يعرض 1 - 10 نتائج من 40 نتيجة بحث عن '"Shimo, Yasushi"', وقت الاستعلام: 1.13s تنقيح النتائج
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    دورية أكاديمية
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    دورية أكاديمية

    المصدر: Frontiers in Neurology ; volume 14 ; ISSN 1664-2295

    مصطلحات موضوعية: Neurology (clinical), Neurology

    الوصف: Hyperhomocysteinemia is an important risk factor for cerebral infarction. Herein, we report on a 30-year-old man previously diagnosed with epilepsy who presented with right hemiplegia and total aphasia. Magnetic resonance imaging showed a fronto-temporal ischemic lesion due to occlusion of the left middle cerebral artery. Clinical testing and imaging demonstrated that he had hyperhomocysteinemia induced by multiple factors including the C677T polymorphism on 5.10-methylenetetrahydrofolate reductase ( MTHFR ), and multiple vitamin deficiencies. The C677T polymorphism on MTHFR is closely related to hyperhomocysteinemia and folate deficiency in epileptic patients who are taking multiple anti-convulsants. Given hyperhomocysteinemia can independently cause stroke at a young age, physicians should periodically examine plasma homocysteine and serum folic acid levels in epileptic patients who are on long-term regimens of multiple anti-epileptic drugs.

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    دورية أكاديمية

    المساهمون: Kyowa Hakko Kirin, Japan Agency for Medical Research and Development, Japan Society for the Promotion of Science

    المصدر: Parkinsonism & Related Disorders ; volume 117, page 105907 ; ISSN 1353-8020

    مصطلحات موضوعية: Neurology (clinical), Geriatrics and Gerontology, Neurology

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    دورية أكاديمية
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    دورية أكاديمية

    المصدر: Frontiers in Neurology ; volume 13 ; ISSN 1664-2295

    مصطلحات موضوعية: Neurology (clinical), Neurology

    الوصف: We report two rare cases. One involved acute calcific retropharyngeal tendinitis, an inflammatory condition of the longus colli tendon triggered by the deposition of calcium hydroxyapatite crystals. The other involved crowned dens syndrome, caused by pseudogout of the atlantoaxial junction following deposition of calcium pyrophosphate dehydrate or calcium hydroxyapatite. Although these two diseases involve different mechanisms, the common symptoms of neck pain and fever resemble those of meningitis. Accurate diagnosis can thus be difficult without background knowledge of these conditions. Cerebrospinal fluid examination and cervical computed tomography are useful for distinguishing these pathologies from meningitis.

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    دورية أكاديمية
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    دورية أكاديمية

    المساهمون: Japan Agency for Medical Research and Development

    المصدر: npj Parkinson's Disease ; volume 7, issue 1 ; ISSN 2373-8057

    الوصف: Multiple system atrophy (MSA) is classified into two main types: parkinsonian and cerebellar ataxia with oligodendrogliopathy. We examined microstructural alterations in the white matter and the substantia nigra pars compacta (SNc) of patients with MSA of parkinsonian type (MSA-P) using multishell diffusion magnetic resonance imaging (dMRI) and myelin sensitive imaging techniques. Age- and sex-matched patients with MSA-P ( n = 21, n = 10 first and second cohorts, respectively), Parkinson’s disease patients ( n = 19, 17), and healthy controls ( n = 20, 24) were enrolled. Magnetization transfer saturation imaging (MT-sat) and dMRI were obtained using 3-T MRI. Measurements obtained from diffusion tensor imaging (DTI), free-water elimination DTI, neurite orientation dispersion and density imaging (NODDI), and MT-sat were compared between groups. Tract-based spatial statistics analysis revealed differences in diffuse white matter alterations in the free-water fractional volume, myelin volume fraction, and intracellular volume fraction between the patients with MSA-P and healthy controls, whereas free-water and MT-sat differences were limited to the middle cerebellar peduncle in comparison with those with Parkinson’s disease. Region-of-interest analysis of white matter and SNc revealed significant differences in the middle and inferior cerebellar peduncle, pontine crossing tract, corticospinal tract, and SNc between the MSA-P and healthy controls and/or Parkinson’s disease patients. Our results shed light on alterations to brain microstructure in MSA.

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    دورية أكاديمية

    المصدر: Frontiers in Human Neuroscience ; volume 15 ; ISSN 1662-5161

    الوصف: We describe the case of a 51-year-old man with Parkinson's disease (PD) presenting with motor fluctuations, who received bilateral subthalamic deep brain stimulation (DBS) with an adaptive DBS (aDBS) device, Percept™ PC (Medtronic, Inc. , Minneapolis, MN). This device can deliver electrical stimulations based on fluctuations of neural oscillations of the local field potential (LFP) at the target structure. We observed that the LFP fluctuations were less evident inside the hospital than outside, while the stimulation successfully adapted to beta oscillation fluctuations during the aDBS phase without any stimulation-induced side effects. Thus, this new device facilitates condition-dependent stimulation; this new stimulation method is feasible and provides new insights into the pathophysiological mechanisms of PD.

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    دورية أكاديمية
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    دورية أكاديمية