1.Unilateral periodic limb movements during sleep as a prodromal stroke symptom: A case report
Neurology Asia 2010;15(1):93-95
Periodic limb movements in sleep (PLMS) is characterized by recurrent episodes of repetitive,
stereotyped limb movements that occur during sleep. There have been a few reports on this condition
developing after a stroke, but the movements in these reports were not prodromal stroke symptoms.
We describe a case in which PLMS developed as a prodromal stroke symptom. A 78-year-old man
experienced right hemiplegia and dysarthria following left striatocapsular infarct. After acute care,
he was transferred to our center for rehabilitation. During rehabilitation, he complained of right-side
involuntary leg movements during sleep. According to his history, it had been developed 10 days
before the appearance of right hemiplegia. Polysomnography confi rmed the diagnosis of PLMS. We
propose that PLMS can be a prodromal stroke symptom resulting from a pyramidal tract lesion without
involvement of sensory components.
2.Observation on Usefulness of RF(Rheumatoid Factor) for Screening Test.
Kwang Seong KIM ; Jae Ho LEE ; Young Lae LEE ; Mi Ra CHUNG ; Sun Gyu KIM
Journal of the Korean Academy of Family Medicine 1991;12(4):33-37
No abstract available.
Mass Screening*
4.The changes in the Rate of C -Reactive Protein in Orthopaedic Surgery.
Kwang Soon SONG ; Chul Hyung KANG ; Byung Woo MIN ; Young Lae CHO
The Journal of the Korean Orthopaedic Association 1997;32(3):697-703
To define the effectiveness of C-reactive protein (CRP) as indicator for early detection of the post-operative infection, it is essential to exclude possible normal changes of CRP influenced by surgery itself. We analyzed 44 patients who had done orthopaedic surgeries without any evidence of infection preoperative and postoperatively from May to Aug. 1995 at Dongsan medical center, Keimyung University. We checked the levels of Erythrocyte sedimentation rate (ESR) and CRP levels at preoperative and postoperative 1, 3, 5, 7, 9, 11, 13, 15, 17, 19 and 21st day in all cases. In all cases, ESR increased up to 60mm/hr maximally and CRP increased to more than 10mg/dl at least one occasion within the first 3 weeks postoperatively. However CRP showed more rapid changes than ESR. The mean value of the CRP was increased maximally (7.2mg/dl) at 3 day after operation and then decreased rapid until 11 day. ESR was also increased at 3 day after operation, but it sustained high level until 21 day after operation. CRP appears to be more sensitive and rapid indicator as an acute phase reactant for the operation itself because CRP revealed more earlier and accentuated change after the operation. The changes of CRP showed same pattern regardless of operation time, use of tourniquet, use of transfusion and gender. In conclusion, within 3 day after operation, the high titer of CRP can not to be an indicator for early detection of the infection, because normal high titer can be developed by surgery itself. If there notes persistent high titer or more increasing pattern of CRP after postoperative 3 day or abnormal high titer of CRP after 11 day postoperatively, infection may be highly suspicious.
Blood Sedimentation
;
C-Reactive Protein
;
Humans
;
Tourniquets
5.Results of retreatment chemotherapy for intractable pulmonarytuberculosis patients.
Young Lae LEE ; Kwang Seung KIM ; Jae Ho LEE ; Seung Guen BAE ; Seun Keu KIM
Journal of the Korean Academy of Family Medicine 1991;12(1):71-79
No abstract available.
Drug Therapy*
;
Humans
;
Retreatment*
6.Cyclic Vomiting Syndrome Developed after Stroke.
Annals of Rehabilitation Medicine 2012;36(1):141-143
Cyclic vomiting syndrome is characterized by recurrent episodes of stereotyped vomiting separated by regular symptom-free periods. We describe a case of cyclic vomiting syndrome developed after stroke, which has not been reported to date. A 69-year-old woman experienced recurrent vomiting following left cerebral infarct. The patient's vomiting pattern was consistent with cyclic vomiting syndrome, and the diagnosis of cyclic vomiting syndrome was established by exclusion of other known disorders which could have resulted in vomiting. She was treated with imipramine hydrochloride and her symptom was well controlled.
