138 results match your criteria: "Nakano General Hospital[Affiliation]"

Background And Purpose: Slowly expanding lesions (SELs) have been proposed as novel MRI markers of chronic active lesions in multiple sclerosis (MS). However, the mechanism through which SELs affect brain volume loss in patients with MS remains unknown. Additionally, the prevalence and significance of SELs in Asian patients with MS remain unclear.

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Purpose: To compare different biopsy systems with different-sized needles by determining the weight of the tissue cores, which is one of the important factors for precise pathological diagnoses, and to provide a rationale for choosing the appropriate breast biopsy system with the appropriate needle for breast cancer biopsy.

Methods: Six different vacuum-assisted biopsy (VAB) systems and one core needle biopsy (CNB) system with different-sized needles in different modes were compared, representing 15 total combinations. Tissue cores were obtained from a chicken breast phantom, which is a common substitute for human breast tissue.

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Progression independent of relapse activity (PIRA) is prevalent among Caucasian patients with relapsing and remitting multiple sclerosis (RRMS). However, there is limited knowledge regarding the characteristics of PIRA in Asian patients with RRMS. Therefore, we retrospectively analyzed the clinical and radiological progression of 95 Japanese patients with RRMS during a 2-year observation period.

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A woman in her 70s, initially suspected of having fibroadenoma due to a well-defined mass in her breast, underwent regular mammography and ultrasound screenings. Over several years, no appreciable alterations in the mass were observed, maintaining the fibroadenoma diagnosis. However, in the fourth year, an ultrasound indicated slight enlargement and peripheral irregularities in the mass, even though the mammography images at that time showed no alterations.

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Coronavirus disease 2019 (COVID-19) causes a systemic inflammatory response and a temporary immunosuppression of hosts. Several reports have showed that reactivation of herpes simplex virus type 1 (HSV-1) is strongly associated with COVID-19. We present a case of a 66-year-old female, who developed HSV-1 encephalitis, showing impaired consciousness and typical MRI findings such as hyperintense lesions in the temporal lobe, insular cortices, bilateral medial frontal lobe on diffusion-weighted imaging, 7 days after the onset of COVID-19 symptoms.

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Article Synopsis
  • Corticobasal degeneration (CBD) presents a diverse clinical picture, making it challenging to predict its underlying pathology, which varies significantly among patients.
  • A study examined 32 patients with confirmed CBD, highlighting that initial symptoms like gait disturbances often appeared quickly, while other issues such as cognitive impairment and dysphagia developed over the following years.
  • The most common underlying pathologies included CBD itself, progressive supranuclear palsy, and Alzheimer's disease, with specific patterns of symptom development observed correlating to these conditions.
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  • A 75-year-old woman experienced nausea and vomiting, leading to an MRI that identified a pituitary mass and a biopsy confirming lymphocytic hypophysitis (LYH).
  • Treatment with hormone replacement therapy alleviated her symptoms, but follow-up imaging showed an increase in mass size, prompting treatment with intravenous methylprednisolone (IVMP), which reduced the mass but caused new vision-related issues.
  • Despite initial symptom improvement after IVMP, the mass progressed and involved nearby structures, resulting in internal carotid artery (ICA) stenosis that continued even after treatment.
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  • Eculizumab, a C5 inhibitor, is approved in Japan to prevent relapses in patients with aquaporin-4 antibody-positive neuromyelitis optica spectrum disorder (AQP4+ NMOSD), and its long-term safety and effectiveness are being evaluated through post-marketing surveillance.
  • This interim analysis included data from patients treated with eculizumab from its approval in November 2019 to April 2022, assessing those who had reported safety and effectiveness outcomes.
  • Of the 147 patients treated, 71 were analyzed for safety, with notable demographics including a predominance of females and an average age of around 51; adverse events were reported by about 27% and no serious meningoc
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Background: Nutritional epidemiology has shown that inadequate dietary protein intake is associated with poor brain function in the elderly population. The plasma free amino acid (PFAA) profile reflects nutritional status and may have the potential to predict future changes in cognitive function. Here, we report the results of a 2-year interim analysis of a 3-year longitudinal study following mild cognitive impairment (MCI) participants.

