Proatlantal Intersegmental Artery Type II Observed in a Patient with Locked-in Syndrome.
Journal of the Korean Neurological Association.2002;20(1):97-99.
Journal of the Korean Neurological Association
to Present ISSN: 1225-7044
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A Case of Hypothyroid Myopathy due to Hashimoto's Thyroiditis.
Journal of the Korean Neurological Association.2002;20(1):93-96.
A 59-year-old man was admitted because of progressive proximal muscle weakness over 4 months. Serum creatine kinase was markedly increased and electromyography revealed myopathic pattern. Muscle biopsy showed nonspecific myopathic changes. No inflammatory change was shown. Thyroid function tests revealed very low thyroxine and low triiodo-L-thyronine, whereas thyroid-stimulating hormone was greatly increased as well as serum anti-thyroglobulin and microsome antibodies. The patient had hypothyroid myopathy due to Hashimoto's thyroiditis, which improved with L-thyroxine replacement.
Antibodies ; Biopsy ; Creatine Kinase ; Electromyography ; Humans ; Hypothyroidism ; Microsomes ; Middle Aged ; Muscle Weakness ; Muscular Diseases* ; Thyroid Function Tests ; Thyroid Gland* ; Thyroiditis* ; Thyrotropin ; Thyroxine
Antibodies ; Biopsy ; Creatine Kinase ; Electromyography ; Humans ; Hypothyroidism ; Microsomes ; Middle Aged ; Muscle Weakness ; Muscular Diseases* ; Thyroid Function Tests ; Thyroid Gland* ; Thyroiditis* ; Thyrotropin ; Thyroxine
A Case of Anti-Hu Associated Paraneoplastic Subacute Sensory Neuronopathy.
Journal of the Korean Neurological Association.2002;20(1):89-92.
Subacute sensory neuronopathy usually occurs as a paraneoplastic syndrome, occurring most frequently in small cell lung cancer. We report a 63-year-old male presenting typical symptoms of subacute sensory neuronopathy. Electrophysiologic studies showed diffuse sensory axonal degeneration and anti-Hu antibody was positive in his serum. We reevaluated pulmonary lesions formerly diagnosed as active pulmonary tuberculosis. Chest computed tomography showed two nodules and hilar lymphadenopathy, and by percutaneous needle biopsy, small cell lung cancer was diag-nosed.
Axons ; Biopsy, Needle ; Humans ; Lymphatic Diseases ; Male ; Middle Aged ; Paraneoplastic Syndromes ; Small Cell Lung Carcinoma ; Thorax ; Tuberculosis, Pulmonary
Axons ; Biopsy, Needle ; Humans ; Lymphatic Diseases ; Male ; Middle Aged ; Paraneoplastic Syndromes ; Small Cell Lung Carcinoma ; Thorax ; Tuberculosis, Pulmonary
Asymmetric Asterixis Induced by Phenytoin in a Patient with Thalamic Infarction.
Journal of the Korean Neurological Association.2002;20(1):86-88.
Asterixis is an abrupt, brief, arrhythmic lapse of tonically contracting muscles. A 64-year old woman with a left thala-mic infarction showed asymmetric bilateral asterixis after taking phenytoin for the control of thalamic pain. Though thalamic lesion can cause asterixis, her asterixis may have been induced by phenytoin, because it was bilateral and sub-sided after stopping phenytoin. We report an unusual case of asymmetric asterixis induced by phenytoin in a patient with a left thalamic infarction.
Dyskinesias* ; Female ; Humans ; Infarction* ; Middle Aged ; Muscles ; Phenytoin*
Dyskinesias* ; Female ; Humans ; Infarction* ; Middle Aged ; Muscles ; Phenytoin*
Temporal Variant of Frontotemporal Dementia: A Case of Semantic Dementia.
Journal of the Korean Neurological Association.2002;20(1):82-85.
Semantic dementia is a rare, distinct form of frontotemporal lobar degeneration, characterized by a deficit in semantic memory with relative preservation of attention and executive functions. We report a case of semantic dementia that pre-sented with a 3-year history of progressive word-finding difficulty and prosopagnosia. Brain MRI showed prominent atrophic changes in the left temporal region and neuropsychological tests demonstrated semantic memory deficits.
Brain ; Executive Function ; Frontotemporal Dementia* ; Frontotemporal Lobar Degeneration ; Magnetic Resonance Imaging ; Memory ; Memory Disorders ; Neuropsychological Tests ; Prosopagnosia ; Semantics*
Brain ; Executive Function ; Frontotemporal Dementia* ; Frontotemporal Lobar Degeneration ; Magnetic Resonance Imaging ; Memory ; Memory Disorders ; Neuropsychological Tests ; Prosopagnosia ; Semantics*
Three Cases of Anticonvulsant Hypersensitivity Syndrome Associated with Lamotrigine.
Journal of the Korean Neurological Association.2002;20(1):79-81.
Among the various side effects of anticonvulsant medication, the anticonvulsant hypersensitivity syndrome (AHS) is underrecognized. This condition developed frequently with aromatic anticonvulsants, but with new antiepileptic drugs as well. We experienced three lamotrigine-induced AHS cases with symptoms such as fever, rash, leukopenia, eosinophilia and lymphadenopathy, which subsided after withdrawal of lamotrigine.
Anticonvulsants ; Eosinophilia ; Exanthema ; Fever ; Hypersensitivity* ; Leukopenia ; Lymphatic Diseases
Anticonvulsants ; Eosinophilia ; Exanthema ; Fever ; Hypersensitivity* ; Leukopenia ; Lymphatic Diseases
Non-ketotic Hyperglycemia Manifested as Occipital Lobe Complex Partial Status Epileticus.
Journal of the Korean Neurological Association.2002;20(1):75-78.
