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Article ; Online: Neuro-Behçet Disease, Neuro-Sweet Disease, and Spectrum Disorders.

Hisanaga, Kinya

2021 Volume 61, Issue 4, Page(s) 447–450

Abstract: Behçet disease and its related disorder, Sweet disease, are multifactorial disorders whose susceptibility loci have been identified in the genes of various immunological factors aside from human leukocyte antigens. The neurological involvement of these ... ...

Abstract	Behçet disease and its related disorder, Sweet disease, are multifactorial disorders whose susceptibility loci have been identified in the genes of various immunological factors aside from human leukocyte antigens. The neurological involvement of these diseases, including encephalitis, myelitis, and meningitis, referred to as neuro-Behçet disease (NBD) and neuro-Sweet disease (NSD) respectively, is sometimes difficult to diagnose, especially when the characteristic mucocutaneous symptoms do not precede neurological symptoms or when characteristics of both diseases are present in a single patient. NBD and NSD constitute a spectrum of diseases that are differentiated according to the combination of risk factors, including the genetic background. Encephalitis, myelitis, and meningitis similar to NBD or NSD can be diagnosed as spectrum disorders, even if the characteristic mucocutaneous symptoms fail to be detected. Understanding these conditions as a disease spectrum may help elucidate the disease pathogenesis and assist in the development of therapeutic agents.
MeSH term(s)	Behcet Syndrome/diagnosis ; Behcet Syndrome/epidemiology ; Behcet Syndrome/genetics ; Diagnosis, Differential ; Encephalitis/diagnosis ; Humans ; Meningitis/diagnosis ; Meningitis/epidemiology ; Meningitis/etiology ; Sweet Syndrome/diagnosis ; Sweet Syndrome/drug therapy ; Sweet Syndrome/epidemiology
Language	English
Publishing date	2021-10-05
Publishing country	Japan
Document type	Journal Article
ZDB-ID	32371-8
ISSN	1349-7235 ; 0021-5120 ; 0918-2918
ISSN (online)	1349-7235
ISSN	0021-5120 ; 0918-2918
DOI	10.2169/internalmedicine.8227-21
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Article ; Online: [The etiology, diagnosis, and treatment of neurological complications in Behçet disease and its related disorder Sweet disease].

Hisanaga, Kinya

Rinsho shinkeigaku = Clinical neurology

2018 Volume 59, Issue 1, Page(s) 1–12

Abstract: Behçet disease, and its related disorder Sweet disease, are multisystem inflammatory conditions characterized by muco-cutaneous symptoms. When neuropsychiatric symptoms appear, the two conditions are referred to as neuro-Behçet disease and neuro-Sweet ... ...

Abstract	Behçet disease, and its related disorder Sweet disease, are multisystem inflammatory conditions characterized by muco-cutaneous symptoms. When neuropsychiatric symptoms appear, the two conditions are referred to as neuro-Behçet disease and neuro-Sweet disease. While diagnosing these conditions according to their diagnostic criteria, muco-cutaneous symptoms must be observed; however, neuropsychiatric symptoms may precede muco-cutaneous symptoms. In these conditions the dysregulation of cytokines, following the onset of oral muco-cutaneous bacterial infection, may induce an abnormal chemotaxis of neutrophils causing ectopic encephalitis and meningitis. Thus, an initial treatment targeting neutrophils should be considered based on the diagnosis of neuro-neutrophilic disease when symptoms indicating neutrophil hyperactivity are observed, even without muco-cutaneous symptoms. In addition to human leukocyte antigen-B51 and -A26, genome-wide association analyses have identified new susceptibility loci on the genes of various immunological factors in Behçet disease. These findings may help elucidate disease pathogenesis and assist the development of diagnostic modalities and therapeutic agents for neuro-neutrophilic disease.
MeSH term(s)	Behcet Syndrome/diagnosis ; Behcet Syndrome/etiology ; Behcet Syndrome/therapy ; Cytokines ; Diagnosis, Differential ; Encephalitis/diagnosis ; Encephalitis/etiology ; Encephalitis/therapy ; Genome-Wide Association Study ; HLA-B51 Antigen ; Humans ; Meningitis/diagnosis ; Meningitis/etiology ; Meningitis/therapy ; Nervous System Diseases/diagnosis ; Nervous System Diseases/etiology ; Nervous System Diseases/therapy ; Neutrophils ; Sweet Syndrome/diagnosis ; Sweet Syndrome/etiology ; Sweet Syndrome/therapy
Chemical Substances	Cytokines ; HLA-B51 Antigen
Language	Japanese
Publishing date	2018-12-29
Publishing country	Japan
Document type	Journal Article ; Review
ZDB-ID	604200-4
ISSN	1882-0654 ; 0009-918X
ISSN (online)	1882-0654
ISSN	0009-918X
DOI	10.5692/clinicalneurol.cn-001238
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Article ; Online: Neuralgia in the occipital region associated with ipsilateral trigeminal herpes zoster: Three case reports.

