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Biomedical subjects

K Kitamura

Publications and source records attributed to K Kitamura.

At least 1,423 records · Page 79Linked to original sources
PubMed1978

Extracerebral cavernous hemangioma of the middle fossa.

Two cases of extracerebral cavernous hemangioma in the middle fossa are reported. Cerebral angiography showed a large avascular mass lesion in each case, but the tumors were very vascular at operation. Recovery of vision occurred in one case postoperatively. Diagnosis and treatment of these tumors are discussed.

Adult↗
PubMed1978

Intracerebral meningioma with disseminated arachnoidal ossification.

A case of intracerebral meningioma associated with disseminated plaques of arachnoidal ossification is presented. The osseous plaques were situated on the same side and predominant in the neighborhood of the tumor. Histologically the ossification was thought to have originated from the wall of the pial vessels.

Adult↗
PubMed1978

[Combined treatment of intravenous immunoglobulin and antibiotics for severe postoperative meningitis (author's transl)].

Incidence of postoperative meningitis by gram-negative bacilli infection, so called "opportunistic infections", has recently increased in the neurosurgical field. The opportunistic infection is caused by suppression of the host's immunity and consequently limitation of the host defense mechanisms. Based on the results obtained from 4 cases of postoperative severe meningitis presented here, the authors concluded as follows: 1) Special care must be taken for intrathecal injection of antibiotics because of causing paralytic ileus, convulsion and paraparesis of the lower limbs. 2) The combined use of intravenous immunoglobulin (Gamma-Venin) and antibiotics produced potentiated effects. Accordingly, the amplification of the host's immunity is of major importance for the treatment of severe meningitis. 3) Using immunoadherence hemagglutination test of patient's CSF and the serum, it is considerably easier to determine whether or not to withdraw antibiotics.

Adult↗
PubMed1978

[Intracranial surgery under hemodialysis (author's transl)].

A case of pituitary adenoma operated on under hemodialysis was reported. The patient was a 43-year-old male who had been obliged to hemodialysis since April 1975 because of chronic renal failure. He was admitted in February 21, 1976 because of progressive visual symptoms. Neurological examination revealed decreased visual acuity and bitemporal hemianopsia. Radiology showed enlarged sella turcica and calcified mass in the suprasellar region. Laboratory examination disclosed severe anemia and the operation was postponed until the hematocrit improved up to 39% by blood transfusion. The operation was performed in March 17, 1976 under conventional GOF anesthesia. The tumor was covered by a calcified capsule and after nibbling off the calcified covering, the tumor was removed. Postoperative course was uneventful. Peritoneal dialysis was continued for three days immediately after operation. Urinary volume of the patient increased up to 600 ml per day after operation, probably due to the postoperative diabetes insipidus. The diabetes insipidus was rather favorable sequela in this case because the patient was released from the severe restriction of water intake.

Adenoma, Chromophobe↗
PubMed1978

[Differences of behavior of DSCT neurons in decerebrate and barbiturate anesthetized cats (author's transl)].

Responses of dorsal spinocerebellar tract (DSCT) neurons to random electrical stimulation of peripheral nerves of the hindleg in decerebrate cats were studied using cross-correlation analysis of the output spike train. The spontaneous background discharge in barbiturate's cats had longer mean interspike interval than that in decerebrate cats, but there was no difference of the coefficient of variation in the two groups. This suggests that barbiturate has no effect on raising of the electrical threshold of the axon, but prolonging effect on interspike interval. Comparison of the conduction velocity showed to be slower in barbiturate's cats, so barbiturate reduces the conduction rate of the axon. The DSCT responses to the electrical stimulation of peripheral nerve in decerebrate cats were recorded in 60%, while 85% in barbiturate's cats. The reasons for this difference are that the DSCT cells in decerebrate cats are tonically inhibited from the pontine and bulbar reticular formation and the function of brain-stem reticular formation is suppressed by the barbiturate. Type 2 response in decerebrate cats, which represents reduced excitability of the DSCT cells, had inhibition with shorter initial peak latency and duration as compared to that in barbiturate's cats. This confirms the result of Eccles et al. that barbiturate in moderate dosage increases and prolongs the presynaptic inhibition.

Action Potentials↗
PubMed1978

[Normal pressure hydrocephalus. Part 1. Dynamic study of CSF circulation in patients with normal pressure hydrocephalus (author's transl)].

