Graduate School of Medicine / School of Medicine, Faculty of Medicine

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Medical Neuroscience

Neurosurgery

Our department has history long as a pioneer of neurosurgey in North Kanto area, and has carried out the surgical treatment of the brain and the spinal diseases broadly. Especially, to the difficult brain diseases of medical treatment, we have been trying safe operation, performing the monitoring of brain or spinal cord function, and using the neuro-endoscope. It is also one of our special features to perform surgical treatment to the intractable pain, epilepsy, and movement disorders represented by Parkinson’s disease. As basic research, the elucidation of pathophysiology of neurosurgical diseases such as, cerebro-vascular disease, brain tumor, and a functional are aimed at.
Furthermore, from November, 2002, the stroke center is established in Gunma University hospital. We take care of patients with brain attack, such as intracerebral hemorrhage, subarachnoid hemorrhage, and cerebral infarction. We are trying hard to provide you with the best medical treatment at any time.

  • Staff
  • Research & education
  • Clinical Activities
  • Citizen Activities
  • Achievement
  • History

Staffs

Professor YOSHIMOTO Yuhei, M.D., Ph.D.
Associate Professor TOSAKA Masahiko, M.D., Ph.D.
Associate Professor SHIMIZU Tatsuya, M.D., Ph.D.
Associate Professor AIHARA Masanori, M.D., Ph.D.
HORIGUCHI Keishi, M.D., Ph.D.
HONDA Fumiaki, M.D., Ph.D.
Assistant Professor MIYAGISHIMA Takaaki, M.D., Ph.D.
NAGAKI Tomohito, M.D., Ph.D.
YAMAGUCHI Rei, M.D., Ph.D.
AISHIMA Kaoru, M.D., Ph.D.
OHSAWA Tadashi, M.D., Ph.D.
Staff KAKINUMA Chinatsu, M.D.
SAITO Takahiro, M.D.
SHIMAUCHI Hiroya, M.D.
OHSAWA Sho, M.D.
KOMIYAMA Kazuki, M.D.
ISHII Nobukazu, M.D.

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Research & Education

Research content

Genetic analysis of brain tumors
Research of infiltrative character of a malignant brain tumor
Basic research of the gene therapy of malignant brain tumors
Basic research of the mechanism of ischemic neuronal death
Basic research of the mechanism of Cerebral vasospasm
Electrophysiological study on Parkinson disease
Development of the intra-operative monitoring method

Business education

Medical school student
4th systematic lecture of basic neurosurgery
5th bedside teaching of practical neurosurgery
6th lecture on topics of neurosurgical treatment or research
Graduate medical school student
In order to develop neurosurgery for the treatment of all kinds of neurosurgical diseases, such as cerebrovascular disease, brain tumor, functional disorders, it is important to clarify their pathophysiology and develop new treatment method. For those purposes, we lecture on various kinds of research and lead students to make a plan and a protocol of the research. We also teach experimental techniques. We finally lead students to make a individual scientific paper.

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Clinical Activities

Brain tumors
Acoustic neurinoma, skull base surgery, malignant tumors,
pituitary adenoma
Cerebrovascular diseases
Subarachnoid hemorrhage, cerebral aneurysm, bypass, endovascular surgery
Functional neurosurgery
Parkinson disease, tremor, pain, epilepsy

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Citizenship Activities

The educational lecture in a medical association within the Gunma prefecture.
The educational activities in a patient’s association of Pakinson’s disease.
We give various meetings in the neurosurgical field for education of medical doctors in Gumma Prefecture and North Kanto area.

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Achievements

Tanaka Y, Imai H, Kenjiro K, Miyagishima T, Kubota C, Puentes S, Aoki T, Hata H, Takata K, Yoshimoto Y, Saito N: Experimental model of lacunar infarction in the gyrencephalic bain of the miniature pig Neurological assessment and histological, immunohistochemical, and physiological evaluation of dynamic corticospinal tract deformation. Stroke 39;205-212, 2008

Tosaka M, Sato N, Fujimaki H, Tanaka Y, Kagoshima K, Takahashi A, Saito N, Yoshimoto Y: Diffuse pachymeningeal hyperintensity and subdural effusion/Hematoma detected by fluid-attenuated inversion recovery MR imaging in patients with spontaneous intracranial hypotension. AJNR 29:1164-1170, 2008

Yamaguchi R, Kohga H, Kurosaki M, Tamura M, Tanaka S, Tosaka M, Yoshimoto Y: Acute basilar artery occlusion in a patient with left subclavian artery occlusion due to first rib anomaly. Neurol Med Chir (Tokyo) 48;355-358, 2008

Yoshimoto Y, Tanaka Y: Biological heterogeneity and length-biased sampling in asymptomatic neurosurgical patients. Br J Neurosurg. 22:368-72, 2008

Nagaki T, Sato K, Yoshida T, Yoshimoto Y: Benefit of carotid endarterectomy for symptomatic and asymptomatic severe carotid stenosis; a Markov model based on the randomized control trials. J Neurosurg 111:970-977, 2009

