Heparin-induced thrombocytopenia in essential thrombocytosis.

We report a 67-year-old woman with essential thrombocytosis who developed cerebral infarction and heparin-induced thrombocytopenia during treatment for the cerebral infarction. She developed additional cerebral infarcts, acute femoral artery occlusion, and thrombophlebitis of her lower extremities. She was successfully treated with argatroban.

Purulent meningitis caused by Actinomyces successfully treated with rifampicin: a case report.

A 64-year-old woman presented with fever and headache. Lumbar puncture revealed cerebrospinal fluid (CSF) that contained 67,386 /mm(3) of WBC; CSF culture revealed Actinomyces species. She was diagnosed with purulent meningitis caused by actinomyces, and treated with intravenous ampicillin 12 g/day.

Moyamoya disease presenting as thalamic hemorrhage in a patient with neuromyelitis optica and Sjögren's syndrome.

A 52-year-old woman was admitted to the hospital with right thalamic hemorrhage. A carotid angiogram revealed occlusion of the terminal portions of the bilateral internal carotid arteries with basal moyamoya vessels, which was diagnosed as moyamoya disease (MMD). At 31 years of age, she was diagnosed with multiple sclerosis because of optic neuritis and myelitis.

Quantitative electroencephalogram analysis in dementia with Lewy bodies and Alzheimer's disease.

Clinicopathophysiological differences between dementia with Lewy bodies (DLB) and Alzheimer's disease (AD) remain obscure. Our goals were to determine whether characteristic findings of electroencephalogram (EEG) power and coherence in DLB and a differential pathophysiological mechanism of quantitative EEG existed between DLB and AD. The group consisted of 15 patients with AD or DLB and 12 age-matched controls.

Effects of head-down tilt on cerebral blood flow in humans and rabbits.

Changes in cerebral hemodynamics, during and after head down tilt (HDT), were examined by means of transcranial Doppler technique (TCD) and near infrared spectroscopy (NIRS) in humans, and laser Doppler flowmetry (LDF) in rabbits. Mean cerebral blood flow (CBF) velocity measured by TCD increased during the first 6 h of HDT compared with the pre-HDT value. NIRS experiments demonstrated that brain oxygenation and hemoglobin concentration increased with postural change from upright to supine.

Effects of head-down tilt on the intracranial pressure in conscious rabbits.

Head-down tilt (HDT) causes a fluid shift towards the upper body, which increases intracranial pressure (ICP). In the present study, the time course of ICP changes during prolonged exposure to HDT was investigated in conscious rabbits through a catheter chronically implanted into the subarachnoid space. The production of cerebrospinal fluid (CSF) after exposure to 7-days HDT was also examined by a ventriculo-cisternal perfusion method.

Age-dependent changes of postischemic reperfusion in rat skin.

Ischemia-reperfusion plays a certain role in causing skin damage associated with pressure sores. In this study, changes in cutaneous hemodynamics during reperfusion were investigated in young and older rats. After cessation of 1-hour or 2-hour ischemia, the skin blood flow increased transiently (postischemic hyperemia) and quickly returned to the baseline in young and older rats.

Effects of head-down tilt on cerebral blood flow and somatosensory-evoked potentials in rabbits.

Changes in cerebral blood flow (CBF) and somatosensory-evoked potentials (SEPs) were studied in rabbits exposed to head-down tilt (HDT) at 45 degrees and 75 degrees. The animals were anesthetized with alpha chloralose and the lungs were artificially ventilated. CBF was continuously measured by laser Doppler flowmetry (LDF), and SEPs were recorded as responses of the cortex to median nerve stimulation.