Publications by authors named "O Akiyama"

Objective: The rhomboid lip is a neural tissue encountered during cerebellopontine angle surgery, with differing shape and extent among individuals. This study aimed to investigate the variation of rhomboid lips during posterior fossa surgery.

Methods: In this retrospective study, we examined posterior cranial fossa surgeries performed using a retrosigmoid approach.

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Endoscopic endonasal skull base surgery is increasingly prevalent, with its scope expanding from pathogens in the midline region to those in the paramedian region. Maximizing anterior sphenoidectomy is important for the median approach, and lateralizing the pterygopalatine fossa is crucial for the paramedian approach. Maximizing the surgical corridor in the nasal cavity and minimizing damage to neurovascular structures are vital for establishing a surgical field with minimal bleeding, ensuring safe, precise, and gentle procedures.

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Histological and molecular characterization is essential for the diagnosis of pediatric brain tumors. In the pineal region tumors, it is necessary to remove a sufficient tumor volume to make a diagnosis. However, surgery in this region is challenging due to its deep anatomical location and surrounded by critical structures and complex venous system.

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Article Synopsis
  • Task-specific dystonia (TSD) was observed in a 53-year-old man, where symptoms only occurred in the lower extremities while walking, despite normal neurological function in other activities.
  • The patient had been on several neuropsychiatric medications, particularly aripiprazole (ARP), for depression, and his abnormal gait worsened two years after starting ARP, even after the removal of a brain tumor (meningioma).
  • After stopping ARP and undergoing treatment with trihexyphenidyl hydrochloride and rehabilitation, the patient's symptoms improved, although some gait abnormalities persisted, highlighting the complexity of diagnosing and treating TSD.
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