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Ichiro Kohira

Publications and source records attributed to Ichiro Kohira.

5 recordsLinked to original sources

[A case of spinocerebellar ataxia type 2 presenting with lid retraction with prominent eyes and pyramidal signs].

We herein report a case of a 45-year-old man who was diagnosed with spinocerebellar ataxia type 2 (SCA 2) by genomic testing and whose grandmother, father, and uncle were also affected by the same disease. The patient had noted difficulty in walking and dysarthria since the age of 43. Neurological examination revealed lid retraction with prominent eyes, cerebellar ataxia and pyramidal signs including spasticity, ankle clonus, and hyperreflexia with pathological reflexes. MRI showed atrophy of the cerebellum, brain stem, and spinal cord. This case report suggests that the lid retraction with prominent eyes and pyramidal signs are sometimes major features in SCA2.

Eyelids↗

[Entrapment neuropathy of the tibial nerve by a Baker's cyst: case report].

Entrapment neuropathies of the tibial nerve by Baker's cysts occur infrequently. We present a patient with entrapment neuropathy of the tibial nerve by a Baker's cyst which is preoperatively evaluated by nerve conduction study and magnetic resonance imaging. We present this case with a review of the literatures.

Female↗

[Pilocytic astrocytoma and diencephalic syndrome in an adult with neurofibromatosis type 1].

We report a rare case of pilocytic astrocytoma and diencephalic syndrome occurring together in a 30-year-old woman with neurofibromatosis type 1 (NF-1). Diencephalic syndrome included emaciation and somnolence. Gadolinium-enhanced magnetic resonance imaging revealed a brain tumor in the optic chiasmal-hypothalamic region, which invaded the thalamus, brain stem and cerebellum. A biopsy specimen from the chiasmal tumor was compatible with pilocytic astrocytoma. Although she received radiation therapy, she died 22 months after the onset of the disease.

Adult↗

[A case of recurrent aseptic meningitis (Mollaret meningitis) with back pain in which was detected the DNA of herpes simplex virus type 2 in cerebrospinal fluid].

We reported a 59-year-old woman with four episodes of recurrent self-limited aseptic meningitis. Her episodes had resolved in 14-20 days without residural and all were marked clinically by acute headache, back pain, and nausea with fever. No concurrent systemic or genital symptoms or signs were present. CSF analysis performed on the third day of her fourth episode of recurrent meningitis showed the DNA of herpes simplex virus type 2 by means of the polymerase chain reaction method. Acyclovir therapy may be useful in a further possible occurrence of meningitis.

Back Pain↗