Rinsho Shinkeigaku

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  1. [An autopsied case of progressive supranuclear palsy, initially diagnosed as spinocerebellar degeneration with severe olivopontocerebellar involvement].

    Rinsho Shinkeigaku 51(10):756 (2011) PMID 22019867

    A Japanese female patient presented with dysarthria and gait disturbance with ataxia at the age of 63. She was initially diagnosed with spinocerebellar degeneration because a head CT showed atrophy of the cerebellum and brainstem, and dilatation of the fourth ventricle. Symptoms including abnorm...
  2. [A longitudinal cause-of-death analysis of patients with Duchenne muscular dystrophy].

    Rinsho Shinkeigaku 51(10):743 (2011) PMID 22019865

    Mechanical ventilation (MV) and cardiac protective therapy have improved the prognosis and quality of life of patients with Duchenne muscular dystrophy (DMD). To understand how these therapies have changed prognosis, we performed a cause-of-death analysis in DMD patients. Mean age at death befor...
  3. [A case of limbic encephalitis associated with leucine-rich glioma-inactivated 1 antibody].

    Rinsho Shinkeigaku 51(10):774 (2011) PMID 22019871

    We report a 55-year-old woman with limbic encephalitis associated with leucine-rich glioma-inactivated 1 (LGI1) antibody. She first developed a generalized seizure, following by consciousness loss. Although anticonvulant was initially effective, she began to present frequently with seizure and m...
  4. [A case of status epilepticus with a possible therapeutic effect by dantrolene sodium].

    Rinsho Shinkeigaku 51(10):777 (2011) PMID 22019872

    We report a 62-year-old man who have taken major tranquilizer for schizophrenia for the past 24 years. He had sudden generalized tonic-clonic seizure and consciousness loss on April 2010. He was administered diazepam, phenytoin, phenobarbital intravenously and drip-infused with midazolam continu...
  5. [Rapid improvement by rituximab treatment in a case of demyelinating polyneuropathy with anti-myelin-associated glycoprotein antibody].

    Rinsho Shinkeigaku 51(10):761 (2011) PMID 22019868

    Polyneuropathy associated with antibodies directed against myelin-associated glycoprotein (MAG) is a chronic symmetric sensorimotor demyelinating neuropathy caused by monoclonal IgM against MAG (anti-MAG neuropathy). Intravenous immunoglobulin therapy (IVIg) has been partially successful in pati...
  6. [A case of amyotrophic lateral sclerosis with bilateral vocal cord paralysis necessitating tracheotomy].

    Rinsho Shinkeigaku 51(10):765 (2011) PMID 22019869

    Vocal cord movement disorders are increasingly recognized in patients with amyotrophic lateral sclerosis (ALS). We describe a patient with limb-onset ALS who developed vocal cord paralysis. A 74-year-old Japanese male consulted our clinic with a 6-month history of weakness in both arms. His fami...
  7. [Leber's hereditary optic neuropathy after head trauma: a case report].

    Rinsho Shinkeigaku 51(10):781 (2011) PMID 22019873

    A previously healthy 34-year-old man sustained multiple skull fractures in a traffic accident. Radiological findings and visual field examination did not detect any abnormality. Shortly after the accident, he noticed blurred vision in both eyes. Six months after the accident, he gradually develo...
  8. [A case of intravascular malignant lymphoma with initial progressive non-specific neurological symptoms].

    Rinsho Shinkeigaku 51(10):751 (2011) PMID 22019866

    A 79-year-old woman was admitted to a nearby hospital for seven days due to low-grade fever, loss of appetite and general fatigue. She was diagnosed with normal condition and discharged. She was admitted to our hospital one week later with disturbed consciousness. Laboratory findings upon admiss...
  9. [A case of CADASIL without characteristic anterior temporal pole lesion diagnosed by skin biopsy].

    Rinsho Shinkeigaku 51(10):770 (2011) PMID 22019870

    A 40 year-old man with migraine presented cerebral ischemic attacks several times in one year. He had no risk factors for cerebrovascular disease including hypertension, but had strong family history suggesting autosomal dominant inheritance. A brain MRI on T(2) weighted and FLAIR images reveale...
  10. [A survey of cardiologists, diabetologists, gynecologists and ophthalmologists practicing in Osaka on the medical consultation behaviors of myotonic dystrophy patients].

    Rinsho Shinkeigaku 51(9):677 (2011) PMID 21946424

    An anonymous postal survey of cardiologists, diabetologists, gynecologists, and ophthalmologists in Osaka was performed to assess the medical care-seeking behaviors of and problems associated with the medical management of patients with myotonic dystrophy (DM). The questionnaires were sent to 92...
  11. [Epilepsy practice for neurologists].

