A Case of Giant Arachnoid Granulation within Superior Sagittal Sinus.
Korean Journal of Stroke.2012;14(2):92-93.
Korean Journal of Stroke
1999 to Present ISSN: 1229-4101
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Korean Journal of Stroke.2012;14(2):89-91.
Lateral medullary infarction can lead to central respiratory failure. However, in Wallenberg's syndrome, obstructive respiratory failure rarely develops. Here, we report a case of obstructive respiratory failure with stridor caused by unilateral lateral medullary infarction. A 74-year-old woman was admitted for acute right lateral medullary infarction. On the 12th day after the stroke, the patient developed respiratory failure necessitating endotracheal intubation. She could maintain good oxygen saturation and ventilation in intubated status without the assistance of mechanical ventilator, even during sleep. The pharyngo-laryngoscopy demonstrated the hypomobility of bilateral vocal cords. This case suggests that unilateral medullary infarction might be a cause of bilateral vocal cord palsy.
Aged ; Airway Obstruction ; Brain Stem Infarctions ; Female ; Humans ; Infarction ; Intubation, Intratracheal ; Lateral Medullary Syndrome ; Medulla Oblongata ; Oxygen ; Respiratory Insufficiency ; Respiratory Sounds ; Stroke ; Ventilation ; Ventilators, Mechanical ; Vocal Cord Paralysis ; Vocal Cords
Aged ; Airway Obstruction ; Brain Stem Infarctions ; Female ; Humans ; Infarction ; Intubation, Intratracheal ; Lateral Medullary Syndrome ; Medulla Oblongata ; Oxygen ; Respiratory Insufficiency ; Respiratory Sounds ; Stroke ; Ventilation ; Ventilators, Mechanical ; Vocal Cord Paralysis ; Vocal Cords
Duplex Sonographic Findings of Isolated Left Brachiocephalic Artery.
Korean Journal of Stroke.2012;14(2):86-88.
Isolated left brachiocephalic artery with right aortic arch is extremely rare congenital anormaly. This malformation can cause subclavian steal phenomenon. We report the duplex sonographic and conventional angiographic findings of isolated left brachiocephalic artery in a 22-year-old female presented with dizziness.
Aorta, Thoracic ; Arteries ; Dizziness ; Female ; Humans ; Subclavian Steal Syndrome ; Young Adult
Aorta, Thoracic ; Arteries ; Dizziness ; Female ; Humans ; Subclavian Steal Syndrome ; Young Adult
A Case of Cerebellar Infarction with Renal Artery Stenosis.
Korean Journal of Stroke.2012;14(2):82-85.
Renal artery stenosis (RAS) is defined as a narrowing of main renal artery or its major branches over 50%, and can be the cause of pulmonary edema, renal failure, malignant hypertension and cerebrovascular diseases. The renin-angiotensin-aldosterone system works as a key role. In this paper, we report a case of a 53 year-old patient with left middle cerebellar peduncle infarction, who showed malignant hypertension and RAS. The RAS was diagnosed by renal artery computed tomography angiography and treated with renal artery angioplasty, stenting and antihypertensive medication. In a young patient with ischemic stroke who has refractory hypertension against antihypertensive medications, RAS should be suspected and evaluated.
Angiography ; Angioplasty ; Cerebral Infarction ; Humans ; Hypertension ; Hypertension, Malignant ; Hypertension, Renovascular ; Infarction ; Pulmonary Edema ; Renal Artery ; Renal Artery Obstruction ; Renal Insufficiency ; Renin-Angiotensin System ; Stents ; Stroke
Angiography ; Angioplasty ; Cerebral Infarction ; Humans ; Hypertension ; Hypertension, Malignant ; Hypertension, Renovascular ; Infarction ; Pulmonary Edema ; Renal Artery ; Renal Artery Obstruction ; Renal Insufficiency ; Renin-Angiotensin System ; Stents ; Stroke
Korean Journal of Stroke.2012;14(2):78-81.
