abstract：:Transforaminal full-endoscopic lumbar discectomy (TELD) can be performed under local anesthesia. However, there have been no reports on risk factors for a change in vital signs or the need for additional medications to maintain adequate analgesia during this procedure. The purpose of this study was to identify risk fa...

journal_title：Neurologia medico-chirurgica

authors： Yamaya S,Tezuka F,Sugiura K,Takeuchi M,Manabe H,Morimoto M,Yamashita K,Takata Y,Sakai T,Maeda T,Sairyo K

更新日期：2021-01-28 00:00:00

abstract：:Several structures including subthalamic nucleus (STN), the caudal zona incerta (cZI), the prelemniscal radiation (Raprl), and the thalamic ventral intermediate nucleus (Vim) have been reported to be useful for improving symptoms of Parkinson's disease (PD). However, the effect of each target is still unclear. Therefo...

journal_title：Neurologia medico-chirurgica

authors： Sasagawa A,Enatsu R,Kitagawa M,Mikami T,Nakayama-Kamada C,Kuribara T,Hirano T,Arihara M,Mikuni N

更新日期：2020-12-15 00:00:00

abstract：:Hemodynamic stress and chronic inflammation are closely associated with the pathogenesis of intracranial aneurysms (IAs). However, the hemodynamic and biological mechanisms triggering IA formation remain to be elucidated. To clarify them, computational fluid dynamics (CFD) and histopathological analyses in the early p...

journal_title：Neurologia medico-chirurgica

authors： Kataoka H,Yagi T,Ikedo T,Imai H,Kawamura K,Yoshida K,Nakamura M,Aoki T,Miyamoto S

更新日期：2020-07-15 00:00:00

abstract：:A subgroup analysis of puncture site-related complications listed in the Japanese Registry of NeuroEndovascular Therapy 3, based on retrospective studies, was performed. Puncture site-related complications occurred in 315 (0.73%, average age: 65.2) of 36,708 patients out of all 43,303 registered cases. Carotid artery ...

journal_title：Neurologia medico-chirurgica

authors： Sato M,Matsumaru Y,Sakai N,JR-NET study group affiliations.

更新日期：2020-05-15 00:00:00

abstract：:The Japan Neurosurgical Database (JND) is a prospective observational study registry established in 2017 by the Japan Neurosurgical Society (JNS) to visualize real-world clinical practice, promote science, and improve the quality of care and neurosurgery board certification in Japan. We summarize JND's aims and method...

journal_title：Neurologia medico-chirurgica

authors： Iihara K,Tominaga T,Saito N,Suzuki M,Date I,Fujii Y,Hongo K,Houkin K,Kato A,Kato Y,Kawamata T,Kim P,Kinouchi H,Kohmura E,Kurisu K,Maruyama K,Mikuni N,Miyamoto S,Morita A,Nakase H,Narita Y,Nishikawa R,Nozaki K

更新日期：2020-04-15 00:00:00

abstract：:We analyzed the cell characteristics, neuroprotective, and transplantation effects of human cranial bone-derived mesenchymal stem cells (hcMSCs) in ischemic stroke model rats compared with human iliac bone-derived mesenchymal stem cells (hiMSCs). The expressions of brain-derived neurotrophic factor (BDNF) and vascular...

journal_title：Neurologia medico-chirurgica

authors： Oshita J,Okazaki T,Mitsuhara T,Imura T,Nakagawa K,Otsuka T,Kurose T,Tamura T,Abiko M,Takeda M,Kawahara Y,Yuge L,Kurisu K

更新日期：2020-02-15 00:00:00

abstract：:After introduction of levetiracetam (LEV), treatment of seizures in patients with malignant brain tumors has prominently improved. On the other hand, we still experience some cases with LEV-uncontrollable epilepsy. Perampanel (PER) is a noncompetitive α-amino-3-hydroxy-5-methyl-4-isoaxazolepropionate acid receptor ant...

journal_title：Neurologia medico-chirurgica

authors： Chonan M,Saito R,Kanamori M,Osawa SI,Watanabe M,Suzuki H,Nakasato N,Tominaga T

