[A case of Miller Fisher syndrome with a false-positive edrophonium test].

A 69-year-old woman presented with acute bilateral ptosis, ophthalmoplegia, ataxia, and hyporeflexia in the extremities following an antecedent upper respiratory infection. We suspected that she had Miller Fisher syndrome (MFS) and performed an edrophonium test (ET) to rule out myasthenia gravis (MG). Edrophonium chloride improved the patient's bilateral ptosis, but not her ophthalmoplegia.

[A case of body lateropulsion to the left in acute cerebral infarction of the right medial parietal lesion].

A 68-year-old right-handed woman with acute-onset inability to stand was admitted to our department. Although left hemiparesis was minor, the neurological examination on admission showed marked body lateropulsion (BL) to the left when she stood or stepped with eyes open and feet closed. Neither ataxia nor sensory disturbance was present.

[A case of multiple sclerosis with bilateral intermediate uveitis].

We describe a case of 20-year-old woman with visual impairment in her left eye. Her left visual acuity was 0.07 and an ophthalmoscopic examination demonstrated bilateral intermediate uveitis (IU).

[Cervical epidural β2-microglobulin amyloidoma presenting with acute paraplegia 5 months after introduction of hemodialysis].

A 66-year-old man was admitted to our hospital with acute paraplegia. He has suffered from hypertension with renal dysfunction for 7 years. Five months before admission, hemodialysis was introduced to him because of chronic renal failure due to renal sclerosis.

A partially crosslinked bicontinuous cubic phase exhibiting a temperature range of more than 100 °C.

A new methodology of partial crosslinking is presented for stabilizing the bicontinuous cubic phase without losing its dynamic nature. It was applied to a mixture of 1,2-bis[4'-(9''-decenyloxy)benzoyl]hydrazine with a bi-functional linker, remarkably stabilizing the phase in comparison with the neat compound having no C=C bond at the end of the alkyl tail.

[Hemiparkinsonism due to a solitary infarction of the right external segment of the globus pallidus: a case report].

Three months prior to presentation, a 76-year-old woman suffered from insomnia and was prescribed some antidepressants and hypnotics. At that time, brain MRI showed no cerebral infarcts. Having developed an action tremor of the left hand, bradykinesia, and unstable gait, she visited our hospital.

An autopsy case of an aged patient with spinocerebellar ataxia type 2.

We report the case of a woman who developed limb clumsiness in her fifties and gait disturbance in her sixties. She was bedridden after bone fractures at age 75 and showed disorientation, slow eye movement, gaze palsy, ataxic speech, muscle atrophy and weakness, and areflexia with pathological reflex. She died of respiratory failure at age 85.

Temperature-jump time-resolved X-ray diffraction study of cubic-cubic phase-transition kinetics in thermotropic cubic mesogen 1,2-bis(4'-n-alkoxybenzoyl)hydrazines (BABH-n).

The transformation between two thermotropic bicontinuous cubic (Cub) phases has kinetically been determined by time-resolved X-ray diffraction. The system investigated was 1,2-bis(4'-n-alkoxybenzoyl)hydrazines (denoted as BABH-n, where n is the number of carbon atoms in the alkyl chain). Transitions from the Ia3d to Im3m phases of BABH-13 and from the Im3m to Ia3d phases of BABH-16 were induced by a temperature jump.

Solvent-induced chirality inversion involving supramolecular helix transformation and color-tunable fluorescence of a C(6)-symmetric hexakis(phenylethynyl)benzene derivative.

A C(6)-symmetric disk-like molecule, a hexakis(phenylethynyl)benzene derivative bearing chiral alanine parts, L-1, exhibited a solvent-induced supramolecular helix-sense inversion involving conformational changes followed by destruction of the supramolecular helical column. This phenomenon has been found by investigating the supramolecular assembly state of L-1 in mixed solvents of various chloroform (CHCl(3))/n-hexane (Hx) ratios. L-1 forms a stable helical columnar assembly via multiple noncovalent bonding interactions in nonpolar Hx, while the molecules in relatively polar CHCl(3) are in a molecularly dispersed state.

Mechanism of helix induction in poly(4-carboxyphenyl isocyanide) with chiral amines and memory of the macromolecular helicity and its helical structures.

An optically inactive poly(4-carboxyphenyl isocyanide) (poly-1-H) changed its structure into the prevailing, one-handed helical structure upon complexation with optically active amines in dimethylsulfoxide (DMSO) and water, and the complexes show a characteristic induced circular dichroism in the polymer backbone region. Moreover, the macromolecular helicity induced in water and aqueous organic solutions containing more than 50 vol % water could be "memorized" even after complete removal of the chiral amines (h-poly-1b-H), while that induced in DMSO and DMSO-water mixtures containing less than 30 vol % water could not maintain the optical activity after removal of the chiral amines (poly-1a-H). We now report fully detailed studies of the helix induction mechanism with chiral amines and the memory of the macromolecular helicity in water and a DMSO-water mixture by various spectroscopic measurements, theoretical calculations, and persistence length measurements together with X-ray diffraction (XRD) measurements.

Stable supramolecular helical structure of C6-symmetric hydrogen-bonded hexakis(phenylethynyl)benzene derivatives with amino acid pendant groups and their unique fluorescence properties.

