No abstract available.
Brain Stem* ; Paresis* ; Tuberculosis*

Four members of a family suffering from frequent attacks of flaccid paralysis with asymptomatic myotonia were evaluated. There was an autosomal dominant pattern of inheritance and their earliest symptoms were noticed between 1-3 years of age. The plasma potassium level rised during the attack and an EMG demonstrated myotonic discharge. Treatment with acetazolamide was beneficial. These findings were consistent with adynamia episodica hereditaria. The clinical features and pathogenesis were also described.
Acetazolamide ; Humans ; Myotonia ; Paralysis ; Paralysis, Hyperkalemic Periodic* ; Plasma ; Potassium ; Wills

In 1910, Henri Meige described "spasme facial median", which a disorder characterized chiefly by symmetric dystonic spasm of the facial muscles. This dyskinesia is most commonly seen in middle aged or elderly women and consists primarily of blepharospasm with marked overflow into other facial movements. The cause of this disorder is obscure and there has been no consistent response to any particular treatment. With reviewing some of literatures, we present 3 cases of Meige's syndrome which is improved by pharmacotheraphy.
Aged ; Blepharospasm ; Dyskinesias ; Dystonia* ; Facial Muscles ; Female ; Humans ; Middle Aged ; Spasm

The authors reviewed the medical records of 20 patients who were diagnosed as brain tuberculoma at Severance Hospital from 1980 to 1984. The 20 patients were presumptive cases based on clinical, roentgenological or laboratory findings without histologic proof were used, exept one. All cases were Korean, onset was between 3 to 59 years of age and there was no sexual preponderance. The initial clinical features were seizure, symptoms and signs of increased intracranial pressure, focal neurological signs, etc. Although a definite diagnosis is often not possible on CT scan, the method is of value in determining number, location and extent of lesions and in evaluating the effectiveness of antituberculous therapy. Fourteen of our 20 patients had single tuberculoma, six had mutliple or miliary tuberculoma and 18 cases were located on the cerebrum, two on the brainstem.
Brain Stem ; Brain* ; Cerebrum ; Diagnosis ; Humans ; Intracranial Pressure ; Medical Records ; Seizures ; Tomography, X-Ray Computed ; Tuberculoma*

A clinical study was carried out in 15 patients with cryptococcosis who were seen at Severance Hospital from June, 1974 to September, 1983 and the following results were obtained. Age of patients ranged from 13/12 to 72 years (mean 23.9) with the peak incidence in child and adolescence. Common symptoms at admission were headache, fever, chilling etc. Initial impression at admission were Tbc. Meningitis, Aseptic Meningitis, Cryptococcal Meningitis, lymphoma and hepatitis etc. in that order. Involved organs were meninges in 14 patients (93.3%), lymphnodes 4 (26.6%), lung 2, liver 2, skin 1, Brain 1, adrenal gland 1. Variable findings were obtained in initial CSF study, but all cases except two were positive in initial CSF india ink preparation. In our study, the prognosis was better in patients without coexisting disease than with coexisting disease.
Adolescent ; Adrenal Glands ; Brain ; Child ; Cryptococcosis ; Fever ; Headache ; Hepatitis ; Humans ; Incidence ; India ; Ink ; Liver ; Lung ; Lymphoma ; Meninges ; Meningitis ; Meningitis, Aseptic ; Meningitis, Cryptococcal ; Prognosis ; Skin

This is a case report of the Roussy-Levy syndrome. The patient is a 22year-old male with with gait ataxia, pes cavus, tremor on both hands, dysequilibrium and peroneal muscular atrophy. On family history, his grandfather, father, aunt and younger brother were affected similar symptoms but slightly milder. Abnormal signs on neurologic examinotion were atropy by of both legs, high arched feet, decreased position and vibration sensation in both lower extremities, absent DTRs in all extremities, positive Romberg test on closed eyes and intention tremor of both hands. On EMG study, there is denervated potentials in tested muscles. On sensory nerve conduction velocity study, no potentials was appeared and on motor NCV, prolonged terminal latency (6.2-8.6 m/sec)and delayed NCV (31-36m/sec) were appeared. His symptoms have been slowly progressed and condition is relatively stable at present.
Charcot-Marie-Tooth Disease* ; Extremities ; Fathers ; Foot ; Foot Deformities ; Gait Ataxia ; Hand ; Humans ; Leg ; Lower Extremity ; Male ; Muscles ; Neural Conduction ; Sensation ; Siblings ; Tremor ; Vibration

No abstract available.
Dopamine* ; Parkinson Disease* ; Receptors, Dopamine*

Miller Fisher syndrome is a syndrome of acute external ophthalmoplegia, ataxia and areflexia without significant motor or sensory deficit in the limbs and usually results in complete recovery without specific treatment. It's accurate anatomic lesion sites and pathogeneiss is still unknown. Recently we experienced a 57 year old man who had the sudden onset of ophthalmoplegia, ataxia, areflexia and albuminocytologic dissociation in CSF and completely recovered 2 1/2 months later.
Ataxia* ; Extremities ; Humans ; Middle Aged ; Miller Fisher Syndrome* ; Ophthalmoplegia

Miller Fisher syndrome is a syndrome of acute external ophthalmoplegia, ataxia and areflexia without significant motor or sensory deficit in the limbs and usually results in complete recovery without specific treatment. It's accurate anatomic lesion sites and pathogeneiss is still unknown. Recently we experienced a 57 year old man who had the sudden onset of ophthalmoplegia, ataxia, areflexia and albuminocytologic dissociation in CSF and completely recovered 2 1/2 months later.
Ataxia* ; Extremities ; Humans ; Middle Aged ; Miller Fisher Syndrome* ; Ophthalmoplegia

No abstract available.
Carbon Monoxide Poisoning* ; Carbon Monoxide* ; Carbon* ; Chorea*