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Biomedical subjects

K Isaki

Publications and source records attributed to K Isaki.

At least 55 records · Page 3Linked to original sources
PubMed1990

EEG analysis in patients with senile dementia and Alzheimer's disease.

An EEG frequency analysis using the wave-form recognition method was performed in different stages of senile dementia (SD), evaluated according to the Hasegawa Dementia Rating Scale (HDS), and the differences in EEG changes between patients with Alzheimer's disease (AD) and patients with SD were studied. We found that the EEG changes in the SD patients correlated with HDS, and that an increase in slow theta (4-5.8 Hz) and a decrease in fast theta (7-7.8 Hz) waves were early changes in the SD patients. Furthermore, delta and slow theta waves increased mainly in the anterior frontal and temporal areas in the severe SD patients. The AD patients showed more severe EEG abnormalities than the SD patients and showed severe focal abnormalities in the temporal area.

Aged↗
PubMed1990

Ultrastructure of rectal biopsy specimens in unusual familial ataxia with cerebrospinal fluid abnormality.

The ultrastructure of rectal biopsy specimens from a 60-year-old woman of unusual familial ataxia with cerebrospinal fluid abnormality was investigated. She had two male siblings similarly affected and a close consanguinity in the family. Meissner's plexus neurons, Schwann cells, fibroblasts and smooth muscle cells within the rectum contained intracytoplasmic eosinophilic inclusions (IEIs) with or without intensely eosinophilic granules. Ultrastructurally the IEIs were composed of a membrane-bound, fine granular material with or without dense cores. The IEIs resembled intracytoplasmic inclusions seen in various cells of the central nervous system from a male autopsied sibling. The clinically and morphologically similar finding in the two siblings suggests an autosomal recessive inherited metabolic disorder previously unreported.

Biopsy↗
PubMed1990

Creutzfeldt-Jakob disease with periodic lateralized discharge: case report.

A case of CJD with PLD in the first EEG is reported. The PLD became bilateral in the next EEG. The subsequent EEGs showed shifting asymmetries. In this case, PSD reappeared after 5 months' absence. The PLD occasionally appeared over the hemisphere ipsilateral to the side of the myoclonic jerks. The clinical significance of the PLD and reappearance of PD, and the diagnostic importance of PLD are discussed.

Aged↗
PubMed1990

Temporal minor slow and sharp activity in psychiatric patients.

TMSSA was found in 51 (4.7%) of 1091 psychiatric patients, with a higher incidence found in the older group (40 years of age or over). Although TMSSA was found in various disorders, a close association with cerebrovascular dementia was suggested. It was uncommon in patients with primary degenerative dementia. No increase of TMSSA was noted in cerebrovascular disorders without dementia. TMSSA was found fairly often in patients with affective disorders, neurosis, and other functional disorders, suggesting underlying mild cerebral dysfunction in some. TMSA, a variant of TMSSA, was very similar to TMSSA except for its greater frequency in cerebrovascular disorders without dementia.

Adolescent↗
PubMed1988

Influence of sex on age at onset of schizophrenia.

The age at onset of schizophrenia was investigated in 2,417 inpatients (1,433 males and 984 females) meeting the DSM-III criteria for schizophrenia. About 80% of the patients became schizophrenic before the age of 30. The mean age at onset of the male patients was slightly earlier than that of the female patients. There was a higher cumulative percentage of the male patients who became affected at each age quinquennium. More men than women became schizophrenic before the age of 30.

Adult↗
PubMed1988

Does family history of schizophrenia influence age at onset of schizophrenia?

The relation between age at onset of schizophrenia diagnosed using DSM-III criteria and the presence or absence of this illness among first-degree relatives was investigated in 2417 patients. The mean age at onset among those with a family history of schizophrenia was slightly and nonsignificantly earlier than that of schizophrenic patients without a positive family history. The former developed their illness before the age of 25 years more frequently than did the latter.

Adolescent↗
PubMed1987

Morbidity risk of schizophrenia to parents and siblings of schizophrenic patients.

In order to estimate the familial morbidity risk of schizophrenia, parents and siblings of 1,691 inpatients meeting the DSM-III criteria for schizophrenia were investigated on the basis of a review of medical records, family history data and/or personal interviews. The morbidity risks of schizophrenia to parents and siblings of the schizophrenic probands were 4.0% and 4.1%, respectively, which were greater than the morbidity risk in the general population. Siblings of 118 probands whose parents suffered from schizophrenia were at a significantly greater risk of schizophrenia than siblings of 1,493 probands whose parents did not have schizophrenic illness. These findings support the notion of familial transmission of schizophrenia. A total of 16.4% of the schizophrenic probands had at least one first-degree relative with schizophrenia. This is significantly greater in the female probands than in the male probands.

Adult↗
PubMed1986

An electroencephalographic study of psychiatric inpatients with antipsychotic-induced tardive dyskinesia.

The awake EEGs of 48 psychiatric inpatients with tardive dyskinesia were compared with those of 29 matched controls without TD. EEGs of the TD patients were as follows: 22 (45.8%) were normal EEGs; 17 (35.4%), mildly abnormal EEGs; 8 (16.7%), moderately to severely abnormal EEGs. One record was excluded for severe artifacts. The control group showed a similar incidence of EEg abnormalities. EEGs with poor occipital alpha rhythm were significantly more frequent in the TD group than the control group. The TD patients tended to have an alpha rhythm of low voltage. Other characteristics of the alpha rhythm and amounts of theta, delta and beta activity showed no significant differences between the two groups. Severity of TD had no significant influence on EEG findings. The EEG similarities of TD and Huntington's chorea were discussed, and a suggestion was made that not only the basal ganglion, but also the cerebral cortex, could be involved in development of TD.

