Search Results 1-20 of 809

  • Posterior Decompression for Postoperative Neurological Deficit Due to Buckling of a Ligamentum Flavum in a Patient with a Cervical Spine Injury: A Case Report  [in Japanese]

    Noma Michita , Anno Masato , Fukushima Masayoshi

    <p><b>はじめに:</b>頚椎損傷に対する後方固定術の合併症には,ヘルニアや血腫,インプラント設置不良などが知られている.</p><p><b>症例:</b>70歳代男性の神経症状のないC4-5頚椎損傷に後方固定をした.術直後に対麻痺があり,MRIで黄色靭帯のたわみによる脊髄圧迫がみられた.速やかに椎弓切除して麻 …

    Journal of Spine Research 11(5), 866-871, 2020

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  • Incidence and Clinical Features of Postoperative Symptomatic Hematoma after Spine Surgery: A Multicenter Study of 45 Patients

    Masuda Soichiro , Tsubouchi Naoya , Matsuda Shuichi , Fujibayashi Shunsuke , Takemoto Mitsuru , Kim Youngwoo , Otsuki Bungo , Ota Masato , Soeda Tsunemitsu , Watanabe Kei , Sakamoto Takeshi

    … <p>Introduction: Symptomatic postoperative hematoma after spine surgery is a rare but serious complication. … We reviewed the incidence of postoperative hematoma and its clinical features, including time before onset, main symptoms, and neurological outcomes.</p><p>Results: The overall incidence of symptomatic postoperative hematoma after spine surgery was 0.4% (45/10,680). …

    Spine Surgery and Related Research 4(2), 130-134, 2020

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  • Transoral Mandibular Tongue-Splitting Approach in Upper Cervical Epidural Abscess: A Case Report and Review of the Literature

    Kobayashi Takaomi , Morimoto Tadatsugu , Maeda Kazumasa , Toda Yu , Hirata Hirohito , Yoshihara Tomohito , Mawatari Masaaki

    … However, no fatal complications have been reported, and all patients demonstrated a favorable neurological outcome with reduced neurological deficits.</p><p>Conclusions: This case and subsequent literature review suggest that the transoral mandibular tongue-splitting approach may be effective for the improvement of neurological outcomes without fatal complications in patients with UCEA. …

    Spine Surgery and Related Research 4(2), 178-183, 2020

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  • Clinical feature and perioperative complication for osteoporotic vertebral fracture in thoraco-lumbar spine comparison with middle-lower lumbar spine  [in Japanese]

    Kato Shinichi , Niwa Osamu , Terada Nobuki

    <p>骨粗鬆症性椎体骨折(OVF)の臨床的特徴と周術期合併症について発生高位別で比較検討した.胸腰椎移行部では椎体後壁損傷,中下位腰椎では脊椎変性病変を多く認め,ともに半数以上で神経障害を合併していた.中下位腰椎の手術は椎体間固定や除圧操作が多く,矯正角度と矯正損失が大きい傾向であった.周術期合併症として胸腰椎移行部は創傷治癒遅延,中下位腰椎はインプラント脱転が多かった.</p& …

    Journal of Spine Research 11(4), 745-749, 2020

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  • Prolonged Unconsciousness for Four Days after General Anesthesia  [in Japanese]

    YAMAZAKI Shinya , SUZUKI Takuya , IWASAKI Hiroko , SATO Rina , MORIYAMA Hikaru , SHINODA Reimi , SATO Hikaru , YOSHIDA Kenji , KAWAAI Hiroyoshi

    … The unconsciousness persisted for 4 days after the general anesthesia without any abnormalities in her vital signs or neurological findings. … When postoperative unconsciousness persists without any abnormalities in vital signs or neurological findings, postoperative hypoactive delirium should be suspected after a consideration of the possible triggers.</p> …

    Journal of Japanese Dental Society of Anesthesiology 48(2), 75-77, 2020

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  • Is the Vertebral Posterior Line a Safety Landmark for Cervical Posterior Screw Insertion? – Radiological Study of the Vertebral Artery in the Cervical Spine

    KIM Kyongsong , NARIAI Michinori , KAWAUCHI Masaaki , MORIMOTO Daijiro , IWAMOTO Naotaka , ISU Toyohiko , MORITA Akio

    <p>At posterior cervical fixation, iatrogenic injury of the vertebral artery (VA) must be avoided. As the VA is usually located in front of the posterior line of the vertebral body, intraoperati …

    Neurologia medico-chirurgica 60(4), 223-228, 2020

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  • Treatment of Poor-grade Subarachnoid Hemorrhage  [in Japanese]

    Suzuki Hidenori , Kawakita Fumihiro , Kanamaru Hideki , Asada Reona , Fujimoto Masashi , Miura Yoichi , Shiba Masato , Toma Naoki