Aged
;
Female
;
Humans
;
Imipramine
;
Stroke
;
Vomiting
7.Clinical Analysis of Surgical Geriatric Patients over 65 Years of Age.
Seong Lae CHO ; Jae Won BAEK ; Eak Ryong LEE ; Mun Gyu PARK
Journal of the Korean Surgical Society 1999;56(2):285-293
BACKGROUND: Advanced age alone should not be a serious deterrent to surgery. Preoperative evaluation of concomitant illness, operation time, accurate and minimal, but adequate surgery will serve to minimize morbidity and mortality in elderly patients. METHODS: The total number of surgical patients admitted to Kwang Hye Hospital, Pusan, from March 1994 to August 1996 was 3211, and the number of surgical geriatric patients admitted during the same period was 214. Operations were performed on 139 patients. We recorded information about age, sex, anesthesia type, operation time, non malignancy vs malignancy, emergency vs elective "Surgery", coexisting disease, and APACHE II score, and we examined the patients for results affecting postoperative morbidity and mortality. RESULTS: Postoperative complications occured in 55 cases (39.6%), and the operative mortality was 2.2%. The significant factors affecting postoperative morbidity were emergency operation, malignancy and APACHE II score. The operation time and coexisting diseases were not significant. Age had little effect on the postoperative prognosis CONCLUSIONS: Performance of elective surgery and preoperative evaluation of the APACHE II score are important factors.
Aged
;
Anesthesia
;
APACHE
;
Busan
;
Emergencies
;
Humans
;
Mortality
;
Postoperative Complications
;
Prognosis
8.Pusher syndrome improved by secondary newly developed stroke
Keun LEE ; Yong Hun PEE ; Il-Tae JANG ; Kwang Lae LEE
Neurology Asia 2018;23(1):89-91
Pusher syndrome is a neurological disorder where the patient actively pushes away from the non-hemiparetic side following brain damage. We experienced a case in whom intractable pusher syndrome associated with thalamic hemorrhage improved following a newly developed pontine infarction. A 63-year-old man showed severe pusher syndrome after an initial thalamic hemorrhage. After approximately 2 years, a pontine infarction developed and improved the persistent pusher syndrome. We postulate that it resulted from involvement of the medial lemniscus with interruption of the distorted upward proprioceptive signal of body orientation.
9.Transient paralysis by loculation of the injectant associated with epidural injection
Keun LEE ; Yong Hun PEE ; Il-Tae JANG ; Kwang Lae LEE
Neurology Asia 2018;23(1):93-95
Transient paralysis occasionally occurs after an epidural injection, but the reasons for this are still unknown. We present here a patient with transient paralysis following loculation of the injectant associated with the procedure. A 50-year-old woman with a history of two previous spinal operations complained of a burning sensation and radiating pain. A caudal block and right S1 transforaminal epidural block were performed. Loculation of the block injectant into the right L5 and S1 epidural space was confirmed through computed topographic imaging. She showed transient weakness of the right lower limb, which completely recovered after 1 day. This case shows that extra care should be taken when performing an epidural injection in a patient with adhesions around the injection site and appropriate adjustments should be made to the volume of the injectant.
10.The Time and Effect of Hypothermia in Early Stage of the Reversible Cerebral Focal Ischemic Model of Rat.
Byung Yon CHOI ; Byung Woo JUNG ; Kwang Chul SONG ; Jin Han PARK ; Seong Ho KIM ; Jang Ho BAE ; Oh Lyong KIM ; Soo Ho CHO ; Seung Lae KIM
Journal of Korean Neurosurgical Society 2000;29(2):167-179
No abstract available.
Animals
;
Hypothermia*
;
Rats*