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Tohru Kamida

Publications and source records attributed to Tohru Kamida.

21 records · Page 2Linked to original sources

Long-term outcomes of pediatric moyamoya disease treated by encephalo-duro-arterio-synangiosis.

To investigate the efficacy of encephalo-duro-arterio-synangiosis (EDAS) for the treatment of pediatric moyamoya disease, we analyzed 11 patients who were followed up for more than 100 months. Among 22 sides in 11 patients, we performed EDAS on 16 sides in 10 pa- tients, encephalo-duro-arterio-myo-synangiosis (EDAMS) on 5 sides in 4 patients and encephalo-myo-synangiosis (EMS) on 1 side. Of the 11 patients, 8 patients showed normal development and had no neurological deficit. The remaining 3 patients showed mild to moderate neurological deficits, but in these cases, pre- and perioperative insults were considered to be attributable to the morbidities. Of 13 sides treated by EDAS, well-developed neovascularization was observed in 12. However, well-developed neovascularization was observed in only 3 out of 6 sides treated by EMS or EDAMS. These data might indicate that EDAS is a therapeutic alternative for the surgical treatment of pediatric moyamoya disease.

Adolescent↗

Limited dorsal myeloschisis associated with multiple vertebral segmentation disorder.

A 3-year-old girl was admitted to our department with spina bifida occulta. At birth, thoracic dysplasia with severe respiratory dysfunction and a soft pedunculated mass connecting with an intradural mass were noted. The patient did not start to walk and partial removal of the intradural mass was performed via a laminectomy of the fused vertebrae. There was no boundary between the spinal cord and the mass and the histological diagnosis of this mass was connective tissue. The anomalies in this case were considered to be multiple vertebral segmentation disorder (MVSD) and limited dorsal myeloschisis. The coincidence of these anomalies might suggest the causal genesis of MVSD.

Child, Preschool↗

Intracranial ectopic recurrence of craniopharyngioma after Ommaya reservoir implantation.

We present a very rare case of a craniopharyngioma showing intracranial ectopic recurrence after the total removal of recurrent craniopharyngioma arising at the primary site accompanied by Ommaya reservoir implantation. A 2-year-old boy underwent a bifrontal craniotomy and total removal of the adamantinomatous craniopharyngioma via the interhemispheric translamina terminalis approach. Four months later, he underwent total removal of recurrent craniopharyngioma and implantation of an Ommaya reservoir via the same approach. Ten months later, total removal of the ectopic recurrent craniopharyngioma following the placement of the Ommaya reservoir cannula, which was placed within the surgical route, was performed via the same craniotomy.

Catheterization↗