Journal of the Korean Neurological Association.1994;12(4):793-796.
Journal of the Korean Neurological Association
to Present ISSN: 1225-7044
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Acute Pandysautonomia with Somatic Nerve Involvement.
Journal of the Korean Neurological Association.1994;12(4):781-785.
Acute panautonomic neuropathy characterized by selective involvement of sympathetic and parasympathetic nerves with complete or relative sparing of somatic motor and sensory functions was first described by Young et al in 1969. We experienced acute pandysautonomia with peripheral neuropathy. The serial electrophysiologic studies revealed progressive periphear axonal polyneuropathy. Autonomic function test suggested dysautonomia of selective postganglionic lesion in 1 case and pandysautonomia in 3 cases. Our four cases wree Acute panautonomic neuropathies which simultaneously developed sensorimotor polyneuropathy. All Laps were normal except elevated CSF protein without pleocytosis. Recovery was poor in general, but 34-years-old female patient was markedly improved after plasmapheresis. Therefore we recommend immunologic treatment such as plasmapheresis or pulse therapy in early stage of progressive pandysautonomia.
Axons ; Female ; Humans ; Leukocytosis ; Peripheral Nervous System Diseases ; Plasmapheresis ; Polyneuropathies ; Primary Dysautonomias ; Sensation
Axons ; Female ; Humans ; Leukocytosis ; Peripheral Nervous System Diseases ; Plasmapheresis ; Polyneuropathies ; Primary Dysautonomias ; Sensation
ITP Associated with Guillain-Barre Syndrome.
Journal of the Korean Neurological Association.1994;12(4):776-780.
Idiopathic thrombocytopenic purpura (ITP) is a disorder caused by the interaction of IgG and other antibodies with the antigen on platelet surface. ITP associated with Guillain-Barre syndrome has been reported rarely to occur in the same patient simultaneously. We presented a young male patient who had acute ITP and Guillain-Barre syndrome at the same time. This case was interesting because IgG might play a prominent role in the development of ITP and Guillain-Barre syndrome. It has been suggested that humoral immune mechanism play a role in the development of Guillain-Barre syndrome.
Antibodies ; Blood Platelets ; Guillain-Barre Syndrome* ; Humans ; Immunoglobulin G ; Male ; Purpura, Thrombocytopenic, Idiopathic
Antibodies ; Blood Platelets ; Guillain-Barre Syndrome* ; Humans ; Immunoglobulin G ; Male ; Purpura, Thrombocytopenic, Idiopathic
A Case of Idiopathic Intracranial Hypertension Treated with Optic Nerve Sheath Fenestration.
Journal of the Korean Neurological Association.1994;12(4):770-775.
Idiopathic intracranial hypertension, a syndrome of obscure origin, occurs particularly in fat adolescent girls and young women. The usual symptoms are headache, blurred vision, a vague dizziness, horizontal diplopia and transient visual obscurations etc., and ophthalmoscopic examination reveals papillederma, due to increased ICP. Visual field testing usually shows slight peripheral constrictions with enlargement of the blind sports. CSF pressure is elevated in the range of 250 to 450 mm of water. Radiological or the other laboratory tests show no specific abnormalities. Treatment for idiopathic intracranial hypertension is focused on early detection and prevention of vision loss, the only permanent morbidity. Many different modes of medical treatment, including weight reduction, repeated lumber puncture, corticosteroids, diuretics, glycerol or carbonic anhydrase inhibitors, have successfully been tried up to 90% of the patients. In the remaining patients, particularly in those with measurable impairment of vision that does not respond to conventinal medical therapies, surgical procedure should be considered. We report a case of idiopathic intracranial hypertension successfully treated with optic nerve sheath fenestration.
