• Title/Summary/Keyword: cerebrospinal fluid

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A Case of Canine Hydrocephalus with Nonsuppurative Encephalitis (비화농성 뇌염을 동반한 개 수두증 1례)

  • 한정희;서강문
    • Journal of Veterinary Clinics
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    • v.17 no.2
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    • pp.470-474
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    • 2000
  • A Shih Tzu Puppy had clinical onset of anotexia crying and progression of neurological sings when enlargement of the cranial vault at 1 month old and died after showing clinical signs during 2 months period. Radiological and pathological examinations were performed. Radiological findings were homogeneous appearance of the calvaria with cortical thinning, loss of the normal convolutional skull markings and persistent fontanelles. Grossly enlargement of the cranial vault thinning of the bone and defective closure of the fontanelles were also observed. The entire subcortical area of the cerebral hemispheres with severe, dilatation of ventricles and cerebrospinal fluid(CSF) wits absent. There was parenchyma atrophy affecting chiefly in the white mater and the cerebral cortices, axon degeneration and necrosis and gitter cell infiltration in the whiter matter and the subependymal area. Mononuclear perivacular cuffing in the cerebrum and the pons was shown. Based on the radiological, gross and histopathological findings, this case was believed to have congenital hydrocephalus with nonsuppurative encephahitis. Possible etiology on the case is also discussed.

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Congenital Tuberculosis as a Result of Disseminated Maternal Disease: Case Report

  • Hoyos-Orrego, Alvaro;Trujillo-Honeysberg, Monica;Diazgranados-Cuenca, Lucy
    • Tuberculosis and Respiratory Diseases
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    • v.78 no.4
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    • pp.450-454
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    • 2015
  • Although tuberculosis is highly prevalent worldwide, congenital tuberculosis is one of the least common manifestations of the disease. The diagnosis is usually difficult because of the non-specific clinical presentation and the lack of awareness of maternal disease prior to pregnancy and delivery. We present the case of a preterm neonate with congenital tuberculosis, born to a previously healthy mother who had developed severe disseminated tuberculosis during her pregnancy. Once the diagnosis was confirmed in the mother, the congenital infection was confirmed by isolation of Mycobacterium tuberculosis in gastric aspirates, and positive polymerase chain reaction in a cerebrospinal fluid examination. Treatment for tuberculosis with a four-drug regimen resulted in an adequate clinical response in both the mother and infant.

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.

10 Times Epidural Blood Patches for Spontaneous Intracranial Hypotension -A case report- (10회의 경막외 자가혈액 봉합술이 필요했던 자발성 두개내 저압 -증례 보고-)

  • Park, Joon Hee;Yoon, Duck Mi;Lee, Yoon Chang;Kim, Won Oak;Yoon, Kyung Bong
    • The Korean Journal of Pain
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    • v.18 no.1
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    • pp.60-63
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    • 2005
  • This report describes the successful treatment of spontaneous intracranial hypotension (SIH) with multiple cerebrospinal fluid (CSF) leaks using 10 applications of epidural blood patches (EBP). A forty year old female who suffered with a postural headache was diagnosed as having SIH. On the cisternography, multiple CSF leaks were noted at the thoracic and lumbar area. Her headache was not improved with conservative treatments such as bed rest, hydration and NSAIDS. So, she underwent treatment with EBPs. After 10 applications of site-directed EBPs, her headache was resolved gradually and completely without any complications.

A Case of Aseptic Meningitis and Unilateral Vestibulopathy Associated with Histiocytic Necrotizing Lymphadenitis(Kikuchi's disease) (조직구괴사림프절염(Kikuchi병)과 동반된 무균뇌수막염과 한쪽 전정신경병증)

  • Kim, Kyung Jib;Do, Jin Kuk;Lee, Dong Kuck
    • Annals of Clinical Neurophysiology
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    • v.9 no.2
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    • pp.93-96
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    • 2007
  • A 34-year-old man presented with a severe headache, fever, and cervical lymphadenopathy followed by generalized tonic-clonic seizure. Evaluations showed splenomegaly, elevated liver enzymes, and 380 white blood $cells/mm^3$ in the cerebrospinal fluid. Two weeks after admission, he developed sudden vertigo. Examination revealed spontaneous horizontal-torsional nystagmus to the right and bithermal caloric tests documented left canal paresis. A cervical lymph node biopsy disclosed subacute necrotizing lymphadenitis. We report a case of aseptic meningitis and unilateral vestibulopathy associated with histiocytic necrotizing lymphadenitis (Kikuchi's disease).

