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Elucidation of the role of intramedullary microcirculation in the pathogenesis of syringomyelia and the possibility of a new treatment

Research Project

Project/Area Number 19591692
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Cerebral neurosurgery
Research InstitutionSapporo Medical University

Principal Investigator

KOYANAGI Izumi  Sapporo Medical University, 医学部, 准教授 (40250435)

Co-Investigator(Kenkyū-buntansha) HOUKIN Kiyohiro  札幌医科大学, 医学部, 教授 (90229146)
AKIYAMA Yukinori  札幌医科大学, 医学部, 研究員 (50404653)
本望 修  札幌医科大学, 医学部, 講師 (90285007)
Co-Investigator(Renkei-kenkyūsha) HONMOU Osamu  札幌医科大学, 神経再生医学講座, 特任教授 (90285007)
Project Period (FY) 2007 – 2009
Project Status Completed (Fiscal Year 2009)
Budget Amount *help
¥4,420,000 (Direct Cost: ¥3,400,000、Indirect Cost: ¥1,020,000)
Fiscal Year 2009: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2008: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2007: ¥2,210,000 (Direct Cost: ¥1,700,000、Indirect Cost: ¥510,000)
Keywords脊髄空洞症 / 髄内微小循環 / 組織間液 / キアリ奇形 / 脊髄浮腫 / 脊髄損傷 / 脊髄循環 / ラットモデル / 脊髄虚血 / 癒着性クモ膜炎
Research Abstract

Pathogenesis of syringomyelia was studied using experimental models and radiological analysis of clinical cases. The results indicate that the dynamics of extracellular fluid and intramedullary microcirculation plays an important role in development of syringomyelia. In syringomyelia, the increased extracellular fluid state was present around the central canal and the syrinx and spread centrifugally. Such interstitial edema disappeared after treatment of the syrinx. Disturbed absorption of the extracellular fluid through the intramedullary venous system will be the primary mechanism in the pathogenesis of syringomyelia.

Report

(4 results)
  • 2009 Annual Research Report   Final Research Report ( PDF )
  • 2008 Annual Research Report
  • 2007 Annual Research Report
  • Research Products

    (11 results)

All 2010 2008 2007

All Journal Article (7 results) (of which Peer Reviewed: 4 results) Presentation (4 results)

  • [Journal Article] Pathogenesis of syringomyelia associated with Chiari type 1 malformation: Review of evidences and proposal of a new hypothesis.2010

    • Author(s)
      Koyanagi I, Houkin K
    • Journal Title

      Neurosurgical Review (in press)

    • Related Report
      2009 Final Research Report
    • Peer Reviewed
  • [Journal Article] 脊髄空洞症. 脊椎・脊髄イメージング標準検査法から最新情報まで.2010

    • Author(s)
      村上友宏、小柳泉
    • Journal Title

      脊椎脊髄ジャーナル 23

      Pages: 423-428

    • Related Report
      2009 Final Research Report
  • [Journal Article] 脊髄空洞症. 脊椎・脊髄イメージング2010

    • Author(s)
      村上友宏, 小柳泉
    • Journal Title

      脊椎脊髄ジャーナル 23

      Pages: 423-428

    • Related Report
      2009 Annual Research Report
  • [Journal Article] 頚椎変性疾患による浮腫性髄内病変2010

    • Author(s)
      吉藤和久, 小柳泉
    • Journal Title

      脊椎脊髄ジャーナル 23

      Pages: 129-134

    • Related Report
      2009 Annual Research Report
  • [Journal Article] Pulsatile wall movement of spinal arachnoid cyst deteriorates spinal cord symptoms : report of three cases2010

    • Author(s)
      Baba T, Koyanagi I, et al.
    • Journal Title

      Acta Neurochir(Wien) 152

      Pages: 1245-1249

    • Related Report
      2009 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Interstitial spinal-cord oedema in syringomyelia associated with Chiari type 1 malformations.2008

    • Author(s)
      Akiyama Y, Koyanagi I, Yoshifuji K, Murakami T, Baba T, Minamida Y, Nonaka T, Houkin K
    • Journal Title

      J Neurol Neurosurg Psychiatry 79

      Pages: 1153-1158

    • Related Report
      2009 Final Research Report
    • Peer Reviewed
  • [Journal Article] Interstitial spinal-cord oedema in syringomyelia associated with Chiaritype 1 malformations2008

    • Author(s)
      Akiyama Y
    • Journal Title

      J Neurol Neurosurg Psychiatry 79

      Pages: 1153-1158

    • Related Report
      2008 Annual Research Report
    • Peer Reviewed
  • [Presentation] Syringomyelia with Chiari type 1 malformation: Analysis of spinal cord parenchymal changes and a hypothesis for syrinx formation.2010

    • Author(s)
      Koyanagi I, Murakami T, Kaneko T, Akiyama Y, Houkin K
    • Organizer
      26th Annual Meeting of the AANS/CNS Section on Disorders of the Spine and Peripheral Nerves
    • Place of Presentation
      Orland, USA
    • Related Report
      2009 Final Research Report
  • [Presentation] Syringomyelia with Chiari type 1 malformation : Analysis of spinal cord parenchymal changes and a hypothesis for syrinx formation2010

    • Author(s)
      Koyanagi I
    • Organizer
      26th Annual Meeting of the AANS/CNS Section on Disorders of the Spine and Peripheral Nerves
    • Place of Presentation
      Orland, USA
    • Related Report
      2009 Annual Research Report
  • [Presentation] Chiari1型奇形における脳幹と大孔の位置関係2007

    • Author(s)
      村上友宏
    • Organizer
      第66回日本脳神経外科学会総会
    • Place of Presentation
      東京
    • Year and Date
      2007-10-05
    • Related Report
      2007 Annual Research Report
  • [Presentation] Chiari1型奇形における脳幹と大孔の位置関係2007

    • Author(s)
      村上友宏
    • Organizer
      第35回日本小児神経外科学会
    • Place of Presentation
      千葉県木更津市
    • Year and Date
      2007-05-31
    • Related Report
      2007 Annual Research Report

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Published: 2007-04-01   Modified: 2016-04-21  

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