Publications by authors named "Kunieda T"

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  • Perioperative acute ischemic stroke is a rare but serious complication in patients undergoing lung resection, particularly in those having left upper lung lobectomies for lung cancer.
  • In this case, a 67-year-old man developed sudden left side weakness and difficulty speaking two days after surgery due to a large thrombus blocking his carotid arteries.
  • The blockage was treated successfully with endovascular stenting, leading to significant recovery, and the patient was discharged home after 19 days.
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  • * Patient symptoms included fever, headache, and hearing loss, with tests revealing infection indicators and abnormal brain lesions confirmed through advanced imaging techniques.
  • * Rapid pathological diagnosis, including immunohistochemistry and PCR, played a vital role in distinguishing the cryptococcoma from a potential malignant tumor, leading to successful antifungal treatment.
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  • - The study focuses on improving the diagnosis of primary central nervous system lymphoma (PCNSL) during surgery by using intraoperative rapid immunohistochemistry (IHC), along with cytology and flow cytometry (FCM) for quicker and more accurate treatment decisions.
  • - In a trial involving 35 patients from April 2020 to January 2024, the addition of cytology and FCM to rapid IHC significantly sped up the time from surgery to chemotherapy initiation for PCNSL (1.6 days versus 7.3 days), demonstrating the benefits of this combined approach.
  • - Final pathological diagnoses confirmed the consistency of intraoperative rapid IHC results, and the combined method resulted in changes in treatment strategy in certain
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  • A multicenter study by the Neurospinal Society of Japan examined treatment strategies for spinal cord astrocytomas (WHO grade II), aiming to determine the best methods and predictors for improved outcomes.
  • Out of 1033 patients with spinal cord intramedullary tumors, 57 had diffuse astrocytoma; their treatment approaches included surgery alone, or combined with radiation or chemoradiotherapy, with outcomes analyzed based on treatment type and tumor proliferation rates.
  • The findings indicated that surgery (with or without radiation) led to better survival rates compared to chemoradiotherapy, with a significant correlation between tumor resection extent and longer survival; an MIB-1 SI under 4.0%
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In this study, we conducted polymerase chain reaction (PCR) experiments using Escherichia coli (E. coli) and a Mars sand simulant (Mars Global Simulant MGS-1, Exolith Lab) to detect and analyze potential extraterrestrial life. The targeted DNA sequence is common among the bacterial kingdom on Earth.

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  • Repro57 mice with a mutation in the Rnf212 gene are infertile, showing issues with sperm development in males and unclear infertility causes in females.
  • In male mice, spermatogenesis is arrested, leading to the absence of mature sperm, while female mice show aneuploidy and altered chromosomal patterns in their oocytes.
  • Although fertilization rates don’t significantly differ between wild-type and mutant mice, the mutant embryos struggle with later developmental stages, leading to lower success rates in forming morulae and blastocysts.
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Background: Alveolar rhabdomyosarcoma (ARMS) shows a predilection for the peripheral extremities and is very rarely identified as a primary in the brain. Here, we report a case of ARMS with multiple lesions exclusively within the central nervous system (CNS).

Case Description: A 20-year-old man presented to our hospital with a gradually increasing headache and disturbance of consciousness.

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The first postmortem neuropathological findings of a hemiparkinsonism and hemiatrophy (HPHA) patient are presented. A 50-year-old man developed resting tremors affecting the right hand and leg, followed by mild clumsiness of the right hand. On examination, he exhibited muscle atrophy of the right leg extremity, accompanied by right-sided parkinsonism.

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Plasma or serum amino acids are used to evaluate nutritional status and metabolic disorders. In this study, we aimed to set reference values of serum amino acid concentrations in the Noma horse, a Japanese native horse. Thirty-one horses were classified into six age groups: neonatal foal (0-4 days), foal (0.

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Background: In gonochoristic animals, the sex determination pathway induces different morphological and behavioral features that can be observed between sexes, a condition known as sexual dimorphism. While many components of this sex differentiation cascade show high levels of diversity, factors such as the Doublesex-Mab-3-Related Transcription factor (DMRT) are widely conserved across animal taxa. Species of the phylum Tardigrada exhibit remarkable diversity in morphology and behavior between sexes, suggesting a pathway regulating this dimorphism.

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Tardigrades are small aquatic invertebrates known for their remarkable tolerance to diverse extreme stresses. To elucidate the in vivo mechanisms underlying this extraordinary resilience, methods for genetically manipulating tardigrades have long been desired. Despite our prior success in somatic cell gene editing by microinjecting Cas9 ribonucleoproteins (RNPs) into the body cavity of tardigrades, the generation of gene-edited individuals remained elusive.

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  • This study revisits the basal temporal language area (BTLA) using electrical cortical stimulation (ECS) to analyze its role in the Japanese language among 11 patients with focal epilepsy.
  • It creates a functional density map highlighting the BTLA's anatomical features and found that spoken-word tasks were more affected by ECS than reading tasks, indicating different levels of language processing.
  • The findings suggest a functional gradient in the BTLA, with the front involved in broader semantic processing and the back, particularly the middle fusiform gyrus, focused on specific types of input.
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  • * Recent studies on the tardigrade species Ramazzottius varieornatus showed it lacks a specific structure found in another species, Hypsibius exemplaris, which is usually associated with surviving desiccation.
  • * Both species belong to the same class, Eutardigrada, but the differences in their anhydrobiotic structures indicate that they have evolved distinct mechanisms to handle harsh environments.
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Purpose: While spikes and sharp waves are considered as markers of epilepsy in conventional electroencephalography, ictal direct current (DC) shifts and high-frequency oscillations (HFOs) appear to be useful biomarkers for epileptogenicity. We analyzed how ictal DC shifts and HFOs were affected by focal status epilepticus and antiseizure medications (ASMs).

