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ESTABLISHMENT OF A NOVEL THERAPY INCLUDING MILD HYPOTHERMIA AGAINST ACUTE ENCEPHALOPATHY IN CHILDREN

Research Project

Project/Area Number 11670774
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Pediatrics
Research InstitutionYOKOHAMA CITY UNIVERSITY

Principal Investigator

AIHARA Yukoh  YOKOHAMA CITY UNIV.MEDICAL CENTER, ASSOCIATE PROFESSOR, 医学部・附属病院, 助教授 (50211686)

Co-Investigator(Kenkyū-buntansha) NEZU Atsuo  YOKOHAMA CITY UNIV.MEDICAL CENTER, ASSISTANT PROFESSOR, 医学部・附属病院, 講師 (10237810)
YOKOTA Shumpei  YOKOHAMA CITY UNIV.SCH.OF MED., PROFESSOR, 医学部, 教授 (10158363)
大槻 則行  横浜市立大学, 医学部・附属病院, 助手 (00264622)
Project Period (FY) 1999 – 2000
Project Status Completed (Fiscal Year 2000)
Budget Amount *help
¥3,500,000 (Direct Cost: ¥3,500,000)
Fiscal Year 2000: ¥1,500,000 (Direct Cost: ¥1,500,000)
Fiscal Year 1999: ¥2,000,000 (Direct Cost: ¥2,000,000)
KeywordsACUTE ENCEPHALOPATHY IN CHILDREN / THERAPY / HYPOTHERMIA / 小児
Research Abstract

ACUTE ENCEPHALOPATHY IS ONE OF SEVERE DISORDERS IN CHILDHOOD.ALTHOUGH, IT'S PATHOPHYSIOLOGY REMAINS UNKNOWN, IT IS NOW KNOWN THAT ONE OF RELATED FACTORS IS INFLUENZA VIRUS INFECTION.THE INFLUENZA INFECTION MIGHT INDUCE THE FAILURE OF BLOOD-BRAIN BARRIER AND THE ABNORMAL PRODUCTION OF SEVERAL CYTOKINES, FOLLOWED BY THE MASSIVE DEATH OF NEURONS.THEREFORE, THE STRATEGY TO TREAT THE DISEASE IS TO PREVENT THE CASCADE OF THE EVENTS.IN ADDITION, WE REPORTED THAT THERE WAS A LIMITED EFFICACY IN THE DISEASE WITH THE CONVENTIONAL THERAPIES.THEREFORE, WE TRY TO ESTABLISH A NOVEL THERAPY INCLUDING MILD HYPOTHERMIA AND METHYLPREDNISOLONE PULSE THERAPY TO IMPROVE THE OUTCOME OF THE PATIENTS WITH THE DISEASE.
BEFORE STARTING THE NEW THERAPY, WE ANALYZED THE PRECISE DATA OF 35 PATIENTS WITH ACUTE ENCEPHALOPATHY UNDER THE CONVENTIONAL THERAPY.THE OUTCOME WAS BAD.THAT IS, 10 PATIENTS WERE DEAD.ONE THIRD HAD SEVERE DISABILITY IN DAILY LIFE.ONE THIRD HAD MILD DISABILITIES.
WE ESTABLISHED A NOVEL THERAPY INCLUDING MILD HYPOTHERMIA AND METHYLPREDNISOLONE COMBINATION AGAINST ACUTE ENCEPHALOPATHY AND/OR ENCEPHALITIS.SO FAR WE APPLIED THIS THERAPY TO 10 PATIENTS.IT SEEMS THAT THE OUTCOMES OF THE PATIENTS WITH THIS THERAPY BECOME BETTER THAN THOSE WITH CONVENTIONAL THERAPY.IT IS TOO EARLY TO CONCLUDE THE EFFICACY OF THIS NEW THERAPY.HOWEVER, WE BELIEVE THAT THIS NOVEL THERAPY IS PROMISING.NOW, TO ESTABLISH THE THERAPY WE HAVE TO DETERMINE A CRITERIA OF THE PATIENTS TO APPLY THE THERAPY AS WELL AS TO INCREASE THE NUMBER OF THE PATIENTS WITH THE THERAPY.

Report

(3 results)
  • 2000 Annual Research Report   Final Research Report Summary
  • 1999 Annual Research Report
  • Research Products

    (23 results)

All Other

All Publications (23 results)

