[Complications in home treatment of patients with severe disturbances of consciousness].

We have been providing home treatment for patients with severe disturbance of consciousness requiring various medical treatments for about 10 years. In the 65 cases we have encountered, we studied complications during the course of the home treatment. The proportions of infections, decubiti and convulsions were found to be very high.

[A case of chronic expanding epidural hematoma].

A 7-year-old female was admitted to our hospital with complaints of headache and nausea following mild head injury. Computed tomography (CT) showed a small epidural hematoma (EH) in the right frontal area, but she was kept under observation because of these mild symptoms. Two weeks after admission, repeat CT showed that the EH had gradually increased in size with decreased clot density.

[A slowly progressed case of brain metastasis and meningeal carcinomatosis from lung cancer].

We reported a case of long survival brain metastasis and meningeal carcinomatosis from lung cancer without radiochemotherapy. A 59-year-old female admitted to our hospital suffered from headache, anorexia and nausea. Papilledema was noticed, and examinations showed a brain tumor in the left parietal lobe and cancer cells in cerebrospinal fluid.

Systemic lupus erythematosus in a patient whose younger sister had allergic granulomatous angitis.

A 37-year-old woman visited to our hospital due to general edema. The patient was diagnosed as having systemic lupus erythematosus (SLE) associated with chronic glomerulonephritis, which developed into chronic renal failure and was treated with regular hemodialysis. The patient's younger sister had been followed in our outpatient's clinic because of allergic granulomatous angitis (AGA).

[Early urachal carcinoma diagnosed by magnetic resonance imaging: a case report].

A case of an early urachal carcinoma is reported. A 46-year-old man was referred to our hospital because of urinary bladder tumor. Microhematuria had been detected by a medical health examination two months earlier.

Anticardiolipin antibodies in Crohn's disease associated with diabetes mellitus.

We present a 58-year-old man with hyperglycemic subcoma. His blood glucose level was 1,163 mg/100 ml on admission and the data of the coagulate system revealed abnormalities in the prothrombin time, fibrinogen and serum fibrin degradation products. Continuous intravenous insulin infusion therapy (CIII) was performed, and a satisfactory recovery of consciousness level and blood glucose level were obtained.

Reverse redistribution of technetium-99m-sestamibi following direct PTCA in acute myocardial infarction.

Unlabelled: A pattern of reverse redistribution (RR) has not been documented in myocardial 99mTc-sestamibi imaging. The purpose of the study was to clarify the time-related changes in myocardial distribution of 99mTc-sestamibi in patients with acute myocardial infarction.

Methods: Myocardial SPECT with 99mTc-sestamibi was performed in 27 patients with acute myocardial infarction within 1 wk after the onset.

Clinical significance of decreased myocardial uptake of 123I-BMIPP in patients with stable effort angina pectoris.

The aim of this study was to assess the feasibility of resting myocardial fatty acid metabolic imaging with 123I-beta-methyliodophenyl-pentadecanoic acid (123I-BMIPP) for the detection of patients with stable effort angina pectoris and to clarify the clinical significance of abnormal 123I-BMIPP images. Myocardial imaging with 123I-BMIPP at rest and 99Tcm-methoxyisobutyl isonitrile (99Tcm-MIBI) at rest and during treadmill exercise was performed in 46 patients with suspected effort angina pectoris. Resting 123I-BMIPP imaging detected 43% (17/40) of patients with significant (> or = 50%) coronary artery stenosis and 59% (17/29) of patients with exercise-induced myocardial ischaemia.

Multisegmental anomaly of the inferior vena cava with thrombosis of the left inferior vena cava.

We present a rare case of an extensive venous thrombosis associated with a multisegmental anomaly of the inferior vena cava (IVC), double IVCs, a hypoplastic right IVC, an aneurysm arising at the distal portion of the right IVC, and a severe stenosis between the prerenal and the hepatic segments of the IVC.

Impaired myocardial fatty acid metabolism detected by 123I-BMIPP in patients with unstable angina pectoris: comparison with perfusion imaging by 99mTc-sestamibi.