Nakaya, Akihiko / Kaneko, Kimihiko / Miyazawa, Koichi / Matsumoto, Arifumi / Hisanaga, Kinya / Matsumori, Yasuhiko / Nagano, Isao

Headache

2024 Volume 64, Issue 4, Page(s) 464–468

Abstract: Background: Nerve fibers related to pain and temperature sensation in the trigeminal nerve territory converge with the upper cervical spinal nerves from the level of the lower medulla oblongata to the upper cervical cord. This structure is called the ... ...

Abstract	Background: Nerve fibers related to pain and temperature sensation in the trigeminal nerve territory converge with the upper cervical spinal nerves from the level of the lower medulla oblongata to the upper cervical cord. This structure is called the trigemino-cervical complex and may cause referred pain in the territory of the trigeminal or upper cervical spinal nerves. Case series: Here, we report three cases of paroxysmal neuralgia in the occipital region with mild conjunctivitis or a few reddish spots in the ipsilateral trigeminal nerve territory. The patients exhibited gradual progression of these reddish spots evolving into vesicles over the course of several days, despite the absence of a rash in the occipital region. The patients were diagnosed with trigeminal herpes zoster and subsequently received antiherpetic therapy. Remarkably, the neuralgia in the occipital region showed gradual amelioration or complete resolution before the treatment, with no sequelae reported in the occipital region. Discussion: The trigemino-cervical complex has the potential to cause neuralgia in the occipital region, as referred pain, caused by trigeminal herpes zoster. These cases suggest that, even if conjunctivitis or reddish spots appear to be trivial in the trigeminal nerve territory, trigeminal herpes zoster should be considered when neuralgia occurs in the ipsilateral occipital region.
MeSH term(s)	Humans ; Male ; Female ; Herpes Zoster/complications ; Middle Aged ; Aged ; Neuralgia/etiology ; Trigeminal Nerve/physiopathology ; Trigeminal Neuralgia/etiology
Language	English
Publishing date	2024-03-25
Publishing country	United States
Document type	Case Reports ; Journal Article
ZDB-ID	410130-3
ISSN	1526-4610 ; 0017-8748
ISSN (online)	1526-4610
ISSN	0017-8748
DOI	10.1111/head.14698
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Article: [Neuro-neutrophilic Disease and Dementia].

Hisanaga, Kinya

Brain and nerve = Shinkei kenkyu no shinpo

2016 Volume 68, Issue 4, Page(s) 353–364

Abstract: Neuro-neutrophilic diseases are multisystem inflammatory disorders that include neuro-Behçet and neuro-Sweet disease. These disorders ectopically damage the nervous system due to the abnormal chemotaxis of neutrophils. The neutrophils' chemotaxis is ... ...