Adult↗
PubMed1986

Familial occurrence of the mu rhythm.

EEGs of the close relatives of patients and normal volunteers with the mu rhythm were investigated. EEGs were recorded from 14 families which included 12 fathers, 14 mothers and 9 siblings. In nine families, at least one nonproband family member had the mu rhythm. The mu rhythm was found in 13 (37.1%) of the 35 relatives. This incidence is much higher than that in a general population. These data suggest that the mu rhythm is genetically determined in most cases. The mode of inheritance might be autosomal dominant.

Adolescent↗
PubMed1985

Olivary hypertrophy in a case with palatal myoclonus: light- and electron-microscopic study.

This is a report on the ultrastructural finding of the olivary hypertrophy in a case with palatal myoclonus. By light microscopy two types of neuronal changes were observed in the inferior olivary nucleus, i.e. the central chromatolysis and cytoplasmic vacuolation. Both types were also recognized by electron microscopy and the cytoplasmic vascuolation was identified as the vesiculated endoplasmic reticulum. In the reactive astrocytes, mitochondria were strikingly proliferated.

Adult↗
PubMed1985

EEG changes 24 hours after myelography with metrizamide.

A prospective study of EEG changes following metrizamide myelography was made on 34 patients aged 17-79 years. EEGs were recorded just before and 22-26 hours after myelography. Usually 8-10 ml of metrizamide was injected by either lumbar or lateral cervical puncture. The concentration of metrizamide was relatively high. EEGs were abnormal in 15 out of the 20 patients whose baseline EEGs were normal. EEGs deteriorated in 10 of the 14 patients whose control tracings were abnormal. High voltage delta activity and/or a great deal of theta activity were common abnormalities. Three patients showed triphasic waves. No relationships were found between the EEG changes and clinical variables. But central nervous system involvements by metrizamide tended to be accompanied by a severe EEG slowing.

Adolescent↗
PubMed1985

Hand preference in schizophrenics and handedness conversion in their childhood.

A handedness questionnaire which was given to 1774 schizophrenic inpatients was identical to that employed in our previous study on healthy students. Information was obtained on forced conversion of hand usage in childhood and the occurrence of left-handedness in their families. Family history of schizophrenia was also investigated. There were no significant differences in the prevalence of left-handedness or non-right-handedness (i.e., left-handedness and ambidexterity combined) between schizophrenic patients and normal subjects. However, the rate of converted right-handedness in schizophrenics was higher than that in normal people. The incidence of original non-right-handedness (i.e., present non-right-handedness and converted right-handedness combined) in schizophrenics was greater than that in normal controls.

Adolescent↗
PubMed1984

CT findings of the interval form of carbon monoxide poisoning compared with neuropathological findings.

Cerebral computed tomography findings were described in 2 clinical cases of the interval form of carbon monoxide poisoning and comparison with postmortem CT finding of an autopsy case was made. There was low density in the bilateral frontal region, centrum semiovale and pallidal parts. In the course of the disease, the degree of low density in the white matter showed a tendency to diminish but it became more apparent in the pallidal parts. Myelinopathic white matter lesion in an autopsy material was recognized as a low density area in CT, which is identical with that seen in clinical cases.

Adult↗
PubMed1983

[Locked-in syndrome with bilateral midbrain infarcts--report of an autopsy].

A case of "Locked-in" syndrome with bilateral midbrain infarcts was reported. A 51-year-old man had a memory disturbance and a change of his personality after head trauma, and then became rapidly "Locked-in" state. He was quadriplegic and bulbar paralytic, but ocular movements were preserved. Left VAG showed the narrowing of the basilar artery and there was a striking anastomosis between the SCA and PICA. Neuropathological findings were as the following; 1) The lateral two third of bilateral cerebral peduncles were extensively infarcted. 2) There were contusion of the left frontal orbital surface and the ischemic infarction of the left frontal white matter. 3) Two small infarcted lesions were found in the ventral pons without involving the pyramidal tracts. 4) Additional findings were retrograde degeneration of the medial nucleus of the left thalamus from the left frontal orbital lesion, and were loss of the Purkinje cells and neurons of pontine nucleus from the infarction of the middle cerebellar peduncle. Tegmentum of the midbrain, pons and medulla were preserved, which was considered to be due to the anastomosis of the SCA and PICA. Bilateral midbrain infarcts are responsible lesions in this case and it seems that "Locked-in" state is not synonymous with the "Ventral pontine syndrome".

Cerebral Cortex↗
PubMed1982

Sclerosing leucoencephalopathy with membranocystic lesions of adipose tissue: a contribution to the pathology of Nasu disease.

A case of sclerosing leucoencephalopathy with membranocystic lesions of adipose tissue was reported. A 38-year-old Japanese housewife, whose parents were consanguineous, developed gradually neuropsychiatric symptoms characterized by euphoria, gait disturbance and urinary incontinence, followed by spastic tetraplegia with epileptic convulsions and died eight years later. Neuropathologically a form of sudanophilic leucodystrophy with a prominent fibrillary gliosis (dissociation glio-myelinique) associated with axonal spheroids and calcospherite depositions was revealed. A peculiar membranocystic lesion of adipose tissue was recognized not only in the bone marrow but also in other areas. However, no apparent bone pathology was observed except for a ring-like pleated lamellar structure. This case was thought to be classified as heterogeneous phenotype of membranous lipodystrophy (Nasu).

Adipose Tissue↗