Publications by authors named "S Tetsuka"
Beta-propeller protein-associated neurodegeneration (BPAN) encompasses a group of refractory neurodegenerative diseases that are caused by excessive iron deposition in the brain, especially in the basal ganglia. We reported a case of BPAN with a novel variant of the WDR45 gene at Xp11.23.
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- - Granulomatosis with polyangiitis (GPA) is characterized by necrotizing granulomatosis in the respiratory system and lungs, necrotizing glomerulonephritis in the kidneys, and vasculitis affecting small blood vessels throughout the body.
- - A 92-year-old man with probable Alzheimer's disease experienced severe cognitive decline and was admitted with acute renal failure, where tests indicated he had PR3-ANCA-positive GPA, ultimately leading to kidney failure and his death.
- - Autopsy revealed that the patient's cognitive issues were not linked to GPA but rather confirmed the presence of Alzheimer's disease; this case is notable for its rare presentation of GPA limited to kidney involvement, highlighting the complexities of diagnosing
Herpes simplex encephalomyeloradiculitis initially presents with urinary retention.
Rinsho Shinkeigaku
September 2024
Herpes simplex virus (HSV) infections necessitate careful management of urinary dysfunction and retention, which are underestimated conditions. Here, we present a rare case of HSV encephalomyeloradiculitis in a 76-year-old man, whose initial symptoms included urinary dysfunction and retention that alone lasted for approximately 1 week. Unlike in meningoencephalitis, high fever and headache were absent; however, the patient subsequently developed cauda equina syndrome and consciousness disturbance.
View Article and Find Full Text PDFThe patient was a 57-year-old man with a 15-year history of diabetes mellitus and a 3-year history of dialysis. He developed a subacute onset of Parkinsonism, including gait disturbance, bradykinesia, cogwheel rigidity, and myoclonus attacks. Magnetic resonance imaging (MRI) of the brain revealed swollen bilateral basal ganglia lesions, which appeared hyperintense with the lentiform fork sign on fluid-attenuated inversion recovery images, indicating vasogenic edematous lesions.
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