1.Effective blood transfusion for the symptomatic restless legs syndrome by anemia in the terminal stage of cancer: a case report
Hideaki Hasuo ; Tatsuhiko Ishihara ; Naoko Hata ; Mika Saigusa ; Midori Okada ; Hideyuki Kimura
Palliative Care Research 2011;6(2):344-349
We experienced a case in which a blood transfusion proved to be effective for the treatment of symptomatic restless legs syndrome that occurred in a patient demonstrating terminal stage cancer with iron-deficiency anemia due to hemorrhaging as a result of carcinomatous peritonitis. The patient was a female in her seventies who suffered from hepatocellular carcinoma. After undergoing blood transfusion, the symptoms of discomfort in her lower limbs dramatically improved. It was thought that it was expected the symptomatic restless leg syndrome was frequently amalgamated, and a positive diagnosis and appropriate treatment were necessary in the terminal stage of cancer. Palliat Care Res 2011; 6(2): 344-349
2.Effective acetazolamide for the symptoms of increased intracranial pressure due to carcinomatous meningitis: a case report
Mika Saigusa ; Tatsuhiko Ishihara ; Junko Uemoto ; Naoko Hata ; Hideaki Hasuo ; Midori Okada ; Hideyuki Kimura
Palliative Care Research 2013;8(2):544-547
Introduction: We experienced a case in which acetazolamide proved to be effective for the symptoms of increased intracranial pressure due to carcinomatous meningitis. Case: The patient was a male in his fifties who was diagnosed lung adenocarcinoma. He was suffered from headache and vomiting due to carcinomatous meningitis after his admission to our palliative care unit, so he was prescribed steroids and a glycerin infusion. But only morning headache remained, and we added acetazolamide 500 mg per day and his morning headache improved. Conclusion: This morning headache is thought to reflect exacerbation of raised intracranial pressure through nocturnal hypoventilation with a rise in PaCO2, so it was thought that acetazolamide decreased PaCO2 and relieved morning headache.