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Our Expectations of and Participation in Neuropathology: From the Field of Clinical Neurology
Author(s) -
Tanabe Hitosi
Publication year - 1993
Publication title -
neuropathology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.701
H-Index - 61
eISSN - 1440-1789
pISSN - 0919-6544
DOI - 10.1111/j.1440-1789.1993.tb00195.x
Subject(s) - neuropathology , autopsy , neurology , disease , medicine , amyotrophic lateral sclerosis , pathological , atrophy , pathology , pediatrics , psychiatry , neuroscience , psychology
In this special lecture at the 34th Annual Meeting of the Japanese Society of Neuropathology, the author expressed his respect for and expectation of neuropathology from the field of clinical neurology. For the bases of the conclusion in this study, following details were presented in five parts. 1)The author's initial neurological autopsy case of Wallenberg syndrome was described, and the results of further studies on some basic problems arisen from this case were also shown. 2)Statistical studies on the autopsy ratio revealed gradual decrease in every field. and reasons for this undeniable fact and plans of the amelioration were discussed. 3)The clinical diagnosis and therapeutic effects were reevaluated on 399 autopsy cases in our Hospital, and the clinicopathological discrepancies in diagnosis were classified into three types. The results of further investigations were presented here mainly in disease groups with pathological diagnosis of Parkinson disease, amyotrophic lateral sclerosis, spinocerebellar degenerations, multiple system atrophy, Creutzfeldt‐Jakob disease and Alzheimer disease. 4)On the bases of 2,130 cases of muscle biopsy and 415 cases of sural nerve biopsy, the guide manuals was proposed for improved methods, for the study of specimens, and for diagnostic contribution. 5)The research project teams for neuropathology have successively been organized in our hospital. The results on various degenerative disease groups were presented. With this presentation, the author emphasized the importance of sustained participation in clinicopathological work and of reciprocal communication between the two disciplines.