Kumagai and Kurokochi in 1949 reported at the convention and in the journal of the Japan Infectious Disease Association on“A New Diagnosis of Japanese Encephalitis”. By the results of various observations, fatty acids were considered to be present in the spinal fluid of Japanese encephalitis patients, and this was measured by utilizing Klink's method.
Klink reported it practicable to quantitate butylic acid by acidifying it with an aqueous solution of hydrogen peroxide and a sulphuric acid solution of iron alum, steam distilling the acetone obtained thereby, and employing either the iodide method or by means of a nephelometer with Scott-Wilson reagent. He stated that the value obtainable thereby would not be quantitative if inorganic matters or other higher fatty acids were present but would be quantitative if there was the presence of lower fatty acids of 4 or less carbon atoms.
Having incidentally come across an article by K. Hinsberg in the Medizinische Chemie, 1938, S. 238, that the Klink method was employed in quantitating butylic acid of the body fluid, we have tried this method on the spinal fluid of patients with Japanese encephalitis. Marked increase of fatty acids in the spinal fluid was observed. We reported this increase to be the only sign that enables the diagnosis of Japanese encephalitis.
In the year 1950, in a medical publication in Japan, Kurokochi reported on the same phenomenon, and named it as“Momoyama phenomenon”, its reaction“Momoyama reaction”, and the value“Momoyama value”. He stressed that it reliably enables early diagnosis of Japanese encephalitis.
Stimulated by the above mentioned report, a few more diagnostic methods along the similar line have been developed by other investigators. Diagnosis of Japanese encephalitis by means of spinal fluid examination has thereby achieved great advance.
In an intention of investigating Momoyama phenomenon, we have continued our study from various angles. The first was the study in the rise and fall of amino acids in the spinal fluid, by means of paper chromatography. It was known therefrom that presence of essential amino acids in the spinal fluid of patients with Japanese encephalitis meant a grave prognosis, often ending in fatal termination or a prolonged course of the disease. Ascertained also was the fact that amino acids increased during the chronic stage of the disease, but could not be differentiated from the controls during the first days after onset of the disease.
With a view of finding out if fatty acids were present, we carried out paper chromatography of hydrazides of fatty acids. This study led to a very interesting result, which is described herebelow.
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