著者

小林 泰輔 岡田 昌浩 寺岡 正人 中村 光士郎

出版者

Japan Society for Equilibrium Research

雑誌

Equilibrium Research (ISSN:03855716)

巻号頁・発行日

vol.65, no.6, pp.453-459, 2006 (Released:2009-06-05)

参考文献数

15

被引用文献数

1

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Cogan's syndrome is primarily diagnosed based on subsequent episodes of an inflammatory eye disease and rapidly progressive, usually sequential bilateral loss of audiovestibular function. Since there are still no specific tests for the syndrome, it is difficult to diagnose Cogan's syndrome in the early stage before the emergence of both eye and audiovestiubular symptoms. We present a case of a 34-year-old woman who complained of vertigo and bilateral hearing loss. Magnetic resonance imaging (MRI) of the inner ear was performed before the emergence of keratitis. MRI on the 23rd day after onset of hearing loss revealed a slightly high intensity on TI-weighted images in the right vestibule, which showed profound hearing loss. On the 54th day after onset, high signal intensity was noted in the right cochlea, the vestibule, and lateral semicircular canal on Tl-weighted images, but no enhancement. The high signal intensity disappeared seven months after onset, but there was no defect of inner ear signs on the T2-weighted images. A high signal of the inner ear on T1-weighted images is not a specific sign of MRI in Cogan's syndrome, since it is sometimes encountered in the inner ear of labyrinthitis, bleeding in patients with leukemia, and intralabyrinthine schwanoma. However, MRI could be a possible method for the early diagnosis of Cogan's syndrome because this finding might be recognized before the onset of eye symptoms.

著者

小林 泰輔 岡田 昌浩

出版者

一般社団法人 日本めまい平衡医学会

雑誌

Equilibrium Research (ISSN:03855716)

巻号頁・発行日

vol.68, no.3, pp.131-137, 2009 (Released:2009-08-01)

参考文献数

15

被引用文献数

3 1

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We report on two cases of cerebellar infarction in the territory of the medial branch of the posterior inferior cerebellar artery (mPICA) mimicking acute peripheral vertigo. Case 1 was a 54-year-old man with WPW syndrome presenting with sudden vertigo. When he was admitted to our hospital, he had direction fixed horizontal nystagmus towards the left. His symptom disappeared in several days, however, MRI revealed a haemorrhagic infarct in the territory of the right mPICA. Case 2 was a 47-year-old man who was admitted with sudden rotatory vertigo. Direction fixed horizontal nystagmus towards the right was noted and head CT was normal. The nystagmus disappeared on the 5th day of the illness and caloric testing did not show canal paresis. Because of prolonged gate ataxia, a CT scan was performed again. It showed a cerebellar infarction and MRI revealed a cerebellar infarction of the left medial hemisphere and vermis. Infarcts of mPICA sometimes cause acute vertigo presenting horizontal direction fixed nystagmus mimicking peripheral vertigo. In a patient presenting with acute vertigo, head MRI should be performed when he or she has history of risk factor for cerebellar infarction such as diabetes mellitus, ischemic heart disease, and so on. The patients with prolonged ataxia and headache should also undergo MRI.

著者

大六 鉄兵 岡田 昌浩 寺岡 正人 高橋 信雄 羽藤 直人

出版者

一般社団法人 日本聴覚医学会

雑誌

AUDIOLOGY JAPAN (ISSN:03038106)

巻号頁・発行日

vol.62, no.5, pp.507, 2019-10-30 (Released:2019-11-28)

著者

杉原 成美 岩井 美織 橘高 美和子 瀬尾 誠 岡田 昌浩 金子 三屋子 横田 いつ子

出版者

日本社会薬学会

雑誌

社会薬学 (ISSN:09110585)

巻号頁・発行日

vol.37, no.2, pp.147-155, 2018-12-10 (Released:2019-01-19)

参考文献数

33

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The questionnaire was distributed to caregivers regarding their management for home medication therapy. The purpose of this questionnaire was to clarify the role of community pharmacists in city “Z”, Hiroshima in supporting this activity. The results were compared among seven administrative zones. The percentage of caregivers who had routinely administered medications to dependent patients was 81%. Of these, the percentage of caregivers who had encountered difficulty in medication administration to dependent patients was 66%. Only 13% of these caregivers had sought assistance from pharmacists in dealing with issues they faced in the administration of medications. The percentage of caregivers who had easy access to pharmacists was 44%. The percentage of caregivers who received pharmacist-initiated information about patients was 23%. Among the 7 administrative zones in city “Z”, the 2 zones (H-zones) with the highest percentage of elderly citizens, 38.7%, were compared with the other 2 zones (L-zones) with the lowest percentage of elderly citizens, 25.7%, regarding medication management by caregivers. It was observed that the frequency of missing side effects or crushing medicines by caregivers was higher in H-zones as compared to L-zones. The results of this research suggest that close cooperation between pharmacists and caregivers improves the quality of medication therapy management. In an aging society, pharmacist intervention could be very beneficial to providing support and information that would improve the quality of patients’ medication therapy.

著者

岡田 昌浩 小林 泰輔 中村 光士郎

出版者

耳鼻咽喉科臨床学会

雑誌

耳鼻咽喉科臨床 (ISSN:00326313)

巻号頁・発行日

vol.102, no.3, pp.219-223, 2009 (Released:2010-12-03)

参考文献数

20

被引用文献数

9 10

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Hemorrhage following tonsillectomy is still a major complication despite the development of new hot knives. In this study, a retrospective review of 242 adult patients who underwent tonsillectomy in the Department of Otolaryngology, Ehime Prefectual Central Hospital between January 2000 and March 2007 was conducted. Post-tonsillectomy hemorrhage occurring in 56 patients (23.1%); four of these patients experienced hemorrhage during the first 24 hours postoperatively, and the remaining 52 had delayed bleeding. Nine of 56 patients (3.7%) required a procedure to control their bleeding under general anesthesia. The hemorrhage rate in males was significantly higher than in females. There was no statistically significant difference in hemorrhage rates based on age, body mass index (BMI), duration of surgery and smoking. Patients who received antibiotics postoperatively experienced less secondary hemorrhage than those without antibiotics. In 99 patients who were administered antibiotics, patients who used cephalosporins experienced less secondary hemorrhage than those who received penicillins. These results indicate that antibiotics after tonsillectomy are effective to reduce post-tonsillectomy hemorrhage rates.