Adolescent ; Adrenal Cortex Hormones ; Carbonic Anhydrase Inhibitors ; Constriction ; Diplopia ; Diuretics ; Dizziness ; Female ; Glycerol ; Headache ; Humans ; Optic Nerve* ; Pseudotumor Cerebri* ; Punctures ; Sports ; Visual Field Tests ; Water ; Weight Loss
Adolescent ; Adrenal Cortex Hormones ; Carbonic Anhydrase Inhibitors ; Constriction ; Diplopia ; Diuretics ; Dizziness ; Female ; Glycerol ; Headache ; Humans ; Optic Nerve* ; Pseudotumor Cerebri* ; Punctures ; Sports ; Visual Field Tests ; Water ; Weight Loss
Therapeutic Trials in Two Cases with Chronic Meningitisvia Ommaya Reservoir.
Journal of the Korean Neurological Association.1994;12(4):764-769.
Ommaya reservoir implantation has been used for sterile assessment into ventricular CSF or direct chemotherapy of chronic meningitis and meningeal involvement of malignancy since 1963. We experienced two cases with chronic meningitis, one was tuberculous meningitis with obstructive hydrocephalus which was not improved by repetitive shunt and the other was cryptococcal meningitis which was not improved by traditional chemotherapy of intravenous amphotericin B and oral flucytosine. Ommaya reservoir was implanted for daily CSF drainage of intractable hydrocephalus in the first patient and for direct injection of amphotericin B into ventricle in the second patient. Both of two cases were successfully managed by the reservoir. Therefore, Ommaya reservoir could be useful in patients with chronic meningitis which are not improved by traditional management.
Amphotericin B ; Drainage ; Drug Therapy ; Flucytosine ; Humans ; Hydrocephalus ; Meningitis ; Meningitis, Cryptococcal ; Tuberculosis, Meningeal
Amphotericin B ; Drainage ; Drug Therapy ; Flucytosine ; Humans ; Hydrocephalus ; Meningitis ; Meningitis, Cryptococcal ; Tuberculosis, Meningeal
Brainstem Encephalitis Mimicking Miller Fisher Syndrome.
Journal of the Korean Neurological Association.1994;12(4):758-763.
We report a 18 years old man of brainstem encephalitis with acute ataxia, areflexia and gaze evoked vertical and horizontal nystagmus which is mimicking Miller Fisher syndrome. He had evidences of both peripheral neuropathy in nerve conduction studies and a brainstem encephalitis in MR findings. The possible relationship of the Miller Fisher syndrome and brainstem encephalitis are discussed with brief review of literature.
Adolescent ; Ataxia ; Brain Stem* ; Encephalitis* ; Humans ; Miller Fisher Syndrome* ; Neural Conduction ; Nystagmus, Pathologic ; Peripheral Nervous System Diseases
Adolescent ; Ataxia ; Brain Stem* ; Encephalitis* ; Humans ; Miller Fisher Syndrome* ; Neural Conduction ; Nystagmus, Pathologic ; Peripheral Nervous System Diseases
Two Cases of Temporal Arteritis.
Journal of the Korean Neurological Association.1994;12(4):754-757.
Temporal arteritis is one of the most important causes of headache. If it is not recognized properly, patients might get werious complications such as blindness or stroke. Hence, early diagnosis and treatment with steroid are critical While temporal arteritis is frequently seen in western countries, it seems to be rare in Korea and is not reported in Korean literatures except one case report of the giant cell arteritis of the breast (1991). We report two patients, 66 and 75 years old males, who presented with 3 months history of throbbing headache in temporal regions. Erythrocyte sedimentation rate was accelerated in both cases. Superficial temporal artery was biopsied to reveal intimalthickening, elastic lamina fragmentation and a mild inflammatory cell infiltration. The patients responded dramatically to steroid therapy.
Aged ; Blindness ; Blood Sedimentation ; Breast ; Early Diagnosis ; Giant Cell Arteritis* ; Headache ; Humans ; Korea ; Male ; Stroke ; Temporal Arteries
Aged ; Blindness ; Blood Sedimentation ; Breast ; Early Diagnosis ; Giant Cell Arteritis* ; Headache ; Humans ; Korea ; Male ; Stroke ; Temporal Arteries
Pure Akinesia: Report of Two Cases.
Journal of the Korean Neurological Association.1994;12(4):748-753.
