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Article type: Cover
1980 Volume 11 Issue 1 Pages
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Published: March 30, 1980
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Article type: Cover
1980 Volume 11 Issue 1 Pages
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Published: March 30, 1980
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[in Japanese]
Article type: Article
1980 Volume 11 Issue 1 Pages
1-2
Published: March 30, 1980
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Motohide OGASHIWA
Article type: Article
1980 Volume 11 Issue 1 Pages
3-11
Published: March 30, 1980
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Seventeen cases showing traumatic prolonged coma were presented. Site of brain damage and mechanism causing disturbance of consciousnes were discussed by analysing the clinical, electroencephalographic, operative and pathological findings. Seventeen cases were divided into four groups based on clinical findings and location of brain damage. Those groups were 1) cerebral contusion, 2) intracranial hematoma, 3) contusional hematoma and 4) primary brain stem injury. As for the site of brain damage, diffuse degeneration of the cerebral hemisphere and or damage of the upper brain stem following head injury, either independntly or in combination, elicited traumatic prolonged coma. Furthermore, in patients thought clinically to be primary brain stem injury, diffuse damage in the brain tissue including the cerebral hemisphere were demonstrated by post mortem examination. In addition to the direct brain damage by impact to the head, disturbance of circulation of cerebrospinal fluid and axonal degeneration might play an important role in the development of coma after injury. It is concluded that the functional block between the cerebral cortex and the upper brain stem is the most important factor postponing the disturbance of consciousness and governing the outcome in a patient who sustains head injury.
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Masaharu YOSHIDA, Motoaki SAITO, Masato TSUJI, Shin KAWAI, Yoshihiro A ...
Article type: Article
1980 Volume 11 Issue 1 Pages
13-25
Published: March 30, 1980
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The survival rate of patients with SLE has been remarkably improved in recent years according to the establishment of the guideline for the early diagnosis, the elucidation of the immunologic or other pathogenetic mechanisms and the immediate starting of proper treatment. However, not a few cases of SLE with renal involvement or central nervous system involvement do not usually respond to the large dosis of steroids or other medications. In this sense, SLE is still one of the so-called "intractable disease" in Japan. We have experienced 36 cases with SLE for 9 years between 1970 and 1979 in the Department of Internal Medicine, Kyorin University School of Medicine (Since 1975 these patients have been following up in the First Department of Internal Medicine). At the end of 1979, 25 cases are still under our medical control. Detailed clinical, laboratory date and the results of treatment, as well as the prognosis of these 36 cases have been reported in this paper.
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Hiroshi WATANABE, Junichiro OKADA, Kazuo TAKEUCHI, Hiroshi TOYODA
Article type: Article
1980 Volume 11 Issue 1 Pages
27-31
Published: March 30, 1980
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A case of the eosinophilic granuloma involving the skull was presented. A 9-year-old girl was referred to our hospital complaining of painful soft tumor in the left occiput. By the needle puncture of this tumor no fluid was obtained. Plain skull X rays revealed a roundly well circumscribed radiolucent area involving full layers of the skull. CT with contrast showed a left occipital skull defect with low density space beneath that area. A craniotomy was performed. A soft tumor locating in the skull adhering to the galea and the dura was totally resected. This tumor sized 35×25×15 mm in diameter. Microscopic view proved proliferation of eosiniphilic oval cells and blood vessels accompanied by hemorrhagic and necrotic area, histiocytes and multinucleated giant cells. Histologic diagnnosis was eosinophilic granuloma. She has been leading an uneventful life thereafter. Neither hepatosplenomegaly nor lymphadenopathy was noted. Hematology, serology and urinalysis were normal. Whole body radionucleid scan and bone X rays showed no other lesion. Referrence to some articles is also given.
