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Biomedical subjects

T Kudo

Publications and source records attributed to T Kudo.

At least 685 records · Page 38Linked to original sources
PubMed1983

[Formation of postoperative hematoma directly under a silastic dural substitute].

Several cases of spontaneous hematoma formation occurred under the Silastic dural substitute were reported with CT-scan and recraniotomy findings. In overall analysis, an incidence of the spontaneous hematoma formation was 35.1% in cases of artificial dural grafting with Silastic sheeting and none with autogenous temporal fascia. On CT-scan the hematoma showed localized high density area severely convex toward underlying brain. At recraniotomy, the hematoma consisted of massive clot presented locally beneath the dural substitute. As it depressed sharply underlying brain, it tends to having shown heavy clinical symptoms in comparison with a volume of clot. Neomembrane formed under the artificial graft seemed the most probable bleeding source.

Adult↗
PubMed1983

[Functional tricuspid regurgitation and its relation to the morphology of the tricuspid valve and annulus: pulsed doppler echocardiography and two-dimensional echocardiography].

The mechanism for the development of functional tricuspid regurgitation (TR) was studied by an ultrasonic method. Thirty-five examinations were performed in 31 patients who were expected to have functional TR, and the severity was classified into 4 grades according to the extension of the regurgitant signals by pulsed Doppler echocardiography. The satisfactory horizontal section of the tricuspid valve was obtained by two-dimensional echocardiography (2DE) to measure the tricuspid annular diameter and to observe systolic configuration of the tricuspid valve in 22 examinations. The tricuspid annular diameter was well correlated with the severity of TR, and "lack of coaptation" of the valve was recognized on 2DE in some cases of severe TR with the markedly dilated annulus, indicating that this dilatation was an important trigger of functional TR. Additionally, in the majority of patients with severe TR, "anterior displacement" of the tips of tricuspid leaflet(s) (6 mm or more from the tricuspid annulus towards the right ventricle) was observed, which was thought to be due to the chordal traction secondary to the right ventricular dilatation, and contributed to the development of functional TR by disturbing sufficient coaptation. In one particular case, severe TR was associated with " malaligned coaptation" caused by the anterior displacement confined to the septal leaflet, indicating that asymmetrical dilatation of the right ventricle and/or disorientation of chordae-valve system may contribute to TR.(ABSTRACT TRUNCATED AT 250 WORDS)

Dilatation, Pathologic↗
PubMed1983

[An application of X-ray computed tomography for complex cardiac anomalies].

X-ray computed tomography (CT) was performed in two patients with complex congenital heart disease in order to assess the clinical utility in the systemic morphological diagnosis. A Somotom 2 whole body CT scanner (Siemens Co) was used, and contrast enhanced CT scanning and a dynamic CT scanning were performed in one case (Case 2).; Case 1: A 20-year-old female with double outlet right ventricle (S, D, L), pulmonary stenosis and aortic insufficiency. The CT revealed a viscero-atrial situs, ventriculoarterial relation, spatial interrelationship between the great arteries and a run of the stenotic pulmonary artery. The CT clarified spatial relationship among four cardiac chambers, ventricular septal defect and great arteries, contributing to the understanding of the complex cardiac structure. Case 2: A 26-year-old female with single ventricle (III-C solitus), pulmonary stenosis, dextroversion, left superior vena cava and WPW syndrome. The CT documented precisely a viscero-atrial situs, dextroversion, ventriculoarterial relation, spatial interrelationship between the great arteries, stenotic main and left pulmonary arteries and a dilated right pulmonary artery due to the right Blalock-Taussig operation performed 15 years before. A diagnosis of left superior vena cava could be made by CT, and its flow into coronary sinus was visualized by dynamic CT. The dynamic CT also clarified a mixing of venous and arterial blood in the common ventricle, and revealed a rudimentary ventricular septum. Thus, the CT serves useful purposes especially as examination of viscero-atrial situs, ventriculoarterial relation and spatial interrelationship between great arteries, and anomalies of the mediastinal vessels. Furthermore the relationship among four cardiac chambers, ventricular septal defect, and the pattern of blood flow were also clarified. However, the CT failed to define the state of a ventricular loop, because it could not identify ventricular muscular structures and atrioventricular valves as these move rather vigorously. The CT could not locate pulmonary stenosis, valvular or somewhere else. The CT seemed to be a promising noninvasive method in the systemic morphological diagnosis of congenital heart disease as subsidiary to echocardiographic investigation. However, in pediatric patients, it seemed considerably hard to obtain clear cardiac CT images because of the difficulty in halting respiration during procedure.

