1.Bilateral Paramedian Thalamic Infarction due to Occlusion of Artery of Percheron.
Sun Woo PARK ; Sook Keun SONG ; Sa Yoon KANG ; Ji Hoon KANG ; Jung Seok LEE
Journal of the Korean Neurological Association 2013;31(3):189-191
The thalamic vascular supply is categorized into the anterior, paramedian, inferolateral, and posterior territories. The artery of Percheron (AOP), a solitary trunk that is an uncommon anatomic variant, provides bilateral arterial supply to the paramedian thalami and the rostral midbrain. Occlusion of this artery results in bilateral thalamic and mesencephalic infarctions. The case described herein is of a patient with AOP who presented with the sudden onset of lethargy.
Arteries
;
Humans
;
Infarction
;
Lethargy
;
Mesencephalon
;
Thalamus
2.Bilateral Paramedian Thalamic Infarction due to Occlusion of Artery of Percheron.
Sun Woo PARK ; Sook Keun SONG ; Sa Yoon KANG ; Ji Hoon KANG ; Jung Seok LEE
Journal of the Korean Neurological Association 2013;31(3):189-191
The thalamic vascular supply is categorized into the anterior, paramedian, inferolateral, and posterior territories. The artery of Percheron (AOP), a solitary trunk that is an uncommon anatomic variant, provides bilateral arterial supply to the paramedian thalami and the rostral midbrain. Occlusion of this artery results in bilateral thalamic and mesencephalic infarctions. The case described herein is of a patient with AOP who presented with the sudden onset of lethargy.
Arteries
;
Humans
;
Infarction
;
Lethargy
;
Mesencephalon
;
Thalamus
3.A Case of Adrenocortical Insufficiency(hypoaldosteronism).
So Kyung PARK ; Seung Ju LEE ; Keun LEE ; Duk Hee KIM
Journal of the Korean Pediatric Society 1980;23(9):741-747
A case of isolated hypoaldosteronism 5 month old male infant was presented. He was admitted to the pediatric ward with the chief complants of frequent vomiting, dehydration, lethargy and failure to thrive. The diagnosis was established by salt-losing manifestation, laboratory fiding and good response after salt-retaining steroid therapy. A brief review of related literatures were also presented.
Dehydration
;
Diagnosis
;
Failure to Thrive
;
Humans
;
Hypoaldosteronism
;
Infant
;
Lethargy
;
Male
;
Vomiting
4.Desmoplastic Cerebral Astrocytoma of Infancy.
Gyeong Bum KIM ; Jae Taeck HUH ; Young Jin SONG ; Hea Kyoung HUH ; Seo Hee RHA ; Jin Sook JEONG ; Sun Seob CHOI
Journal of Korean Neurosurgical Society 1998;27(12):1716-1722
Desmoplastic cerebral astrocytoma of infancy is a massive cystic tumor, typically occurring in the cerebral hemisphere and a rare intracranial tumor that arises in subjects usually below the age of 18 months and shows a favorable prognosis. A 5.5-month-old boy was presented with a rapidly increasing head circumference and lethargy. A computerized tomography scan revealed a large, multicystic, partially enhancing right parieto-occipital mass with hydrocephalus. This patient was treated with a surgery and a firm plaque-like tumor along withmulticystic component was gross totally removed. The tumor mass was firmly attached to the dura and extended in fingerlike projections onto the cortical surface. The infant underwent no further therapy and has developed normally during 6 months after surgery. Desmoplastic cerebral astrocytoma of infancy is a rare intracranial tumor but recognition of this tumor should be appreciated because, despite its massive size and rapidly growing characterstics, this tumor often has a relatively benign clinical course.
Astrocytoma*
;
Cerebrum
;
Head
;
Humans
;
Hydrocephalus
;
Infant
;
Lethargy
;
Male
;
Prognosis
5.Kidney Transplant Patient with a Facial Redness.
