114 results match your criteria: "Tokyo Kita Medical Center[Affiliation]"

Article Synopsis
  • Dravet syndrome (DS) usually involves severe seizures resistant to treatment, along with intellectual disability, and is often linked to specific genetic mutations and normal MRI results.
  • The case study discusses a 14-year-old girl with atypical features of DS, including no genetic mutations, only one seizure episode, and abnormal MRI findings.
  • Despite these atypical characteristics, the girl was treated with fenfluramine, which successfully controlled her seizures and led to improvements in her cognitive and functional abilities.
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Article Synopsis
  • Thromboembolism is a critical concern in patients undergoing endovascular treatment for ruptured cerebral aneurysms, and administering antiplatelet agents like aspirin before the procedure may lower this risk.
  • The study, called ASTOP, is a multicenter, randomized, double-blind trial involving 484 patients, comparing the effects of 200 mg of aspirin versus a placebo prior to treatment.
  • Primary outcomes will focus on measuring thromboembolic complications and ischemic lesions during the procedure, while secondary outcomes will assess cerebral ischemic events, bleeding incidents, and patient functional status after 90 days.
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Background: Lifestyle modifications by educational sessions are an important component of multidisciplinary treatment for chronic kidney disease (CKD). We attempted to identify the best method to teach these modifications in order to ensure their acceptance by patients and investigated its effectiveness in CKD practice.

Methods: This study is a post-hoc analysis of the FROM-J study.

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Article Synopsis
  • The study examines clinical outcomes of two treatment options for distal anterior cerebral artery (DACA) aneurysms: microsurgery and endovascular treatment (EVT).
  • It analyzes data from 166 patients across 16 stroke centers, comparing the efficacy, complications, and recurrence rates of both treatments over a median follow-up of 15.3 months.
  • Findings suggest that while EVT may be a viable alternative to microsurgery, especially for unruptured aneurysms, it shows higher recurrence and retreatment rates, particularly in cases of ruptured aneurysms, highlighting the need for careful monitoring.
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Background And Objectives: Although intraprocedural rupture (IPR) is rare, it is a devastating complication of endovascular treatment (EVT) for intracranial aneurysms. Very few studies have been conducted on IPR, and the safety and efficacy of management techniques of IPR have not been investigated.

Methods: Patients who experienced IPR during EVT between 2013 and 2022 were enrolled from a multicenter observational registry.

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Blastic plasmacytoid dendritic cell neoplasm (BPDCN) is a rare hematological malignancy affecting multiple sites, most commonly the skin. About 10-20% of BPDCN cases are accompanied by hematological neoplasms. A 71-year-old male was diagnosed with chronic myeloid leukemia in the chronic phase (CML-CP) 11 years prior (at 60 years of age), and dasatinib treatment was initiated.

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The Effects of Low Concentrations of Pravastatin on Placental Cells.

Reprod Sci

October 2024

Department of Obstetrics and Gynecology, Graduate School of Medicine, Osaka University, Suita, Osaka, Japan.

Pravastatin is a promising medication to treat preeclampsia. However, the appropriate dose of pravastatin for managing preeclampsia has not been established. In this in vitro study, we examined the effects of low concentrations of pravastatin (0.

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Contact aspiration for basilar artery occlusion safely reduces the puncture-to-recanalization time.

Clin Neurol Neurosurg

July 2024

Department of Endovascular Surgery, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8510, Japan. Electronic address:

Article Synopsis
  • This study investigates the effectiveness of first-line contact aspiration compared to other treatment strategies for basilar artery occlusion in endovascular thrombectomy.
  • A total of 84 patients from 16 Japanese stroke centers were analyzed, with findings showing no significant differences in recanalization rates but indicating contact aspiration led to faster results.
  • The results suggest that while contact aspiration gives better functional outcomes, the main advantage is a significantly shorter time from puncture to successful recanalization.
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Article Synopsis
  • - A study analyzed the effectiveness of two drugs, enzalutamide and apalutamide, in treating patients with non-metastatic castration-resistant prostate cancer (nmCRPC) to understand their efficacy and adverse event (AE) profiles.
  • - The research involved 191 patients, revealing that both drugs led to similar oncological outcomes, with comparable PSA response rates and no significant differences in progression-free survival (PFS) or overall survival (OS).
  • - However, the side effects varied, with enzalutamide causing more fatigue and apalutamide leading to more skin rashes, indicating their differential usage may depend on AE profiles despite similar efficacy.
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The impact of daratumumab pretreatment on multiple myeloma patients undergoing autologous transplantation.

Cancer Sci

July 2024

Division of Clinical Laboratory Medicine, Department of Multidisciplinary Internal Medicine, Tottori University, Yonago, Japan.

Article Synopsis
  • The study analyzed the effects of the anti-CD38 antibody daratumumab (Dara) before autologous stem cell transplantation (ASCT) in multiple myeloma (MM) patients, involving 2,626 patients from 2017 to 2020.
  • Results showed that patients not receiving Dara (Dara- group) had better 1-year progression-free survival (87.4%) and overall survival rates (96.7%) compared to those receiving Dara (Dara+ group, with 77.3% and 90.0%, respectively).
  • Factors like younger age, low disease stage, and effective treatment response before ASCT were linked to better survival outcomes, while patients achieving good responses with Dara
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Objective: Cholesteatoma secondary to tympanic perforation, known as "secondary acquired cholesteatoma" may progress slower than a retraction pocket cholesteatoma, with less bone destruction and fewer intracranial complications. However, complete surgical removal remains difficult because the pathological epithelium on the marginal side of the extension is not covered by the subepithelial layer of the cholesteatoma matrix, making the boundary with the middle ear mucosa difficult to identify. Therefore, considering the pathophysiology of secondary acquired cholesteatoma, suitable preoperative evaluation and surgical techniques are required.

