• 제목/요약/키워드: Clinical neurology

검색결과 1,221건 처리시간 0.032초

근위축성측삭경화증의 유전자 이식 마우스 모델에서 비타민 복합요법의 신경보호효과 (Neuroprotective Effects of Multi-vitamin Therapy in Transgenic Mouse Model of Amyotrophic Lateral Sclerosis)

  • 민주홍;박종하;조애신;김미연;홍윤호;성정준;박경석;이광우
    • Annals of Clinical Neurophysiology
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    • 제7권2호
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    • pp.101-106
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    • 2005
  • Background: There is no currently effective treatment for amyotrophic lateral sclerosis (ALS), although this disorder is a progressive neurodegenerative disease resulting in death within several years. Because recent evidence suggests that homocysteine (HC) is highly related to neurodegenerative disorders with aging, we tried to elucidate the effects of multi-vitamin therapy on G93A SOD1 transgenic mice. Methods: We treated this murine model of ALS with multi-vitamin (folic acid 1.97 mg/day, pyridoxine 0.98 mg/day, cyanocobalamin 0.1 mg/day) from 45 days of age, per oral. We performed the rotarod test from postnatal $10^{th}$ week, weekly. Results: We found that multi-vitamin reinforcement significantly prolonged average lifespan and delayed disease onset with improvement of motor performance. However, it did not significantly slow disease progression and statistical differences of weight loss were not observed between in transgenic mice and controls. Conclusions: These results suggest that multi-vitamin can be a potent therapeutic strategy for familial forms of ALS.

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전신 근간대성 경련을 호소하는 정신성 비간질성 경련 환자에 대한 억간산 및 황련해독탕 병용 투여 치험 1례 (A Case of Psychogenic Non-epileptic Seizure Patient Complaining Myoclonic Seizure Treated with Ukgansan and Hwangnyeonhaedok-tang)

  • 배인후;하원정;서유나;이현규;김수현;조기호;문상관;정우상;권승원;진철
    • 대한중풍순환신경학회지
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    • 제21권1호
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    • pp.33-38
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    • 2020
  • ■ Objectives This case report is reported to show the effect of Ukgansan and Hwangnyeonhaedok-tang on a patient who complaining myoclonic seizure due to psychogenic non epileptic seizure, occurred after traumatic stress event. ■ Methods A female patients with myolconic seizure was treated with Ukgansan and Hwangnyeonhaedok-tang during 5 days. Then we assessed dyskinesia severity by AIMS(Abnormal Involuntary Movement Scale) every two days til discharge. ■ Results Seizure decreased two days after hospitalization, then disappeared third day. There was no recurrence till discharge. When she revisited outpatients clinic, there was no symptom. ■ Conclusion This case showed the effect of Ukgansan and Hwangnyeonhaedok-tang on psychogenic epileptic seizure.

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무균성 수막염으로 발현한 흔하지 않은 뇌하수체졸중 (A Case of Unusual Pituitary Apoplexy Presented as Aseptic Meningitis)

  • 박강민;김연미;김시은;신경진;하삼열;박진세;김성은
    • Annals of Clinical Neurophysiology
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    • 제15권1호
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    • pp.24-26
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    • 2013
  • We encountered a case of pituitary apoplexy who presented with isolated headache and vomiting without visual disturbance or ophthalmoplegia. The cerebrospinal fluid examination was compatible with aseptic meningitis. A computed tomography revealed slightly high density in the pituitary fossa and suprasella area, but the signal change was very faint. Our case suggests that clinicians should take into account the possibility of pituitary apoplexy without visual disturbance or ophthalmoplegia, when aseptic meningitis is suspected.

야간발작성근육긴장이상 1예: 전두엽간질 및 사건수면척도, 수면다원검사, 발작기 및 발작간기 감산 SPECT 소견 (A Case of Nocturnal Paroxysmal Dystonia: Frontal Lobe Epilepsy and Parasomnias (FLEP) Scale, Polysomnography and Subtraction of Ictal-interictal SPECT Coregistered with MRI (SISCOM) Findings)

  • 김우준;오연상;윤보라;김영인;이광수;김중석
    • Annals of Clinical Neurophysiology
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    • 제10권1호
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    • pp.52-57
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    • 2008
  • Even though the origin and nature of nocturnal paroxysmal dystonia (NPD) remains unclear, it has been considered as a manifestation of the nocturnal frontal lobe epilepsy. We report a 17-year-old man with abnormal stereotyped movement during sleep. Video-EEG monitoring, ictal SPECT and night polysomnography did not show any evidence of epilepsy. However, the partial response to large dose of carbamazepine and the scoring according to the frontal lobe epilepsy and parasomnias (FLEP) scale suggest his events could be classified as epilepsy. Therefore we think the FLEP scale might be a useful tool for differential diagnosis in a patient presenting NPD.