Parkinsonism is a clinical syndrome with constellation of resting tremor, rigidity, bradykinesia, and a variety of gait disturbances. Gait disturbances in parkinsonism include short-stepped festination, loss of postural reflexes, and freezing. In certain parkinsonian states such as progressive supranuclear palsy, gait disturbances are very prominent over other clinical signs of parkinsonism in the early stage. However, freezing is usually seen in the late course of parkinsonism. Recently, it has been recognized that some patients have prominent freezing in their early course of the disease, and not much of other parkinsonian signs. The pathologies need to be confirmed, but must be divers based on clinical description of the cases. We report two elderly men who presented with pure freezing. There was minimal short-term memory impairment in the second case, but no other signs of parkinsonism were present. Brief trial of L-dopa did not offer much benefit. Detailed clinical features and laboratory findings will be presented with discussion of the literatures.
Aged ; Freezing ; Gait ; Humans ; Hypokinesia ; Levodopa ; Male ; Memory, Short-Term ; Parkinsonian Disorders ; Pathology ; Reflex ; Supranuclear Palsy, Progressive ; Tremor
Aged ; Freezing ; Gait ; Humans ; Hypokinesia ; Levodopa ; Male ; Memory, Short-Term ; Parkinsonian Disorders ; Pathology ; Reflex ; Supranuclear Palsy, Progressive ; Tremor
Journal of the Korean Neurological Association.1994;12(4):740-747.
Status epilepticus is commonly defined as a condition characterized by an epileptic seizure that is so frequently repeated or so prolonged as to produce a fixed and enduring epileptic condition. Common etiologies are brain tumor, CNS infection, vascular insults, trauma, withdrawal of antiepileptic drug, and metabolic disturbance such as hypoglycemia, hypocalcemia, hyponatremia and hyperosmolarity caused by hyperglycemia, hypernatremia, and uremic encephalopathy etc. Although some cases of epilepsia partialis continua in the patient with nonketotic hyperglycemia were reported in the previous literature, we could hardly find the report that generalized convulsive status epilepticus was the initial symptom of nonketotic hypergycemia. We recently experienced three eases of nonketotic hyperglycemia who manifested generalized convulsive status epilepticus as a initial clinical feature. Two cases were completely controlled within a few hours after the correction of hyperglycemia and intravenous dilantinization. Another case was needed an additional phenobarbital administration to control the status epilepticus. In all cases, afterthen no further seizure occurred under the normal serum glucose level without use of antiepileptics.
Anticonvulsants ; Blood Glucose ; Brain Neoplasms ; Epilepsia Partialis Continua ; Epilepsy ; Humans ; Hyperglycemia* ; Hypernatremia ; Hypocalcemia ; Hypoglycemia ; Hyponatremia ; Phenobarbital ; Phenytoin ; Seizures ; Status Epilepticus*
Anticonvulsants ; Blood Glucose ; Brain Neoplasms ; Epilepsia Partialis Continua ; Epilepsy ; Humans ; Hyperglycemia* ; Hypernatremia ; Hypocalcemia ; Hypoglycemia ; Hyponatremia ; Phenobarbital ; Phenytoin ; Seizures ; Status Epilepticus*
Cerebral Aneuysm Associated with Arteriovenous Malformation: 4 Cases.
Journal of the Korean Neurological Association.1994;12(4):732-739.
Cerebral aneurysms associated with arteriovenous malformation (AVM) have been reported with a variable incidence, averaged 10% of total AVM cases. It has been AVM. We report four cases of the intracranial aneurysm associated with AVM. Three cases of aneurysm were located in distal portion of feeding artery, and one case was proximal on major feeding artery. And bleeding resulted from rupture of aneurysm. Three of them located in the posterior circulation. Removal of aneurysm and AVM was successfully accomplished in 3 cases.
Aneurysm ; Arteries ; Arteriovenous Malformations* ; Hemorrhage ; Incidence ; Intracranial Aneurysm ; Rupture
Aneurysm ; Arteries ; Arteriovenous Malformations* ; Hemorrhage ; Incidence ; Intracranial Aneurysm ; Rupture
Country
Republic of Korea
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ElectronicLinks
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Abbreviation
Journal of the Korean Neurological Association
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ISSN
1225-7044
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Year Approved
2007
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