Cryptococcosis is a global invasive mycosis associated with significant morbidity and mortality. Fever, headache and vomiting are common clinical presentations of the cryptococcal meningitis. But ischemic stroke and cranial nerve impairment are rare neurologic complications. We report a case of cryptococcal meningoencephalitis presenting as cerebral infarction and multiple cranial nerve palsies.
Cerebral Infarction ; Cranial Nerve Diseases ; Cranial Nerves ; Cryptococcosis ; Fever ; Headache ; Meningitis, Cryptococcal ; Meningoencephalitis ; Stroke ; Vomiting
Cerebral Infarction ; Cranial Nerve Diseases ; Cranial Nerves ; Cryptococcosis ; Fever ; Headache ; Meningitis, Cryptococcal ; Meningoencephalitis ; Stroke ; Vomiting
Cerebral Venous Thrombosis Presenting as Isolated Subarachnoid Hemorrhage.
Korean Journal of Stroke.2012;14(2):74-77.
Cerebral venous thrombosis (CVT) rarely presents with cortical subarachnoid hemorrhage. A 54 year-old woman complained of intractable headache. Brain MR scan showed subarachnoid hemorrhage in the right parietal sulci on Fluid-Attenuated Inversion Recovery image. The venous phase of digital subtraction angiography demonstrated the thrombus and venous congestion in superior sagittal sinus and vein of Trolad. After 3 days of anticoagulation therapy, the symptoms disappeared.
Angiography, Digital Subtraction ; Brain ; Female ; Headache Disorders ; Humans ; Hyperemia ; Subarachnoid Hemorrhage ; Superior Sagittal Sinus ; Thrombosis ; Veins ; Venous Thrombosis
Angiography, Digital Subtraction ; Brain ; Female ; Headache Disorders ; Humans ; Hyperemia ; Subarachnoid Hemorrhage ; Superior Sagittal Sinus ; Thrombosis ; Veins ; Venous Thrombosis
Korean Journal of Stroke.2012;14(2):67-73.
BACKGROUND: Smoking is a major risk factor of stroke, but not all smokers develop stroke. This individual difference could be explained by the variation of detoxification capacity. We investigated the relationship of smoking with the genetic polymorphism of a detoxification enzyme (glutathione S-transferase: GST). METHODS: This study was conducted as a case-control study. Conventional risk factors for stroke and 3 genetic polymorphisms of GST (GSTM1, GSTT1, and GSTP1) were studied in both 290 acute ischemic stroke patients and 290 age and sex matched controls. Smoking status was determined by urinary cotinine level. The effect of interaction of GST polymorphisms and smoking on stroke risk was investigated. RESULTS: Stroke patients had higher cotinine level compared to that of control (P<0.01). There was little difference between the patient group and control group with regard to the GST polymorphism alone, but significant interaction was noticed between the GST polymorphism and the smoking status. When we stratified the group according to the smoking status by cotinine level, stroke was significantly more frequent in GSTM1 null type and GSTT1, GSTP1 wild type of the high cotinine level group (OR and 95% CI: 2.115, 1.219-3.670; 2.620, 1.480-4.638; 2.212, 1.343-3.644 respectively). CONCLUSION: GST polymorphisms interact with the smoking and confer an increased risk of ischemic stroke, indicating that genetic polymorphism of GST might reveal smokers who are more susceptible to the ischemic stroke.
Case-Control Studies ; Cotinine ; Glutathione ; Glutathione Transferase ; Humans ; Individuality ; Polymorphism, Genetic ; Risk Factors ; Smoke ; Smoking ; Stroke
Case-Control Studies ; Cotinine ; Glutathione ; Glutathione Transferase ; Humans ; Individuality ; Polymorphism, Genetic ; Risk Factors ; Smoke ; Smoking ; Stroke
Stroke Update 2011: New Antithrombotics.
Korean Journal of Stroke.2012;14(2):62-66.