Abstract	Neuro-neutrophilic diseases are multisystem inflammatory disorders that include neuro-Behçet and neuro-Sweet disease. These disorders ectopically damage the nervous system due to the abnormal chemotaxis of neutrophils. The neutrophils' chemotaxis is induced by oral muco-cutaneous bacterial infections and the dysregulation of cytokines, including interleukins. The frequencies of human leukocyte antigen (HLA)-B51 in neuro-Behçet disease and HLA-B54 as well as Cw1 in neuro-Sweet disease significantly higher than the levels present in Japanese normal controls. Notably, their frequencies are also higher in patients exhibiting neurological complications than in patients without neurological complications. These HLA types are considered risk factors that are directly related to the etiology of these diseases. Prednisolone and colchicine, which suppress neutrophil activation, are used to treat the acute phase of both diseases. Alternatively, dapsone is prescribed to prednisolone-dependent recurrent cases of neuro-Sweet disease. Dementia is a neurological symptom of these disorders, especially in the chronic progressive subtype of neuro-Behçet disease. Other immunosuppressant drugs, including methotrexate and infliximab, are administered to patients with the chronic progressive type of neuro-Behçet disease. Neuro-neutrophilic diseases are a form of dementia considered treatable.
MeSH term(s)	Animals ; Behcet Syndrome/diagnosis ; Behcet Syndrome/drug therapy ; Dementia/complications ; Dementia/diagnosis ; Dementia/drug therapy ; Dementia/immunology ; Humans ; Japan ; Neutrophils/drug effects ; Practice Guidelines as Topic ; Prednisolone/pharmacology ; Sweet Syndrome/complications ; Sweet Syndrome/diagnosis ; Sweet Syndrome/drug therapy ; Sweet Syndrome/immunology
Chemical Substances	Prednisolone (9PHQ9Y1OLM)
Language	Japanese
Publishing date	2016-04
Publishing country	Japan
Document type	English Abstract ; Journal Article ; Review
ZDB-ID	390389-8
ISSN	1344-8129 ; 1881-6096 ; 0006-8969
ISSN (online)	1344-8129
ISSN	1881-6096 ; 0006-8969
DOI	10.11477/mf.1416200405
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Article: [Neuro-Sweet disease].

Hisanaga, Kinya

Nihon rinsho. Japanese journal of clinical medicine

2015 Volume 73 Suppl 7, Page(s) 680–684

MeSH term(s)	Behcet Syndrome/etiology ; Encephalitis/etiology ; Histocompatibility Antigens Class I/immunology ; Humans ; Neutrophils/immunology ; Prognosis ; Sweet Syndrome/complications ; Sweet Syndrome/diagnosis ; Sweet Syndrome/epidemiology ; Sweet Syndrome/therapy
Chemical Substances	Histocompatibility Antigens Class I
Language	Japanese
Publishing date	2015-09
Publishing country	Japan
Document type	Journal Article
ZDB-ID	390903-7
ISSN	0047-1852
ISSN	0047-1852
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Article ; Online: Trigeminal Root Entry Zone Lesions in Non-multiple Sclerosis.

Matsumoto, Arifumi / Hisanaga, Kinya / Nagano, Isao

Internal medicine (Tokyo, Japan)

2018 Volume 57, Issue 22, Page(s) 3339–3340

Language	English
Publishing date	2018-07-06
Publishing country	Japan
Document type	Journal Article
ZDB-ID	32371-8
ISSN	1349-7235 ; 0021-5120 ; 0918-2918
ISSN (online)	1349-7235
ISSN	0021-5120 ; 0918-2918
DOI	10.2169/internalmedicine.0649-17
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Article ; Online: [Neuro-Behçet disease and neuro-Sweet disease].

Hisanaga, Kinya

Rinsho shinkeigaku = Clinical neurology

2012 Volume 52, Issue 11, Page(s) 1234–1236

Abstract: Behçet disease and Sweet disease are multisystem inflammatory disorders involving mucocutaneous tissue as well as nervous system (neuro-Behçet disease and neuro-Sweet disease). Pathological findings in the encephalitis are chiefly perivascular cuffing of ...