    <p> 重症くも膜下出血 (SAH) 患者の転帰は依然, 不良である. 良好な転帰を得る可能性を高めるためには, 新たな脳損傷を加えることなく早期に脳動脈瘤に対する根治術を施行する必要があるが, 同時にさまざまな全身性合併症の治療, 早期脳損傷を伴う頭蓋内圧亢進に対する迅速な管理, 遅発性脳虚血対策などの集中治療が必要である. 転帰不良の主な原因は早期脳損傷や続発する遅発性脳虚血である …

    Japanese Journal of Neurosurgery 29(2), 109-115, 2020

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  • Long-term Clinical Outcomes of Elective Carotid Artery Stenting in Patients Undergoing Maintenance Hemodialysis

    Iwata Tomonori , Mori Takahisa

    … <p><b>Objective </b>Carotid artery stenting (CAS) in patients undergoing maintenance hemodialysis is characterized by high complication rates. … Complete neurological recovery was achieved in both patients. …

    Internal Medicine 59(4), 479-483, 2020

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  • The Surgical Outcomes of Spinal Fusion for Osteoporotic Vertebral Fractures in the Lower Lumbar Spine with a Neurological Deficit

    Isogai Norihiro , Watanabe Kota , Watanabe Kei , Kaito Takashi , Yamashita Tomoya , Fujiwara Hiroyasu , Nagamoto Yukitaka , Terai Hidetomi , Tamai Koji , Matsuoka Yuji , Suzuki Hidekazu , Hosogane Naobumi , Nishimura Hirosuke , Tagami Atsushi , Yamada Shuta , Adachi Shinji , Ohtori Seiji , Orita Sumihisa , Furuya Takeo , Yoshii Toshitaka , Ushio Shuta , Inoue Gen , Funao Haruki , Miyagi Masayuki , Saito Wataru , Imagama Shiro , Ando Kei , Sakai Daisuke , Nukaga Tadashi , Kiyasu Katsuhito , Kimura Atsushi , Inoue Hirokazu , Nakano Atsushi , Nojiri Kenya , Harimaya Katsumi , Kawaguchi Kenichi , Yokoyama Nobuhiko , Oishi Hidekazu , Doi Toshiro , Ikegami Shota , Shimizu Masayuki , Futatsugi Toshimasa , Kakutani Kenichiro , Yurube Takashi , Suzuki Satoshi , Oshima Masashi , Uei Hiroshi , Aoki Yasuchika , Takahata Masahiko , Iwata Akira , Seki Shoji , Murakami Hideki , Yoshioka Katsuhito , Endo Hirooki , Hongo Michio , Okada Eijiro , Nakanishi Kazuyoshi , Abe Tetsuya , Tsukanishi Toshinori , Ishii Ken , Ueda Seiji , Hikata Tomohiro , Shiono Yuta

    … <p><b>Introduction</b>: Osteoporotic vertebral fracture (OVF) is the most common osteoporotic fracture, and some patients require surgical intervention to improve their impaired activities of daily living with neurological deficits. …

    Spine Surgery and Related Research, 2020

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  • Surgical Treatment of Osteoporotic Vertebral Fracture Associated with Diffuse Idiopathic Skeletal Hyperostosis along with Comparative Assessment of the Levels of Affected Vertebra or Anterior Column Reconstruction

    Kato Shinichi , Terada Nobuki , Niwa Osamu

    … 14 patients had neurological deficits, who exhibited improvements by one or more steps on the Frankel scale after surgery. … Postoperative correction loss was also significantly lower in the ACR group.</p><p>Conclusions: Favorable degrees of improvement in neurological deficits and VAS were observed following surgery in patients with OVF complicated by DISH, and postoperative ADLs were maintained in 92% of the patients. …

    Spine Surgery and Related Research 4(1), 57-63, 2020

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  • Combination Therapy with Hybrid OR for Cerebrovascular Disease  [in Japanese]

    有村 公一 , 西村 中 , 下川 能史 , 溝口 昌弘 , 秦 暢宏 , 空閑 太亮 , 迎 伸孝 , 波多江 龍亮 , 三月田 祐平 , 飯原 弘二

    … There was no symptomatic hemorrhagic and ischemic complication. … There was no neurological deterioration of modified Rankin scale at discharge except for the case of symptomatic hyperperfusion after CAS. …

    福岡医学雑誌 = Fukuoka acta medica 110(3), 162-169, 2019-09-25

    IR  Ichushi Web 

  • The management for the patients treated with immunosuppressive agents  [in Japanese]

    Shimizu Yuko

    … Attention should be paid to the complication and exacerbation of infection due to the immunosuppressive action of these drugs. …

    Neurological Therapeutics 36(4), 422-427, 2019

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  • Role of hippocampal lipocalin-2 in experimental diabetic encephalopathy  [in Japanese]

    Anup Bhusal , Md Habibur Rahman , Kyoungho Suk

    … <p>Diabetic encephalopathy is a severe diabetes-related complication in the central nervous system that is characterized by degenerative neurochemical and structural changes leading to impaired cognitive function. … While the exact pathophysiology of diabetic encephalopathy is not well understood, it is likely that neuroinflammation is one of the key pathogenic mechanisms that cause this complication. …

