Fisher syndrome is characterized by ophthalmoplegia, ataxia and areflexia after preceding infection. The ophthalmoplegic symptom is described in a volume of Yomeibyo of the Shokan Ron, the classic Chinese encyclopedia of medical treatment. The Shokan Ron recommends Dai-joki-to as a treatment for this symptom. Accordingly, we administered Dai-joki-to to one patient diagnosed with atypical Fisher syndrome. The result was a prompt reduction of the ophthalmoplegic symptom in the patient. As Fisher syndrome is not a critical disease, Dai-joki-to administration should be considered as an alternative treatment to plasmapheresis.

Over the past 10 months, we have performed mass screenings for thyroid diseases on the inhabitants of Aizu, Fukushima Prefecture, in cooperation with the women's department of the local agricultural cooperative. The number of examinees so far has reached a total of 2, 481 persons-2, 025 women and 456 men.
By palpation, goiter has been found in 208 (8.4%) persons-204 women and 4 men. The detection ratio was low when compared with the percentage recorded in Kamaishi, and higher than those in Kofu and Chiba.
Out of the 208 persons, 152 men and women underwent further examination, with the result that simple goiter was found in 35 persons; subacute thyroiditis in one person; chronic thyroiditis in 44; Basedow's disease in 8; and nodular goiter in 64.
Aizu stood highest next only to Kamaishi on the list in the chronic thyroiditis detection ratio. Kofu and Chiba followed in that order. As regards adenoma and adenomatous goiter in the thyroid grand, Aizu was on a par with Kamaishi, outdistancing Kofu and Chiba. Thyroid cancer was found less in Aizu than in Kamaishi and Kofu, but more or less at the same ratio with Chiba. As for Basedow's disease, Aizu ranked first.

Objective : Blunt aortic injury often accompanies other organ injuries, and therefore requires an appropriate lifesaving surgical strategy. Patients : During the past 8 years, blunt aortic injury was reviewed, based on 5 lifesaving cases experienced in our hospital. There were 3 men and 2 women (aged 57-70, average 64.2). The Injury Severity Scores were 13-25 (an average of 17.2). Intervention : Regarding our strategy, stabilization of vital signs should be at first aimed by intensive primary care, concomitantly with diagnostic procedures. When stabilization of vital signs is obtained, a delayed operation would be considered after damage control resuscitation. As for 3 of these 5 cases, an emergency surgery was performed because of distinct aortic hemorrhage with instability of vital signs, and stent graft repair was applied based on anatomical indication in two cases. In the other 2 cases, primary diagnosis suggested aortic injury by the bone fracture pieces. Damage control was conducted following stabilization of vital signs, and delayed surgery was done with removal of the bone fracture pieces and repair of aortic injury, which improved activities of daily living. Results : All cases recovered with no particular complication, and were discharged on 9-32 days average postoperatively. Conclusion : Blunt aortic injury is often fatal, but the appropriate diagnosis and treatment can play an important role in obtaining the good results.