• 제목/요약/키워드: Central Nervous System Disease

검색결과 298건 처리시간 0.032초

심낭삼출로 발병하여 스테로이드 단독치료로 호전된 소아 전신성 홍반성 낭창 1례 (A Case of Steroid-responsive Pericardial Effusion as an Initial Manifestation of Childhood Systemic Lupus Erythematosus)

  • 이진석;하태선
    • Childhood Kidney Diseases
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    • 제8권1호
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    • pp.80-85
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    • 2004
  • 저자들은 급성 호흡곤란을 주소로 내원하여 반복적 심낭삼출로 2차례 심막천자술을 시행하였으나 심증상이 지속되다가 이후 발생한 임상적 소견과 혈액검사로 전신성 홍반성 낭창을 진단하여 부신피질호르몬을 투여한 후 심증상의 뚜렷한 호전을 보인 11세 여환아를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

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A New Mathematical Model for Optimum Production of Neural Stem Cells in Large-scale

  • Hossain, S.M. Zakir;Sultana, Nahid;Babar, S.M. Enayetul;Haki, G.D.
    • Molecular & Cellular Toxicology
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    • 제3권2호
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    • pp.77-84
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    • 2007
  • Millions of individuals worldwide are currently afflicted with neurodegenerative disorders such as Parkinson's disease and multiple sclerosis which are caused by the death of specific types of specialized cells in the Central Nervous System (CNS). Recently, Neural Stem Cells (NSCs) are able to replace these dead cells with new functional cells, thereby providing a cure for devastating neural diseases. The clinical use of neural stem cells (NSCs) for the treatment of neurological diseases requires overcoming the scarcity of the initial in vivo NSC population. Thus, we developed a novel 3-dimentional cellular automata model for optimum production of neural stem cells and their derivatives in large scale to treat neurodegenerative disorder patients.

Achalasia 의 1례 (A case of achalasia)

  • 조중환;유태현;박현수
    • 대한기관식도과학회:학술대회논문집
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    • 대한기관식도과학회 1977년도 제11차 학술대회연제 순서 및 초록
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    • pp.9.3-9
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    • 1977
  • Achalasia는 식도의 확장을 동반하는 탐도분문부의 비기질적폐색을 이르키는 질환으로 그 원인은 불명하나 식도하부괄약근의 이완장애와 식도체부에서의 정상연동운동의 결여로 나타나는데 원래 근육신경계의 기능장애의 하나로 중추신경계통의 병변으로 신경 신경절 및 근육의 변성을 이르켜 생긴다는 설이 유력시되고 있다. 주요증상은 연하장애 음식물토출 및 심와부 동통등이다. 저자들은 43세 여자에서의 achalasia 1례를 치험하였기에 문헌적고찰과 함께 보고하는 바이다.

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Neurofibromatosis type I: points to be considered by general pediatricians

  • Kang, Eungu;Yoon, Hee Mang;Lee, Beom Hee
    • Clinical and Experimental Pediatrics
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    • 제64권4호
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    • pp.149-156
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    • 2021
  • Neurofibromatosis type 1 (NF1), a prevalent genetic disease that is transmitted in an autosomal dominant manner, is characterized by multiple cutaneous cafe-au-lait spots and neurofibromas as well as various degrees of neurological, skeletal, and neoplastic manifestations. The clinical features of NF1 increase in frequency with age, while the clinical diagnosis can remain undetermined in some pediatric patients. Importantly, affected patients are at risk for developing tumors of the central and peripheral nervous system. Therefore, adequate counseling for genetic testing, age-appropriate surveillance, and management are important. This review suggests several issues that should be considered to help general pediatricians provide adequate clinical care and genetic counseling to patients with NF1 and their families.

Acute combined central and peripheral nervous system demyelination: a case report

  • Roh, Young Eun;Kim, Young Mi
    • 고신대학교 의과대학 학술지
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    • 제33권2호
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    • pp.257-262
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    • 2018
  • Guillain-$Barr{\acute{e}}$ syndrome (GBS) and acute disseminated encephalomyelitis (ADEM) are demyelinating neurologic disorders with different target organs. Although they share similar pathogenetic mechanism, reports of simultaneous occurrence of the 2 disorders are rare. A 2 year 6 month old girl visited our hospital for fever, cough, and general weakness. Although the muscle power of extremities showed mild weakness and voiding difficulty, initial deep tendon reflex of both knees and ankles was normal. A nerve conduction study to evaluate the weakness revealed the absence of F waves. Cerebrospinal fluid analysis demonstrated pleocytosis with lymphocyte predominance and elevated protein levels. Magnetic resonance imaging showed abnormal T2 hyperintensity in pons, medulla and spinal cord. Serum anti-GD1b antibody was positive. Based on clinical findings, laboratory findings, nerve conduction study, and neuroimaging, the diagnosis of GBS and ADEM was made. This is the first case of GBS accompanied by ADEM in Korea.

