Biomedical subjects
Publications and source records attributed to M Yokochi.
A patient with hereditary juvenile onset parkinsonism with dystonia died at age 39. There were Lewy bodies and regionally selective neuronal damage in the substantia nigra pars compacta. These changes closely resemble those seen in Parkinson's disease, and emphasize the selective vulnerability of the ventral tier of the pars compacta in these degenerations.
During the last 8 years, the diagnosis of tuberculous colitis has been made radiologically in 22 cases. Twelve were confirmed by histological or bacteriological evidences. The X-ray findings are classified into three types as follows: Type A, showing an extensive scarred area in the ileocecum and ascending colon. Type B, showing annular stricture in the ascending colon and dilatation of its oral side. Type C, showing pouchformation (pseudo-diverticulum) and deformity in the cecum. We emphasize that histological examination and culture of the biopsy specimens by endoscopy were useful for the diagnosis of tuberculous colitis. Furthermore, radiologic changes of the colon by administration of antituberculous drugs were observed.
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A clinico-pathological study of a 39-year-old female with Juvenile parkinsonism was carried out. Although the clinical manifestations were consistent with parkinsonism, the pathological findings were significantly different. Pathological examination showed the lesion to be localized to the substantia nigra, the number of neurons to be abnormally low, the proportion of melanin-containing cells to be reduced, and a large number of immature cells to be present. No neuronal degeneration associated with gliosis or release of melanin granules, such as seen in Parkinson's disease, was observed. Neuropathological studies, including cytometry and comparison against normal controls in the distribution of melanin granules, suggested hypoplasia and poor neuronal maturation of the substantia nigra. Since neuromelanin is thought to be the result of normal dopamine metabolism, reduction of melanin-containing cells in this case suggests inadequate or abnormal dopamine metabolism. Thus, the clinical manifestation of parkinsonism in this case seems to be related to the small number of melanin-containing cells which implies the dopamine deficiency state.