Nō to shinkei = Brain and nerve
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We reported a case of arachnoid cyst in the craniovertebral junction which was extremely rare. A 36-year-old man presented truncal ataxia and dysesthesia in the right upper extremity. CT and MR images revealed a large cyst in the craniovertebral junction. ⋯ Fluid in the cyst was watery clear. Histological finding of the surgical specimen was arachnoid cyst without inflammatory changes. Arachnoid cyst in the craniovertebral junction is discussed with literature.
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We report a 78-year old woman with 30 years history of rheumatoid arthritis and nephrotic syndrome, who developed right hemiparesis and renal failure recently. The patient was diagnosed as having rheumatoid arthritis in 1965, and had been treated with gold -sol, steroid hormone, and non-steroidal anti-inflammatory drugs intermittently. Later on her clinical course was complicated by nephrotic syndrome, however, her renal function was well compensated. ⋯ On admission, she was afebrile and BP was 120/80 mmHg. General physical examination was unremarkable except for pitting edema and multiple contracture of her joints. On neurologic examination, she was alert but appeared to have aphasia and dementia; she could utter only a few simple words, and was able to understand only simple questions.(ABSTRACT TRUNCATED AT 400 WORDS)
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To investigate the risk factors of cerebral hemorrhage in women, we conducted a 1:1 pair matched case-control study on 98 women with cerebral hemorrhage diagnosed by CT scan of the head and the same number of controls. Single factor analysis revealed that a high body mass index (BMI) increased the risk of cerebral hemorrhage (p < 0.05). Multiple conditional logistic regression analysis showed that hypertension, snoring and the use of OCs were independent risk factors of cerebral hemorrhage in women, and the odds ratios (ORs) were 8.36 (95% CI: 3.22-21.73), 3.84 (95% CI: 1.47-10.04) and 7.96 (95% CI: 1.27-49.83), respectively. No correlations between cerebral hemorrhage in women and their occupation educational level or history of menstruation and child bearing were found.
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Case Reports
[A 65-year-old woman with headache, facial pain, and progressive multiple cranial neuropathy].
We report a 65-year-old woman with progressive multiple cranial neuropathy. She had been suffered from bronchial asthma since 1979 for which prednisolone had been prescribed. She noted an onset of pain around her nose in October, 1989, which extended into the periorbital regions bilaterally. ⋯ Following abnormalities were present in the laboratory examination: WBC 11,400/microliters, ESR 50 mm/hr, CRP 6.1 mg/dl. The lumbar CSF was under a normal pressure containing 29 WBC/microliters (neutrophils 7, lymphocytes 20, others 2), 67 mg/dl of protein, and 53 mg/dl of sugar; cultures for acid-fast bacilli as well as for other bacteria were negative; no malignant cells were found. A cranial CT scan revealed an isodensity mass in the orbit and ill-defined low density areas in the white matters of the frontal lobes.(ABSTRACT TRUNCATED AT 400 WORDS)
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The authors report on the relationship between occlusion or stenosis of the deep cerebral veins and sinuses and the development of collateral venous channels in pineal region tumors. Five cases of meningioma arising from the falcotentorial junction were the subject of this study. There were two males and three females with an average age of 51.2 years (range: 26-67). ⋯ The first three types of collateral venous channels seem to be important following occlusion or stenosis of deep cerebral veins and sinuses. Stereoscopic angiograms are essential to analyze deep venous channels around deep-seated tumors. Clear identification of occlusion or stenosis and the development of venous system collaterals on angiograms is important to the surgical treatment of pineal region tumors.