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  1. Article: Catastrophic intracranial hemorrhage associated with eosinophilic granulomatous polyangiitis in a patient after Fontan operation.

    Ezaki, Hiroki / Muneuchi, Jun / Imamoto, Naoyuki

    Clinical case reports

    2020  Volume 9, Issue 1, Page(s) 547–550

    Abstract: A 29-year-old man after the Fontan operation had a catastrophic intracranial hemorrhage associated with eosinophilic granulomatous polyangiitis. Despite combination therapy with cyclophosphamide and methylprednisolone, he was dead at 6 months after the ... ...

    Abstract A 29-year-old man after the Fontan operation had a catastrophic intracranial hemorrhage associated with eosinophilic granulomatous polyangiitis. Despite combination therapy with cyclophosphamide and methylprednisolone, he was dead at 6 months after the onset. The clinical course was worse owing to underlying coagulopathy and endothelial dysfunction associated with congenital heart disease.
    Language English
    Publishing date 2020-12-11
    Publishing country England
    Document type Case Reports
    ZDB-ID 2740234-4
    ISSN 2050-0904
    ISSN 2050-0904
    DOI 10.1002/ccr3.3579
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Enlargement of sacral subcutaneous meningocele associated with retained medullary cord.

    Shirozu, Noritoshi / Morioka, Takato / Inoha, Satoshi / Imamoto, Naoyuki / Sasaguri, Takakazu

    Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery

    2018  Volume 34, Issue 9, Page(s) 1785–1790

    Abstract: Background: A retained medullary cord (RMC) is a rare closed spinal dysraphism with a robust elongated neural structure continuous from the conus and extending to the dural cul-de-sac. Four cases of RMC extending down to the base of an associated ... ...

    Abstract Background: A retained medullary cord (RMC) is a rare closed spinal dysraphism with a robust elongated neural structure continuous from the conus and extending to the dural cul-de-sac. Four cases of RMC extending down to the base of an associated subcutaneous meningocele at the sacral level have been reported.
    Clinical presentation: We report an additional case of RMC, in whom serial MRI examination revealed an enlargement of the meningocele associated with RMC over a 3-month period between 8 and 11 months of age, when he began to stand. At the age of 12 months, untethering of the cord was performed. Histologically, the presence of ependyma-lined central canals in the dense neuroglial cores was noted in all cord-like structures in the intradural and intrameningocele sacs and at the attachment to the meningocele.
    Conclusion: It is conceivable that the hydrodynamic pressure with standing position and the check valve phenomenon were involved in meningocele enlargement. We should be mindful of these potential morphological changes.
    MeSH term(s) Humans ; Infant ; Infant, Newborn ; Male ; Meningocele/complications ; Meningocele/diagnostic imaging ; Meningocele/surgery ; Sacrococcygeal Region/diagnostic imaging ; Sacrococcygeal Region/surgery ; Spinal Cord/diagnostic imaging ; Spinal Cord/surgery ; Spinal Dysraphism/complications ; Spinal Dysraphism/diagnostic imaging ; Spinal Dysraphism/surgery
    Language English
    Publishing date 2018-04-27
    Publishing country Germany
    Document type Case Reports ; Journal Article
    ZDB-ID 605988-0
    ISSN 1433-0350 ; 0302-2803 ; 0256-7040
    ISSN (online) 1433-0350
    ISSN 0302-2803 ; 0256-7040
    DOI 10.1007/s00381-018-3812-z
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Saccular Limited Dorsal Myeloschisis with Spinal Cord Deviation out of the Spinal Canal to the Sac.

    Kurogi, Ai / Morioka, Takato / Murakami, Nobuya / Shimogawa, Takafumi / Mukae, Nobutaka / Matsuo, Yoshihiro / Imamoto, Naoyuki / Tateishi, Yuki / Suzuki, Satoshi O

    NMC case report journal

    2021  Volume 8, Issue 1, Page(s) 739–746

    Abstract: Saccular limited dorsal myeloschisis (LDM) is characterized by a fibroneural stalk linking the saccular skin lesion to the underlying spinal cord. Since untethering surgery during the early postnatal period is often indicated to prevent sac rupture, ... ...

    Abstract Saccular limited dorsal myeloschisis (LDM) is characterized by a fibroneural stalk linking the saccular skin lesion to the underlying spinal cord. Since untethering surgery during the early postnatal period is often indicated to prevent sac rupture, saccular LDM should be distinguished from myelomeningocele (MMC) during the perinatal period. We treated two patients with the spinal cord deviation from the spinal canal to the sac, which mimicked a prolapse of the neural placode into the MMC sac. In patient 1, pre- and postnatal magnetic resonance imaging (MRI) revealed that the spinal cord was strongly tethered to the thick stalk. During surgery, the dorsally bent cord and stalk were united, and the border between these two was determined with intraoperative neurophysiological mapping (IONM). In patient 2, the spinal cord was tethered to two slender stalks close to each other, which was visible with the combined use of sagittal and axial postnatal three-dimensional heavily T2-weighted imaging (3D-hT2WI). The preoperative MRI hallmark of saccular LDM is the visualization of a stalk that links the bending cord and sac. Complete untethering surgery to return the cord into the spinal canal and correct its dorsal bending is recommended.
    Language English
    Publishing date 2021-10-23
    Publishing country Japan
    Document type Case Reports
    ISSN 2188-4226
    ISSN 2188-4226
    DOI 10.2176/nmccrj.cr.2021-0168
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: [Coil embolization of a ruptured posterior cerebral artery aneurysm via the internal carotid artery and a posterior communicating artery: a case report].