Abstract	Behçet disease and Sweet disease are multisystem inflammatory disorders involving mucocutaneous tissue as well as nervous system (neuro-Behçet disease and neuro-Sweet disease). Pathological findings in the encephalitis are chiefly perivascular cuffing of small venules by neutrophils, T lymphocytes, and macrphages. Destruction of the brain substrates is mild in neuro-Sweet disease compared with that of neuro-Behçet disease, especially that of chronic progressive subtype. HLA (human leukocyte antigen)-B51 is frequently positive in neuro-Behçet disease, and the frequencies of HLA-B54 and Cw1 in neuro-Sweet disease are significantly higher than not only those in Japanese normal controls but also those in patients with these diseases without nervous complications. These HLA types are considered as risk factors which are directly associated with the etiology of these diseases. Prednisolone is usually used for the treatment of acute phase of both diseases. Methotrexate and infliximab are administered to patients with the chronic progressive type of neuro-Behçet disease. Colchicine and dapsone are prescribed to prednisolone-dependent recurrent cases of neuro-Sweet disease.
MeSH term(s)	Adult ; Behcet Syndrome/complications ; Female ; Humans ; Male ; Nervous System Diseases/complications ; Sweet Syndrome/complications
Language	Japanese
Publishing date	2012-11-08
Publishing country	Japan
Document type	English Abstract ; Journal Article
ZDB-ID	604200-4
ISSN	1882-0654 ; 0009-918X
ISSN (online)	1882-0654
ISSN	0009-918X
DOI	10.5692/clinicalneurol.52.1234
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Article ; Online: Neuro-neutrophilic disease: neuro-Behçet disease and neuro-Sweet disease.

Hisanaga, Kinya

Internal medicine (Tokyo, Japan)

2007 Volume 46, Issue 4, Page(s) 153–154

MeSH term(s)	Adult ; Age Distribution ; Aged ; Behcet Syndrome/diagnosis ; Behcet Syndrome/epidemiology ; Behcet Syndrome/immunology ; Biopsy, Needle ; Brain/pathology ; Diagnosis, Differential ; Female ; HLA-B Antigens/immunology ; Humans ; Immunohistochemistry ; Incidence ; Magnetic Resonance Imaging ; Male ; Meningoencephalitis/diagnosis ; Meningoencephalitis/epidemiology ; Meningoencephalitis/immunology ; Middle Aged ; Neutrophils/immunology ; Neutrophils/pathology ; Prognosis ; Risk Assessment ; Sex Distribution ; Sweet Syndrome/diagnosis ; Sweet Syndrome/epidemiology ; Sweet Syndrome/immunology
Chemical Substances	HLA-B Antigens
Language	English
Publishing date	2007-02-15
Publishing country	Japan
Document type	Editorial
ZDB-ID	32371-8
ISSN	1349-7235 ; 0021-5120 ; 0918-2918
ISSN (online)	1349-7235
ISSN	0021-5120 ; 0918-2918
DOI	10.2169/internalmedicine.46.0175
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Article ; Online: An autopsy case of superficial siderosis of the central nervous system accompanied by anterior sacral polycystic meningocele in neurofibromatosis type 1.

Matsumoto, Arifumi / Suzuki, Hiroyoshi / Tobita, Muneshige / Hisanaga, Kinya

Rinsho shinkeigaku = Clinical neurology

2016 Volume 56, Issue 7, Page(s) 486–494

Abstract: A 74-year-old female patient, who was diagnosed with neurofibromatosis type 1 (NF1) at the age of 40, was admitted with complaints of flickering vision and gait disturbance for the last 2 years. On admission, neurological examination revealed mild ... ...