Adult↗
PubMed1983

[Spontaneous occlusion of the circle of Willis--supplementary study: analysis of the disease process and proposal of a new concept, collateral arterial syndrome].

This disorder, because of its protean manifestation, had long been controversial until Kudo advocated it as a distinctive disease apart from other apoplectiform diseases. However, exact relationship between juvenile and adult types of this disease has been rather poorly understood. As the results of this study, authors concluded that this disease consists of two parts; initial and successive. Initial part corresponds to juvenile disease process and successive to adult process. The former is the well known peculiar slowly progressive occlusive process which originates at the terminal portion of the bilateral internal carotid arteries. The latter is the disease process which develops in collateral arterial plexuses produced by initial process characterized by hemorrhagic and occlusive attacks. Both attacks, hemorrhagic and occlusive, have been believed characteristic to adult patients. But this study disclosed not a small number of patients present hemorrhagic attacks in adolescence and some of them early in juvenile age immediately after ceasing initial process. As the cause of hemorrhage, rupture of miliary aneurysms, which have been discovered in 50% of juvenile patients and 85% of adult patients by magnifying angiography (Fukuda and Yamada) was anticipated. Authors proposed a new concept: collateral arterial plexus syndrome to specify a disease process which occurs in collateral arterial plexuses and presents hemorrhagic and occlusive attacks.

Adolescent↗
PubMed1982

Isoelectric focusing studies on the PGM1 subtypes in the northern Japanese population.

The distribution of the human red cell phosphoglucomutase (PGM1) subtypes in samples from Japanese population (n = 277) living in the Miyagi Prefecture, the northern part of Japan, was investigated by applying the thinlayer polyacrylamide gel isoelectric focusing. In our population sample all the ten common phenotypes were demonstrated, and the estimated allele frequencies for the genes PGM1+1, PGM1-1, PGM2+1, and PGM2-1 were 0.671, 0.107, 0.161, and 0.061, respectively. Family studies (n = 40) indicated an autosomal codominant inheritance and confirmed the four alleles. The new system will increase the probability of exclusion in paternity cases among Japanese to 29.4% compared with 14.3% if the two allele system is used.

Female↗
PubMed1982

Sensitivity to functors in Japanese aphasics.

Forty-two aphasic patients (11 amnesic, 11 Wernicke's, and 20 Broca's) and 10 controls were tested for sensitivity to functors in affirmative declarative sentences with sentence- verification tasks. The stimuli were constructed according to the following factors: Reversibility of Subject and Object, Voice, Word Order and Truth. The task required the subject to decide if a sentence presented auditorily was true or false with respect to a picture. The results indicated that functors differed among themselves in their understandability depending on sentence types in which they were embedded, and that there were no qualitative differences in sensitivity to functors among different clinical types of aphasia.

Adult↗
PubMed1982

Effect of exogenous beta-endorphin on anterior pituitary hormone secretion in man.

The effect of large amounts of synthesized human beta-endorphin (beta-EP) administered intrathecally on pituitary-adrenocortical function was investigated by determining the plasma levels of ACTH, cortisol, growth hormone and prolactin in 8 patients with pain caused by severe disseminated cancer. They were divided into 2 groups, an Ep group of 8 patients and a control group of 5 of the same 8 patients. There were no significant effects of beta-Ep on plasma ACTH, cortisol and growth hormone levels. However, the injection of beta-Ep into human subjects resulted in a rise in plasma concentrations of prolactin.

Adrenocorticotropic Hormone↗
PubMed1982

[Pulsed Doppler echocardiography in a case of coronary artery-pulmonary artery fistula: analysis of flow pattern within the main pulmonary artery and detection of a small shunt].

Flow pattern within the main pulmonary artery was analysed by pulsed Doppler echocardiography in a case of coronary artery-pulmonary artery fistula. An asymptomatic 32-year-old female was referred to our hospital for evaluation of a continuous murmur in the second interspace at the left sternal border. Other physical findings, chest roentgenograms and electrocardiograms were normal. Two-dimensional echocardiography did not play an important role in the diagnosis. However, pulsed Doppler echocardiography revealed an antegrade turbulent flow along the antero-lateral wall of the main pulmonary artery from early diastole to early systole. The direction and distribution of this abnormal flow was judged to be different from that of patent ductus arteriosus. Coronary arteriography showed a fistula from the both coronary arteries to the proximal portion of the main pulmonary artery. However, its shunt was so small that it could not be detected by oxymetry or by hydrogen-platinum electrode method. This case suggests that Doppler method is very sensitive in shunt detection and possibly useful for non-invasive diagnosis of coronary artery-pulmonary artery fistula.

Adult↗