• Title/Summary/Keyword: Clinical neurology

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A Case of Lewis-Sumner Syndrome Improved by Oral Steroid Therapy (경구 스테로이드 치료로 호전된 Lewis-Sumner 증후군 1예)

  • Kim, Jong Kuk;Kim, Min-Jeong;Yoo, Bong-Goo;Kim, Kwang-Soo;Lim, Kwon Il
    • Annals of Clinical Neurophysiology
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    • v.8 no.1
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    • pp.102-105
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    • 2006
  • We present a case with stepwise weakness and sensory involvement of both hands for more than 2 months. His nerve conduction study findings revealed prolonged terminal latencies, decreased motor and sensory conduction velocities and conduction blocks of both ulnar nerves, more severely on left side. And there were other abnormalities manifested with mononeuropathy multiplex. Increased cerebrospinal fluid protein was found. We diagnosed him as Lewis-Sumner syndrome and tried high dose oral steroid therapy for 2 months. He showed improvement of motor functioning with persistent conduction block.

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Intermediate syndrome after dermal exposure to organophosphate insecticide

  • Lee, Su Bin;Ryu, Seung Ho;Park, Doo Yong;Park, Jong-Ho;Kim, Jee Young
    • Annals of Clinical Neurophysiology
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    • v.20 no.1
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    • pp.41-43
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    • 2018
  • ntermediate syndrome (IMS) typically occurs at 24-96 hours following organophosphate (OP) poisoning, after an acute cholinergic crisis, but before OP-induced delayed polyneuropathy. It is characterized by proximal muscle weakness and respiratory insufficiency, which is a major contributing factor of OP-related morbidity and mortality. We report an atypical IMS case showing rapid-onset ascending paralysis and respiratory disturbance with an acute cholinergic crisis occurring 4-5 days after skin exposure to OP.

Neuroleptic Malignant Syndrome Following a Withdrawal of Levodopa (레보도파 중단 후 발생한 항정신성약물 악성증후군)

  • Kim, Min-Jeong;Mun, Ji-Su;Kim, Jong Kuk;Yoo, Bong-Goo;Kim, Kwang-Soo
    • Annals of Clinical Neurophysiology
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    • v.7 no.2
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    • pp.107-109
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    • 2005
  • Neuroleptic malignant syndrome is a serious complication of levodopa withdrawal in patients with Parkinson's disease. We report a patient with advanced parkinsonism who developed neuroleptic malignant syndrome in setting of withdrawal of levodopa intake.

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A case of myelopathy after electrical injury (전기 손상에 의한 척수병증 1례)

  • Min, Joo-Hong;Ko, Sang-Bae;Sung, Jung-Joon;Kwon, Ohyun;Lee, Kwang-Woo
    • Annals of Clinical Neurophysiology
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    • v.5 no.2
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    • pp.214-216
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    • 2003
  • High voltage electrical injury can cause considerable damage to the nervous system including spinal cord, but, the pathophysiology of myelopathy remains to be studied. A 44-year old man with paraparesis after electrical injury was diagnosed as electrical injury induced- myelopathy by normal spine MRI and somatosensory evoked potential showing central conduction abnormality. It implicates that the presumed mechanism of the myelopathy prefers the electroporation or electroconformational protein denaturation to the joule heating.

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Ischemic Monomelic Neuropathy and Myopathy as a Complication of Peripheral Arterial Occlusive Disease (폐색성말초혈관질환의 합병증으로 발생한 허혈성단일신경병증과 허혈성근병증)

  • Shin, Kyong Jin;Kim, Sung Eun;Park, Jinse;Ha, Sam Yeol;Park, Kang Min
    • Annals of Clinical Neurophysiology
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    • v.14 no.2
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    • pp.72-75
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    • 2012
  • Ischemic monomelic neuropathy and myopathy are rare complications of peripheral arterial occlusive disease. We report a case of ischemic monomelic neuropathy of the right sural, common peroneal and posterior tibial nerves and ischemic myopathy of the right tibialis anterior resulting from the occlusion of the right common femoral arteries despite successful revascularization. Ischemic monomelic neuropathy and myopathy can occur as a result of occlusion of the specific peripheral artery.

Japanese-B Viral Encephalitis with a Biphasic Illness Pattern and Recovery after Intravenous Immunoglobulin Therapy (이상성 경과를 보이고 정맥면역글로불린 치료 후 호전된 일본뇌염)

  • Lee, Byung-Chan;Jeon, Ji Ye;Moon, Hye-Jin;Lim, Jeong Geun;Cho, Yong Won
    • Annals of Clinical Neurophysiology
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    • v.16 no.1
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    • pp.35-38
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    • 2014
  • Japanese-B viral encephalitis (JE) usually has a monophasic illness pattern. A 45-year-old woman in an altered mentality had improved over 1 month. About 1 week after the initial improvement, the patient became comatose with aggravated EEG and MRI findings. Assays of cerebrospinal fluid and serum were positive for the IgM antibody to Japanese-B virus. After intravenous immunoglobulin (IVIG) infusion, the patient recovered. We report a patient with JE who showed a biphasic illness pattern and recovered after IVIG therapy.

Miller Fisher syndrome in a patient with pulmonary tuberculosis

  • Park, Jae Young;Jung, Hoe Jong;Bae, Heewon;Han, Jeong-Ho;Kang, Min Ju
    • Annals of Clinical Neurophysiology
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    • v.22 no.2
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    • pp.117-120
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    • 2020
  • Miller Fisher syndrome (MFS) is characterized by the acute ophthalmoparesis, ataxia and areflexia. We describe the case of 70-year-old man with cardinal symptom of MFS and active pulmonary tuberculosis (Tb). A thorough evaluation led to the diagnosis of MFS and treatment with intravenous immunoglobulin (IVIg) was started. The complete resolution of ophthalmoparesis and ataxia was observed from the fourth day of IVIg treatment. This is the first report to describe a case of MFS that developed in patient pulmonary tuberculosis.