A 48-year-old woman presented with right visual aura evolving into versive and clonic seizures. The seizures were controlled not by anticonvulsants but bynormalization of blood sugar and not by anticonvulsants. T2-weighted MRI (T2WI) showed subcortical hypointensity and cortical hyperintensity with a low apparent diffusion coefficient (ADC) value in left occipital area, which reversed into a high ADC value at in follow-up images. Serial MRIs including diffu-sion- weighted images seemed to reveal tissue injury after partial status epilepticus and regional ischemia associated with non-ketotic hyperglycemia.
Anticonvulsants ; Blood Glucose ; Diffusion ; Epilepsy ; Female ; Follow-Up Studies ; Humans ; Hyperglycemia* ; Ischemia ; Magnetic Resonance Imaging ; Middle Aged ; Occipital Lobe* ; Seizures ; Status Epilepticus
Anticonvulsants ; Blood Glucose ; Diffusion ; Epilepsy ; Female ; Follow-Up Studies ; Humans ; Hyperglycemia* ; Ischemia ; Magnetic Resonance Imaging ; Middle Aged ; Occipital Lobe* ; Seizures ; Status Epilepticus
A Case of Cerebral Hemiatrophy Developed after Partial Status Epilepticus.
Journal of the Korean Neurological Association.2002;20(1):70-74.
A 20-years old man with a history of complex partial seizure, was admitted due to continuous focal clonic movements in the left upper and lower extremities lasting for about 24 hours. In emergency room, focal clonic movements were stopped with an emergent intravenous lorazepam injection. Two months later, left-sided hemiparesis remained and cere-bral hemiatrophy was noted. We report a case of a 20-years old man who showed rapid development of cerebral hemiat-rophy after epilepsia partialis continua.
Emergency Service, Hospital ; Epilepsia Partialis Continua ; Humans ; Lorazepam ; Lower Extremity ; Paresis ; Seizures ; Status Epilepticus* ; Young Adult
Emergency Service, Hospital ; Epilepsia Partialis Continua ; Humans ; Lorazepam ; Lower Extremity ; Paresis ; Seizures ; Status Epilepticus* ; Young Adult
Tc-99m HMPAO Brain Perfusion SPECT Findings in Acute Cerebellitis.
Journal of the Korean Neurological Association.2002;20(1):67-69.
Acute cerebellitis is an uncommon neurological complication that may occur following childhood viral infections, and is rarely reported in adults. Imaging studies show no abnormalities in the majority of cases. We experienced three cases of acute cerebellitis, which showed no abnormal findings on MRI, but revealed diffusely increased cerebellar per-fusions on brain perfusion SPECT, which normalized 5~6 months later. Therefore, brain perfusion SPECT is consid-ered to be useful in identifying acute cerebellitis and in monitoring its clinical course.
Adult ; Brain* ; Humans ; Magnetic Resonance Imaging ; Perfusion* ; Technetium Tc 99m Exametazime* ; Tomography, Emission-Computed, Single-Photon*
Adult ; Brain* ; Humans ; Magnetic Resonance Imaging ; Perfusion* ; Technetium Tc 99m Exametazime* ; Tomography, Emission-Computed, Single-Photon*
Journal of the Korean Neurological Association.2002;20(5):453-458.
BACKGROUND: The obstruction of intracranial arteries causes cerebral hemodynamic impairment. It is now evident that patients with cerebral hemodynamic compromise have a higher risk of stroke than those with normal cerebral blood flow. The purpose of this study is to investigate the changes of cerebral blood flow and vascular reactivity after extra-intracranial arterial bypass (EIAB) surgery in patients with cerebral hemodynamic compromise. METHODS: We enrolled 16 consecutive patients (8 female and 8 male patients) with transient ischemic attack or cerebral infarction resulted from the occlusion of distal internal carotid artery (ICA) or middle cerebral artery (MCA). We measured the relative regional cerebral blood flow (rrCBF) at rest and after Diamox infusion, and vasomotor reactivity by using single photon emission computed tomography (SPECT). We performed extra-intracranial arterial bypass (EIAB) surgery in patients with impaired vasomotor reactivity. Follow-up brain SPECT was done at 3months after EIAB. We compared the rrCBF and vasomotor reactivity before and after EIAB, and evaluated the effect of collateral vessels on the cerebral hemodynamic after surgery. RESULTS: EIAB increases the vasomotor reactivity significantly (-19.6+/-10 before EIAB, 11.2+/-27 after EIAB, p=0.003) but does not increase the cerebral blood flow at rest (70.5% before EIAB, 70.9% after EIAB). The degree of collateral vessel development did not influence on the restoration of vasomotor reactivity. CONCLUSIONS: These results demonstrate that EIAB increases the vasomotor reactivity of the distal part on the occluded ICA or MCA, but does not increase the cerebral blood flow at rest.
Acetazolamide ; Arteries ; Brain ; Carotid Artery, Internal ; Cerebral Infarction ; Female ; Follow-Up Studies ; Hemodynamics* ; Humans ; Ischemic Attack, Transient ; Male ; Middle Cerebral Artery ; Stroke ; Tomography, Emission-Computed, Single-Photon
Acetazolamide ; Arteries ; Brain ; Carotid Artery, Internal ; Cerebral Infarction ; Female ; Follow-Up Studies ; Hemodynamics* ; Humans ; Ischemic Attack, Transient ; Male ; Middle Cerebral Artery ; Stroke ; Tomography, Emission-Computed, Single-Photon
Country
Republic of Korea
Publisher
ElectronicLinks
Editor-in-chief
Abbreviation
Journal of the Korean Neurological Association
Vernacular Journal Title
ISSN
1225-7044
EISSN
Year Approved
2007
Current Indexing Status
Currently Indexed
Start Year
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