Anti-Aquaporin-4 Antibody-Positive Neuromyelitis Optica Presenting with Syndrome of Inappropriate Antidiuretic Hormone Secretion as an Initial Manifestation

The distribution of neuromyelitis optica (NMO)-characteristic brain lesions corresponds to sites of high aquaporin-4 (AQP4) expression, and the brainstem and hypothalamus lesions that express high levels of AQP4 protein are relatively characteristic of NMO. The syndrome of inappropriate antidiuretic hormone secretion (SIADH) is one of the important causes of hyponatremia and results from an abnormal production or sustained secretion of antidiuretic hormone (ADH). SIADH has been associated with many clinical states or syndromes, and the hypothalamic-neurohypophyseal system regulates the feedback control system for ADH secretion. We report the case of a 63-year-old man with NMO, whose initial manifestation was hyponatremia caused by SIADH. Retrospective analysis revealed that the serum anti-AQP4 antibody was positive, and an MRI scan showed a unilateral lesion in the hypothalamus. SIADH recovered completely with regression of the hypothalamic lesion. As such, NMO should even be considered in patients who develop SIADH and have no optic nerve or spinal cord lesions but have MRI-documented hypothalamic lesions

A characterization of compact complex tori via automorphism groups

We show that a compact Kaehler manifold X is a complex torus if both the continuous part and discrete part of some automorphism group G of X are infinite groups, unless X is bimeromorphic to a non-trivial G-equivariant fibration. Some applications to dynamics are given.Comment: title changed, to appear in Math. An

A theorem of Tits type for compact Kahler manifolds

We prove a theorem of Tits type about automorphism groups for compact Kahler manifolds, which has been conjectured in the paper [KOZ].Comment: Inventiones Mathematicae (to appear), 11 page

Structure and physical properties of Na4C60 under ambient and high pressures

The structure and physical properties of two-dimensional polymeric Na4C60 (body-centered monoclinic, space group I2/m) are studied in a wide temperature region from 12 to 300 K at 1 bar, and in a pressure region up to 53 kbar at 300 K. The temperature dependence of lattice constants suggests a structural anomaly below 100 K where the variation of spin susceptibility is observed from electron spin resonance. The thermal expansion of the unit-cell volume V is smaller than that of monomeric Rb3C60 and K3C60. The compressibility of c is larger than that of a and b, which can be well explained by the repulsion between Na ions. The compressibility of the center-to-center distance in the (10(1) over bar) plane is similar to1/3 times smaller that that in the (101) plane, which can be well explained by the formation of the polymer chains. Further, a possibility of a three-dimensional polymerization is discussed on the basis of the pressure dependence of C-60. . .C-60 distances.</p

Metal-insulator transition at 50 K in Na2C60

Temperature dependence of electron spin resonance in Na2C60 was studied in a temperature range from 2 to 350 K. It was shown that Na2C60 was metallic above 50 K and had a metal-insulator transition at 50 K. The center frequency for the Hg(2) Raman mode in Na2C60 at 298 K was close to those in the metallic Rb3C60, K3C60, and Cs3C60, while the linewidth was close to that in the metallic but nonsuperconducting Cs3C60. The Hg(2) mode showed a large blueshift and narrowing at 50 K. The center frequency and the linewidth in the low-temperature region from 50 K were almost the same as those in the insulating C-60 and Rb6C60, which showed the metal-insulator transition at 50 K in Na2C60. The origin of this metal-insulator transition was discussed in terms of the electron-phonon interaction (Jahn-Teller effect) and the electron-electron interaction (Mott-Hubbard picture). [S0163-1829(99)04123-5].</p