The present study was undertaken to determine the potential diagnostic value of 123I-BMIPP scintigraphy for the detection of altered myocardial fatty acid metabolism in patients with unstable angina. Both myocardial metabolic imaging with 123I-BMIPP and perfusion imaging with 99mTc-sestamibi were performed at rest in 28 patients with unstable angina in the pain-free state. The regional uptakes of 123I-BMIPP or 99mTc-sestamibi were scored semiquantitatively (0 = normal, 4 = no activity) and compared with the coronary arteriographic findings.

[Ureteritis cystica--report of a case diagnosed by biopsy under ureteroscopy].

A 62-year-old male with left ureteritis cystica was reported. Extracorporeal shock wave lithotripsy (ESWL) was performed for his left renal stone 14 and 17 months earlier. However, small fragments remained in the lower calyx and pyuria, microhematuria and bacteriuria continued.

[A case of ruptured true posterior communicating artery aneurysm thirteen years after surgical occlusion of the ipsilateral cervical internal carotid artery].

A case is presented of ruptured "true" posterior communicating artery aneurysm thirteen years after surgical occlusion of the ipsilateral cervical internal carotid artery. A 58-year-old female developed the sudden onset of blepharoptosis on the right side. She had had a right superficial temporal artery-middle cerebral artery anastomosis and a surgical occlusion of the right cervical internal carotid artery 13 years earlier for a subarachnoid hemorrhage that occurred as the result of a ruptured aneurysm of the right internal carotid artery.

[Diaschisis in right putaminal hemorrhage: correlation with motor function].

Local cerebral lesions may cause depression of function in remote areas of the brain presumably by a transneural mechanism; it has been called "diaschisis". In the present study, to investigate the relationship between motor function and "diaschisis" regional brain blood flow in hypertensive right putaminal hemorrhage was studied in 33 patients (mean age, 55 years; 22 men, 11 women). The hematoma was treated conservatively in 8 patients, aspirated stereotaxically in 9 patients, and evacuated through a craniotomy in 16 patients.

[Diaschisis in right putaminal hemorrhage: correlation with the degree of the extension to the internal capsule and the volume of hematoma].

Local cerebral lesions may cause depression of function in remote areas of the brain presumably by a transneural mechanism. This has been called "diaschisis". In the present study, regional brain blood flow in hypertensive right putaminal hemorrhage was studied in 33 patients (mean age, 55 year; 22 men, 11 women) to investigate the relationship between the degree in damage of the original lesions and "diaschisis".

Left ventricular function and myocardial perfusion during dipyridamole infusion assessed by a single injection of 99Tcm-sestamibi in patients unable to exercise.

First-pass radionuclide ventriculography followed by myocardial single photon emission computed tomography (SPECT) with 99Tcm-methoxyisobutyl isonitrile (sestamibi) was performed at rest and during dipyridamole infusion in 42 patients with suspected coronary artery disease. The presence of coronary stenoses of > or = 50% diameter was compared with the presence of rest or dipyridamole-induced abnormalities in perfusion or left ventricular function. Radionuclide-determined left ventricular ejection fraction (LVEF) was highly reproducible and correlated well with LVEF derived from contrast left ventriculography.

Noninvasive identification of anthracycline cardiotoxicity: comparison of 123I-MIBG and 123I-BMIPP imaging.

To test the feasibility of myocardial 123I-MIBG and 123I-BMIPP imaging for the early detection of anthracycline cardiotoxicity, 13 patients who had received anthracycline anticancer chemotherapeutic agents were studied. Two-dimensional echocardiography and myocardial imaging with both 123I-MIBG and 123I-BMIPP were performed in 13 patients treated with anthracycline (group A) and 10 normal control subjects (group C). Anterior myocardial images were obtained 15 minutes and 3 hours after the injection of isotopes.

[A case of paraventricular anaplastic astrocytoma following radiation therapy for craniopharyngioma].

A 20-year-old man received 60 Gy of radiation therapy after partial removal of craniopharyngioma. The patient had been well and follow-up CT scans did not show any aggravation for 16 years. Since his activity gradually diminished, he underwent an MRI at the age of 36 which revealed an abnormal mass on the corpus callosum.