Nakamura M, Imai H, Konno K, Kubota C, Seki K, Puentes S, Ahmad F, Yokoo H, Hata H, Yoshimoto Y, Saito N: Experimental investigation of encephalomyosynangiosis using gyrencephalic brain of the miniature pig: histopathological ebaluation of dynamic reconstruction of vessels for functional anastomosis. J Neurosurg. Pediatrics 3;488-495, 2009

Kubota C, Torii S, Saito N, Yoshimoto Y, Imai H, Takeuchi T: Constitutive reactive oxygen species generation from autophagosome/lysosome in neuronal oxidative toxicity. J Biological Chemistry 285:667-674, 2010

Yamaguchi R, Yoshida T, Nakazato Y, Yoshimoto Y: Solitary Intraosseous Neurofibroma of the Frontal Bone -Case Report-. Neurol Med Chir (Tokyo) 50(8):683-686, 2010

Sato K, Yoshimoto Y: Risk profile of intracranial aneurysms rupture rate Is noto constant after formation. Stroke 42:3376-3381, 2011

Yamaguchi R, Hosaka M, Torii S, Saito N, Yoshimoto Y, Imai H, Takeuchi T: Cyclophilin C-associated protein regulation of phagocytic functions via NFAT activation in macrophages. Brain Res 1397:55-65. 2011
Aishima K, Yoshimoto Y: Screening strategy using sequential serum D-dimer assay for the detection and prevention of venous thromboembolism after elective brain tumor surgery. British J Neurosurg 1-7. 2012
Miyagishima T, Hara T, Inoue M, Terano N, Ohno H, Okamoto K, Hasuo K: Pontine venous congestion due to dural arteriovenous fistula of the cavernous sinus;Case report and review of the literature. Surgical Neurol Int 3:53, 2012

Puentes S, Kurachi M, Shibasaki K, Naruse M, Yoshimoto Y, Mikuni M, Imai H, Ishizaki Y: Brain microvascular endothelial cell transplantation ameliorates ischemic white matter damage. Brain Research 1469:43-53, 2012

Shimizu M, Imai H, Kagoshima K, Umezawa E, Shimizu T, Yoshimoto Y: Detection of compression vessels in trigeminal neuraolgia by surface-rendering three-dimensional reconstruction of 1.5-and 3.0-T magnetic resonance imaging. World Neurosurg 378-385, 2012

Aihara M, Fujimaki H, Shintoku R, Osawa T, Asakura K, Miyazaki M, Horiuchi T, Nitta J: Mattress anastomosis in micro vascular reconstruction: technical note. Acta Neurochir (Wien) 155:607-609, 2013

Iijima K, Horiguchi K, Yoshimoto Y: Microvascular decompression of the root emerging zone for hemifacial spasm: evaluation by fusion magnetic resonance imaging and technical considerations. Acta Neurochir (Wien) 155:855-862, 2013

Iijima K, Tosaka M, Nagano T, Yaoita H, Matsumura N, Nakazayto Y, Yoshimoto Y: Oculomotor nerve schwannoma associated with acute hydrocephalus: Case report. Neurol Med Chir (Tokyo) 20:1-5, 2013

Osawa T, Tosaka M, Nagaishi M, Yoshimoto Y: Factors affecting peritumoral brain edema in meningioma:special histological subtypes with prominently extensive edema. J Neurooncol 111:49-57, 2014

Tosaka M, Sakamoto K, Watanabe S, Yodonawa M, Kunimine H, Aishima K, Fujii T, Yoshimoto Y: Critical classification of craniostomy for chronic subdural hematoma; Safer technique for hematoma aspiration. Neurol Med Chir (Tokyo) 53:273-278, 2013

Yoshimoto Y, Tanaka Y: Risk perception of unruptured intracranial aneurysms. Acta Neurochir (Wien) 155:2029-2036, 2013

Iijima, K, Tosaka M, Nagano T, Yaoita H, Matsumura N, Nakazato Y, Yoshimoto Y: Oculomotor nerve schwannoma associated with acute hydrocephalus: Case report. Neurol Med Chir (Tokyo) 54:654-658, 2014

Aihara M, Naito I, Shimizu T, Fujimaki H, Asakura K, Miyamoto N, Yoshimoto Y: Preoperative embolization of intracranial meningiomas using n-butyl cyanoacrylate. Neuroradiology 57:713-719, 2015
Iijima K, Hirato M, Miyagishima T, Horiguchi K, Sugawara K, Hirato J, Yokoo H, Yoshimoto Y: Microrecording and image-guided stereotactic biopsy of deep-seated brain tumors. J Neurosurg. 123:978-988, 2015

Iijima K, Kurachi M, Shibasaki K, Naruse M, Puentes S, Imai H, Yoshimoto Y, Mikuni M, Ishizaki Y : Transplanted microvascular endothelial cells promote oligodendrocyte precursor cell survival in ischemic demyelinating lesions. J Neurochem. 135:539-550, 2015