Methods: A 20-year-old female patient who underwent long-term intracranial electrode implantation for epilepsy surgery presented with 72 habitual seizures and a focal status epilepticus episode lasting for 4 h.

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This study aimed to evaluate the clinical usefulness of zero-echo time(ZTE)-based magnetic resonance imaging(MRI)in planning an optimal surgical approach and applying ZTE for anatomical guidance during transcranial surgery. P atients who underwent transcranial surgery and carotid endarterectomy and for whom ZTE-based MRI and magnetic resonance angiography(MRA)data were obtained, were analyzed by creating ZTE/MRA fusion images and 3D-ZTE-based MRI models. We examined whether these images and models could be substituted for computed tomography imaging during neurosurgical procedures.

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  • Primary intramedullary spinal cord lymphoma (PISCL) is a rare condition that is challenging to diagnose early due to vague symptoms and imaging results, necessitating a biopsy for confirmation.
  • A case study of a 70-year-old woman who exhibited symptoms like lower-limb paralysis and abnormal sensations revealed a spinal mass and high β2-microglobulin levels, pointing toward PISCL.
  • The study emphasizes that in cases resistant to treatment, PISCL should be considered, and spinal cord biopsy should be performed if PET scans show increased FDG uptake and elevated β2-microglobulin in cerebrospinal fluid.
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  • The study aims to improve fluorescence-guided surgery for glioblastoma (GBM) by using berberine (BBR) to enhance 5-aminolevulinic acid (ALA) fluorescence, especially in glioma stem cells (GSCs) that typically don't fluoresce well.
  • Methods included analyzing the effects of BBR on 5-ALA fluorescence through flow cytometry and examining its impact on the heme synthesis pathway's enzyme expression.
  • Results showed that combining BBR with 5-ALA significantly increases fluorescence in GSCs, with BBR enhancing ALA synthetase 1 expression and showing promising results in animal studies, suggesting potential clinical applications.
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The tardigrade Ramazzottius varieornatus has remarkable resilience to a range of environmental stresses. In this study, we have characterised two members of the small heat shock protein (sHSP) family in R. varieornatus, HSP20-3 and HSP20-6.

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Background: Chronic spontaneous urticaria (CSU) is one of the most intractable human-specific skin diseases. However, as no experimental animal model exists, the mechanism underlying disease pathogenesis in vivo remains unclear, making the establishment of a curative treatment challenging.

Methods: A novel approach combining mathematical modelling, in vitro experiments and clinical data analysis was used to infer the pathological state of CSU patients from geometric features of the skin eruptions.

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Background: This study aimed to investigate the association between proteinuria and long-term prognosis in patients with coronary artery disease.

Methods: This was a single-center observational study. A total of 1351 patients were identified who underwent percutaneous coronary intervention, and whose urine data were available.

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  • Dandy-Walker syndrome (DWS) often occurs with occipital meningocele (OMC), but only about 40 cases of their association have been reported, including a unique case where the OMC sac grew larger over time.
  • A premature baby boy was diagnosed with DWS and a small OMC at birth, which progressively enlarged from 3 cm to 7 cm, leading to moderate hydrocephalus and requiring a surgical intervention involving a cystoperitoneal shunt.
  • The study highlights that while most OMCs remain small and stable, understanding the relationship between the occipital bone defect and venous anatomy through CT venography can help in planning effective surgery.
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Background: Amide proton transfer (APT) imaging has been proposed as a technique to assess tumor metabolism. However, the relationship between APT imaging and other quantitative modalities including positron emission tomography (PET) has not been investigated in detail. This study aimed to evaluate the clinical usefulness of APT imaging in determining the metabolic status of malignant glioma and to compare findings with those from C-methionine (Met)-PET.

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  • Glioblastoma (GBM) is highly invasive, making complete surgical removal difficult, which leads to inevitable tumor recurrence, often driven by glioma stem-like cells (GSCs) that resist treatments.
  • The molecule CD44 plays a key role in this process by enhancing both tumor invasion and growth through various signaling pathways, particularly influenced by oxygen levels in the tumor environment.
  • The hypoxic conditions around GBM change before and after surgery, with severe hypoxia promoting invasion via CD44 and moderate hypoxia encouraging tumor proliferation through HIF-2α, suggesting a critical link between oxygen levels and GBM recurrence.
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Recurrent glioblastoma multiforme (GBM) is largely attributed to peritumoral infiltration of tumor cells. As higher CD44 expression in the tumor periphery correlates with higher risk of GBM invasion, the present study analyzed the relationship between CD44 expression and magnetic resonance imaging (MRI)-based invasiveness of GBM on a large scale. We also quantitatively evaluated GBM invasion using 5-aminolevulinic acid (5-ALA) spectroscopy to investigate the relationship between CD44 expression and tumor invasiveness as evaluated by intraoperative 5-ALA intensity.

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