Biomedical subjects
Publications and source records attributed to T Futami.
A soft-part chondroma was found in the back of a new-born infant. The tumor was located in the soft tissue between the spinous processes of T12 and L1 and grew larger. It was successfully removed operatively at the age of two years. It was a completely encapsulated hyaline cartilagelike tumor, and the skeleton. Histologically, it consisted of a cartilaginous tissue with a lobular pattern, and nuclear atypia was found in some areas.
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1. In anesthetized cats, we investigated excitatory and inhibitory inputs from the cerebral cortex to dentate nucleus neurons (DNNs) and determined the pathways responsible for mediating these inputs to DNNs. 2. Intracellular recordings were made from 201 DNNs whose locations were histologically determined. These neurons were identified as efferent DNNs by their antidromic responses to stimulation of the contralateral red nucleus (RN). Stimulation of the contralateral pericruciate cortex produced excitatory postsynaptic potentials (EPSPs) followed by long-lasting inhibitory postsynaptic potentials (IPSPs) in DNNs. The most effective stimulating sites for inducing these responses were observed in the medial portion (area 6) and its adjacent middle portion (area 4) of the precruciate gyrus. Convergence of cerebral inputs from area 4 and area 6 to single DNNs was rare. 3. To determine the precerebellar nuclei responsible for mediation of the cerebral inputs to the dentate nucleus (DN), we examined the effects of stimulation of the pontine nucleus (PN), the nucleus reticularis tegmenti pontis (NRTP) and the inferior olive (IO). Systematic mapping was made in the NRTP and the PN to find effective low-threshold stimulating sites for evoking monosynaptic EPSPs in DNNs. Stimulation of either the PN or the NRTP produced monosynaptic EPSPs and polysynaptic IPSPs in DNNs. Using a conditioning-testing paradigm (a conditioning stimulus to the cerebral peduncle (CP) and a test stimulus to the PN or the NRTP) and intracellular recordings from DNNs, we tested cerebral effects on neurons in the PN and the NRTP making a monosynaptic connection with DNNs. Conditioning stimulation of the CP facilitated PN- and NRTP-induced monosynaptic EPSPs in DNNs. This spatial facilitation indicated that the excitatory inputs from the cerebral cortex to DNNs are at least partly relayed via the PN and the NRTP. 4. Stimulation of the contralateral IO produced monosynaptic EPSPs and polysynaptic IPSPs in DNNs. These monosynaptic EPSPs were facilitated by conditioning stimulation of the CP, strongly suggesting that the IO is partly responsible for mediating excitatory inputs from the cerebral cortex to the DN. A comparison was made between the latencies of IO-evoked IPSPs in DNNs and the latencies of IO-evoked complex spikes in Purkinje cells. Such a comparison indicated that the shortest-latency IPSPs evoked from the IO were not mediated via the Purkinje cells and suggested the pathway mediated by inhibitory interneurons in the DN.(ABSTRACT TRUNCATED AT 400 WORDS)
The retrospective analysis of 64 patients between 1 month and 14 years old with 87 primary vesicoureteral units with reflux was reviewed. They were followed-up for a period of 3 to 60 months. Thirty one patients were managed conservatively by chemotherapy (group A) and 28 patients were treated surgically. As the anti-reflux operation the Politano-Leadbetter procedure was used in 27 patients and the modified Politano-Leadbetter procedure in 1 patient (group B). Five patients were not treated (group C). In 13 of the 30 renal units of group A, the vesico-ureteral reflux disappeared spontaneously and in group B the post-operative cystourethrography revealed cure of reflux in all the renal units. In 2 of the 21 renal units of group A excretory urography (IVP) revealed improvement and in 3 deterioration. Post-operative IVP revealed improvement in 13 of 39 renal units of group B and in 2 deterioration. In 3 of the 22 renal units of group A the renogram revealed improvement and in 3 deterioration. The post-operative renogram revealed improvement in 8 of the 28 renal units of group B and deterioration in renal units. Analysis was also made according to the vesicoureteral reflux grade.
