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Biomedical subjects

T Arakaki

Publications and source records attributed to T Arakaki.

21 records · Page 2Linked to original sources

Correction of leg inequality in the Klippel-Trenaunay-Weber syndrome.

Eight patients with Klippel-Trenaunay-Weber syndrome were treated for leg length inequality of as much as 10 cm in one ten year old, and one thirteen year old. In most cases adequate correction was achieved with epiphyseal stapling during active growth or definitive epiphysiodesis in older children. Bone shortening procedures in full-grown individuals may be indicated but the basic condition may make healing difficult. Ligation of the femoral artery had no effect on the growth of the affected leg.

Adolescent↗

[Neuropsychological study of 12 patients with pure degenerative cerebellar disease].

INTRODUCTION: The cerebellum has been traditionally associated with motor control learning and performance. However, since 1970 a growing body of clinical and experimental evidences has suggested that the cerebellum may be involved in nonmotor cognitive functions as well. OBJECTIVE: To explore the presence of eventual cognitive impairment in non-demented patients with isolated degenerative cerebellar diseases. PATIENTS AND METHODS: Twelve patients with the diagnosis of selective degenerative cerebellar disorders, either inherited or sporadic, were selected (mean age: 40.42 +/- 13.49 years; mean education level: 9.92 +/- 3.99 years; duration of illness: 12.13 +/- 11.27 years, MMSE: 26.75 +/- 1.5) and evaluated through a standardized neuropsychological tests battery. Normalized Z scores were estimated and compared against 0, employing the t test for one sample. RESULTS: Significant cognitive deficits were found in the following domains: executive, visuo-spatial, memory and attention functions. Performance on the Wisconsin test showed a significative number of perseverative errors. Memory deficits included verbal learning and free recall difficulties, with good recognition of the material presented. CONCLUSIONS: The findings of this study are consistent with the role of the cerebellum as modulator of mental functions. The cognitive deficits resulting from cerebellar pathology may be related with the disruption of cerebello-cortical connexions involving a complex network which includes the prefrontal region, suggesting that the cerebellum may process cortical information coming from different areas linked with the control of cognition.

Adolescent↗