Kyushu University Academic Staff Educational and Research Activities Database
List of Papers
SHONO YUJI Last modified date:2021.07.29

Assistant Professor / Emergency & Critical Care Center / Kyushu University Hospital


Papers
1. Kenta Momii, Yuji Shono, Kanji Osaki, Yoshinori Nakanishi, Takeshi Iyonaga, Masaaki Nishihara, Tomohiko Akahoshi, Yasuharu Nakashima , Use of venovenous extracorporeal membrane oxygenation for perioperative management of acute respiratory distress syndrome caused by fat embolism syndrome: A case report and literature review, Medicine, 100, 8, e24929, 2021.02.
2. Shono Y, Akahoshi T, Mezuki S, Momii K, Kaku N, Maki J, Tokuda K, Ago T, Kitazono T, Maehara Y, Clinical characteristics of type A acute aortic dissection with symptom of the central nervous system, American journal of emergency medicine, in press, 2017.06, Background and purpose
Accurate diagnosis of acute aortic dissection (AAD) is sometimes difficult because of accompanying central nervous system (CNS) symptoms. The purpose of this study was to investigate the clinical characteristics of Type A AAD (TAAAD) with CNS symptoms.
Methods
We retrospectively reviewed the medical records of 8403 patients ambulanced to our emergency and critical care center between April 2009 and May 2014.
Results
We identified 59 TAAAD patients for the analysis (mean age, 67.3 ± 10.5 years; 37 (62.0%) male). Eleven patients (18.6%) presented CNS symptoms at the onset of TAAAD, and these patients complained less frequently of typical chest and back pain than those without CNS symptoms (p < 0.0001). Initial systolic and diastolic blood pressure were lower (p = 0.003, and p = 0.049, respectively) and involvement of the supra-aortic artery was more frequent in patients with CNS symptoms (p < 0.0001).
Conclusion
Because CNS symptom can mask chest and back pain caused by TAAAD, physicians should always consider the possibility of TAAAD in patients with CNS symptoms in emergency medicine settings..
3. Matsuo Ryu, Masahiro Kamouchi, Tetsuro Ago, Jun Hata, 生野 雄二, Junya Kuroda, Yoshinobu Wakisaka, Hiroshi Sugimori, Takanari Kitazono, Thrombolytic therapy with intravenous recombinant tissue plasminogen activator in Japanese older patients with acute ischemic stroke: Fukuoka Stroke Registry, Geriatric Gerontology International, 14, 4, 954-959, 2014.10.
4. Shono Y, Yokota C, Kuge Y, Kido S, Harada A, Kokame K, Inoue H, Hotta M, Hirata K, Saji H, Tamaki N, Minematsu K, Gene expression associated with an enriched environment after transient focal ischemia, Brain research, 60-65, 2011.02.
5. Shono Y, Koga M, Toyoda K, Matsuoka H, Yokota C, Uehara T, Yamamoto H, Minematsu K, Medial medullary infarction identified by diffusion-weighted magnetic resonance imaging, Cerebrovascular disease, 30, 5, 519-524, 2010.12.
6. Shono Y, Kamouchi M, Kitazono T, Kuroda J, Nakamura K, Hagiwara N, Ooboshi H, Ibayashi S, Iida M, Change in intracellular pH causes the toxic Ca2+ entry via NCX1 in neuron- and glia-derived cells, Cellular and molecular neurobiology, 30, 3, 453-460, 2010.04.