1.Biballism Presenting with Unilateral Basal Ganglia Lacunar Infarction in the Diabetic Patient.
Moon Ku HAN ; Sang Soo LEE ; Seol Heul HAN
Journal of the Korean Neurological Association 1996;14(4):1072-1075
Biballism is an infrequent hyperkinetic disorder characterized by always ceaseless, repetitive, complex, violent involuntary movement involving proximal muscles. Biballism is classically ascribed to ischemic stroke in the subthalamic nucleus or its connections but other causes (infection, toxin, systemic disease) have been reported. Potential pathogenic mechanism include relative dopamlnergic hypersensitivity associated with basal ganglia lesion, impaired synthesis of acetylcholine or aminobutyric acid or undefined effect of hyperosmolarity. We report a case of biballism occurred due to a infarction of left basal ganglia and nonketotic hyperglycemia.
Acetylcholine
;
Aminobutyrates
;
Basal Ganglia*
;
Dyskinesias
;
Humans
;
Hyperglycemia
;
Hypersensitivity
;
Infarction
;
Muscles
;
Stroke
;
Stroke, Lacunar*
;
Subthalamic Nucleus
2.Herper Zoster Myelitis Confirmed by Detection of Varicell-zoster Virus DNA Using the Polymerase Chain Reaction.
Moon Ku HAN ; Sang Soo LEE ; Seol Heul HAN
Journal of the Korean Neurological Association 1996;14(4):1067-1071
We report a case of progressive myelopathy following herpes zoster skin eruption In adult. Varicella-zoster virus (VZV) myelopathy was diagnosed based on the close temporal relationship between rash and onset of myelopathy, and confirmed by demonstrating the presence of varicella-zoster virus DNA in the cerebral spinal fluid (CSF) by amplification using the polymerase chain reaction (PCR). The patient was treated with intravenous acyclovir, and strength, sensation, sphincter function improved within 2 weeks. Detection of VZV DNA in CSF was useful for diagnosis and a role of virus In the pathogenesis of myelopathy. The clinical Improvement suggests that early therapy with an effective antiviral drug was beneficial.
Acyclovir
;
Adult
;
Diagnosis
;
DNA*
;
Exanthema
;
Herpes Zoster*
;
Herpesvirus 3, Human
;
Humans
;
Myelitis*
;
Polymerase Chain Reaction*
;
Secondary Prevention
;
Sensation
;
Skin
;
Spinal Cord Diseases
3.Biballism Presenting with Unilateral Basal Ganglia Lacunar Infarction in the Diabetic Patient.
Moon Ku HAN ; Sang Soo LEE ; Seol Heul HAN
Journal of the Korean Neurological Association 1996;14(4):1072-1075
Biballism is an infrequent hyperkinetic disorder characterized by always ceaseless, repetitive, complex, violent involuntary movement involving proximal muscles. Biballism is classically ascribed to ischemic stroke in the subthalamic nucleus or its connections but other causes (infection, toxin, systemic disease) have been reported. Potential pathogenic mechanism include relative dopamlnergic hypersensitivity associated with basal ganglia lesion, impaired synthesis of acetylcholine or aminobutyric acid or undefined effect of hyperosmolarity. We report a case of biballism occurred due to a infarction of left basal ganglia and nonketotic hyperglycemia.
Acetylcholine
;
Aminobutyrates
;
Basal Ganglia*
;
Dyskinesias
;
Humans
;
Hyperglycemia
;
Hypersensitivity
;
Infarction
;
Muscles
;
Stroke
;
Stroke, Lacunar*
;
Subthalamic Nucleus
4.Herper Zoster Myelitis Confirmed by Detection of Varicell-zoster Virus DNA Using the Polymerase Chain Reaction.
Moon Ku HAN ; Sang Soo LEE ; Seol Heul HAN
Journal of the Korean Neurological Association 1996;14(4):1067-1071
We report a case of progressive myelopathy following herpes zoster skin eruption In adult. Varicella-zoster virus (VZV) myelopathy was diagnosed based on the close temporal relationship between rash and onset of myelopathy, and confirmed by demonstrating the presence of varicella-zoster virus DNA in the cerebral spinal fluid (CSF) by amplification using the polymerase chain reaction (PCR). The patient was treated with intravenous acyclovir, and strength, sensation, sphincter function improved within 2 weeks. Detection of VZV DNA in CSF was useful for diagnosis and a role of virus In the pathogenesis of myelopathy. The clinical Improvement suggests that early therapy with an effective antiviral drug was beneficial.
Acyclovir
;
Adult
;
Diagnosis
;
DNA*
;
Exanthema
;
Herpes Zoster*
;
Herpesvirus 3, Human
;
Humans
;
Myelitis*
;
Polymerase Chain Reaction*
;
Secondary Prevention
;
Sensation
;
Skin
;
Spinal Cord Diseases