Abstract	A 74-year-old female patient, who was diagnosed with neurofibromatosis type 1 (NF1) at the age of 40, was admitted with complaints of flickering vision and gait disturbance for the last 2 years. On admission, neurological examination revealed mild bilateral hearing loss and ataxia in the limb and trunk. Laboratory tests revealed anti-hepatitis C virus (HCV) antibody positivity and elevated HCV RNA by real-time polymerase chain reaction. The cerebrospinal fluid examination revealed a slightly yellowish appearance with elevated total protein levels. Gradient echo T2*-weighted brain magnetic resonance imaging (MRI) demonstrated a rim of hypointense lesions surrounding the surface of the cerebellum, brainstem, frontal and temporal lobes, and thalamus, which was considered as hemosiderin depositions. From these MRI findings, she was diagnosed as having superficial siderosis of the central nervous system. Cerebral angiography revealed an aneurysm-like dilatation at the bifurcation of the right internal carotid-posterior communicating artery. (99m)Tc-ethyl cysteinate dimer single-photon emission computed tomography revealed hypoperfusion in the bilateral frontal and temporal lobes. Pelvic plain X-ray, pelvic computed tomography, and lumbosacral MRI revealed a sacral defect and an anterior sacral polycystic meningocele communicating with the spinal subarachnoid space. The patient's symptoms gradually worsened, and she died of septic shock because of pyelonephritis at the age of 77. An autopsy was performed; on pathological examination, we did not observe any findings associated with rupture of the aneurysm-like dilatation in the bifurcation of the right internal carotid-posterior communicating artery and cerebral amyloid angiopathy. Because duropathies-a new neurological disease concept-have been implicated as a cause of bleeding in the superficial siderosis, the anterior sacral polycystic meningocele, a type of duropathies, was presumed to be the most probable bleeding source of the superficial siderosis in this patient. Bleeding from the meningocele might result from the vulnerability of vessel walls in NF1.
MeSH term(s)	Aged ; Autopsy ; Brain Diseases/diagnostic imaging ; Brain Diseases/etiology ; Brain Diseases/pathology ; Carrier State ; Female ; Hepacivirus ; Humans ; Magnetic Resonance Imaging ; Meningocele/complications ; Meningocele/diagnostic imaging ; Meningocele/pathology ; Neurofibromatosis 1/complications ; Neurofibromatosis 1/diagnostic imaging ; Neurofibromatosis 1/pathology ; Sacrococcygeal Region ; Siderosis/diagnostic imaging ; Siderosis/etiology ; Siderosis/pathology
Language	Japanese
Publishing date	2016--28
Publishing country	Japan
Document type	Case Reports ; Journal Article
ZDB-ID	604200-4
ISSN	1882-0654 ; 0009-918X
ISSN (online)	1882-0654
ISSN	0009-918X
DOI	10.5692/clinicalneurol.cn-000876
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Article ; Online: An investigation into the effects and prognostic factors of cognitive decline following subthalamic nucleus stimulation in patients with Parkinson's disease.

Nimura, Taro / Nagamatsu, Ken-Ichi / Ando, Tadashi / Matsumoto, Arifumi / Hisanaga, Kinya / Tominaga, Teiji

Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia

2017 Volume 44, Page(s) 164–168

Abstract: We retrospectively investigated the effects of subthalamic nucleus stimulation (STN-DBS) on new postoperative onset of cognitive decline and prognostic factors for advanced Parkinson's disease (PD). We studied 39 PD patients who had received bilateral ... ...

Abstract	We retrospectively investigated the effects of subthalamic nucleus stimulation (STN-DBS) on new postoperative onset of cognitive decline and prognostic factors for advanced Parkinson's disease (PD). We studied 39 PD patients who had received bilateral STN-DBS. Clinical symptoms, cognitive function, psychiatric function, and health-related quality of life (HRQOL) were assessed before and six months after surgery. Based on the results of neuropsychological examinations six months after the surgery, the subjects were divided into those with and those without cognitive decline. We compared pre- and post-operative assessments between the two groups. Prognostic factors were investigated using multiple logistic regression analyses. Seven patients had cognitive decline six months after the operation (17.9%); they were significantly older than those without cognitive decline. Preoperative neuropsychological examinations revealed impairments in language and executive function. No differences were found in clinical symptoms. Patients with cognitive decline had significantly worse apathy scale scores. The HRQOL revealed significant declines in the Mental Component Summary (MCS), vitality, and mental health (MH) domains. Postoperative comparisons revealed novel significant differences in activities of daily living in the "on" and "off" states and in daytime drowsiness. Preoperative differences seen in the MCS and vitality indices were no longer present. Word fluency, and apathy scale and MH scores were independent preoperative prognostic factors for cognitive decline. New postoperative onset of cognitive decline due to STN-DBS affected activities of daily living and psychiatric function. Preoperative non-motor symptoms may be prognostic factors for new onset of cognitive decline.
Language	English
Publishing date	2017-10
Publishing country	Scotland
Document type	Journal Article
ZDB-ID	1193674-5
ISSN	1532-2653 ; 0967-5868
ISSN (online)	1532-2653
ISSN	0967-5868
DOI	10.1016/j.jocn.2017.06.018
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