更新日期：2020-01-15 00:00:00

abstract：:Acute coagulopathy is common after traumatic brain injury (TBI), particularly in severe cases of acute subdural hemorrhage (ASDH). Although acute coagulopathy is associated with poor outcomes, the optimal treatment strategy remains unknown. Here, we report the initial results of an empirical cryoprecipitate transfusio...

journal_title：Neurologia medico-chirurgica

authors： Shibahashi K,Nishimura S,Sugiyama K,Hoda H,Hamabe Y,Fujita H

更新日期：2019-10-15 00:00:00

abstract：:The purpose of this study was to assess the usefulness of radiofrequency thermal annuloplasty (TA) using percutaneous endoscopic discectomy/TA (PED/TA) in elite athletes with discogenic low back pain. Twelve patients (11 men, 1 woman; mean age 27.9 years) underwent PED/TA under local anesthesia. Clinical data for thes...

journal_title：Neurologia medico-chirurgica

authors： Manabe H,Yamashita K,Tezuka F,Takata Y,Sakai T,Maeda T,Sairyo K

更新日期：2019-02-15 00:00:00

abstract：:Subarachnoid hemorrhage due to rupture of a pre-existing intracranial aneurysm has quite a poor outcome in spite of intensive medical care. Hemodynamic stress loaded on intracranial arterial walls is considered as a trigger and a regulator of formation and progression of the disease, but how intracranial arterial wall...

journal_title：Neurologia medico-chirurgica

authors： Miyata H,Shimizu K,Koseki H,Abekura Y,Kataoka H,Miyamoto S,Nozaki K,Narumiya S,Aoki T

更新日期：2019-01-15 00:00:00

abstract：:Recurrent malignant gliomas (RMGs) are difficult to control, and no standard protocol has been established for their treatment. At our institute, we have often treated RMGs by tumor-selective particle radiation called boron neutron capture therapy (BNCT). However, despite the cell-selectivity of BNCT, brain radiation ...

journal_title：Neurologia medico-chirurgica

authors： Shiba H,Takeuchi K,Hiramatsu R,Furuse M,Nonoguchi N,Kawabata S,Kuroiwa T,Kondo N,Sakurai Y,Suzuki M,Ono K,Oue S,Ishikawa E,Michiue H,Miyatake SI

更新日期：2018-12-15 00:00:00

abstract：:Preservation of facial nerve (FN) function is the most important goal in acoustic neuroma (AN) surgery. We have been using intraoperative continuous facial nerve monitoring (ICFNm) of evoked electromyography during AN surgery. ICFNm is very useful, and we can identify the real-time functions of the FN. Some surgeons h...

journal_title：Neurologia medico-chirurgica

authors： Torihashi K,Sora S,Sato H,Kohno M

更新日期：2018-11-15 00:00:00

abstract：:Metronidazole induced encephalopathy (MIE), an encephalopathy brought by an antibiotic, is characterized with cerebellar dysfunction, altered mental status and extrapyramidal symptoms. MIE can result in an acute manifestation, but MIE has not been reported as a stroke mimic. An 86-year-old patient undergoing metronida...

journal_title：Neurologia medico-chirurgica

authors： Takada K,Maki Y,Kinosada M,Ishibashi R,Chin M,Yamagata S

更新日期：2018-09-15 00:00:00

abstract：:Superficial peroneal nerve (S-PN) entrapment neuropathy (S-PNEN) is comparatively rare and may be an elusive clinical entity. There is yet no established surgical procedure to treat idiopathic S-PNEN. We report our surgical treatment and clinical outcomes. We surgically treated 5 patients (6 sites) with S-PNEN. The 2 ...

journal_title：Neurologia medico-chirurgica

authors： Matsumoto J,Isu T,Kim K,Iwamoto N,Yamazaki K,Isobe M

更新日期：2018-07-15 00:00:00

abstract：:Vertebral arteriovenous fistula (VAVF), which can cause subarachnoid hemorrhage (SAH) when having a perimedurally drainage, has been reported as a rare vascular abnormality in patients with neurofibromatosis type 1 (NF-1). In addition, extracranial vertebral aneurysm (EVAn) coexisting with VAVF and NF-1 is considered ...

