Publications by authors named "Kento Koda"

Article Synopsis
  • The study aimed to assess postural stability in patients with vestibular migraine (VM) and probable vestibular migraine (PVM) without acute symptoms by analyzing their performance on foam posturography tests.
  • A total of 30 VM patients, 25 PVM patients, and 194 healthy controls were evaluated, with factors such as age, sex, and diagnosis being analyzed for their impact on postural stability.
  • Results indicated that both VM and PVM patients exhibited greater postural instability compared to healthy controls; however, there were no significant stability differences between the two patient groups.
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The pathogenesis of extranodal natural killer/T-cell lymphoma (ENKTL) remains largely unknown. Herein, we present a case of ENKTL that may have occurred during the treatment of  infection. A 69-year-old woman was admitted to our hospital with nasal bleeding, and a nasopharyngeal mass was observed.

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Article Synopsis
  • PPPD (Persistent postural-perceptual dizziness) patients experience worsened symptoms when standing, moving, or exposed to visual stimuli.
  • A study evaluated postural stability in 53 PPPD patients using foam posturography, comparing results with healthy controls.
  • Findings indicated that PPPD patients relied more on visual cues and less on somatosensory input when standing, regardless of their vestibular function, highlighting unique balance control dynamics.
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Background: The reproducibility of the effective intensity of noisy galvanic vestibular stimulation (nGVS) to improve postural stability is not well known.

Objective: We aimed to investigate inter-day and intra-day variations in effective intensity in patients with bilateral vestibulopathy (BVP).

Methods: Thirteen BVP patients were measured for center-of-pressure movements in the standing posture at five time points: morning of the first test day, morning and evening of the second test day, and morning and evening of the third test day.

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Objective: To investigate the isosorbide-induced dehydration effect on the endolymphatic space by intratympanic administration of isosorbide.

Background: Isosorbide, an osmotic diuretic, is used orally as a typical conservative therapy for Menière's disease (MD) in Japan. The dehydration effect occurs 6 hours after isosorbide ingestion.

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Persistent postural-perceptual dizziness (PPPD) is induced by preceding conditions that cause balance disorders. To investigate the association between vestibular function and preceding balance disorders in PPPD patients, a retrospective chart review was performed. Vestibular function in 55 PPPD patients was measured using the caloric test, cervical vestibular evoked myogenic potential testing to air-conducted sound (ACS cVEMP), ocular vestibular evoked myogenic potential testing to bone-conducted vibration (BCV oVEMP), and video head impulse testing (vHIT).

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Purpose: Meniere's disease (MD) is characterized by combined cochlear and vestibular symptoms. However, its underlying cause remains unclear, with low-to-mid-tone hearing impairment being predominantly reported. Moreover, predicting hearing improvement after disease onset is not possible.

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Carotid artery injury is a rare disease often caused by neck trauma or irradiation of head and neck cancer. It is not easy to diagnose quickly without these backgrounds. Herein, we report a case of a 52-year-old man with no history of trauma or irradiation whose carotid artery was found to be injured.

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Background: Anaplastic thyroid cancer is a rare and rapidly progressive cancer with an extremely poor prognosis. Besides surgical control, no clear treatment has been found, mainly due to the small population affected and high mortality rate.

Aims: To propose evidence-based treatment guidelines based on a 5-year retrospective study of patients with anaplastic thyroid cancer treated at our facility.

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Article Synopsis
  • Transverse myelitis is an inflammatory condition affecting the spinal cord, and a rare case was reported in a 70-year-old male following the COVID-19 mRNA vaccine.
  • The patient experienced progressive lower limb dysfunction a week after vaccination, with MRI and CSF tests showing abnormalities indicative of this condition.
  • After treatment with high doses of corticosteroids, the patient fully recovered and was able to walk independently, suggesting a potential autoimmune response triggered by the vaccine.
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