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Biomedical subjects

I Sunada

Publications and source records attributed to I Sunada.

57 records · Page 4Linked to original sources

Simultaneous bilateral thalamic hemorrhage: case report.

A 60-year-old man presented with an extremely rare case of simultaneous hypertensive bilateral thalamic hemorrhage manifesting as left hemiparesis with headache followed by deterioration in consciousness and tetraparesis. CT scan confirmed the bilateral thalamic hemorrhages 17 hours after onset. Magnetic resonance imaging showed the bilateral thalamic lesions had similar signal intensities, consistent with the simultaneous onset, and had no evidence of hemorrhagic reason. Conservative treatment achieved some neurological improvement, but he died of pneumonia six months after onset. The prognosis of a patient with bilateral hemorrhages is worse than would be indicated by the size of the hemorrhages.

Brain↗

Local multicystic encephalopathy: case report.

A case of local multicystic encephalopathy is presented. CT scan showed a low-density area with a string-like structure of iso-density in the left frontal lobe. Angiogram demonstrated no abnormality. Magnetic resonance imaging (MRI) demonstrated multiple cystic lesions, and we diagnosed the case as local multicystic encephalopathy. This disease generally occurs diffusely, and local occurrence is very rare. MRI was very useful for diagnosis and delineating the details.

Adult↗

Meningioma associated with acute subdural hematoma--case report.

A 48-year-old woman presented with sudden left hemiplegia with headache, which deteriorated two days later. CT scan showed repeated intratumoral and subdural hemorrhages. Magnetic resonance imaging showed a parasagittal tumor infiltrating into the superior sagittal sinus, with intratumoral hemorrhage and acute subdural hematoma in the interhemispheric fissure. The intratumoral hematoma had several different intensities, which indicated repeated hemorrhages. The subdural hematoma and the tumor were removed via frontoparietal craniotomy. The histological diagnosis was fibrous-type meningioma with a high Ki-67 labeling index (6.7). As there were tumor cells within the subdural hematoma, it seemed to have resulted from tumoral hemorrhage. A high index of cell proliferation may indicate some mechanism responsible for hemorrhage in malignant tumor.

Acute Disease↗