journal_title：Neurologia medico-chirurgica

authors： Maki Y,Ishibashi R,Fukuda H,Kobayashi M,Chin M,Yamagata S

更新日期：2018-04-15 00:00:00

abstract：:The aim of this study was to investigate the specific thyroid condition and thyroid autoantibodies in adult moyamoya disease (MMD) according to clinical presentation (ischemia vs. hemorrhage stroke). In addition, a meta-analysis was performed to reveal the association between adult MMD and elevated thyroid function, o...

journal_title：Neurologia medico-chirurgica

authors： Ahn JH,Jeon JP,Kim JE,Ha EJ,Cho WS,Park YJ,Cho NH,Choi HS,Kang HS,Son YJ,Bang JS,Oh CW

更新日期：2018-03-15 00:00:00

abstract：:Filum terminale lipoma (FTL) causes various spinal symptoms known as tethered cord syndrome. The treatment for FTL is surgical untethering by sectioning the FTL, which can prevent symptom progression and often results in improvement of symptoms. This report describes a minimally invasive surgical strategy that we have...

journal_title：Neurologia medico-chirurgica

authors： Hayashi T,Kimiwada T,Kohama M,Shirane R,Tominaga T

更新日期：2018-03-15 00:00:00

abstract：:The incidence of spontaneous intracerebral hematoma (SICH) is even now high worldwide, especially higher in Japan than in Western countries, despite the development of advances in blood pressure (BP) management and food/alcohol intake education. Although mortality and morbidity for SICH are high, some controversies re...

journal_title：Neurologia medico-chirurgica

authors： Morioka M,Orito K

更新日期：2017-11-15 00:00:00

abstract：:The authors describe the surgical anatomy for the endoscopic endonasal approach (EEA) to the ventrolateral skull base. The ventrolateral skull base can be divided into two segments: the upper lateral and lower lateral skull base. The upper lateral skull base includes the cavernous sinus and the orbit, while the lower ...

journal_title：Neurologia medico-chirurgica

authors： Oyama K,Tahara S,Hirohata T,Ishii Y,Prevedello DM,Carrau RL,Froelich S,Teramoto A,Morita A,Matsuno A

更新日期：2017-10-15 00:00:00

abstract：:Stereoelectroencephalography (SEEG) is an invasive surgical procedure used to identify epileptogenic zones. The combination of both subdural grids and depth electrodes (DEs) is currently used for invasive intracranial monitoring in many epilepsy centers. To perform DE implantation, some centers use frame-based stereot...

journal_title：Neurologia medico-chirurgica

authors： Fujimoto A,Okanishi T,Kanai S,Sato K,Nishimura M,Enoki H

更新日期：2017-09-15 00:00:00

abstract：:Chronic subdural hematomas (CSDHs) occur often in elderly persons and can occur with mild head trauma. With burr-hole irrigation as standard treatment, symptoms usually improve and can be cured, and outcomes are good, but postoperative recurrences are a common problem. This study investigated the effectiveness and rec...

journal_title：Neurologia medico-chirurgica

authors： Kuwabara M,Sadatomo T,Yuki K,Migita K,Imada Y,Shimizu K,Hara T,Oba H,Kurisu K

更新日期：2017-05-15 00:00:00

abstract：:Patients with diffuse axonal injury (DAI) may initially present with prominent physical impairments, but their cognitive dysfunctions are more persistent and are attributable to later unemployment. In this study, we analyzed how the findings of early and delayed neuropsychological assessments correlated with employmen...

journal_title：Neurologia medico-chirurgica

authors： Hirota S,Inaji M,Nariai T,Hara M,Tamaki M,Maehara T,Tomita H,Tone O

更新日期：2017-02-15 00:00:00

abstract：:Meningiomas are the most common primary intracranial tumors. Since the adhesions in the plane of dissection are of interest in surgical planning, we suggest that digital image subtraction of FLAIR data from the T2 sequence of MRI may represent better the CSF spaces in the brain-tumor interface and may be a predictor o...

journal_title：Neurologia medico-chirurgica

authors： Thenier-Villa JL,Alejandro Galárraga Campoverde R,Ramón DE LA Lama Zaragoza A,Conde Alonso C