To clarify the pathogenesis of normal pressure hydrocephalus (NPH), quantitative measurement of CSF dynamics was attempted using RI techniques. In this study results concerning RI ventriculography and RI transfer test from CSF to plasma were reported. "Barrier ratio" and regional cerebral blood flow study in NPH will be reported elsewhere. Fifty-three patients with chronic communicating hydrocephalus wer devided into two groups. Thus, twenty-seven cases were diagnosed as NPH according to clinical symptoms and signs, and others were considered as mere chronic communicating hydrocephalus without any NPH characteristics. Results are as follows: 1) 169Yb--DTPA ventriculography; In NPH group, there was longer retention of RI injected into lateral ventricle, and RI activity was not detected in the cisterna magna 60 minutes after the injection. These findings show remarkable delay of CSF flow in NPH patients. 2) Transfer test of 169Yb--DTPA from CSF to plasma; Immediately after the RI injection, Transfer ratio of RI activity from CSF to plasma was measured. It was revealed that intraventricular RI was more rapidly transfered to plasma in NPH group compared with in the control group, suggesting accelerated trans-ependymal absorption of RI in NPH group.

Aged↗
PubMed1978

[Bulbar reticular control on DSCT activity in decerebrate cats (author's transl)].

Effects of bulbar reticular tetanic stimulation on the responses of dorsal spinocerebellar tract (DSCT) units were studied in the decerebrate cat. The conditioning stimulation of lateral or paramedian reticular nucleus was found to reduce polysynaptic activation of DSCT cells (type 3 response) selectively without affecting either the spontaneous background discharge or the monosynaptic activation (type 1 response) or inhibition (type 2 response) by afferent inputs from the peripheral nerves of hindleg. These results show that the descending inhibition to the polysynaptic activation of DSCT cells occurs presynaptically by reticulospinal pathways from brain-stem reticular formation.

Animals↗
PubMed1978

[Cystic craniopharyngioma extending down into the upper cervical spinal canal (author's transl)].

A case of craniopharyngioma with a large cyst extending through the posterior fossa down into the upper cervical spinal canal was reported. The patient is a 14-year-old female who was operated on for the first time in 1970, because of a suprasellar calcified mass. Histological examination verified craniopharyngioma of adamantinomatous type. Since then, she had been operated three times because of deterioration of visual acuity. She was admitted for the fifth time in January, 1977, complaining of severe neck pain radiating bilaterally to the shoulders. Radiological examination demonstrated, besides the suprasellar tumor, a huge mass extending along the clivus down to the level of C3 of spinal canal. Anteroposterior diameter of bony spinal canal evidently enlarged in upper cervical region. Interpedicular distance also widened markedly in the same region. Laminae of C1-C3 vertebrae were abnormally stretched and the spinal cord was compressed posteriorly by the tumor. Suboccipital craniectomy verified a cystic tumor in the region of foramen magnum and cervical spinal canal. The medulla oblongata was pushed backward by the tumor. The cystic tumor was evacuated and the capsule of the tumor was partly resected, which was histologically verified as craniopharyngioma of squamous type. The patient was relieved from the neck pain after operation and discharged in April 1977.

Adolescent↗
PubMed1978

[Normal pressure hydrocephalus. Part 2. The evaluation of severity of cerebral dysfunction by measurement of "barrier ratio" and regional cerebral blood flow (author's transl)].

In the previous study, quantitative analysis of RI ventriculography was reported in fifty-three cases with chronic communicating hydrocephalus. In this study, according to the same criteria as that of previous report, fifty-three cases were divided into two groups, namely NPH group (twenty-seven cases) and control group, which were considered as mere chronic communicating hydrocephalus without and NPH chalacteristics. (twenty-six cases). Results of "barrier ratio (B.R.)" measurement and regional cerebral blood flow study in these cases are as follows: 1) "Barrier ratio" using of 99mTcO4-: Concerning about B.R. of 99mTcO4- there was no significant difference between NPH and control group. However it tends to be that shunt surgery is not so effective in NPH cases in which B.R. shows abnormally low value. 2) rCBF by 133Xe clearance method: Regional cerebral blood flow was diffusely decreased in NPH patients, especially in its frontal area, suggesting the frontal area would be more severely damaged in NPH cases. These findings leads us to the conclusion that whether the shunt surgery might be effective or not depends on severity of cerebral dysfunction and the cerebral dysfunction is clearly evaluated by RI technique mentioned above.

Adult↗