Publications by authors named "Hitoshi Kawamoto"

Article Synopsis
  • The sylvian fissure stem and its deep cisternal part (SDCP) primarily include the orbital gyrus and the front part of the temporal lobe, and their adhesions can complicate surgical approaches.
  • The study categorized SDCP morphology in 81 patients into tight, moderate, and loose types based on arachnoid membrane adhesion and analyzed features via intraoperative videos.
  • Findings indicated that tighter adhesions correlated with larger orbital gyri and younger patients, and the degree of adhesion affected the width of the subarachnoid space, which is important for planning safe surgical approaches.
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  • The superficial middle cerebral vein (SMCV) is crucial for opening the sylvian fissure during surgery, and understanding its structure can enhance surgical outcomes.
  • A study analyzed SMCVs in 116 patients using intraoperative videos to classify them into five morphological types, revealing variations in bridging veins between different veins.
  • The findings suggest that recognizing these SMCV types can lead to optimal dissection techniques, minimizing the risk of venous infarction and improving the effectiveness of the trans-sylvian approach.
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Fucoidan and chondroitin sulfate, which are well known sulfated polysaccharides, were depolymerized under hydrothermal conditions (120-180°C, 5-60min) as a method for the preparation of sulfated polysaccharides with controlled molecular weights. Fucoidan was easily depolymerized, and the change of the molecular weight values depended on the reaction temperature and time. The degree of sulfation and IR spectra of the depolymerized fucoidan did not change compared with those of untreated fucoidan at reaction temperatures below 140°C.

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Fucoidan is a sulfated polysaccharide in the brown sea algae. This study was conducted in 20 subjects taking excessive fucoidan up to 4.05 g daily for 2 wk.

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We investigated the effect of fucoidan, a sulfated polysaccharide, on acceleration of healing of experimental cartilage injury in a rabbit model. An injured cartilage model was surgically created by introduction of three holes, one in the articular cartilage of the medial trochlea and two in the trochlear sulcus of the distal femur. Rabbits in three experimental groups (F groups) were orally administered fucoidan of seven different molecular weights (8, 50, 146, 239, 330, 400, or 1000 kD) for 3 weeks by screening.

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  • Researchers tested the effectiveness of fucoidan from Cladosiphon okamuranus in stopping tumor growth in mice with colon cancer.
  • The intermediate-molecular-weight fucoidan (IMWF) notably reduced tumor growth, while low-molecular-weight (LMWF) and high-molecular-weight fucoidan (HMWF) increased survival rates compared to a control group.
  • The study also indicated that fucoidan boosts natural killer cell populations in the spleen and affects gut immunity, suggesting it could serve as a dietary anti-tumor supplement.
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A bacterial strain that assimilates fucoidan from Cladosiphon okamuranus as sole carbon source was isolated as Luteolibacter algae H-18. It was found that it degraded fucoidan by intracellular enzymes, and that the degradation reactions were catalyzed by multiple enzymes. One enzyme, designated fraction B, was established to exhibit the deacetylation reaction of fucoidan.

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  • A new bacterium, Flavobacterium sp. F-31, was isolated that can use fucoidan from the brown alga Cladosiphon okamuranus as its only carbon source.
  • This strain produces enzymes that break down fucoidan and remove sulfate groups, but the ability to desulfate only occurs when fucoidan's molecular weight is significantly reduced.
  • Fucoidan is the only substance found to trigger the production of these degrading enzymes in the bacterium.
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Unlabelled: The aim of this study was to clarify whether the diaphragm in patients with COPD (emphysema dominant type) can be evaluated by abdominal ultrasonography. We therefore established a method for diaphragm scanning: The dome of the right hemidiaphragm was detected by epigastric right oblique scan passing through the right edge of the inferior vena cava and the zone of apposition. Diaphragmatic flattening, correlation between the flattening and %FEV1.

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Method: We followed a two-step surgical strategy using miniature Ommaya's reservoirs in an early neonate with multiple large arachnoid cysts.

Conclusion: Percutaneous fluid aspiration through the reservoirs placed during the first operation permitted the infant to develop sufficiently to withstand the second, more radical cyst wall excision.

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We isolated a new marine bacteria, which displayed alginate-depolymerizing activity in plate assays, from seawater in Mihonoseki Harbor, Japan. Analysis of the 16S ribosomal RNA gene sequence of one of the isolates proved that this alginate-depolymerizing bacterium belonged to the genus Vibrio and it was named Vibrio sp. O2.

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We introduce change in pulse transit time (change in PTT: noninvasive intrathoracic pressure monitoring) as a new monitoring test of sleep apnea syndrome, which is being developed for clinical application. In addition, we report the kinetics of cardiogenic oscillation (CGO: noninvasive upper airway obstruction monitoring), which was published in this journal in 2003, and the response of the upper airway in clinical practice (under an endoscope). We also review diaphragmatic movement by abdominal echography (respiration generator monitoring).