更新日期：2017-01-15 00:00:00

abstract：:We describe the efficacy and technical aspects of infiltrated preoperative embolization of meningioma by penetration of very dilute glue. In this method, a 13% n-butyl-cyanoacrylate (NBCA)-lipiodol mixture is injected extremely slowly from the middle meningeal artery (MMA) in a similar manner to plug and push injectio...

journal_title：Neurologia medico-chirurgica

authors： Ohnishi H,Miyachi S,Murao K,Hiramatsu R,Takahashi K,Ohnishi H,Kuroiwa T

更新日期：2017-01-15 00:00:00

abstract：:To investigate the working conditions of female neurosurgeons in Japan, two surveys were conducted by The Japan Neurosurgical Society: one involving female neurosurgeons themselves and the other involving the chiefs of neurosurgical departments. The responses were received from 224 (43.8%) female neurosurgeons and 496...

journal_title：Neurologia medico-chirurgica

authors： Fujimaki T,Shibui S,Kato Y,Matsumura A,Yamasaki M,Date I,Hongo K,Kuroda S,Matsumae M,Nakao N,Sakurada K,Shimokawa S,Kayama T,Gender Equality Committee of the Japan Neurosurgical Society.

更新日期：2016-11-15 00:00:00

abstract：:The management, analysis, and integration of Big Data have received increasing attention in healthcare research as well as in medical bioinformatics. The J-ASPECT study is the first nationwide survey in Japan on the real-world setting of stroke care using data obtained from the diagnosis procedure combination-based pa...

journal_title：Neurologia medico-chirurgica

authors： Nishimura A,Nishimura K,Kada A,Iihara K,J-ASPECT Study GROUP.

更新日期：2016-11-15 00:00:00

abstract：:Auditory brainstem implant (ABI) technology attempts to restore hearing in deaf patients caused by bilateral cochlear nerve injury through the direct stimulation of the brainstem, but many aspects of the related mechanisms remain unknown. The unresolved issues can be grouped into three topics: which patients are the b...

journal_title：Neurologia medico-chirurgica

authors： Nakatomi H,Miyawaki S,Kin T,Saito N

更新日期：2016-10-15 00:00:00

abstract：:Interactive bio-feedback (iBF) was initially developed for the rehabilitation of motor function in patients with neurological disorders, and subsequently yielded the development of the hybrid assistive limb (HAL). Here, we provide a review of the theory underlying HAL treatment as well as our clinical experience and r...

journal_title：Neurologia medico-chirurgica

authors： Morishita T,Inoue T

更新日期：2016-10-15 00:00:00

abstract：:Cerebral arterial dissection is defined as a hematoma in the wall of a cervical or an intracranial artery. Cerebral arterial dissection causes arterial stenosis, occlusion, and aneurysm, resulting in acute infarction and hemorrhage. Image analysis by such methods as conventional angiography, computed tomography, magne...

journal_title：Neurologia medico-chirurgica

authors： Kanoto M,Hosoya T

更新日期：2016-09-15 00:00:00

abstract：:Developmental venous anomalies (DVAs), previously called venous angiomas, are the most frequently encountered cerebral vascular malformations. However, DVA is considered to be rather an extreme developmental anatomical variation of medullary veins than true malformation. DVAs are composed of dilated medullary veins co...

journal_title：Neurologia medico-chirurgica

authors： Aoki R,Srivatanakul K

更新日期：2016-09-15 00:00:00

abstract：:Surgical approaches for stabilizing the craniovertebral junction (CVJ) are classified as either anterior or posterior approaches. Among the anterior approaches, the established method is anterior odontoid screw fixation. Posterior approaches are classified as either atlanto-axial fixation or occipito-cervical (O-C) fi...

journal_title：Neurologia medico-chirurgica

authors： Takayasu M,Aoyama M,Joko M,Takeuchi M

更新日期：2016-08-15 00:00:00

abstract：:Clinical features of high risk brain arteriovenous malformations (BAVMs) are well characterized. However, pathological evidences about the differences that are possessed by high risk patients are still lacking. We reviewed archived routine hematoxylin-eosin specimens from a total of 54 surgical treated BAVMs. The hist...

