Search PubMed⌕ Search

Biomedical subjects

M Kowada

Publications and source records attributed to M Kowada.

At least 145 records · Page 8Linked to original sources
PubMed1987

[Maffucci's syndrome associated with primary brain tumor: report of a case].

A rare case of Maffucci's syndrome associated with astrocytoma at the right frontal lobe and intracranial chondroma is reported in detail with a review of literature. A 24-year-old male who had diagnosed as multiple chondroma at the age of 14 years old was admitted to the hospital with complaint of double vision. Neurological examination revealed no abnormality except for the left abducens palsy. Multiple subcutaneous blue nodules in the left hand was carried for biopsy as cavernous hemangioma. Craniograph showed expansive radiolucent area in the parasellar region. CT scan demonstrated a round shaped low density area in the right frontal lobe, part of which was iso-density and turned out to be enhanced following contrast infusion. Roentgenogram disclosed many well-demarcated radiolucent area in phalanges of the left hand and leg, and right leg and third rib. The frontal tumor was totally extirpated and was histologically fibrillary astrocytoma. This is the ninth case of the Maffucci's syndrome associated with the primary intracranial tumor in the literature. It is emphasized that the Maffucci's syndrome is associated with a high incidence of malignancy. And the reason for tendency to develop malignant tumors is discussed.

Adult↗
PubMed1987

[A case of trigeminal neurinoma with marked extracranial extension].

A case of trigeminal neurinoma with marked extracranial extension is reported with a review of the literature. A 60-year-old female noticed numbness over the left side of the face during the proceeding 15 years. Two years prior to admission, she began to complain of itching and lancinating pain at the left lateral aspect of the nose. Neurologic examination on admission revealed diminished corneal reflex on the left side and hypesthesia in the distribution of the left trigeminal nerve. There was no weakness or atrophy of the ipsilateral masticatory muscles. The remaining cranial nerves and cerebellar functions were normal. Craniograms showed destruction of the left petrous apex, enlargement of the left superior orbital fissure and an extensive bone defect in the floor of the left middle cranial fossa. CT disclosed a huge heterogeneously enhancing mass lesion in the left middle cranial fossa, which extended posteriorly into the left cerebellopontine angle and inferiorly into the pterygoid and infratemporal fossae. Cerebral angiograms revealed medial displacement of the left internal cerebral artery in the ganglionic, cavernous and supraclinoid portions, and elevation of the left middle cerebral artery in the sphenoidal portion. Although the left meningohypophyseal trunk was dilated, no tumor stain was observed. A transantral biopsy specimen provided the diagnosis of neurinoma with Antoni type A tissue. The patient was followed up at the outpatient clinic as radical operations were not agreed upon. Eight cases of trigeminal neurinoma with extracranial extension are reviewed including the presented case. There were two males and six females, and the age varied from 16 to 65 years.(ABSTRACT TRUNCATED AT 250 WORDS)

Cranial Nerve Neoplasms↗
PubMed1986

Steroid-induced regression of primary malignant lymphoma of the brain.

A case of primary malignant lymphoma involving the splenium of the corpus callosum is reported in a 54-year-old woman presenting with symptoms of increased intracranial pressure. In view of the prominent cerebral edema associated with the intracranial lymphoma, dexamethasone was initiated at a daily dosage of 8 mg by intravenous administration. Computed tomography scans obtained 10 days after admission revealed dramatic regression of the lesion which corresponded with clinical remission. Steroid-induced regression of primary malignant lymphoma of the brain as evidenced by computed tomography is reviewed in the literature, and the role of corticosteroids is discussed.

Adult↗
PubMed1986

Positron emission tomographic evaluation of histological malignancy in gliomas using oxygen-15 and fluorine-18-fluorodeoxyglucose.

HEADTOME III, a high resolution PET, has been employed using 15O and 18F labelled pharmaceuticals to evaluate histological malignancy of gliomas preoperatively. PET study was applied on eighteen preoperative gliomas including two recurrent cases. Haemocirculatory and metabolic indices of regional cerebral blood flow (rCBF), cerebral blood volume (rCBV), oxygen extraction fraction (rOEF), cerebral metabolic rates for oxygen (rCMRO2) and glucose (rCMRGI) were measured in the viable portion of the tumour, and the contralateral grey and white matter. In the tumour region, rCBF and rCBV were variable and unrelated to grades of tumour malignancy. rCMRO2 and rOEF values reduced significantly (p less than 0.01) relative to the contralateral brain tissue. The average rCMRGI values was 3.00 +/- 1.06 mg 100 ml-1 min-1 (mean +/- SD) for 7 low grade gliomas (grade II), and 5.91 +/- 3.61 mg 100 ml-1 min-1 for 11 high grade gliomas (grade III and IV). These results would support that anaerobic glycolysis increased in the metabolism of gliomas with malignancy. In comparison with normal volunteers, rCBF, rCMRO2, and rCMRGI values in the contralateral grey matter of gliomas were markedly reduced (p less than 0.01, p less than 0.05, p less than 0.01, respectively) possibly due in part to raised intracranial pressure and depressed cerebral functional activity, so that rOEF was increased to a level of approximately 0.5.(ABSTRACT TRUNCATED AT 250 WORDS)

Adolescent↗
PubMed1986

Ultrastructural and morphometric studies of nonsecretory neurons of the rat supraoptic nucleus.

Ultrastructural and morphometric studies were made on nonsecretory and complementarily neurosecretory neurons of the rat supraoptic nucleus. 6% of perimeter of nonsecretory neuronal perikarya was covered by presynaptic endings. The value was well in agreement with that of interneurons elsewhere. The covering ratio of neurosecretory neurons was 12%. The perikarya of nonsecretory and neurosecretory neurons bear an average of 14 and 49 axon terminals, respectively. Nonsecretory neurons should be interneurons, receiving much less information than neurosecretory neurons.

