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Volume 30, Issue 4
Displaying 1-6 of 6 articles from this issue
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YOSHIHIRO SATO, FUMIAKI MAEHARA, HIDETSUNA UTSUNOMIYA, TAKASHI HAYASHI ...1983 Volume 30 Issue 4 Pages 125-128
Published: March 31, 1984
Released on J-STAGE: February 08, 2010
JOURNAL FREE ACCESSA case of aqueductal stenosis manifesting symptoms of convergence and retraction nystagmus during shunt malfunction is described. CT scan revealed dilatation of the lateral and third ventricles. These ocular signs and abnormal CT scan findings were improved with normalization of the shunt function. Similar cases are reviewed and possible mechanism for this phenomenon are discussed.View full abstractDownload PDF (4346K) -
TAKASHI HAYASHI, KAZUHITO SHOJIMA, KAZUHIKO MORITAKA, JUN KONISHI, HID ...1983 Volume 30 Issue 4 Pages 129-131
Published: March 31, 1984
Released on J-STAGE: February 08, 2010
JOURNAL FREE ACCESSIntraventricular hemorrhage frequently occurs in premature new-born infants, and the prognosis is usually poor. Recently, with new methods for computed tomography (CT) and ultrasonic tomography, the size of the hematoma and the degree of ventricular dilatation can be determined allowing early therapeutic management of this disease. Papile et al. (1980) classified subependymal and intraventricular hemorrhage in premature infants into four types, and reported the prognosis, especially the incidence of hydrocephalus for each type. Since the report of Goldstein et al. (1976), early treatment with repeated lumbar punctures (RLP) have been tried at several institutions. A few reports evaluating this treatment have been published. In this paper the features of CT in eighteen surviving infants with intraventricular hemorrhage are described. Early clinical management of the hemorrhage with repeated lumbar punctures is evaluated.View full abstractDownload PDF (1431K) -
Case Presentations and CT FeaturesTAKASHI HAYASHI, KAZUHITO SHOJIMA, KAZUHIKO MORITAKA, HIDETSUNA UTSUNO ...1983 Volume 30 Issue 4 Pages 133-141
Published: March 31, 1984
Released on J-STAGE: February 08, 2010
JOURNAL FREE ACCESSIntracranial lipomas are very rare and reports of infantile lipomas are scarce. Nine cases of intracranial lipomas, five in infants and four in adults are described and characteristic findings of the CT are presented. Two of the six cases involved lipomas at the corpus callosum that were associated with frontal dysraphism and cranium bif idum at the midline of frontal region. Five of the nine cases involved lipomas at the quadrigeminal cistern. In one case with an advanced enlargement in circumference of the head in the pen-natal period, a V-P shunt was conducted for obstructive hydrocephalus. Ano-ther case had widely ranging agenesis of the corpus callosum associated with an interhemispheric cyst showing the right sided parietal and occipital lobes through the callosal agenesis. One of the nine cases had a lipoma in the left sylvian fissure and in the adult was in the interpeduncular cistern. Four of the nine cases were associated with agenesis of the corpus callosum. Based on these cases and published reports, the CT features of intracranial lipoma are discussed.View full abstractDownload PDF (13555K) -
Case ReportHIROSHI INOUE, SHIRO TAHIRA1983 Volume 30 Issue 4 Pages 143-147
Published: March 31, 1984
Released on J-STAGE: February 08, 2010
JOURNAL FREE ACCESSTwo cases with a fatigue fracture of the shaft of the ulna caused by Kendo play in students were reported and discussion on the mechanism of the fracture was made.View full abstractDownload PDF (5083K) -
MITSURU SHIROMOTO, TAMAKA OKINA, YOSHIHIKO HINO, YUTAKA YAKEISHI, FUJI ...1983 Volume 30 Issue 4 Pages 149-156
Published: March 31, 1984
Released on J-STAGE: June 17, 2010
JOURNAL FREE ACCESSA fibroma developed in the margin of the tongue of a 17 year-old man was studied under the light and electron microscopes. Pathohistological examination revealed a dense hyperplasia of collagenous fibers, a few capillaries, and mild inflammatory cell infiltration in the tumor tissue. Scanning electron microscopy revealed radical and whorled arrangements of numerous bundles of collagenous fibers. Transmission electron microscppy revealed that the tumor cells were flattened or stellate, the nuclei were varied in shape, and develop-ment of the intracellular organelles was slightly altered. Collagenous fibers in the stroma were mostly mature. The postoperative course was satisfactory with no recurrence 32 months after surgery.View full abstractDownload PDF (969K) -
KAZUOKI YOKOCHI, YOSHIHARU ETO, TAKATOSHI MIKAZIMA, HIROHISA KATO, HIR ...1983 Volume 30 Issue 4 Pages 157-164
Published: March 31, 1984
Released on J-STAGE: June 17, 2010
JOURNAL FREE ACCESSA total of 482 preoperative and 63 postoperative cases with VSD were catheterized to analyze their hemodynamic and pulmonary vascular status. Two different clinical courses are discussed depending upon the age of the patient. Either the Rp/Rs ratio can be maintained within the normal range or otherwise can be progressively increased. The Rp/Rs in the postoperative pe-riod tends to decrease in most cases. However a higher preoperative Rp/Rs and an older age at surgry, leads to smaller decrements in the postoperative Rp/Rs. In 17 cases with a preoperative Rp/Rs greater than 0.7, 5 fatalities and 12 survivors were found. There were 3 patients with “Eisenmenger com-plex” among the survivors. Pure oxygen was inhaled to examine the pulmonary vascular responsiveness. The patients with good oxygen responses before the operation had greater decrements in the postoperative Rp/Rs. 25 fatalities were found pre-and postoperatively. 9 patients, whose ages were less than 1 year were among 21 catheterized cases with Qp/Qs greater than the 12 cases which were older than 1 year. However, the Rp/Rs under 1 year of age was signifi cantly less than that over 1 year of age. 9 fatalities in patients under 1 year of age had significantly higher PaCO2 levels than the survivors who were also under 1 year of age. It is concluded that infants who suffer from respiratory failure must be treated with surgical intervention. Corrective surgery may also be planned for other cases, when the preoperative Rp/Rs is greater than 0.9, except those who are older than 5 years and have failed to respond to oxygen and/or Tolazolin.View full abstractDownload PDF (486K)
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