A case of mixed gonadal dysgenesis with anaplastic seminoma is reported. A 43-year-old, female, who was brought up as a female, was admitted to our hospital for swelling of left inguinal region. The physical examination revealed a short stature, ambiguous external genitalia but no Turner's stigmata. A child's head-sized tumor was noticed in the left inguinal region by CT scan. The histopathological diagnosis of this tumor was anaplastic seminoma. The right gonad was removed at laparotomy with lymph node dissection in the pelvis. Histological examination of right gonad revealed streak gonad and immature uterine with fallopian tube. In the Japanese literature, 7 cases including our case of mixed gonadal dysgenesis with gonadal tumor have been reported.
So far as we surveyed in the literature, no articles had been published on precise studies on the bony and ligamentous structures around the wrist joint in crab-eating monkey. The authors made an observation about these particular anatomical structures by careful dissection of the 40 crab-eating monkeys, and the results were compared with those of three fresh human cadavers. The most significant differences were that the monkey had nine carpal bones (os centrale in addition), quite different configuration of the pisiform bone, no radio-scapho-capitate ligament, hypoplastic or no radio-scapho-lunate ligament, and different structure of the triangular fibro-cartilage complex. We discussed these differences from the view point of functional anatomy.
The intraspinal morphology of single lateral vestibulospinal tract (LVST) axons was investigated with the method of intra-axonal staining with horseradish peroxidase (HRP) and three-dimensional reconstruction of the axonal trajectory. Axons penetrated in the ventral funiculus at C5-C8 were identified as LVST axons by their monosynaptic responses to stimulation of the ipsilateral vestibular nerve and by their direct responses to stimulation of the ipsilateral Deiters' nucleus and LVST. Reconstructions were made from 34 well-stained LVST axons. Of these, 23 terminated in the brachial segments (C5-Th1) and the other 11 projected below Th2. These axons were traced over distances of 2.9-16.3 mm rostrocaudally. Within these lengths, one to seven axon collaterals (mean +/- S.D., 3.2 +/- 2.0, N = 19) were given off at right angles from the stem axons of LVST axons terminating in the brachial segments. The mean diameters of stem axons and primary collaterals were 4.5 microns and 1.6 micron, respectively. In the gray matter, collaterals ramified successively, pursued a delta-like path, and terminated mainly in laminae VII and VIII or lamina IX. The rostrocaudal extension of a single collateral was very restricted (mean +/- S.D., 760 +/- 220 microns, N = 16), in contrast to the extensive dorsoventral and mediolateral extent of the terminal arborization. There were usually gaps between adjacent collateral arborizations from the same stem axons, since the intercollateral distances ranged from 400 to 4,300 microns (mean = 1,490 microns). LVST axons terminating in brachial segments were divided into two groups--a medial group and a lateral group--on the basis of their projection sites in the transverse plane of the gray matter. The axons of the medial type had their main projection to laminae VII and VIII of Rexed, while those of the lateral type terminated in lamina IX. The terminal arborizations of the medial type LVST axons were mainly distributed over lamina VIII, where synaptic boutons appeared to make contact with proximal dendrites or somata of medium-sized and large neurons in the ventromedial nucleus and also in the medial portion of lamina VII adjacent to the central canal and dorsal to lamina VIII. Five out of 15 medial type axons had a bilateral projection. One or two collaterals of each of these axons crossed the midline through the anterior commissure and terminated in lamina VII or VIII. It was concluded that the contralateral projection was sparse.(ABSTRACT TRUNCATED AT 400 WORDS)
A simple technique is described for in vivo assessing the interfacial rigidity between a dental root implant and the bone surrounding it. The method is based on estimating the frequency (10 to 150 KHz) and amplitude of the vibration of the implant induced by a small pulsed force. Application of the force to the implant and detection of the vibrational signal from the implant are performed by lightly touching it with two fine needles connected with piezoelectric elements. A distinct signal difference observed in animal tests of bioactive implant and nonbioactive one is shown to well agree with that obtained from corresponding ex vivo models.
