Publications by authors named "Yasunori Otsuka"
Background: Acute encephalopathy with biphasic seizures and late reduced diffusion (AESD) causes clustered seizures (late seizures; LS) 3-7 days after early seizure (ES); however, few reports provide continuous electroencephalogram (C-EEG) monitoring details. This study aimed to evaluate the initial/last detection date of LS using C-EEG and determine whether LS EEG features correlate with neurological sequelae.
Materials And Methods: We analyzed 28 patients diagnosed with AESD who underwent C-EEG monitoring between 2015 and 2020.
Article Synopsis
- The study aimed to evaluate the short-term effects of ketamine on pediatric and adolescent patients suffering from super-refractory status epilepticus (SRSE) and its relationship with underlying inflammatory causes.
- A cohort of 18 patients was analyzed, revealing that 83% experienced a significant reduction in seizure frequency after ketamine treatment, although those with inflammatory conditions had less favorable outcomes.
- The findings suggest that while ketamine is generally safe and effective, the presence of inflammation may diminish its efficacy in treating SRSE.
Autoimmune diseases, including dermatomyositis, can be complicated by an acquired autoimmune coagulation factor XIII deficiency, which sometimes results in fatal bleeding. Here, we report the case of a young woman with anti-NPX-2 antibody-positive dermatomyositis who developed massive haemothorax with acquired factor XIII deficiency during treatment, including plasma exchange therapy. Emergency transcatheter arterial embolisation was performed and coagulation factor XIII concentrates (Fibrogammin P® 240 U/day for 5 days) were supplemented.
View Article and Find Full Text PDFThe indications for using temporary epicardial pacing wires after pediatric cardiac surgery remain unclear. Post-procedure intracardiac pressure is valuable for detecting circulatory disturbances and residual lesions. This study aimed to examine the association between post-procedure intracardiac pressures and the use of temporary epicardial pacing wires.
View Article and Find Full Text PDFCase: Thrombocytopenia, anasarca, fever, renal insufficiency, and organomegaly (TAFRO) syndrome is a newly defined systemic inflammatory disorder with gradual progression of symptoms. A 59-year-old man with fever and ascites of unknown cause developed sudden-onset shock and respiratory failure in the general ward. Cardiac arrest immediately followed.
View Article and Find Full Text PDFDexmedetomidine sedation for pediatric post-Fontan procedure patients.
Pediatr Crit Care Med
March 2009
Article Synopsis
- - The study examined the effects of dexmedetomidine (DEX) on pediatric patients who had undergone Fontan surgery, focusing on their hemodynamic, respiratory, and sedation responses.
- - Fourteen children were reviewed, with nine receiving DEX for sedation and five in a control group receiving standard sedation; the DEX group showed no increase in respiratory issues, thus indicating a lower risk of elevated pulmonary vascular resistance.
- - Despite the benefits of using DEX in managing post-surgery complications, the study also noted a concerning trend of significant bradycardia, leading to the need for cardiac pacemakers in some patients.