loops supported by venulo-lymphatic micropads is a possibility.

Collagen↗
PubMed1990

Angioarchitecture of the esophagogastric veins in portal hypertension.

Based on our previous studies on the human normal venous angioarchitecture of the esophagogastric transition segment, we performed a similar analysis in 25 postmortem specimens obtained from subjects with a diagnosis of portal hypertension. The specimens were injected with India ink or barium sulfate and sectioned for histological examination. A 'weak' zone (point of lesser resistance) was described as being the most probable site of origin for the development of varicosities in the complex venous system of the esophagogastric junction. Such a system can be considered to be a physiological hemodynamic venous blockade mechanism interposed between the portal system and the systemic veins. The 'weak' zone is made up by the scarce submucous veins (shunt veins), by the submucous confluent and final confluent trunks, and by the true perforating veins of the tunica muscularis which compose a venous unity located about 3-5.5 cm above the Z (epithelioglandular) line.

Adolescent↗
PubMed1988

A quantitative study on the myenteric plexus of the distal end of the human esophagus.

The densities of ganglia and nerve cells in the myenteric plexus of the last distal 11 cm of the human esophagus were determined in 6 esophagi from autopsy material. The densities of ganglia and nerve cells in cresyl violet-stained stretch preparations of 11 esophageal segments, each 1 cm in length, were compared. The highest values were recorded in segments 4, 5, and 6 cm above cardiac incisura. The lowest densities of ganglia and nerve cells were found in segments 1, 2, and 3 cm above the cardiac incisura. The segments contained 659 to 3,316 perikarya/cm2 and 31 to 110 ganglia/cm2; ganglia contained 3 to 310 cells.

Esophagus↗
PubMed1985

Morphometric study of fat cell size in the fascia areolaris and fascia lamellaris of the inguinal region in men, women and pregnant women.

The fat cells of the fascia areolaris and fascia lamellaris of men, women, and pregnant women (aged between 20 and 35a) were morphometrically studied. The cell volumes showed the following average values: 4.423 X 10(5) micron3 and 2.004 X 10(5) micron3 for the fasciae areolaris and lamellaris respectively, in men; 6.236 X 10(5) micron3 and 3.964 X 10(5) micron3 in women, and 10.114 X 10(5) micron3 and 4.635 X 10(5) micron3 in the pregnant women. The analysis of variance showed significant differences between both sexes, and fasciae areolaris and lamellaris. The differences between women and pregnant women as far as the cell volume is concerned, in both fasciae, were not significant. As to the fascia areolaris, not the lamellaris, the difference between the sexes was significant.

Adipose Tissue↗
PubMed1984

Ultrastructural and morphometric study on fat cells of the so called subcutaneous "fascia areolaris" and "fascia lamelaris" in the human inguinal region.

The fat cells of the so called fascia areolaris and fascia lamelaris (Velpeau 1834; Sterzi 1910) of men and women (aged from 20 to 35 years) were ultrastructural and morphometrically (cell volume) studied. No noteworthy submicroscopic difference was observed between fascias. The cell volumes obtained from planimetric measures showed the following values: 3.770 X 10(5) microns and 2.497 X 10(5) microns in the fascia aerolaris and lamelaris of men, respectively. For the women the values were: 7.222 X 10(5) microns and 5.025 X 10(5) microns (Fig. 3). The analysis of variance shows significant differences between the sexes and between fascia areolaris and lamelaris. The difference between the fascias supports the Sterzi's (1910) description on the tela subcutanea as being formed by those two distinct layers.

Adipose Tissue↗
PubMed1982

Surgical and ethnic anatomy of the relationships between the small saphenous vein and the common peroneal and tibial nerves in adult males.

A comparative analysis of the measurements of the distances between the small saphenous vein and the common peroneal and tibial nerves at the back of the knee was performed in melanodermal and leukodermal male adults. The positions in which the vein lies ore closely to the nerves are stressed and should be considered as critical in possible surgical damage to the nerves during saphenectomy.

Adult↗
PubMed1977

Venous angioarchitecture of the tunica muscularis in the esophagogastric transition segment in man.

With the purpose of studying the venous angioarchitecture of the esophagogastric transition segment (EGTS), 30 speciments were obtained from bodies a few hours after death. These specimens were injected with a 25% aqueous solution of india ink (drop-by-drop continuous infusion) through the left gastric vein and the splenic vein. The specimens thus prepared underwent three types of methods: (1) clarification by the Spalteholz method for a panoramic stereoscopic observation of the venous angioarchitecture; (2) thick sections in a series from 100 to 150 micrometer, stained by the Azan method, and (3) in 10-micrometer serial sections stained by the method of Masson, the perimeter of the veins having been measured in order to ascertain the venous density. The result of this investigation allows the conclusion that there are three venous nets in the muscular layer of the EGTS (perimuscular, intermuscular and submuscular). These three nets, especially the intermuscular and the perimuscular, converge at the extremities of the EGTS, most markedly in the cranial part, to large confluent trunks, going out of the organ from there through perforating trunks principally to the affluents of the portal vein. It thus constitutes a more or less independent segment under the venous point of view, depending essentially on the system of that vein. A marked predominance of perforating vasa of the false type in zone 3, especially at its intermediate part exactly at the stretch where most part of the veins of the mucous-submucous system lie at a deeper site, together with other peculiarities of venous distribution of this region, allows the morphofunctional deduction that, at this point, the muscular layer be a barrier between the deep and the peripheral venous circulation of the esophagus.

Adolescent↗