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We describe a rare case of subarachnoid hemorrhage due to a ruputured iatrogenic traumatic aneurysm in the cavernous carotid artery, caused by injury during surgery for skull base meningioma that was performed 2 years ago. A 64-year-old woman underwent craniotomy for resection of meningioma of the right sphenoid ridge. During surgery, venous bleeding from the cavernous sinus was easily controlled by packing.

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Cardiogenic pulse waves that travel along the airway wall are captured as airflow variations synchronized with the electrocardiogram at the airway exit. We have used airflow variations caused by cardiogenic pulse waves (hereinafter referred to as cardiogenic oscillation) to classify types of sleep apnea. Pulse waves do not travel downstream if there is an airway obstruction or choke point (wave speed theory).

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We describe a case of a 34-year-old woman in whom delayed occult cerebrospinal fluid rhinorrhea presented as meningitis. Removal of an implanted shunt system and surgical repair of the fistula were required. The cerebrospinal fluid fistula was located in the left frontoethmoidal region.

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We present the usefulness of Diffusion-weighted magnetic resonance images (DWI) in diagnosis and therapeutic strategy of deep cerebral venous thrombosis (VT). We report a 37-year-old man who suffered general convulsion and deep coma. Magnetic resonance imaging (MRI) showed high intensity in the right caudate nuclei and bilateral thalamus on T2-weighted images.

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  • The study investigates the differences in PTH (parathyroid hormone) levels during and after parathyroidectomy in patients with primary and secondary hyperparathyroidism (HPT) using a new whole PTH assay that specifically targets 1-84 PTH.
  • Blood samples from 74 primary HPT patients and 18 secondary HPT patients were analyzed to compare PTH kinetics, revealing that whole PTH levels decreased faster than intact PTH in both groups.
  • Results suggest the whole PTH assay could be more beneficial during surgeries for both types of HPT, compared to the commonly used intact PTH assay.
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  • Finding high levels of an immunoreactive fragment of parathyroid hormone (PTH) in patients with primary hyperparathyroidism (pHPT) suggests that this large C-PTH fragment is produced and released directly from the parathyroid gland.
  • The study involved two groups of 77 pHPT patients, using different timing and methods for blood sample collection pre- and post-surgery to analyze PTH levels.
  • Results indicated significant differences in large C-PTH levels between the affected and unaffected sides of the body, with plasma whole PTH decreasing more rapidly after surgery compared to iPTH levels, highlighting the complexities of PTH metabolism.
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Many pulmonary function tests require forced expiration, and the precision of the tests depends on the effort of the subjects. In elderly people, the reproducibility of test results may be inadequate because of insufficiency of the subjects' effort, and the diagnosis of COPD, which is frequently observed in elderly people, is often difficult. To improve the accuracy of the diagnosis, pulmonary function tests that do not require effort are needed.

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The spirometry has been most valuable pulmonary function test and it defines pulmonary physiology. But the spirometry has not been widely used by general physicians in Japan. The spirometry is effort-dependent test, so, they seem to keep it at a distance.

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A 42-year-old-man with a history of Japanese cedar pollinosis repeatedly visited the emergency clinic due to dyspnea during the season of Japanese cedar pollen dispersion. Before each onset of this symptom, he had always drunk tomato juice. Swelling of the oral and nasal mucosa, and congestion of the bulbar conjuctiva was observed.

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  • A 65-year-old woman suffered a ruptured dissecting aneurysm in the M3 portion of the middle cerebral artery, leading to consciousness issues and motor aphasia.
  • CT scans showed subarachnoid hemorrhage, and angiography confirmed an aneurysm without presence of infection.
  • Surgical intervention was necessary to excise the aneurysm and preserve blood flow to the MCA by connecting the superficial temporal artery, as the arterial dissection was due to a disruption in the internal elastic lamina.
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  • Dissecting aneurysms in the middle cerebral artery (MCA) are rare, and recurrent ruptures after treatment using the clip on wrap method are not well-documented.
  • A 41-year-old man experienced a subarachnoid hemorrhage due to an aneurysm in the right M2 segment, leading to surgery that involved wrapping the discolored arterial protrusion with Bemsheet.
  • Despite initial success, a pseudoaneurysm formed and ruptured 5 months later, but the condition was effectively treated by trapping the aneurysm with a connection from the superficial temporal artery to the MCA, resulting in a good recovery.
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Summary Background Data: Quick intraoperative parathyroid hormone assays are widely used as a guide to the adequacy of resection during parathyroid surgery. However, some authors have reported a 15% error rate of these assays because of the presence of false-positive and false-negative results. Recently the authors have found that most commercial intact PTH (iPTH) assays cross-react with non-(1-84) PTH (likely 7-84 PTH) and that the proportional levels of non-(1-84) PTH in patients were variable in a much wider range, accounting mostly for 20% to 60% of the immunoreactivity in samples obtained from hyperparathyroid patients.

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