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A Case of Cerebral Adrenomyeloneuropathy with Extensive Cerebral Lesions (광범위한 대뇌병터를 보인 대뇌형 부신척수신경병증 1예)

  • Kim, Hyun-Jung;Min, Ju-Hong;Lee, Kwang-Woo
    • Annals of Clinical Neurophysiology
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    • v.9 no.2
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    • pp.97-101
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    • 2007
  • We report a 31-year-old man with cerebral adrenomyeloneuronopathy variant, who presented as progressive gait disturbance. He had spastic paraparesis, hyperreflexia without Babinski's sign and sensory symptom. No adrenal insufficiency was noted. Brain MRI showed extensive high signal intensities in bilateral temporal lobes and posterior periventricular white matter in T2 weighed imaging without cerebrospinal fluid abnormality. His nerve conduction study showed sensorimotor demyelinating polyneuropathy and the level of saturated very-long-chain fatty acids was high in his plasma, although neuropsychological test was normal.

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A case report for probable Vogt-Koyanagi-Harada Disease improved by Korean-Western Medicine Treatment (한양방 동시치료로 호전된 추정 보그트-고야나기-하라다병 증례)

  • Yang, Joon-Hyoung;Hong, Seung-Ug
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.27 no.2
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    • pp.89-100
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    • 2014
  • Vogt-Koyanagi-Harada(VKH) Disease is a bilateral granulomatous uveitis often associated with exudative retinal detachment and extraocular manifestations, such as pleocytosis in the cerebrospinal fluid and, in some case, vitiligo, poliosis, alopecia, and dysacusis. There has been no previous report for the disease in the field of Korean traditional medicine. The case was treated with conventional medical intervention and Korean traditional treatment including acupuncture and herbal medicine. The case was discharged with improvement in fundus photography and optical coherence tomography. The authors report the case to suggest that Korean medical approach combined with conventional treatment can be helpful for the disease.

Acute Hearing Loss in the Contralateral Ear after Vestibular Schwannoma Removal

  • Jeong, In-Ho;Jung, Shin;Kim, In-Young;Kang, Sam-Suk
    • Journal of Korean Neurosurgical Society
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    • v.38 no.3
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    • pp.227-230
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    • 2005
  • Hearing loss in the contralateral functioning ear is a rare and distressing complication after vetibular schwannoma removal. Various possible mechanisms have been proposed, however, the etiology of hearing loss is not clear. Fortunately, this is an extremely rare occurrence, sporadic case reports have appeared in the literatures. We report two cases of acute contralateral hearing loss after vestibular schwannoma removal and discuss the possible mechanisms of the phenomenon. Although permanent deafness may result, in our cases, the hearing loss was temporary, returning to near preoperative level within one month. The etiology of hearing loss in one case is thought to be cerebrospinal fluid leakage. However, in the other case, the cause of hearing loss is not clear. A better understanding of these events may lead to preventive measures to avoid contralateral hearing loss after vestibular schwannoma removal.

Paraplegia due to Spinal Cord Infarction After Lifting Heavy Objects

  • Lee, Sung-Ho;Kim, Sung-Bum;Choi, Seok-Geun;Lim, Young-Jin
    • Journal of Korean Neurosurgical Society
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    • v.43 no.2
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    • pp.114-116
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    • 2008
  • Spinal cord infarction is uncommon and usually presents with sudden onset of motor and sensory disturbances. We report a case of a 64-year-old women without previous medical history, who presented with acute onset of paraplegia after lifting. However, radiologic examinations did not show any abnormal lesion in the spinal cord. And, cerebrospinal fluid studies also showed no remarkable findings. This case illustrates the cause of spontaneous paraplegia after lifting injury and we consider the presumptive cause of paraplegia as spinal cord infarction.

Development of a model for early detection of Parkinson's disease using diffusion tensor imaging and cerebrospinal fluid (확산 텐서 영상과 뇌척수액을 이용한 파킨슨병의 조기 진단 모델 개발)

  • Kang, Shintae;Lee, Wook;Park, Byungkyu;Han, Kyungsook
    • Proceedings of the Korea Information Processing Society Conference
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    • 2014.04a
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    • pp.753-756
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    • 2014
  • 파킨슨병은 도파민계 신경이 파괴되는 질병으로 알츠하이머병과 함께 대표적인 퇴행성 뇌 질환으로 병의 진행을 완화시킬 수 있는 치료법이 존재하기 때문에 병의 진단이 굉장히 중요하다. 파킨슨병을 진단하기 위한 과거의 연구는 대부분 단일 생체지표를 이용하는 것이었지만 이러한 방법에는 한계성이 존재한다. 따라서 본 연구에서는 생화학적 생체지표인 뇌척수액 내의 ${\alpha}-synuclein$ 단백질 수치와 영상학적 생체지표인 확산 텐서 영상의 여러 모수들을 결합한 융합 생체지표를 특징으로 사용하는 파킨슨병 진단 모델을 개발하고 성능을 평가하였다. 10-fold cross validation 에서 모든 성능지표에 대해 최고 100%를 보였으며, cross validation 의 과적합을 감안하더라도 파킨슨병의 조기진단에 유용하게 사용될 수 있는 가능성을 제시하였다.