Imai H, Miyawaki S, Ono H, Nakatomi H, Yoshimoto Y, Saito N: The importance of encephalo-myo-synangiosis in surgical revascularization strategies for moyamoya disease in children and adults. World Neurosurg. 83:691-699, 2015

Miyamoto, N., Naito, I., Simizu, T. and Yoshimoto, Y: Efficacy and Limitations of Transarterial Acrylic Glue Embolization for Intracranial Dural Arteriovenous Fistulas. Neurol Med Chir (Tokyo) 55:163-172, 2015

Shimizu T, Naito I, Aihara M, Fujimaaki H, Asakura K, Miyamoto N, Yoshimoto Y: Visual outcomes of endovascular and microsurgical treatment for large or giant paraclinoid aneurysms. Acta Neurochir (Wien) 157:13–20, 2015.

Tomita Y, Tosaka M, Aihara M, Horiguchi K, Yoshimoto Y: Growth of Primary and Remnant Vestibular Schwannomas: A Three-Year Follow-Up Study. World Neurosurg. 83:937-944, 2015

Tosaka M, Sato K, Amanuma M, Higuchi T, Arai M, Aishima K, Shimizu T, Horiguchi K, Sugawara K, Yoshimoto Y: Superficial siderosis of the central nervous system caused by hemorrhagic intraventricular craniopharyngioma: case report and literature review. Neurol Med Chir (Tokyo) 55:89-94, 2015

Ibe Y, Tosaka M, Horiguchi K, Sugawara K, Miyagishima T, Hirato M, Yoshimoto Y: Resection extent of the supplementary motor area and post-operative neurological deficits in glioma surgery. Br J Neurosurg. Jan 13:1-7. [Epub ahead of print], 2016

Torii S, Shintoku R, Kubota C, Yaegashi M, Torii R, Sasaki M, Suzuki T, Mori M, Yoshimoto Y, Takeuchi T, Yamada K: An essential role for functional lysosomes in ferroptosis of cancer cells.
Biochem J. 473:769-777, 2016

Yamaguchi R, Kohga H, Tosaka M, Sekine A, Mizushima K, Harigaya Y, Yoshimoto Y : A Case of Optic Neuritis Concomitant with Pituitary Tumor During Pregnancy. World Neurosurgery. Sep;93:488, 2016

Tanaka Y, Tosaka M, Fujimaki H, Honda F, Yoshimoto Y : Sex- and Age-Related Differences in the Clinical and Neuroimaging Characteristics of Patients With Spontaneous Intracranial Hypotension: A Records Review. Headache. Sep;56(8):1310-6, 2016

Aishima K, Shimizu T, Aihara M, Yoshimoto Y : Lifetime Effects of Small Unruptured Intracranial Aneurysms. World Neurosurg. Nov;95:434-440, 2016

Nakata S, Horiguchi K, Ishiuchi S, Yoshimoto Y, Yamada S, Nobusawa S, Ikota H, Hirato J, Yokoo H : A case of high-grade astrocytoma with BRAF and ATRX mutations following a long-standing course over two decades. Neuropathology. Feb 9, 2017

Horiguchi K, Tosaka M, Higuchi T, Arisaka Y, Sugawara K, Hirato J, Yokoo H, Tsushima Y, Yoshimoto Y : Clinical value of fluorine-18α-methyltyrosine PET in patients with gliomas: comparison with fluorine-18 fluorodeoxyglucose PET. EJNMMI Res. Dec;7(1):50, 2017

Tosaka M, Higuchi T, Horiguchi K, Osawa T, Arisaka Y, Fujita H, Tsushima Y, Yoshimoto Y : Preoperative Evaluation of Sellar and Parasellar Macro-lesions by Fluorine-18 Fluorodeoxyglucose Positron Emission Tomography. World Neurosurg. Apr 17, 2017

Osawa S, Kurachi M, Yamamoto H, Yoshimoto Y, Ishizaki Y : Fibronectin on extracellular vesicles from microvascular endothelial cells is involved in the vesicle uptake into oligodendrocyte precursor cells. Biochem Biophys Res Commun. 488(1):232-238, 2017

Aihara M, Naito I, Shimizu T, Matsumoto M, Asakura K, Miyamoto N, Yoshimoto Y:Predictive factors of medullary infarction after endovascular internal trapping using coils for vertebral artery dissecting aneurysms. J Neurosurg. 2018 Jul;129(1):107-113.

Shimauchi-Ohtaki H, Tosaka M, Ohtani T, Iijima K, Sasaguchi N, Kurihara H, Yoshimoto Y:Systemic metabolism and energy consumption after microsurgical clipping and endovascular coiling for aneurysmal subarachnoid hemorrhage. Acta Neurochir (Wien). 2018 Feb;160(2):261-268.

Shintoku R, Tosaka M, Shimizu T, Yoshimoto Y:Transcranial and Epidural Approach for Spontaneous Cerebrospinal Fluid Leakage Due to Meningoencephalocele of the Lateral Sphenoid Sinus. Asian J Neurosurg. 2018 Apr-Jun;13(2):462-464.

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History