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[in Japanese], [in Japanese], [in Japanese], [in Japanese]
Article type: Article
1980 Volume 11 Issue 1 Pages
33-43
Published: March 30, 1980
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[in Japanese], [in Japanese], [in Japanese]
Article type: Article
1980 Volume 11 Issue 1 Pages
45-47
Published: March 30, 1980
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[in Japanese]
Article type: Article
1980 Volume 11 Issue 1 Pages
49-52
Published: March 30, 1980
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[in Japanese]
Article type: Article
1980 Volume 11 Issue 1 Pages
53-59
Published: March 30, 1980
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[in Japanese], [in Japanese], [in Japanese], [in Japanese]
Article type: Article
1980 Volume 11 Issue 1 Pages
61-
Published: March 30, 1980
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[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
Article type: Article
1980 Volume 11 Issue 1 Pages
61-
Published: March 30, 1980
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[in Japanese], [in Japanese], [in Japanese]
Article type: Article
1980 Volume 11 Issue 1 Pages
62-
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[in Japanese], [in Japanese], [in Japanese]
Article type: Article
1980 Volume 11 Issue 1 Pages
62-
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[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
Article type: Article
1980 Volume 11 Issue 1 Pages
63-
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[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
Article type: Article
1980 Volume 11 Issue 1 Pages
63-
Published: March 30, 1980
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[in Japanese], [in Japanese]
Article type: Article
1980 Volume 11 Issue 1 Pages
64-
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[in Japanese]
Article type: Article
1980 Volume 11 Issue 1 Pages
64-
Published: March 30, 1980
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[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
Article type: Article
1980 Volume 11 Issue 1 Pages
65-
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[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
Article type: Article
1980 Volume 11 Issue 1 Pages
65-
Published: March 30, 1980
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[in Japanese], [in Japanese], [in Japanese]
Article type: Article
1980 Volume 11 Issue 1 Pages
66-
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[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
Article type: Article
1980 Volume 11 Issue 1 Pages
66-
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[in Japanese], [in Japanese], [in Japanese], [in Japanese]
Article type: Article
1980 Volume 11 Issue 1 Pages
67-
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[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
Article type: Article
1980 Volume 11 Issue 1 Pages
67-
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[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
Article type: Article
1980 Volume 11 Issue 1 Pages
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[in Japanese], [in Japanese]
Article type: Article
1980 Volume 11 Issue 1 Pages
68-
Published: March 30, 1980
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[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
Article type: Article
1980 Volume 11 Issue 1 Pages
69-
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Article type: Article
1980 Volume 11 Issue 1 Pages
69-
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[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
Article type: Article
1980 Volume 11 Issue 1 Pages
70-
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[in Japanese], [in Japanese], [in Japanese]
Article type: Article
1980 Volume 11 Issue 1 Pages
70-
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[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
Article type: Article
1980 Volume 11 Issue 1 Pages
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[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
Article type: Article
1980 Volume 11 Issue 1 Pages
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Article type: Article
1980 Volume 11 Issue 1 Pages
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Article type: Article
1980 Volume 11 Issue 1 Pages
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Article type: Article
1980 Volume 11 Issue 1 Pages
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Article type: Article
1980 Volume 11 Issue 1 Pages
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Article type: Article
1980 Volume 11 Issue 1 Pages
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Article type: Article
1980 Volume 11 Issue 1 Pages
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[in Japanese], [in Japanese], [in Japanese], [in Japanese]
Article type: Article
1980 Volume 11 Issue 1 Pages
75-
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[in Japanese], [in Japanese], [in Japanese], [in Japanese]
Article type: Article
1980 Volume 11 Issue 1 Pages
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Article type: Article
1980 Volume 11 Issue 1 Pages
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Article type: Article
1980 Volume 11 Issue 1 Pages
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Article type: Article
1980 Volume 11 Issue 1 Pages
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Article type: Article
1980 Volume 11 Issue 1 Pages
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Article type: Article
1980 Volume 11 Issue 1 Pages
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Article type: Article
1980 Volume 11 Issue 1 Pages
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Article type: Article
1980 Volume 11 Issue 1 Pages
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Article type: Article
1980 Volume 11 Issue 1 Pages
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Article type: Article
1980 Volume 11 Issue 1 Pages
80-
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Article type: Article
1980 Volume 11 Issue 1 Pages
80-
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