Jong Hwan JUNG ; Jin Won JANG ; Jin Han LIM ; Ja Yeon LEE ; Sik LEE ; Hee Chul YU ; Hong Pil HWANG ; Sung Kwang PARK
The Journal of the Korean Society for Transplantation 2015;29(4):238-241
Posttransplant erythrocytosis (PTE) is a common complication of renal transplantation, which can occur in approximately 10% to 15% of renal transplant patients and usually affects males with relatively good renal function. It is also associated with an increased incidence of thromboembolic events. Clinical manifestations of PTE include malaise, headache, plethora, lethargy, and dizziness. It is correlated with use of cyclosporin, gender, posttransplant renal function, and type of antihypertensive medication. The angiotensin receptor blocker (ARB) or angiotensin-converting enzyme inhibitor is preferred as an initial treatment for PTE because these agents are effective and reasonably safe in the majority of patients with PTE, and can also provide a necessary antihypertensive effect for kidney transplant patients. We report here on a 35-year-old male who had erythrocytosis after renal transplantation. After renal transplantation, his level of hemoglobin was 21 g/dL. We treated this patient with ARB and his symptoms and signs have been completely relieved.
Adult
;
Angiotensin Receptor Antagonists
;
Angiotensins
;
Cyclosporine
;
Dizziness
;
Headache
;
Humans
;
Incidence
;
Kidney Transplantation
;
Kidney*
;
Lethargy
;
Male
;
Polycythemia
6.Symptomatic Hyponatremia Induced by Oxcarbazepine: 2 Cases .
Sang Ahm LEE ; Soon Keum LEE ; Joong Koo KANG
Journal of Korean Epilepsy Society 2001;5(1):79-81
Although oxcarbazepine (OXC)-induced hyponatremia is usually asymptomatic, it can lead to serious complications. We reports two cases of symptomatic hyponatremia induced by OXC. First case was 39-year-old female with partial epilepsy who developed the exceeding tiredness, headache, and seizures under OXC with a serum sodium level of 121 mEq/L. After the discontinuation of OXC, serum sodium was normalized and the clinical symptoms disappeared. Second case was 48-year-old female with partial epilepsy who complained of the fluctuating tiredness and fatigability, and then eventually developed seizures after OXC was increased in dosage. At that time, serum sodium was 121 mEq/L. She remained asymptomatic with normal level of serum sodium even if OXC was maintained with topiramate. Our cases may suggest that symptomatic hyponatremia is not rare unlike the results from previous studies. Therefore, clinician should be alert to mild symptoms such as headache, lethargy, and tiredness in patients treated with OXC.
Adult
;
Epilepsies, Partial
;
Female
;
Headache
;
Humans
;
Hyponatremia*
;
Lethargy
;
Middle Aged
;
Seizures
;
Sodium
7.Acute Paraplegia as the Initial Symptom of Acute Leukemia.
Hak Lim SONG ; Chong Hyo CHO ; Myong Sun MOON
Journal of Korean Neurosurgical Society 1974;3(1):73-76
Metastatic involvement of the central nervous system during the course of leukemia is an increasingly frequent occurrence because of the longer survival time brought about by the efficacious cytotoxic therapy available today. The onset of acute leukemia may be abrupt with a great variety of clinical manifestations. Most commonly, such as vomiting, headache, papilledema, lethargy and vertigo, are referable to increased intracranial pressure caused by infiltration of the cortex and meninges. The acute paraplegia as the initial symptom of acute leukemia is very rare. A case in which acute paraplegia occurred as the initial symptom of acute leukemia in a 15-year-old boy is reported.
Adolescent
;
Central Nervous System
;
Headache
;
Humans
;
Intracranial Pressure
;
Lethargy
;
Leukemia*
;
Male
;
Meninges
;
Papilledema
;
Paraplegia*
;
Vertigo
;
Vomiting
8.Acute Paraplegia as the Initial Symptom of Acute Leukemia.