Animals↗
PubMed1986

[In vivo measurements of regional cerebral hemocirculation and metabolism in gliomas using 15O and 18F-fluorodeoxyglucose positron emission tomography].

A high resolution PET-HEADTOME III has been employed to quantitate regional cerebral hemodynamics and metabolism in gliomas using O-15 and 18FDG tracers, and to evaluate histological malignancy preoperatively. Hemodynamic and metabolic indices of regional cerebral blood flow (rCBF), cerebral blood volume (rCBV), oxygen consumption (rCMRO2), oxygen extraction (rOEF), and glucose consumption (rCMRGl) were studied on thirteen preoperative gliomas involving one recurrent case. Regions of interest (ROIs) on PET were placed over the corresponding lesions in CT scans. In high grade gliomas, ROIs were also focused on the corresponding parts of central low density area, contrast enhanced area, and peritumoral low density area. rCBF and rCBV were variable and unrelated in both low and high grade gliomas. rCMRGl values were 5.99 +/- 3.99 mg/100 ml/min for high grade gliomas, and 3.01 +/- 0.48 mg/100 ml/min for low grade gliomas. Lesions with high uptake of radioisotope were proved to be high grade gliomas. lesions with low uptake being low grade gliomas. In comparison with the contralateral gray matter around the sylvian fissure, rCBV was significantly higher(p less than 0.02) in high grade gliomas, and rCMRGl was lower (p less than 0.05) in low grade gliomas. rCMRO2 and rOEF values were reduced markedly (p less than 0.01) in both low and high grade gliomas. These results support that anaerobic glycolysis increased with malignancy in the metabolism of gliomas. The hemodynamics and metabolism of central low density area and peritumoral low density area reflect the pathophysiological state of necrosis and edema respectively.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗
PubMed1986

[Cerebellopontine angle xanthogranuloma: report of a surgical case].

A Case of xanthogranuloma at the cerebellopontine angle is reported here in detail with a review of the literature. A 36-year-old male suffered from tinnitus and hearing disturbance for five months before admission. View of the internal auditory canal showed widening and destruction on the right side. Auditory brain stem response did not clarify any of wave. A slight high density area was revealed by CT with some degree of enhancement. A right paramedian suboccipital craniectomy revealed an encapsulated tumor at the right cerebellopontine angle extending into the internal auditory canal. The tumor was reddish-brown, creamy and 2 cm in diameter, which was totally extirpated. Twenty two days after the operation, the patient was discharged with a slight improvement of the right tinnitus. Seventeen surgical cases of intracranial xanthogranuloma were reviewed including the presented case. There were 10 males and seven females, and the age ranged from six to 57 years. Many of them were located in the choroid plexus or the dura mater. The presented case was the first reported one documenting a xanthogranuloma at the cerebellopontine angle. A solitary lesion was seen in 13 cases, and multiple lesions in four cases, among which Hand-Schüller-Christian disease was observed in two, and Weber-Christian disease in one. A high density area was revealed in eight out of nine cases, and some degree of enhancement was seen in nine. Surgical removal was performed totally in nine cases, subtotally in six, and partially in one. The outcome was excellent in eight cases, good in three, fair in one, poor in two, and dead in three.

Adult↗
PubMed1986

[Spontaneous transection of a Raimondi peritoneal catheter--a case report with scanning electron microscopic study of the transected tube].

Spontaneous transection of Raimondi peritoneal catheter is reported. A 6-month-old boy with communicating hydrocephalus had ventriculoperitoneal shunt surgery using Raimondi peritoneal catheter. Six months later, Raimondi catheter was found to be spontaneously transected in a peritoneal cavity. At the age of 5 year-old, the originally installed Raimondi catheter was again transected on the portion of chest wall. Scanning electron microscopic examination of the broken end of spring wire suggested that transection was caused by repetitive exertion of external forces. Mechanisms of transection of this catheter was discussed with review of the literature.

Cerebrospinal Fluid Shunts↗
PubMed1985

Multiple fungal aneurysms: report of a rare case implicating steroid as predisposing factor.

A 61-year-old man with a ruptured aneurysm of the anterior communicating artery developed hemorrhagic cerebral infarction 22 days after an operation associated with occlusion of the right angular artery. Angiograms further revealed sequential changes of intracranial vessels including progressive obstructions of the right anterior and middle cerebral arteries and four aneurysms on the left pericallosal artery. Subsequently, the patient became comatose and died. At autopsy the newly formed aneurysms originating from the left pericallosal artery were of fungal (Phycomycetes) origin and numerous nonseptate, branching hyphae were also seen in the obstructed cerebral arteries. Intracranial fungal aneurysms are reviewed in the literature and the pathogenesis in the present case is discussed.

Adrenal Cortex Hormones↗
PubMed1985

Spontaneous transection of Raimondi peritoneal catheter.

Three cases of spontaneous transection of a Raimondi peritoneal catheter are reported. Two cases were in infants aged 14 and 10 months, respectively, with communicating hydrocephalus, and the other was in a 10-year-old boy with noncommunicating hydrocephalus associated with a pinealoma. The mechanism of this complication is discussed.

Brain Neoplasms↗
PubMed1985

Primary oligodendroglioma of the lateral ventricle with computed tomographic and positron emission tomographic evaluations.

Two cases of primary intraventricular oligodendrogliomas are presented. Total excisions of well-demarcated large tumors in the lateral ventricle were successfully performed in young women by means of a frontal transventricular approach. An evaluation by computed tomography and positron emission tomography was attempted to obtain definite diagnosis of not only the location of the tumor but also the histologic grade of malignancy.

Adolescent↗