journal_title：Neurologia medico-chirurgica

authors： Hermanto Y,Takagi Y,Yoshida K,Ishii A,Kikuchi T,Funaki T,Mineharu Y,Miyamoto S

更新日期：2016-06-15 00:00:00

abstract：:Invasive evaluations play important roles in identifying epileptogenic zones and functional areas in patients with intractable focal epilepsy. This article reviews the usefulness, methods, and limitations of invasive evaluations for epilepsy surgery. Invasive evaluations include various types of intracranial electrode...

journal_title：Neurologia medico-chirurgica

authors： Enatsu R,Mikuni N

更新日期：2016-05-15 00:00:00

abstract：:External lumbar drainage (ELD) is recognized as a screening method for ventriculo-peritoneal shunting (VPS) candidacy for possible normal pressure hydrocephalus (NPH). This study focused on the ELD predictability of the cognitive outcome after VPS for NPH. In addition, Repeatable Battery for the Assessment of Neuropsy...

journal_title：Neurologia medico-chirurgica

authors： Nakatsu D,Fukuhara T,Chaytor NS,Phatak VS,Avellino AM

更新日期：2016-01-01 00:00:00

abstract：:There is controversy among neurosurgeons regarding whether irrigation or drainage is necessary for achieving a lower revision rate for the treatment of chronic subdural hematoma (CSDH) using burr-hole craniostomy (BHC). Therefore, we performed a meta-analysis of all available published reports. Multiple electronic hea...

journal_title：Neurologia medico-chirurgica

authors： Xu C,Chen S,Yuan L,Jing Y

更新日期：2016-01-01 00:00:00

abstract：:Reappearance of symptoms of cranial nerve dysfunction is not uncommon after successful microvascular decompression (MVD). The purpose of this study was to report two quite unusual cases of recurrent and newly developed hemifacial spasm (HFS) caused by a new conflicting artery more than 20 years after the first success...

journal_title：Neurologia medico-chirurgica

authors： Inoue H,Kondo A,Shimano H,Yasuda S,Murao K

更新日期：2016-01-01 00:00:00

abstract：:The authors present an extremely rare case of a 48-year-old female who developed repeated perianeurysmal edema at 2, 9, and 16 weeks after endovascular coil embolization for the ruptured intracranial aneurysm. Interestingly, the mechanism for this edema could be different at each time point in this case; acute thrombo...

journal_title：Neurologia medico-chirurgica

authors： Takeshita T,Horie N,Fukuda Y,So G,Hayashi K,Morikawa M,Suyama K,Nagata I

更新日期：2015-01-01 00:00:00

abstract：:Superficial siderosis is a rare condition caused by hemosiderin deposits in the central nervous system (CNS) due to prolonged or recurrent low-grade bleeding into the cerebrospinal fluid (CSF). CNS tumor could be one of the sources of bleeding, both pre- and postoperatively. We report an extremely rare case of superfi...

journal_title：Neurologia medico-chirurgica

authors： Tosaka M,Sato K,Amanuma M,Higuchi T,Arai M,Aishima K,Shimizu T,Horiguchi K,Sugawara K,Yoshimoto Y

更新日期：2015-01-01 00:00:00

abstract：:Confirming the patency of the proximal parent and distal artery is necessary in cerebral aneurysm surgery. To understand the relationship between the parent and distal arteries of the aneurysm, the blood vessels running through the subarachnoid space should be extensively dissected, which is time consuming. To examine...

journal_title：Neurologia medico-chirurgica

authors： Murai Y,Mizunari T,Koketsu K,Tateyama K,Kobayashi S,Morita A,Teramoto A

更新日期：2015-01-01 00:00:00

abstract：:The present report describes our experience with air transfer of patients with acute ischemic stroke in whom intravenous tissue plasminogen activator (IV t-PA) failed for rescue endovascular therapy (EVT). Twenty-three consecutive patients in whom IV t-PA failed were transferred to our hospital for rescue EVT between ...

journal_title：Neurologia medico-chirurgica

authors： Tsujimoto M,Yoshimura S,Enomoto Y,Yamada N,Matsumaru N,Kumada K,Toyoda I,Ogura S,Iwama T

更新日期：2015-01-01 00:00:00