Hak Lim SONG ; Chong Hyo CHO ; Myong Sun MOON
Journal of Korean Neurosurgical Society 1974;3(1):73-76
Metastatic involvement of the central nervous system during the course of leukemia is an increasingly frequent occurrence because of the longer survival time brought about by the efficacious cytotoxic therapy available today. The onset of acute leukemia may be abrupt with a great variety of clinical manifestations. Most commonly, such as vomiting, headache, papilledema, lethargy and vertigo, are referable to increased intracranial pressure caused by infiltration of the cortex and meninges. The acute paraplegia as the initial symptom of acute leukemia is very rare. A case in which acute paraplegia occurred as the initial symptom of acute leukemia in a 15-year-old boy is reported.
Adolescent
;
Central Nervous System
;
Headache
;
Humans
;
Intracranial Pressure
;
Lethargy
;
Leukemia*
;
Male
;
Meninges
;
Papilledema
;
Paraplegia*
;
Vertigo
;
Vomiting
9.Isovaleric Acidemia in Siblings Diagnosed by Organic Acid Analysis.
Kyung Soo CHEON ; Dong Hwan LEE
Journal of the Korean Pediatric Society 2000;43(6):828-831
Isovaleric acidemia is an inborn error in metabolism due to a defect in isovaleryl-CoA dehydrogenase. Accumulation of serum isovaleric acid causes poor feeding, vomiting, lethargy, hypothermia, convulsion, mental retardation, etc. It is inherited as an autosomal recessive trait. Since the first reports of isovaleric acidemia by Tanaka et al in 1966, more than 60 cases have been reported. There are two clinically different presentations of isovaleric acidemia, with about half the patients presenting with an acute severe neonatal form and about half with a chronic intermittent forrn. The difference in clinical presentation may not be a consequence of differing severities of the causative mutation, but a result of the timing of application of catabolic stress or the ability to form isovalerylglycine. We described here clinical and organic acid analytical findings of brothers with chronic intermittent form of isovaleric acidemia. (J Korean Pediatr Soc 2000;43:828-831)
Humans
;
Hypothermia
;
Intellectual Disability
;
Isovaleryl-CoA Dehydrogenase
;
Lethargy
;
Metabolism
;
Seizures
;
Siblings*
;
Vomiting
10.A Preliminary Study for the Rating of Pharmacological Effect with Aberrant Behavior Checklist in Children with Autistic Disorder.
Duk Soo MOON ; Un Sun CHUNG ; Sung Hoon JUNG ; Ah Rang CHO ; Geon Ho BAHN
Journal of the Korean Academy of Child and Adolescent Psychiatry 2013;24(3):164-169
OBJECTIVES: We assessed the availability of Aberrant Behavior Checklist (ABC) for the evaluation of the pharmacological effect in autistic disorder. METHODS: A retrospective review of the medical records of 27 children with autistic disorder, who visited the department of child and adolescent psychiatry of Kyungpook National University Hospital, from October 2011 to February 2013, was conducted. After treatment with risperidone, changes in the severity and improvement of symptoms were measured using ABC at the baseline, 2nd visit and 3rd visit, respectively. RESULTS: The mean daily dose of risperidone increased from 0.66+/-0.27mg (baseline, initial dose) to 1.02+/-0.50mg, 2nd visit, and 1.19+/-0.50mg, 3rd visit. According to ABC, irritability, lethargy, hyperactivity, and inappropriate speech subscale scores decreased significantly from the baseline to 2nd visit. Irritability and Hyperactivity subscale scores decreased significantly from the 2nd to 3rd visit. All subscales and total scores of ABC decreased significantly from the baseline to 3rd visit. CONCLUSION: The results of this study suggest that ABC can be used as an efficient tool to measure the symptoms of autistic disorder and to evaluate the medication effect on continuous treatment.
Adolescent
;
Adolescent Psychiatry
;
Autistic Disorder*
;
Checklist*
;
Child*
;
Humans
;
Lethargy
;
Medical Records
;
Retrospective Studies
;
Risperidone