    Proceedings for Annual Meeting of The Japanese Pharmacological Society 92(0), JKL-09, 2019

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  • A case of rhinogenic intracranial complications by rhinosinusitis  [in Japanese]

    Takeuchi Kazutaka , Ashimori Naoki

    副鼻腔炎由来の鼻性頭蓋内合併症は,現在でも致命的な疾患である。今回副鼻腔炎に続発した鼻性頭蓋内合併症例を経験したので報告する。症例は13歳男児。発熱,頭痛を主訴に来院し,急性副鼻腔炎と診断して抗菌薬の全身投与を行った。症状と血液検査所見の改善を認め,入院7日目に退院したが,退院後12日目に脳膿瘍,硬膜外膿瘍が認められ,脳神経外科に緊急入院した。抗菌薬の全身投与に加え,内視鏡下鼻副鼻腔手術,開頭脳膿 …

    JOURNAL OF JAPAN SOCIETY FOR HEAD AND NECK SURGERY 29(2), 169-176, 2019

    J-STAGE  Ichushi Web 

  • Postoperative epidural hematoma with neurological complication in spinal surgery — multicenter study —  [in Japanese]

    MASUDA Takahiro , 宮本 敬 , 細江 英夫 , 飯沼 宣樹 , 伏見 一成 , 伊藤 芳毅

    The Central Japan Journal of Orthopaedic Surgery & Traumatology 62(4), 695-696, 2019

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  • Comparison of Postcatheterization Pseudoaneurysm between Brachial Access and Femoral Access

    Tamanaha Yusuke , Sakakura Kenichi , Taniguchi Yousuke , Yamamoto Kei , Tsukui Takunori , Seguchi Masaru , Wada Hiroshi , Momomura Shin-ichi , Fujita Hideo

    … <p>Postcatheterization pseudoaneurysm is a serious complication following diagnostic or therapeutic catheterization. … Moreover, neurological disorders were observed only in the brachial pseudoaneurysm group (22.2%). … Successful manual compression was frequently achieved in both groups, but neurological disorders were observed only in brachial access, suggesting the greater risk of brachial pseudoaneurysms.</p> …

    International Heart Journal 60(5), 1030-1036, 2019

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  • Parent Artery Stenosis and Visual Disturbance after Balloon-assisted Coil Embolization of an Unruptured Cerebral Aneurysm: A Case Report  [in Japanese]

    Goto Masanori , Hashikata Hirokuni , Toda Hiroki , Iwasaki Kouichi

    … Her treatment course was uneventful, and she was discharged without any neurological deficits. …

    Journal of Neuroendovascular Therapy 13(9), 376-381, 2019

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  • Fetal and Neonatal Circulatory Disorders in Twin to Twin Transfusion Syndrome (The Secondary Publication)

    Yoda Hitoshi

    … <p>Twin to twin transfusion syndrome (TTTS) is a major complication of monochorionic diamniotic (MD) twins, and its onset is known to be associated with placental vascular anastomoses and blood flow imbalance. … Fetoscopic laser photocoagulation (FLP) has been introduced recently because neither mortality nor neurological morbidity have been satisfactorily improved with conventional treatment. …

    Journal of Nippon Medical School 86(4), 192-200, 2019

    J-STAGE  Ichushi Web 

  • A case of spontaneous intracranial hypotension with transient neurological symptoms  [in Japanese]

    Sugiura Mieko , Shibata Koichi , Saito Satoshi , Nishimura Yoshiko , Takahashi Koichi , Sakura Hiroshi

    <p>症例は41歳女性.腰痛の後,突然,起立時の頭痛が出現し,1週後,右耳閉塞感,めまい,1か月後に右手から始まり,同側の腕,側胸腹部,下肢へ広がるしびれが20~30分間出現し,同症状を繰り返すため入院した.頭部MRIで,円蓋部くも膜下出血(convexal subarachnoid hemorrhage; cSAH),脳皮質静脈血栓,硬膜肥厚,硬膜下血腫を認め,脊髄脳槽シンチグラフィ …

    Rinsho Shinkeigaku 59(8), 530-535, 2019

    J-STAGE  Ichushi Web 

  • The Japanese Scoliosis Society Morbidity and Mortality Survey in 2014: The Complication Trends of Spinal Deformity Surgery from 2012 to 2014

    Sugawara Ryo , Takeshita Katsushi , Inomata Yasushi , Arai Yasuhisa , Takaso Masashi , Takahashi Jun , Hosoe Hideo , Itou Manabu

    … <p>Introduction: The Japanese Scoliosis Society (JSS) created a longitudinal complication survey of spinal deformity surgery and established the Morbidity and Mortality (M&M) Committee in 2012. … The purpose of this study was to analyze the results of the complication survey in 2014 and to report the differences in the complication rates between the years 2012 and 2014.</p><p>Methods: A request to participate in this survey was mailed to all JSS members. …

    Spine Surgery and Related Research 3(3), 214-221, 2019

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