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Paraneoplastic Cerebellar Degeneration With P/Q-VGCC vs Yo Autoantibodies.

Neurol Neuroimmunol Neuroinflamm

July 2022

From the Division of Neuropathology and Neurochemistry (M.W., V.E., C.S., G.R., R.H.), Department of Neurology, and Department of Neuroimmunology (J.B.), Center for Brain Research, Medical University of Vienna, Austria; Department of Electrical and Electronics Engineering (M.M.), Faculty of Engineering, Nagasaki Institute of Applied Science; Department of Neurology and Strokology (S.Y.), Nagasaki University Hospital; Neurology Clinic with Neuromorphomics Laboratory (H.S.), Nitobe Memorial Nakano General Hospital, Tokyo; Division of Surgical Pathology (H.S.), Tokyo Medical and Dental University Hospital; The Center for Personalized Medicine for Healthy Aging (K.I.), Tokyo Medical and Dental University; Departments of Diagnostic Pathology and Clinical Laboratory (Y.T.), Yokosuka Kyosai Hospital, Kanagawa; Department of Neurology (T. Iizuka), Kitasato University School of Medicine, Kanagawa; Department of Neurology and Neurological Science (T.Y.), Graduate School, Tokyo Medical and Dental University; and Department of Neurology (T. Irioka), Yokosuka Kyosai Hospital, Kanagawa, Japan.

Article Synopsis
  • - Paraneoplastic cerebellar degeneration (PCD) is marked by the loss of Purkinje cells and can be linked to autoantibodies against neuronal antigens like Yo and P/Q-type calcium channels; however, the specific immune mechanisms for P/Q-VGCC remain unclear.
  • - In this study, researchers examined brain tissues from PCD cases with anti-P/Q-VGCC and anti-Yo autoantibodies to identify differences in neuropathological features, such as cell loss patterns and inflammatory responses.
  • - Findings showed that anti-Yo-PCD resulted in widespread Purkinje cell loss and significant immune cell involvement, while anti-P/Q-VGCC-PCD had focal cell loss and less inflammation
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Article Synopsis
  • Different treatment strategies in multiple sclerosis (MS) can impact disability and brain volume, but the relationship between brain volume changes and treatment efficacy remains unclear.
  • A study evaluated 44 patients with relapse-onset MS receiving either high-efficacy therapy (HET) or low-efficacy therapy (LET), measuring changes in regional brain volume using advanced MRI techniques.
  • Results showed that HET was linked to significant volume changes in key brain regions and a higher proportion of patients experiencing no disease activity, suggesting HET may enhance mid-term outcomes for MS patients.
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  • Spinocerebellar ataxia type 2 (SCA2) is caused by mutations in the ATXN2 gene, leading to toxic effects from expanded polyglutamine repeats and motor neuron degeneration similar to ALS.
  • Research on SCA2 patients shows that phosphorylated TDP-43 (pTDP-43), a protein associated with ALS, is found widely distributed in the CNS and often overlaps with lesions caused by the toxic effects of ataxin-2.
  • The study observed three distinct staining patterns of TDP-43 and ataxin-2 in motor neurons, indicating different stages of disease progression, suggesting that the interaction between mutant ataxin-2 and TDP-43 influences their
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Cadmium selenide quantum dots (QDs) are fluorescent and electron-dense nanoparticles. When used as reporter of immunolabeling, this dual visibility is essential for direct comparison of its fluorescent signals on light microscopy (LM) and their ultrastructrual counterparts on electron microscopy (EM) as correlative light and electron microscopy (CLEM). To facilitate EM recognition, QDs on EM grid were gold enhanced, which increased their size and electron density.

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Nutritional epidemiology has shown the importance of protein intake for maintaining brain function in the elderly population. Mild cognitive impairment (MCI) may be associated with malnutrition, especially protein intake. We explored blood-based biomarkers linking protein nutritional status with MCI in a multicenter study.

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Precise immunolocalization of molecules in relation to ultrastructural features is challenging, especially when the target is small and not frequent enough to be included in tiny ultrathin sections randomly selected for electron microscopy (EM). Glucose transporter 1 (GLUT1) is in charge of transporting glucose across brain capillary endothelial cells (BCECs). Paraformaldehyde-fixed floating sections (50 μm thick) of mouse brain were immunolabeled with anti-GLUT1 antibody and visualized with fluoronanogold.