Several new antithrombotic drugs have been developed and approved to use in clinical practice recently. Dabigatran, a direct thrombin inhibitor, and rivaroxaban, a factor Xa inhibitor, have been approved in many countries including Korea to prevent stroke in patient with atrial fibrillation. Apixaban, another factor Xa inhibitor, showed good results in clinical trial and is waiting for approval for clinical use. New antiplatelet agent, terutroban, selective thromboxane A2 receptor inhibitor, failed to prove the efficacy over the aspirin in secondary stroke prevention. Vorapaxar, a new antiplatelet agent that inhibits thrombin through PAR-1 antagonism, showed a high incidence of intracranial hemorrhage in patient with a history of stroke.
Aspirin ; Atrial Fibrillation ; Benzimidazoles ; beta-Alanine ; Factor Xa ; Humans ; Incidence ; Intracranial Hemorrhages ; Korea ; Lactones ; Morpholines ; Naphthalenes ; Propionates ; Pyrazoles ; Pyridines ; Pyridones ; Receptors, Thromboxane A2, Prostaglandin H2 ; Stroke ; Thiophenes ; Thrombin ; Dabigatran ; Rivaroxaban
Aspirin ; Atrial Fibrillation ; Benzimidazoles ; beta-Alanine ; Factor Xa ; Humans ; Incidence ; Intracranial Hemorrhages ; Korea ; Lactones ; Morpholines ; Naphthalenes ; Propionates ; Pyrazoles ; Pyridines ; Pyridones ; Receptors, Thromboxane A2, Prostaglandin H2 ; Stroke ; Thiophenes ; Thrombin ; Dabigatran ; Rivaroxaban
Stroke Update 2011: Stroke Rehabilitation.
Korean Journal of Stroke.2012;14(2):57-61.
This article briefly reviews the research findings on post-stroke rehabilitative therapy mainly published in 2011. Topics on approaches for motor function recovery include the use of body-weight-supported treadmill, robotic training, virtual reality, functional electrical stimulation, intensive treatment and motor imagery. Rehabilitative strategies to improve functional recovery such as comprehensive cardiac rehabilitation, repetitive transcranial magnetic stimulation and transcranial direct current stimulation. Also, pharmacotherapy using noradrenaline agonist reboxetine and botulinum toxin injection are discussed in this review.
Botulinum Toxins ; Electric Stimulation ; Morpholines ; Norepinephrine ; Recovery of Function ; Stroke ; Transcranial Magnetic Stimulation
Botulinum Toxins ; Electric Stimulation ; Morpholines ; Norepinephrine ; Recovery of Function ; Stroke ; Transcranial Magnetic Stimulation
Large Aneurysm of the Internal Carotid Artery Presenting as Bitemporal Hemianopia.
Korean Journal of Stroke.2011;13(3):152-153. doi:10.5853/kjs.2011.13.3.152
Country
Republic of Korea
Publisher
Korean Stroke Society
ElectronicLinks
http://koreamed.org/JournalVolume.php?id=1183Editor-in-chief
Jong S. Kim
editor@j-stroke.org
Abbreviation
Korean J Stroke
Vernacular Journal Title
대한뇌졸중학회지
ISSN
1229-4101
EISSN
Year Approved
2011
Current Indexing Status
Currently Indexed
Start Year
1999
Description
Print Edition ISSN: 2287-6391 Web Edition ISSN: 2287-6http://wprim.whocc.org.cn/wss//journal/journal_addedit.jsp?trandom=0.5641150675063307&JournalId=4219&ChannelId=0#405 The Journal of Stroke (JoS) is an official journal of the Korean Stroke Society and the abbreviated title is J Stroke. It had been launched in 1999 for Korean version and was renewed in 2013 for international version. It is published 3 times a year on the last day of January, May, and September. JOS will provide stroke clinicians and researchers with peer-reviewed articles on clinical and basic investigation of cerebral circulation and associated diseases to enhance patient management, education, clinical or experimental research, and professionalism. The journal will consider submissions in areas including, but not limited to, the following: pathophysiology, risk factors, symptomatology, imaging, treatment, and rehabilitation of stroke. We have a particular interest in strokes in Asian populations as they have features distinct from strokes in the other part of the world. Clinical researches on intracranial atherosclerosis, small vessel diseases, or hemorrhagic strokes, and relevant basic researches are welcome, as are issues in epidemiology, public education, and clinical practice guidelines in Asian countries.
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