To analyze the cerebellar effects on corticofugal neurons destined for different subcortical nuclei, intracellular recordings were made from corticofugal neurons in areas 4 and 6 of the cat. Corticonuclear neurons to the red nucleus (RN) and the pontine nucleus (PN), and pyramidal tract neurons (PTNs) with collaterals to these nuclei were identified by their antidromic responses to the stimulation of these nuclei and the pyramid. Three types of RN-projecting neurons (corticorubral neurons (CRNs), corticopontine neurons (CPNs) with a collateral to the RN and PTNs with a collateral to the RN) and two types of PN-projecting neurons (CPNs and PTNs with a collateral to the PN) were differentiated. Furthermore, these corticofugal neurons were classified as fast and slow neurons on the basis of a critical axonal conduction velocity of 20 m/s. About 80% of 98 RN-projecting neurons in area 4 were PTNs, and among the rest, CPNs were more common than CRNs. A similar tendency of the frequency distribution of 37 RN-projecting neurons was also observed in area 6. In area 4, about 70% of 158 PN-projecting neurons were PTNs (80 fast and 30 slow PTNs) and the rest were CPNs, while in area 6, only 35% of 99 PN-projecting neurons were PTNs (10 fast and 25 slow PTNs). Among the CPNs in areas 4 and 6, slow CPNs were more frequently encountered. Cerebellar effects on these identified corticofugal neurons were investigated, using electrical stimulation of the brachium conjunctivum (BC). In both areas 4 and 6, a substantial number of fast conducting CRNs, CPNs and PTNs projecting to the RN or the PN received short-latency (predominantly disynaptic), large-amplitude EPSPs from the BC, and a considerable number of slow conducting neurons to the RN and/or the PN received longer-latency, smaller-amplitude EPSPs from the BC.
To investigate intraspinal branching patterns of single corticospinal neurons (CSNs), we recorded extracellular spike activities from cell bodies of 408 CSNs in the motor cortex in anesthetized cats and mapped the distribution of effective stimulating sites for antidromic activation of their terminal branches in the spinal gray matter. To search for all spinal axon branches belonging to single CSNs in the "forelimb area" of the motor cortex, we microstimulated the gray matter from the dorsal to the ventral border at 100-micron intervals at an intensity of 150-250 microA and systematically mapped effective stimulating penetrations at 1-mm intervals rostrocaudally from C3 to the most caudal level of their axons. From the depth-threshold curves, the comparison of the antidromic latencies of spikes evoked from the gray matter and the lateral funiculus, and the calculated conduction times of the collaterals, we could ascertain that axon collaterals were stimulated in the gray matter rather than stem axons in the corticospinal tract due to current spread. Virtually all CSNs examined in the forelimb area of the motor cortex had three to seven branches at widely separated segments of the cervical and the higher thoracic cord. In addition to terminating at the brachial segments, they had one to three collaterals to the upper cervical cord (C3-C4), where the propriospinal neurons projecting to forelimb motoneurons are located. About three quarters of these CSNs had two to four collaterals in C6-T1. This finding held true for both fast and slow CSNs. About one third of the CSNs in the forelimb area of the motor cortex projected to the thoracic cord below T3. These CSNs also sent axon collaterals to the cervical spinal cord. CSNs in the "hindlimb area" of the motor cortex had three to five axon branches in the lumbosacral cord. These branches were mainly observed at L4 and the lower lumbosacral cord. None of these CSNs had axon collaterals in the cervical cord. CSNs terminating at different segments of the cervical and the thoracic cord were distributed in a wide area of the motor cortex and were intermingled. To determine the detailed trajectory of single axon branches, microstimulation was made at a matrix of points of 100 or 200 micron at the maximum intensity of 30 microA, and their axonal trajectory was reconstructed on the basis of the location of low-threshold foci and the latency of antidromic spikes.(ABSTRACT TRUNCATED AT 400 WORDS)
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The neural connections of the dentate (DN) and the interpositus (IN) nuclei to the motor cortex and area 6 were investigated by recording intracellular postsynaptic potentials from fast and slow pyramidal tract neurons (PTNs) in the anesthetized cat. Localized stimulation of DN and IN produced di- or polysynaptic EPSPs in fast and slow PTNs in the "forelimb area" of the motor cortex and area 6. The effects of stimulation of the two cerebellar projections were essentially the same, although some regional difference of their relative strength was noted. In these cortical areas, the majority of fast and slow PTNs received convergent inputs from both DN and IN. By examining the interaction of DN- and IN-evoked EPSPs, spatial facilitation and occlusion at the level of the thalamus were demonstrated. Therefore, it was concluded that at least a portion of the convergence of the dentate and the interpositus inputs occurred at the level of the ventrolateral nucleus of the thalamus.