Innovative Therapeutic Approaches for Mucopolysaccharidosis III

  • Sohn, Young Bae
    • Journal of mucopolysaccharidosis and rare diseases
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    • 제4권2호
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    • pp.37-41
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    • 2018
  • Mucopolysaccharidosis III (MPS III, Sanfilippo syndrome) is a rare autosomal recessive disease caused by a deficiency of one of four enzymes involved in the degradation of glycosaminoglycan (GAG). The resultant cellular accumulation of GAG causes various clinical manifestations. MPS III is divided into four subtypes depending on the deficient enzyme. All the subtypes show similar clinical features and are characterized by progressive degeneration of the central nervous system. A number of genetic and biochemical diagnostic methods have been developed. However, there is no effective therapy available for any form of MPS III, with treatment currently limited to clinical management of neurological symptoms. Main purpose of the treatment for MPS III is to prevent neurologic deterioration. Because conventional intravenous enzyme replacement therapy (ERT) has a limitation due to inability to cross the blood-brain barrier, several innovative therapeutic approaches for MPS III are being developed. This review covers the currently developing new therapeutic options for MPS III including high dose ERT, substrate reduction therapy, intrathecal or intraventricular ERT, fusion protein delivery using bioengineering technology, and gene therapy.

Craniopharyngioma with Intratumoral Hemorrhage and Superficial Siderosis

  • Oh, Jeong Hee;Park, Sung-Tae;Lim, Hyun Kyung
    • Investigative Magnetic Resonance Imaging
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    • 제22권4호
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    • pp.249-253
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    • 2018
  • Superficial siderosis of the central nervous system (CNS) is a progressive and debilitating neurological disease manifesting sensorineural hearing loss, cerebellar ataxia, and pyramidal tract signs. Chronic extravasation of blood into the subarachnoid space results in the accumulation of hemoglobin derivate in the subpial layer of the CNS, which is toxic to the neural tissues. Craniopharyngioma is a benign third ventricle tumor, which rarely presents with tumor bleeding. We report a rare case of superficial siderosis associated with craniopharyngioma with intratumoral hemorrhage in a patient with no history of prior trauma or CNS surgery.

A case of Galloway-Mowat syndrome with novel compound heterozygous variants in the WDR4 gene

  • Kim, Hamin;Lee, Hyunjoo;Lee, Young-Mock
    • Journal of Genetic Medicine
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    • 제17권2호
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    • pp.97-101
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    • 2020
  • The combination of central nervous system abnormalities and renal impairment is a notable characteristic of Galloway-Mowat syndrome (GAMOS), a disease which often accompanies microcephaly, developmental delay, and nephrotic syndrome. Many subtypes exist having various phenotypes and genotypes, and many genetic causes are still being identified. An 18-month-old boy first visited our clinic for seizure, delayed development, and microcephaly. During follow-up visits he developed proteinuria and nephrotic syndrome at the age of 6. Nephrotic syndrome became refractory to treatment. These phenotypes were suggestive of GAMOS. Next generation sequencing was performed for genetic analysis and revealed novel compound heterozygous variants in the WDR4 gene: c.494G>A (p.Arg165Gln) and c.540C>G (p.Ile180Met). This is the first case in Korea of GAMOS involving the WDR4 gene.

Erk activation mediates lipoPolysaccharide-induced induction of matrix metalloprotease-9 from rat primary astrocytes

  • Lee, Woo-Jong;Yoo, Byung-Kwon;Park, Gyu-Hwan;Ko, Kwang-Ho
    • 대한약학회:학술대회논문집
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    • 대한약학회 2002년도 Proceedings of the Convention of the Pharmaceutical Society of Korea Vol.2
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    • pp.304.2-304.2
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    • 2002
  • In central nervous system. matrix metalloproteinases (MMPs) are produced by neuron as well as glia and implicated in physiological events such as neurite outgrowth and myelination etc. In addition. MMPs also contribute to the pathogenesis of several CNS diseases such as multiple sclerosis, Alzheimer's disease and malignant glioma. In spite of their functional importance, little is known about the signal transduction pathways leading to the induction of MMPs in CNS. Here. we investigated whether the activation of Erk(1/2) is involved in the induction of MMP-9 in LPS-stimulated primary astrocytes. (omitted)

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Optic neuritis and multiple cranial neuropathies in patient with chronic inflammatory demyelinating polyneuropathy

  • Bae, Min-Jeong;Lee, Joonwon;Eun, Jeong Ik;Shin, Kyong Jin
    • Annals of Clinical Neurophysiology
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    • 제24권2호
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    • pp.59-62
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    • 2022
  • Chronic inflammatory demyelinating polyneuropathy (CIDP) is a chronic recurrent acquired immune-mediated disease of the peripheral nerves that presents with progressive sensory and motor deficits in all four limbs. Cranial nerve involvement is not as common as in Guillain-Barre syndrome, and central nervous system involvement including optic neuritis has rarely been reported in patients with CIDP. We recently experienced a case with classic CIDP involving bilateral facial and trigeminal nerves, right lower cranial nerves, and the right optic nerve.