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Biomedical subjects

T Nishiguchi

Publications and source records attributed to T Nishiguchi.

At least 55 records · Page 3Linked to original sources
PubMed1988

[A case of carotid superior cerebellar artery anastomosis associated with bilateral hypoplasia of the internal carotid artery represented as the rupture of posterior cerebral artery-posterior communicating artery aneurysm].

A rare case of a variant type of the persistent primitive trigeminal artery associated with bilateral hypoplasia of the internal carotid artery was reported. Left common carotid arteriography revealed a thin left internal carotid artery terminated at the ophthalmic artery. Right common carotid arteriography showed that a narrow internal carotid artery gave off several fine vessels to the cavernous portion, and terminated at the right superior cerebellar artery via the prominent persistent primitive trigeminal artery (PTA). Supraclinoid portions of the bilateral internal carotid arteries were not able to be found. Eventually the entire cerebral hemisphere was supplied by the vertebrobasilar system via the posterior communicating artery. The narrowed supraclinoid portion of the left internal carotid artery was confirmed by surgery of the left posterior cerebellar artery-posterior communicating artery aneurysm. This case may provide an important suggestion about the mechanism of the persistence of the primitive trigeminal artery. In an embryo, at the stage of 5-6mm embryo in size, the posterior communicating artery begins to develop and then PTAs begin to dwindle. If the C1- or C2- portion of the internal carotid artery is gradually occluded, the forebrain, which has to be supplied by the internal carotid system, must be supplied retrogradely by the basilar system via the posterior communicating artery. At this stage, however, the vertebral artery has not developed enough to supply the entire central nervous system. Therefore, the PTA can not regress and this results in the postnatal persistence of the primitive trigeminal artery.

Adult↗
PubMed1988

[Usefulness of CT angiography for demonstrating cerebral aneurysms].

We report the usefulness of computed cerebral angiotomography (CT angiography) for demonstrating cerebral aneurysm and the clinical significance of CT angiography for ruptured cerebral aneurysm. Our modified method of CT angiography was easy and less time-consuming. Fifteen seconds after starting a single bolus injection, 1 ml/kg/25 seconds via cubital vein, of contrast medium (60% urograffin), 5 serial 5 mm thick-CT slices were scanned in every 6.5 seconds including 2 seconds of interval, beginning from an axial level 20 mm above the orbitomeatal line and ending at a level 40 mm. A total of 103 patients were examined in this report, consisting of 70 unruptured asymptomatic, 8 unruptured symptomatic (oculomotor nerve palsy) and 25 subarachnoid hemorrhage (SAH). Seven unruptured aneurysms in 4 asymptomatic cases, 2 unruptured aneurysms in 2 symptomatic cases 27 aneurysms in 24 SAH cases were suspected by CT angiography. Of these 36 aneurysms suspected by CT angiography 32 aneurysms were confirmed by cerebral angiography. The detection rate of CT angiography in this report was 89%, higher than those of previous reports. Thirteen aneurysms were located at internal carotid-posterior communicating artery (ICPC) junction. 11 at anterior communicating artery (Acom), 7 at middle cerebral artery (MCA). CT angiography showed a false positive findings in 4 cases, which were all located at Acom. Four aneurysms were not detected in CT angiography, which were all located at MCA and were very small (2-3 mm) in diameter. There were no deteriorated cases during and after CT angiography. We suggest that CT angiography is a useful and safe method for predicting the location of not only unruptured but ruptured aneurysms.

Aged↗
PubMed1987

Rare case of the inferior mesenteric artery arising from the superior mesenteric artery.

The authors observed a variation of the inferior mesenteric artery, which arose from the superior mesenteric artery, in a 69-year-old Japanese male cadaver during dissection in 1984. In this case, no rudiment of the ordinary inferior mesenteric artery could be found on the abdominal aorta. There are few reports of this variation, and an extensive search of the available literature revealed only four cases, including two in Japan. Such a variation had been somewhat inadequately described as an "absence of the inferior mesenteric artery" in the previous reports, but we avoided this terminology, because all of the cases possessed an artery, which, though arising from the superior mesenteric artery instead of the abdominal aorta, had the same branches as a normal inferior mesenteric artery. Consistent with findings observed in the previous cases, the unusual inferior mesenteric artery arose as the first branch of the superior mesenteric artery, with the common trunk of both mesenteric arteries originating from the abdominal aorta at a level at which an ordinary superior mesenteric artery would arise. It is for this reason that we did not adopt another acceptable name, that is, "the common mesenteric artery," for this variation. The variation can be explained as the result of an unusual development of the embryonic artery system, which comprises a number of ventral splanchnic arteries interconnected by longitudinal anastomotic channels to supply the primitive digestive tube.

Aged↗
PubMed1987

[Primary T-cell type lymphoma of the central nervous system: a case report].

A case of T cell type primary lymphoma of the CNS is reported. A 50-year-old man was admitted because of speech and memory disturbance and dyscalculia. He had suffered from uveitis of both eyes two years before admission. Neurological examination revealed motor aphasia, finger agnosia, dyscalculia and memory disturbance. CT scan showed a mass lesion which was enhanced irregularly by the contrast medium in the left temporoparietal region. CAG confirmed the presence of a left temporoparietal avascular mass. Total removal of the tumor was performed through the left temporoparietal craniotomy. Histopathological diagnosis of the tumor was malignant lymphoma (diffuse, large cell type). Immunological study with tumor cells in the cerebrospinal fluid revealed that the tumor was T cell type malignant lymphoma. After postoperative whole CNS irradiation and intrathecal methotrexate injection, his preoperative symptoms disappeared. No evidence of the tumor recurrence is seen under CT scan one year and two months after the tumor resection. Relationship between the cell type of the tumor and CT findings is discussed.