Input-output neural organization of single thalamocortical (T-C) neurons in the ventrolateral nucleus (VL) of the thalamus was investigated using an intracellular recording technique in the anesthetized cat. Stimulation of the dentate (DN) and the interpositus (IN) nuclei produced monosynaptic unitary EPSPs of large amplitude in T-C neurons projecting to the motor cortex or area 6 over the entire mediolateral region of VL. The thalamic projections from DN and IN are very wide and there is a considerable overlap between the dentate and the interpositus projection areas in VL. And in this overlapping area, a considerable number of T-C neurons (50%) receive inputs from both DN and IN. More than 40% of T-C neurons were antidromically activated from widely separated electrodes in the motor cortex, indicating that the cortical arbolization of single T-C neurons is very wide and the number of these neurons with widely divergent projections is considerably large.
The anti-emetic effect of corticosteroid during cancer chemotherapy with cis-diamminedichloroplatinum (II) (CDDP) is analyzed retrospectively. From November 1981 to April 1984, 23 of 50 patients receiving CDDP were given corticosteroid as an anti-emetic. Corticosteroids, methylprednisolone (80-500 mg/day) or hydrocortisone (200-480 mg/day), were administered intravenously for 1 to 3 doses. Including 4 patients who had no symptoms, 60% of patients were free from nausea and vomiting. The incidence of gastrointestinal symptoms was significantly lower than that in patients who were not given corticosteroid. Corticosteroid reduced gastrointestinal symptoms in 2 of 3 patients who had prior CDDP treatment. There were no remarkable adverse reactions except acne in 2 patients. A further controlled study is needed to determine the appropriate dose and modality of administration of corticosteroid.
Studies were conducted on the actions of counterirritants on muscle contractile mechanisms and nerve conduction in both isolated and intact preparations. Neuromuscular transmission was noncompetitively blocked with menthol and methyl salicylate (MS) and recovered to the control level after they were washed out. Contractions of the isolated frog rectus in response to ACh and electrical stimulation were antagonized with menthol, MS, and camphor; and the action of nonylic vanillyl amide ( NVA ) became irreversible at high concentration. Menthol and MS produced muscle contraction per se at high concentration and enhanced the caffeine elicited contractile activity. The enhancement was also seen with camphor. The amplitude of the action potential was reduced with menthol, camphor, and MS in a dose and time dependent manner in the isolated frog sciatic nerve. This action was also confirmed in the intraaxonal recordings and was more easily influenced in the small fibres than the large ones. Conduction of primary afferents from muscle and motoneuron was weakly restrained 30 min after the external application of plasters which contained menthol or camphor on the hair-removed skin of cat's hind limb. The refractory period was also apt to be prolonged, and there was an obvious disappearance of group II and III inhibition after the external application of menthol plasters without any effects on group Ia and group Ib inhibition. concentrations of menthol, camphor, and MS in the muscle that were percutaneously absorbed after the external application of plasters containing these drugs in usual dosage were 10 approximately 30, (ca.) 5, and 5 approximately micrograms/g tissue, respectively. These findings suggest that menthol, camphor, and MS have conductive anesthetic activities mainly being attributable to a suppression of Na+ activation, and they cause an inhibition of nerve conduction, neuromuscular transmission and excitation contraction coupling, and stabilization on the membrane of the ACh receptor. When plasters containing menthol or camphor, in high dose, are externally applied on the skin, weak conductive anesthetic actions are thought to appear which result from the percutaneously absorbed drugs. Counterirritants , in high dose, cause an enhancement on caffeine elicited contraction and muscle contraction.