    Yamaguchi, Shinya / Ito, Osamu / Imamoto, Naoyuki / Murata, Hideki / Maeda, Yoshihisa / Yuhi, Fumiaki / Natori, Yoshihiro / Matsukado, Koichiro

    No shinkei geka. Neurological surgery

    2011  Volume 39, Issue 2, Page(s) 171–176

    Abstract: A posterior cerebral artery aneurysm is a rare condition. Various surgical approaches have to be considered for operating on these aneurysms because the position of the aneurysm and the surrounding structures restrict the operative field and render the ... ...

    Abstract A posterior cerebral artery aneurysm is a rare condition. Various surgical approaches have to be considered for operating on these aneurysms because the position of the aneurysm and the surrounding structures restrict the operative field and render the operation difficult. Recently, endovascular treatments for posterior cerebral artery aneurysms have been reported to provide a good outcome. We present a case of a ruptured posterior cerebral artery aneurysm treated with coil embolization. We adopted endovascular treatment because a large vein of Labbé was expected to restrict the operative field. The internal carotid artery and a fetal-type posterior communicating artery (PCoA) were chosen as the access route because of P1 hypoplasty, and a coaxial guiding system was used because of the tortuous access route. The aneurysm was suitably embolized using Guglielmi detachable coils (GDCs). In a case of posterior cerebral artery aneurysm, we report the usefulness of endovascular treatment performed through the internal carotid artery and a fetal-type PCoA.
    MeSH term(s) Aneurysm, Ruptured/therapy ; Carotid Artery, Internal ; Embolization, Therapeutic/methods ; Humans ; Intracranial Aneurysm/therapy ; Male ; Middle Aged ; Treatment Outcome
    Language Japanese
    Publishing date 2011-02
    Publishing country Japan
    Document type Case Reports ; English Abstract ; Journal Article
    ZDB-ID 197053-7
    ISSN 1882-1251 ; 0301-2603
    ISSN (online) 1882-1251
    ISSN 0301-2603
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Coil embolization for a ruptured posterior cerebral artery aneurysm with vertebrobasilar dolichoectasia.

    Yamaguchi, Shinya / Ito, Osamu / Maeda, Yoshihisa / Murata, Hideki / Imamoto, Naoyuki / Yuhi, Fumiaki / Natori, Yoshihiro / Matsukado, Koichiro

    Neurologia medico-chirurgica

    2011  Volume 51, Issue 9, Page(s) 657–660

    Abstract: A 74-year-old man suffered sudden loss of consciousness at home. Computed tomography revealed severe subarachnoid hemorrhage and an unusual posterior cerebral artery (PCA) aneurysm with vertebrobasilar dolichoectasia (VBD). The aneurysm was located in ... ...

    Abstract A 74-year-old man suffered sudden loss of consciousness at home. Computed tomography revealed severe subarachnoid hemorrhage and an unusual posterior cerebral artery (PCA) aneurysm with vertebrobasilar dolichoectasia (VBD). The aneurysm was located in the right hypothalamus. VBD associated with a distal lesion makes endovascular treatment difficult because of the elongation and tortuosity of the access route. However, endovascular coil embolization was successful for the present ruptured PCA aneurysm with VBD.
    MeSH term(s) Aged ; Aneurysm, Ruptured/complications ; Aneurysm, Ruptured/pathology ; Aneurysm, Ruptured/therapy ; Blood Vessel Prosthesis Implantation/methods ; Embolization, Therapeutic/instrumentation ; Embolization, Therapeutic/methods ; Humans ; Intracranial Aneurysm/complications ; Intracranial Aneurysm/pathology ; Intracranial Aneurysm/therapy ; Male ; Treatment Outcome ; Vertebrobasilar Insufficiency/complications ; Vertebrobasilar Insufficiency/pathology ; Vertebrobasilar Insufficiency/therapy
    Language English
    Publishing date 2011-09-22
    Publishing country Japan
    Document type Case Reports ; Journal Article
    ZDB-ID 604061-5
    ISSN 1349-8029 ; 0470-8105
    ISSN (online) 1349-8029
    ISSN 0470-8105
    DOI 10.2176/nmc.51.657
    Database MEDical Literature Analysis and Retrieval System OnLINE

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