Brain Neoplasms↗
PubMed1986

An HRP study of the motoneurons supplying the rat hypobranchial muscles: central localization, peripheral axon course and soma size.

The locations of motoneurons (MNs) supplying the rat hypobranchial muscles (lingual, geniohyoid, and infrahyoid) and the peripheral courses of axons of these MNs were investigated by using a method of HRP injection into the hypoglossal nerve or these muscles in combination with severing of the hypoglossal and/or cervical components of the plexus hypoglossocervicalis. Moreover, some sizes of the MNs were investigated in both transverse and horizontal sections. The hypobranchial MNs formed a sequence of cell columns extending caudally from the hypoglossal nucleus, via the supraspinal nucleus, to the medial and then the ventrolateral subnuclei of the ventral horn of C1 to C3. The lingual and geniohyoid MNs were located in the hypoglossal nucleus. The majority of their axons passed solely through the hypoglossal nerve, whereas a small number of axons, whose somata lay in the caudal hypoglossal nucleus, passed through the first cervical nerve and then through the ansa cervicalis to reach the hypoglossal nerve. The infrahyoid MNs were located in the supraspinal nucleus and the ventral horn, and their axons passed through the first to third cervical nerves. The hypobranchial MNs were divided into three groups according to their size: the lingual, the geniohyoid and thyrohyoid, and lastly the other infrahyoid MNs, in order of smaller to larger size. The sizes of lingual, geniohyoid, and thyrohyoid MNs displayed a unimodal distribution both in transverse and horizontal sections, whereas the other infrahyoid MNs showed a bimodal distribution.

Animals↗
PubMed1985

A horseradish peroxidase study of rat lingual motoneurons with axons passing through the cervical nerve.

The peripheral course of axons of rat lingual motoneurons was studied by HRP injection into the hypoglossal nerve in combination with transecting of the hypoglossal and/or cervical nerve components of the hypoglossocervical plexus. Furthermore, soma sizes of labeled lingual motoneurons were compared in transverse section with those of labeled geniohyoid and thyrohyoid motoneurons, which are situated adjacent to the lingual motoneurons. We found that axons of the majority of lingual motoneurons lying in the main hypoglossal nucleus passed through the hypoglossal nerve throughout their course to the tongue. In a remaining small number of lingual motoneurons lying in a medial portion of the ventromedial subnucleus in the caudal fourth of the main hypoglossal nucleus, their axons passed through the first cervical nerve to the upper root of the ansa cervicalis to the hypoglossal nerve and then to its medial branch. The labeled lingual motoneurons with axons passing through the cervical nerve were intermingled with those whose axons passed through the hypoglossal nerve. The latter motoneurons, however, diminished in number while being traced caudally, and finally in the most caudal main hypoglossal nucleus the former motoneurons occupied a major part of this nucleus. The lingual motoneurons with axons passing through the cervical nerve were smaller in soma size than those with axons passing through the hypoglossal nerve. These two types of lingual motoneurons were both smaller in soma size than the geniohyoid and thyrohyoid motoneurons, and their soma shape was not as flat as that of the latter types of motoneurons.

Animals↗
PubMed1985

Kabuki make-up syndrome (Niikawa-Kuroki syndrome) associated with congenital heart disease.

Kabuki make-up syndrome has been reported mainly among Japanese, so far occurring in more than 20 cases. Among these, however, only one case associated with congenital heart defect has been reported. We have treated three patients with this syndrome and of these two had congenital heart disease. We suggest the possibility that the association of congenital heart disease with Kabuki make-up syndrome may not be fortuitous.

Abnormalities, Multiple↗
PubMed1983

Location of cell somata and the peripheral course of axons of the geniohyoid and thyrohyoid motoneurons: a horseradish peroxidase study in the rat.

The location of cell somata of the motoneurons supplying the rat geniohyoid and thyrohyoid muscles and the peripheral course of their axons were studied by intramuscular injection of horseradish peroxidase in combination with severing the innervating nerves of these muscles. Labeled geniohyoid motoneurons were found ipsilaterally in the ventrolateral subnucleus of the hypoglossal nucleus, which separates at midlevel of this nucleus from the main hypoglossal nucleus lying near the central canal and finally projects to the dorsomedial part of the ventral horn in the transition level of the brain/spinal cord. Geniohyoid motoneuron axons mostly pass through the hypoglossal nerve, whereas axons of the motoneurons in the transition level, though much fewer in number, pass through the first cervical nerve. Labeled thyrohyoid motoneurons were found ipsilaterally to form a cell column that extends from the caudal end of the main hypoglossal nucleus in the transition level of the brain/spinal cord to the dorsomedial part of the ventral horn in the caudal first cervical segment. All their axons passed through the first cervical nerve, and thus, the rostral portion of the thyrohyoid motoneuron column, which appears to be part of the hypoglossal nucleus, is not included in this nucleus but constitutes the supraspinal nucleus, which connects the hypoglossal nucleus to the ventral horn motoneuron group. The mean cell body sizes of the geniohyoid and thyrohyoid motoneurons were 28.7 +/- 4.4 and 29.3 +/- 4.6 micrometers, respectively, and their cell body size distributions were unimodal.

Animals↗