A highly stable supramolecular helical structure was formed by the self-assembly of novel C6-symmetric hydrogen-bonded discotic molecules, hexakis(phenylethynyl)benzene derivatives with chiral alanine parts, and exhibited orange excimer emission with a large Stokes shift.

Epidemiology of familial amyloid polyneuropathy in Japan: Identification of a novel endemic focus.

Background: Familial amyloid polyneuropathy (FAP) is distributed worldwide with several endemic foci including two major foci in Japan.

Objective: To elucidate a nationwide epidemiology of FAP in Japan.

Design, Setting, And Patients: (i) We analyzed the data of FAP patients registered by the Ministry of Health, Labour, and Welfare, Japan, during 2003-2005.

[Case of intracranial hypotension responsive to oral prednisolone].

A 31-year-old female patient with headache and nausea was admitted to our hospital, although there were no apparent neurological abnormalities except headache. Cerebrospinal fluid (CSF) pressure was 40 mmH2O on the first lumbar puncture and CT showed some fluid in the left maxillary sinus. She gradually developed orthostatic headache despite antibiotics, hydration and analgesics.

CADASIL with a novel mutation in exon 7 of NOTCH3 (C388Y).

We report a 38-year-old Japanese woman who had cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL) with a novel mutation (TGT to TAT) at nucleotide position 1241 (C388Y) in exon 7 of the Notch3 gene (NOTCH3). Immunostaining of a skin biopsy with a Notch3 monoclonal antibody is a beneficial method for the screening of CADASIL, particularly in the case of rare mutations outside the mutation hotspots in NOTCH3 as shown in this patient.

Nonracemic dopant-mediated hierarchical amplification of macromolecular helicity in a charged polyacetylene leading to a cholesteric liquid crystal in water.

Here we show the first example of a helical polyacetylene that forms a lyotropic liquid crystal (LC) through a hierarchical amplification of a macromolecular helicity process in water. The macromolecular helicity with an excess of one helical sense was first induced in the positively charged polyacetylene upon complexation with an extremely small oppositely charged nonracemic dopant through electrostatic interaction in water. Subsequently, the helicity was significantly amplified in the polymer backbone as an almost perfect single-handed helix through self-assembly into supramolecular helical arrays in a lyotropic cholesteric state.

Analysis of C-3 epimerization in (24R)-24,25-dihydroxyvitamin D3 catalyzed by hydroxysteroid dehydrogenase.

Studies on the C-3 epimerization in (24R)-24,25-dihydroxyvitamin D(3) [24R,25(OH)(2)D(3)] were performed using hydroxysteroid dehydrogenases (HSDs). 3-Epi-24R,25(OH)(2)D(3) was formed from 24R,25(OH)(2)D(3) by the catalysis of 3alpha- or beta-HSD. These HSDs also catalyzed the C-3 epimerization in 3-epi-24R,25(OH)(2)D(3) to form 24R,25(OH)(2)D(3).

Congenital predisposition to spontaneous intracranial hypotension: a case report.

Dural rupture, cerebrospinal fluid leakage, and spontaneous intracranial hypotension may complicate significant or minimal spinal trauma and cause chronic headache with a positional component. While such cases typically reflect no pre-existing predilection, we encountered a patient whose cervicothoracic anatomy appeared to predispose him to this complication.

[Autosomal dominant adult-onset spinal muscular atrophy with vocal cord paralysis: a case report].

This report concerns a 41-year-old female case of spinal muscular atrophy (SMA) associated with vocal cord paralysis. Her parents were not consanguineous. Her maternal grandmother and younger brother were suspected of having SMA.

Peripheral sympathetic dysfunction in patients with Parkinson's disease without autonomic failure is heart selective and disease specific. taki@med.kanazawa-u.ac.jp.

Unlabelled: The study was undertaken to investigate by means of iodine-123-labelled metaiodobenzylguanidine (MIBG) scintigraphy the peripheral sympathetic function in patients with Parkinson's disease (PD) without autonomic failure and in patients with related neurodegenerative diseases with parkinsonism. Seventy patients (33 men and 37 women, mean age 63+/-9.7 years) with parkinsonism and ten control subjects underwent MIBG scintigraphy.

[A patient with amnesic syndrome with defective route finding due to left posterior cerebral artery territory infarction].

We report a right-handed 67-year-old woman with an infarction in the left posterior cerebral artery territory presenting amnesic syndrome, right homonymous hemianopsia, pure alexia, color anomia, and defective route finding. The patient often walked in wrong directions out of her hospital room as well as in her home. She was able to recognize her own house and nearby streets by looking at them.

Adenovirus-mediated transduction with human glial cell line-derived neurotrophic factor gene prevents 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine-induced dopamine depletion in striatum of mouse brain.

As a novel trial of neuroprotective therapy of neurodegenerative diseases, we have constructed a recombinant adenovirus vector (rAdv) bearing a neurotrophic factor gene to deliver the factor to rescue neurons in vivo. In the present study, human glial cell line-derived neurotrophic factor (hGDNF) was chosen to examine the applicability of our strategy to a mouse model of Parkinson's disease. During the construction of the rAdv, we found that the strong constitutive hGDNF expression unit somehow inhibited the appearance of the rAdv.