Publications by authors named "Y Akutsu"

Background: A substantial portion of gastric cancer (GC) is linked to Epstein-Barr virus (EBV) infection. The characteristics of this viral genome, such as specific viral strains and large structural variations, influence the progression of diseases like nasopharyngeal carcinoma and hematological malignancy. However, the EBV genomes from GC have not been thoroughly characterized.

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Objective: We describe two cases of myelopathy onset due to intracranial dural arteriovenous fistulas (DAVFs) and present a literature review.

Case Presentation: (Case 1) A 44-year-old man with subacute onset myelopathy underwent an MRI and DSA. MRI showed T2-hyperintensity from the medulla oblongata to the cervical spinal cord with vascular flow voids, suggestive of a spinal DAVF.

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Article Synopsis
  • Hemorrhagic brain micro-AVMs are common in pediatric cases but usually have low bleeding rates, even in conditions like hereditary hemorrhagic telangiectasia that involve multiple malformations.
  • A 10-year-old girl with multiple hemorrhagic micro-AVMs required emergency surgery due to hematoma; intraoperative findings revealed complex vascular structures and atypical bleeding sources.
  • Superselective angiography proved essential for identifying micro-AVMs and informing treatment, while also highlighting the need for caution due to the potential impacts of invasive procedures on vascular sensitivity and visibility.
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The global emergence of -COVID-19 has prompted rapid therapeutic and vaccine advancements; however, clinical evidence remains limited. With around a 50% fatality rate for COVID-19 patients with acute respiratory distress syndrome (ARDS), early intervention is crucial. This report details a severe case of post-COVID-19 thrombocytopenia in a 79-year-old man and emphasizes its critical nature.

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