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가역적인 뇌기능장애를 보인 MELAS 증후군 (Reversible Brain Dysfunction in MELAS Syndrome)

  • 정진성;이학승;박현영;장혁;김요식;조광호
    • Annals of Clinical Neurophysiology
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    • 제8권1호
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    • pp.84-87
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    • 2006
  • The MELAS (Mitochondrial Encephalomyopathy with Lactic Acidosis, and Stroke-like episodes) syndrome is one of the inherited mitochondrial disorder. We have experienced a 16-year-old girl with headaches and left hemianopsia. Diagnosis of MELAS syndrome with multiple brain parenchymal lesions was confirmed by gene study. The stroke-like lesion of MELAS syndrome showed significant improvement in radiological follow up study. Therefore, MRI findings in MELAS could be interpreted as metabolic cellular dysfunction rather than ischemic vasculopathy.

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발처짐 증상으로 발현된 총비골신경의 슈반세포종 (Schwannoma of Common Peroneal Nerve Presenting)

  • 조수현;이지훈;우호걸;정유진;김상범;신원철
    • Annals of Clinical Neurophysiology
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    • 제16권2호
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    • pp.74-76
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    • 2014
  • Foot drop is usually derived from peroneal nerve injury. Traumatic causes of peroneal nerve injury are more common than insidious causes including metabolic syndromes and mass lesions. We present a case with common peroneal neuropathy due to schwannoma, which is extremely rare. Complete excision of the mass lead to a gradual improvement of the symptoms. Schwannoma should be considered as a cause of common peroneal neuropathy.

거대 콩팥낭종에 의한 넙다리감각이상증(meralgia paresthetica) 1예 (A Case of Meralgia Paresthetica caused by A Huge Renal Cyst)

  • 김태용;김재혁;김수현;임은광;이영배;신동진
    • Annals of Clinical Neurophysiology
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    • 제9권1호
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    • pp.33-35
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    • 2007
  • Meralgia paresthetica (MP) is a benign entrapment neuropathy which is characterized by sensory impairment and paresthesia in the cutaneous distribution of the lateral femoral cutaneous nerve. A 79-year-old woman presented with intermittent right inguinal burning sensation. The sensory nerve conduction study (NCS) showed decreased right side sensory nerve action potential (SNAP) on lateral femoral cutaneous nerve compared to the contralateral one. Abdomino-pelvic CT showed bilateral huge renal cysts (The size of largest one on right side: about $6.2{\times}5.0cm$). We report a case of MP caused by a huge abdominal renal cyst, which should be considered when conventional examination reveals no responsible etiology.

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대퇴감각이상증의 임상 및 전기생리학적 특징 (Clinical and Electrophysiological Characteristics of Meralgia Paresthetica)

  • 최문희;박하늘;엄영인;주인수
    • Annals of Clinical Neurophysiology
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    • 제15권2호
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    • pp.48-52
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    • 2013
  • Background: Meralgia paresthetica (MP) is a mononeuropathy affecting the lateral femoral cutaneous nerve. The disease is often diagnosed clinically, but electrophysiological tests play an important role. The aim of this study is to clarify clinical characteristics of MP as well as the role of sensory nerve conduction study (NCS) in the diagnosis of MP. Methods: Sixty-five consecutive patients with clinical diagnosis of MP between March 2001 and June 2012 were retrospectively reviewed at a single tertiary center. General demographics, clinical characteristics and sensory NCS findings were investigated. Measurements of sensory NCS included the baseline-to-peak amplitude, side-to-side amplitude ratio and the conduction velocity. To compare between the normal and abnormal NCS groups, independent t-tests and chisquare test were performed. Results: Sixty-five patients had male predominance (56.9%) with mean age of $48.4{\pm}13.4$ years (range: 16-75). Seven patients (13.5%) had undergone operation or procedure before the symptom onset. The sensory nerve action potentials were obtainable in 52 (80%) of 65 clinically diagnosed MP patients. Sensory NCS revealed abnormalities in 38 patients (73.1%), and others (n=14, 26.9%) showed normal findings. Between the normal and abnormal NCS groups, there is no statistically significant difference on demographics or clinical features. Conclusions: We clarify the clinical features and sensory NCS findings of MP patients. Due to several limitations of sensory NCS, the diagnosis of MP could be accomplished both clinically and electrophysiologically.

급성기 뇌경색 환자에서 Scandinavian Stroke Scale과 Motricity Index 간의 상관관계에 대한 연구 (The Correlation between the Scandinavian Stroke Scale and the Motricity Index in Acute Cerebral Infarction Patient)

  • 이영은;;노현석;이동혁;양승보;이현중;조승연;박성욱;정우상;문상관;박정미;조기호;고창남
    • 대한한방내과학회지
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    • 제36권2호
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    • pp.93-104
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    • 2015
  • Objectives: This study examined the correlation between the Scandinavian Stroke Scale (SSS) and the Motricity Index (MI) in acute cerebral infarction patients. Methods: We studied 75 inpatients within a month after the onset of cerebral infarction; patients were recruited from July 2012 to November 2013. We analyzed the correlation between changes in SSS and MI by pattern identification. Results: A significant moderate positive linear correlation was noted between SSS and MI in the total patient cohort and in a Fire-heat group, Dampness-phlegm group, Qi deficiency group, and Deficiency syndrome group. A significant strong positive linear correlation existed between SSS and MI in the Excess syndrome group. The Yin deficiency group showed a weak positive linear correlation, but it was not statistically significant. Conclusions: This study provides evidence that the correlation between SSS and MI in acute cerebral infarction patients could differ depending on pattern identification.