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Objective: We aimed to assess the impact of the timing of urinary drainage on clinical outcomes in patients with obstructive pyelonephritis (OPN) associated with upper urinary tract (UUT) stones.

Methods: We retrospectively evaluated the multicenter dataset of 240 patients with OPN associated with UUT stones who underwent urinary drainage. We divided the patients into two groups depending on the timing of urinary drainage; emergency drainage, defined as within 12 h from admission, and delayed drainage, defined as between 12 and 48 h from admission.

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The case is a 73-year-old woman. She visited primary care doctor for abdominal pain, vomiting, diarrhea, and melena that persisted for 2 weeks. She was referred to our department because she had an elevated inflammatory response and CT showed a mass in her left upper quadrant.

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Supraglottic myxoedema successfully treated orally.

Endocrinol Diabetes Metab Case Rep

January 2024

Department of Family & General Medicine, Tokyo-Kita Medical Center, Japan.

Article Synopsis
  • Myxoedema coma is a serious condition resulting from severe hypothyroidism, leading to multiple organ dysfunction, altered consciousness, and low body temperature, with high mortality rates if not treated early.
  • A case study highlighted a 66-year-old man who presented with severe symptoms and was later diagnosed with myxoedema coma and laryngeal swelling, requiring intubation and tracheostomy to manage respiratory failure.
  • Despite the challenges posed by the supraglottic swelling, the patient improved and was treated successfully with oral thyroid medication, demonstrating that this condition can sometimes be managed without invasive procedures.
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Atypical presentation of tight filum terminale with thoracic disc herniation: a case report.

J Med Case Rep

February 2024

Department of General Medicine, Faculty of Medicine, Juntendo University, 2-1-1, Bunkyo-ku, Tokyo, 113-8421, Japan.

Background: Tight filum terminale is a rare and challenging condition to diagnose because it presents with nonspecific symptoms and unclear imaging findings. This report documents an atypical case of tight filum terminale.

Case Presentation: The patient was a previously healthy Asian 18-year-old male presenting with recurrent upper extremity and back pain, initially treated as nonspecific musculoskeletal pain.

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Physical, oral, and swallowing functions of three patients with type a xeroderma pigmentosum: a report of three cases.

BMC Oral Health

February 2024

Department of Dysphagia Rehabilitation, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8510, Japan.

Background: Xeroderma pigmentosum (XP) is an extremely rare and severe form of photosensitivity. It is classified into types A-G or V according to the gene responsible for the disease. The progression and severity of symptoms vary depending on the type.

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Here we present the case of a 50-year-old woman with chronic myeloid leukemia who received nilotinib as initial treatment. After about 2 years of nilotinib therapy, she developed headache, blurred vision, impaired consciousness, and marked hypertension. Posterior reversible encephalopathy syndrome (PRES) was diagnosed, and was strongly suspected to be a vascular adverse event caused by nilotinib.

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Risk factors for occurrence and progression of external auditory canal cholesteatoma.

Auris Nasus Larynx

April 2024

Department of Otolaryngology, Deafness and Middle Ear Surgicenter Tokyo Kita Medical Center, 4-17-56, Akabanedai, Kita-ku, Tokyo 115-0053, Japan; Department of Otolaryngology Head and Neck Surgery, Jichi Medical University Saitama Medical Center 1-847, Amanuma-cho, Omiya 330-0834, Japan.

Objective: External auditory canal cholesteatoma (EACC) is characterized by retained squamous debris within the external canal and variable amounts of localized bone destruction. The etiology of primary EACC remains incompletely understood. This study was conducted to analyze the clinical features and backgrounds of patients with primary EACC and to clarify the risk factors for the occurrence and progression of EACC.

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Article Synopsis
  • The study evaluated the health-related quality of life (QOL) in 10-year survivors of chronic kidney disease (CKD) in Japan, highlighting the impact of CKD and cardiovascular disease (CVD) on their well-being.
  • Data was collected from 1,473 participants using the EQ-5D-5L instrument, with a response rate of 38.2%, revealing a mean QOL score of 0.893 and demonstrating variations based on treatment status and CVD presence.
  • Significant factors influencing QOL included baseline age, blood pressure, and a history of hyperuricemia, indicating that CKD complications substantially impact long-term survivors' quality of life.
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Efficacy of Autologous Stem Cell Transplantation for Myeloma Patients with Suboptimal Response: A Multicenter Retrospective Analysis.

Transplant Cell Ther

November 2023

Division of Clinical Laboratory Medicine, Department of Multidisciplinary Internal Medicine, Faculty of Medicine, Tottori University, Tottori, Japan.

Autologous stem cell transplantation (ASCT) is the standard of care for myeloma patients who achieve partial response (PR) or better after induction therapy. However, its clinical significance in patients with suboptimal response (SR) before ASCT, including stable disease (SD) and progressive disease (PD), has not been established. Additionally, functional high-risk, including SR and early PD within 12 months, was a poor prognostic factor up to now.

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Article Synopsis
  • The study aimed to explore how baseline infarct area and collateral status affect clinical outcomes in stroke patients with acute basilar artery occlusion after undergoing endovascular treatment.
  • It analyzed 86 patients treated within 24 hours, finding that those with a higher baseline infarct score (pc-ASPECTS ≥ 7) had better chances of recovery, with 43% achieving good outcomes.
  • It concluded that while pc-ASPECTS is a reliable predictor of positive clinical outcomes after treatment, the collateral status scores did not show a significant impact.
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