1.Reversible Cerebral Vasoconstriction Syndrome Induced by Blood Transfusion
Yoon Kyung LEE ; Byeol-A YOON ; Dae-Hyun KIM
Journal of the Korean Neurological Association 2020;38(4):286-288
Reversible cerebral vasoconstriction syndrome (RCVS) is characterized by thunderclap headache with reversible vasoconstriction of the cerebral arteries. RCVS has been reported to occur in various clinical settings. However, RCVS triggered by blood transfusion is rare. A 50-year-old woman had severe anemia and received multiple blood transfusions. She developed thunderclap headache after transfusion. Cerebral artery vasoconstrictions were demonstrated by magnetic resonance angiography and transfemoral cerebral angiography. RCVS might be triggered by red blood cell transfusion in patients with severe anemia.
3.A Case of Man-in-the-Barrel Syndrome Induced by Cervical Spinal Cord Ischemia.
Byeol A YOON ; Jong Juk KIM ; Dong Ho HA
Korean Journal of Clinical Neurophysiology 2013;15(2):59-62
Man-in-the-barrel syndrome (MIBS) is a clinical syndrome of bilateral upper limb weakness with normal lower extremity function. It can be caused by various neurological conditions such as bilateral cerebral hypoperfusion, syringomyelia, motor neuron disease, or cervical myelopathies. We report a patient with MIBS after cervical spinal cord ischemia. It is postulated to be caused by ischemic insults of anterior spinal artery from repeated and prolonged neck extension.
Arteries
;
Humans
;
Lower Extremity
;
Motor Neuron Disease
;
Neck
;
Spinal Cord Diseases
;
Spinal Cord Ischemia*
;
Spinal Cord*
;
Syringomyelia
;
Upper Extremity
4.Cerebral Venous Thrombosis Presenting as Rapid Decline of Cognitive Function in Patient With Alzheimer's Disease.
Sung Jae KIM ; Byeol A YOON ; Sunseob CHOI ; Kyung Won PARK
Journal of the Korean Neurological Association 2013;31(1):74-76
No abstract available.
Alzheimer Disease
;
Dementia
;
Humans
;
Venous Thrombosis
5.Diabetic Amyotrophy Showing a Lesion in Lumbar Plexus MRI.
Byeol A YOON ; Dong Hyun SHIM ; Dong Ho HA ; Jong Kuk KIM
Journal of the Korean Neurological Association 2016;34(2):165-166
No abstract available.
Diabetic Neuropathies*
;
Lumbosacral Plexus*
;
Magnetic Resonance Imaging*
6.Reversible Delayed Hypoxic Encephalopathy Showing Marked Improvement With Serial Brain MRI.
Junho LIM ; Byeol A YOON ; Kyung Won PARK
Journal of the Korean Neurological Association 2014;32(2):124-125
No abstract available.
Brain*
;
Hypoxia, Brain*
;
Magnetic Resonance Imaging*
7.Recent Concepts of Guillain-Barré Syndrome
Byeol A YOON ; Jong Seok BAE ; Jong Kuk KIM
Journal of the Korean Neurological Association 2019;37(1):8-19
Guillain-Barré syndrome (GBS) is a representative form of post-infectious autoimmune neuropathy with heterogenous manifestations. It was originally considered as an ascending demyelinating polyneuropathy in Western countries. However, the discovery of anti-ganglioside antibodies on the basis of molecular mimicry theory could help us better understand various kinds of focal and regional variants as well as axonal type of GBS those were frequently found from Asian countries. Recent development of new techniques about anti-ganglioside complex antibodies is making more detailed descriptions for specific or unusual clinical manifestations. It has been regarded that GBS has good prognosis if treated properly as early as possible, but it still shows high mortality and morbidity rate with frequent long term neurologic and medical complications. Unfortunately, there are only two options for medical treatment, intravenous immunoglobulin and plasmapheresis, for the last 100 years. Several clinical studies on new immunotherapy targeting complement activating system with background of molecular mimicry using animal model are underway. We hope that these new treatments will be helpful for the future patients.
Antibodies
;
Asian Continental Ancestry Group
;
Axons
;
Complement System Proteins
;
Gangliosides
;
Guillain-Barre Syndrome
;
Hope
;
Humans
;
Immunoglobulins
;
Immunotherapy
;
Miller Fisher Syndrome
;
Models, Animal
;
Molecular Mimicry
;
Mortality
;
Plasmapheresis
;
Polyneuropathies
;
Prognosis
8.Magnetic Resonance Image Findings of Cerebral Amyloid Angiopathy Related Inflammation
Byeol A YOON ; Kyung Won PARK ; Sang Myung CHEON
Journal of the Korean Neurological Association 2019;37(4):438-439
No abstract available.
Cerebral Amyloid Angiopathy
;
Inflammation
10.Acute Autonomic and Sensory Neuropathy in a Patient with Atypical Stepwise Progression
Ga Yeon KIM ; Bo Ra KIM ; Jong Kuk KIM ; Byeol-A YOON
Journal of the Korean Neurological Association 2021;39(4):347-350
Acute autonomic and sensory neuropathy (AASN) is very rare immune mediated neuropathy characterized by prominent dysautonomia and sensory involvement without motor weakness. Most of AASN patients have a rapid onset reaching its worst within four weeks like Guillain-Barré syndrome. The treatment response is variable. Recently, we experienced a patient diagnosed as AASN with progressive autonomic and sensory symptoms more than 1 year, and showed good response in immunotherapy.