    Rinsho Shinkeigaku 51(9):661 (2011) PMID 21946422

    Epilepsy is a common disease with a high incidence of about one percent. Knowledge of seizure semiology and correct reading of EEG findings are important for diagnosis of epilepsy. Because the primary therapy for epilepsy is antiepileptic drugs (AEDs), including several ones that are newly permi...
  12. [Successful thrombectomy for basilar artery occlusion with Merci(®) retrieval system: a case report].

    Rinsho Shinkeigaku 51(9):706 (2011) PMID 21946430

    A 66-year old hypertensive man having a prostate cancer was admitted to our hospital with sudden onset right hemiparesis. On admission, he showed left hemiplegia, hypesthesia, right limb ataxia, and dysarthria. The NIHSS score was 16. Diffusion weighted magnetic resonance imaging showed an acute...
  13. [A case of fasciitis localized in the calf muscles associated with Edwardsiella tarda sepsis].

    Rinsho Shinkeigaku 51(9):694 (2011) PMID 21946427

    A 49-year-old man presented with fever and pain, redness, swelling, and difficulty in walking. The serum C-reactive protein (CRP), creatin kinase (CK), and endotoxin levels were elevated. A blood culture revealed Edwardsiella tarda(E. tarda). Computed tomography (CT) showed subfascial and subcut...
  14. [Two cases of posterior spinal artery syndrome (PSAS)].

    Rinsho Shinkeigaku 51(9):699 (2011) PMID 21946428

    We have reported two patients with posterior spinal artery syndrome. Both of them had sudden onset back pain, paraparesis, loss of deep sensation and bladder-bowel disturbances. MRI disclosed spinal cord lesions positioned at its posterior part including the posterior column or posterior horn at...
  15. [A case of neuromyelitis optica with varicella zoster virus meningitis during mitoxantrone treatment].

    Rinsho Shinkeigaku 51(9):703 (2011) PMID 21946429

    A 36-year-old woman with neuromyelitis optica had been treated with steroids for the prevention of relapse. However, her treatment was not effective and she showed adverse effects such as diabetes mellitus, osteoporosis, compression fractures, and Pneumocystis carinii pneumonia. Therefore, we st...
  16. [Diagnosis of pediatric multiple sclerosis initially presenting with tumefactive demyelinating lesion using ¹H-magnetic resonance spectroscopy].

    Rinsho Shinkeigaku 51(9):688 (2011) PMID 21946426

    We report a case of tumefactive demyelinating lesion (TDL) diagnosed using (1)H-magnetic resonance spectroscopy (¹H-MRS) and conventional magnetic resonance imaging (MRI). A 7-year-old girl was admitted to our hospital with complaints of sleepiness and clumsiness of the right limbs. Neurological...
  17. [Dramatic improvement in two cases of anti-NMDA receptor encephalitis after immunomodulating therapy].

    Rinsho Shinkeigaku 51(9):683 (2011) PMID 21946425

    We report two patients with encephalitis associated with antibodies against NR1-NR2 heteromers of the NMDA receptor that showed dramatic improvement after immunomodulating therapies. A 38-year old woman (case 1) suddenly developed seizures and short term memory loss. Brain MRI appeared almost no...
  18. [ABC in muscle pathology].

    Rinsho Shinkeigaku 51(9):669 (2011) PMID 21946423

    Muscle pathology plays a central role in the diagnosis of muscle diseases. Proper handling, fixation and transportation of muscle biopsy specimens are necessary to avoid artifacts. Hematoxylin and eosin provides information on basic morphological abnormalities, including general structural chang...
  19. [Neuromyelitis optica with syndrome of inappropriate secretion of antidiuretic hormone and hypersomnia associated with bilateral hypothalamic lesions: a case report].

    Rinsho Shinkeigaku 51(8):599 (2011) PMID 21878727

    A 31-year-old woman with a 5-year history of recurrent optic neuritis and encephalomyelitis underwent repeated steroid therapy. She developed general malaise and fever in October 2009. Laboratory tests revealed marked reduction in serum Na (106 mEq/L). Because the plasma osmotic pressure was low...
  20. [A case of late-onset aqueductal membranous occlusion and a successful treatment with neuro-endoscopic surgery].

    Rinsho Shinkeigaku 51(8):590 (2011) PMID 21878725

    A 57 year-old man developed broad-based unsteady gait and memory loss over a period of one year. On admission, bradykinesia and impairment of postural reflex were evident. Mini-mental state examination scored 27/ 30. Urinary control was normal. MRI revealed symmetric dilatation of lateral and 3r...