  • [Publications] 木村清次,根津敦夫,大槻則行,武下草生子: "感染に伴う急性発症脳炎28例の臨床像"脳と発達. 31. 317-321 (1999)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] 木村清次,根津敦夫,田中文雅,大槻則行: "Acute shock encephalopathy syndromeを合併したSotos症候群の1例"脳と発達. 31. 355-358 (1999)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] 木村清次,大槻則行,安達かおり,根津敦夫,相原雄幸: "急性脳症での髄液neopterin,IL-6値に関する検討"脳と発達. 31. 470-472 (1999)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] 木村清次,大槻則行,安達かおり,根津敦夫,相原雄幸: "急性脳症に対するmethylprednisolone pulseおよび軽度低体温療法の試み"脳と発達. 32. 62-67 (2000)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] 大槻則行,木村清次,根津敦夫: "アデノウイルス7型感染に伴い中枢神経症状を伴った3例"脳と発達. 32. 68-72 (2000)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] 木村清次: "感染に伴う急性脳症の画像、検査所見、治療および予後"脳と発達. 31. 148-155 (2000)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] 大槻則行,木村清次,根津敦夫,相原雄幸: "軽度低体温療法とステロイドパルス療法の併用が効果を示したインフルエンザウイルス関連性急性脳症の2例"脳と発達. 32. 318-322 (2000)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Yokota S,Imagawa T,Miyamae T,Ito S,Nakajima S,Nezu A,Mori M.: "Hypothetical pathophysiology of acute encephalopathy and encephalitis related to influenza virus infection and hypothermia therapy"Pediatrics International. 42. 197-203 (2000)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] 大槻則行: "脳低体温療法 インフルエンザ脳炎・脳症の特殊治療(試案)"インフルエンザ脳炎・脳症治療研究会(森島恒雄 横田俊平). 15-18 (2000)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] 横田俊平: "血漿交換療法 インフルエンザ脳炎・脳症治療研究会(試案)"インフルエンザ脳炎・脳症治療研究会(森島恒雄 横田俊平). 19-21 (2000)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] KIMURA S, NEZU A, OHTSUKI N, TAKESHITA S.: "CLINICAL STUDY IN 28 PATIENTS WITH INFECTION-RELATED ACUTE ONSET ENCEPHALITIS.(IN JAPANESE)"NO TO HATTATSU. 31. 317-321 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] KIMURA S, NEZU A, TANAKA M, OHTSUKI N: "ACUTE SHOCK ENCEPHALOPATHY SYNDROME IN A GIRL WITH SOTOS SYNDROME-WITH SPECIAL REFERENCE TO DIFFERENTIATION FROM REYE SYNDROME-(IN JAPANESE)"NO TO HATTATSU. 31. 355-358 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] KIMURA S, OHTSUKI N, ADACHI K, NEZU A, AIHARA Y.: "STUDY OF NEOPTERIN AND IL-6 LEVELS IN CEREBROCRANIAL FLUID OF THE PATIENTS WITH ACUTE ENCEPHALOPATHY (IN JAPANESE)"NO TO HATTATSU. 31. 78-80 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] KIMURA S, OHTSUKI N, ADACHI K, NEZU A, AIHARA Y.: "EFFICACY OF METHYLPREDNISOLONE PULSE AND MILD HYPOTHERMIA THERAPIES IN PATIENTS WITH ACUTE ENCEPHALOPATHY.(IN JAPANESE)"NO TO HATTATSU. 32. 62-67 (2000)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] OHTSUKI N, KIMURA S, NEZU A.: "THREE CASES WITH ACUTE ENCEPHALOPATHY RELATED WITH ADENOVIRUS TYPE 7 INFECTION (IN JAPANESE)"NO TO HATTATSU. 32. 68-72 (2000)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] KIMURA S.: "INFECTION-RELATED ACUTE ENCEPHALOPATHY : CT SCAN/MRI FINDING, LABORATORY EXAMINATION AND PROGNOSIS (IN JAPANESE)"NO TO HATTATSU. 32. 148-155 (2000)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] OHTSUKI N, KIMURA S, NEZU A, AIHARA Y.: "EFFECTS OF MILD HYPOTHERMIA AND STEROID PULSE THERAPY ON ACUTE ENCEPHALOPATHY ASSOCIATED WITH INFLUENZA VIRUS INFECTION : REPORT OF TWO CASES (IN JAPANESE)"NO TO HATTATSU. 32. 318-322 (2000)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] YOKOTA S, IMAGAWA T, MIYAMAE T, ITO S, NAKAJIMA S, NEZU A, MORI M.: "HYPOTHETICAL PATHOPHYSIOLOGY OF ACUTE ENCEPHALOPATHY AND ENCEPHALITIS RELATED TO INFLUENZA VIRUS INFECTION AND HYPOTHERMIA THERAPY."PEDIATRICS INTERNATIONAL. 42. 197-203 (2000)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] OHTSUKI N.: "MILD HYPOTHERMIA THERAPY.A PROPOSAL TREATMENT AGAINST ACUTE ENCEPHALOPATHY AND/OR ENCEPHALITIS RELATED TO INFLUENZA VIRUS INFECTION.(IN JAPANESE)"REPORT OF RESEARCH GROUP OF ACUTE ENCEPHALOPATHY AND/OR ENCEPHALITIS RELATED TO INFLUENZA VIRUS INFECTION.. 15-18 (2000)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] YOKOTA S.: "PLASMA EXCHANGE THERAPY.(IN JAPANESE)"A PROPOSAL TREATMENT AGAINST ACUTE ENCEPHALOPATHY AND/OR ENCEPHALITIS RELATED TO INFLUENZA VIRUS INFECTION.. REPORT OF RESEARCH GROUP OF ACUTE ENCEPHALOPATHY AND/OR ENCEPHALITIS RELATED TO INFLUENZA VIRUS INFECTION.. 19-21 (2000)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] 大槻則行 他: "軽度低体温療法とステロイドパルス療法の併用が効果を示したインフルエンザウイルス"脳と発達. 32巻4号. 318-322 (2000)

    • Related Report
      2000 Annual Research Report
  • [Publications] 木村清次 他: "急性脳症での髄液neopterin IL-6値に関する検討"脳と発達. 31・5. 470-472 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] 木村清次 他: "急性脳症に対するme Thylprednisolone pulseおよび軽度低温療法の試み"脳と発達. 32・1. 62-67 (2000)

    • Related Report
      1999 Annual Research Report

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Published: 1999-04-01   Modified: 2016-04-21  

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