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Association of Timing for Starting Dual Antiplatelet Treatment With Cilostazol and Recurrent Stroke: A CSPS.com Trial Post Hoc Analysis.

Neurology

March 2022

From the Departments of Cerebrovascular Medicine (K.T., K. Miwa, M.K., T.Y.), Data Science (K.O.), and Neurology (M.I.), National Cerebral and Cardiovascular Center, Suita; Department of Neurology (H.H.), Tokyo Saiseikai Central Hospital; Clinical Research Center for Medicine (S.U.), International University of Health and Welfare, Center for Brain and Cerebral Vessels, Sanno Medical Center; Department of Neurological Science (K.K.), Graduate School of Medicine, Nippon Medical School, Tokyo; Headquarters of the Iseikai Medical Corporation (K. Minematsu), Osaka; Department of Neurology (K.Y.), Ichinomiya Nishi Hospital; Department of Neurosurgery (Y.S.), Yuri Kumiai General Hospital, Yurihonjo; Department of Neurology (S.T.), Nitobe Memorial Nakano General Hospital; and Department of Neurology (K.K.), Tokyo Women's Medical University, Japan.

Background And Objectives: Long-term treatment with the combination of cilostazol with aspirin or clopidogrel showed a lower risk of stroke recurrence compared to aspirin or clopidogrel alone after high-risk noncardioembolic ischemic stroke in a randomized trial. We aimed to determine whether the effect of the dual medication compared to monotherapy on risk of recurrent ischemic stroke differs according to timing of starting medication after stroke onset.

Methods: In a subanalysis of the randomized controlled trial, patients between 8 and 180 days after stroke onset were randomly assigned to receive aspirin or clopidogrel alone or a combination of cilostazol with aspirin or clopidogrel.

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A 54-year-old man underwent laparoscopic distal gastrectomy with D2 lymph node dissection and ante-colic Roux-en-Y reconstruction for gastric cancer. The histopathological diagnosis was pT2N3aM0, pStage ⅢA, HER2 negative. After 8 courses of S-1 plus oxaliplatin as adjuvant chemotherapy, he was diagnosed as peritoneal dissemination and treated with ramucirumab(RAM)plus paclitaxel(PTX).

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Updates and Perspectives on Aquaporin-2 and Water Balance Disorders.

Int J Mol Sci

November 2021

Department of Nephrology, Cellular and Structural Physiology Laboratory, Tokyo Medical and Dental University, Tokyo 113-8519, Japan.

Ensuring the proper amount of water inside the body is essential for survival. One of the key factors in the maintenance of body water balance is water reabsorption in the collecting ducts of the kidney, a process that is regulated by aquaporin-2 (AQP2). AQP2 is a channel that is exclusively selective for water molecules and impermeable to ions or other small molecules.

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Physiological changes including altered nutritional status influence disease progression and survival in patients with amyotrophic lateral sclerosis (ALS). Ghrelin affects the nutritional status by regulating appetite and energy expenditure, and also has neuroprotective effects. To investigate the association between ghrelin and ALS prognosis, we analyzed plasma acylated-ghrelin levels in 33 patients with ALS.

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Theory of mind and its neuroanatomical correlates in people with multiple sclerosis.

Mult Scler Relat Disord

October 2021

Department of Neurology, Nitobe Memorial Nakano General Hospital, 4-59-16, Chuo, Nakano-ku, Tokyo, 164-8607, Japan.

Background Theory of mind (ToM) is one of the several different concepts in social cognition and is defined as the ability to access the mental states of others or to adopt the point of view of others. Although studies have shown that ToM is impaired in people with multiple sclerosis (MS), the results based on individual ToM tasks are conflicting; some studies have shown deficits only in the 'Reading the Mind in the Eyes' Test (RMET), while others have reported poor performance in the Faux Pas Test (FPT) as well as RMET. Furthermore, little is known about the relationship between ToM performance and neuroanatomical characteristics in MS.

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