• Title/Summary/Keyword: Cerebellar

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Isolated Lateral Sinus Thrombosis Presenting as Cerebellar Infarction in a Patient with Iron Deficiency Anemia

  • Lee, Ji-Hye;Park, Kyung-Jae;Chung, Yong-Gu;Kang, Shin-Hyuk
    • Journal of Korean Neurosurgical Society
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    • v.54 no.1
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    • pp.47-49
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    • 2013
  • As a rare cerebrovascular disease, cerebral venous thrombosis (CVT) is caused by various conditions including trauma, infection, oral contraceptive, cancer and hematologic disorders. However, iron deficiency anemia is not a common cause for CVT in adult. Posterior fossa infarction following CVT is not well demonstrated because posterior fossa has abundant collateral vessels. Here, we report a case of a 55-year-old man who was admitted with complaints of headache, nausea, and mild dizziness. The patient was diagnosed with isolated lateral sinus thrombosis presenting as cerebellar infarction. Laboratory findings revealed normocytic normochromic anemia due to iron deficiency, and the patient's symptoms were improved after iron supplementation.

Contralateral Superior Cerebellar Artery Syndrome : A Consequence of Brain Herniation

  • Mohseni, Meysam;Habibi, Zohreh;Nejat, Farideh
    • Journal of Korean Neurosurgical Society
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    • v.60 no.3
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    • pp.362-366
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    • 2017
  • Vascular compromise is a well-known consequence of brain herniation syndromes. Transtentorial brain herniation most often involves posterior cerebral arteries. However, isolated involvement of contralateral superior cerebellar artery (SCA) during unilateral impending brain herniation is reported only once and we present another case of this exceedingly rare entity. A 24-year-old man was referred to us with impending herniation due to a multiloculated hydrocephalus, and during the course of illness, he developed an isolated SCA ischemia in the opposite side of the most dilated entrapped horn. In the current article we discuss the probable pathophysiologic mechanisms of this phenomenon, as well as recommending more inclusive brain studies in cases suspected of Kernohan-Woltman notch phenomenon in unilateral brain herniation. The rationale for this commentary is that contralateral SCA transient ischemia or infarct might be the underdiagnosed underlying pathomechanism of ipsilateral hemiparesis occurring in many cases of this somehow vague phenomenon.

Cerebellar Schistosomiasis: A Case Report with Clinical Analysis

  • Wan, Heng;Lei, Ding;Mao, Qing
    • Parasites, Hosts and Diseases
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    • v.47 no.1
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    • pp.53-56
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    • 2009
  • The authors report here a rare case of cerebellar schistosomiasis identified by pathological diagnosis, lacking extracranial involvement. The clinical symptoms included headache, dizziness, and nausea. Studies in blood were normal and no parasite eggs were detected in stool. Computed tomography of brains showed hypodense signal, and magnetic resonance imaging showed isointense signal on T1-weighted images, hyperintense signal on T2-weighted images, and intensely enhancing nodules in the right cerebellum after intravenous administration of gadolinium. A high-grade glioma was suspected, and an operation was performed. The pathologic examination of the biopsy specimen revealed schistosomal granulomas scattered within the parenchyma of the cerebellum. The definitive diagnosis was cerebellar schistosomiasis japonica. A standard use of praziquantel and corticosteroid drugs was applied, and the prognosis was good. When the pattern of imaging examinations is present as mentioned above, a diagnosis of brain schistosomiasis should be considered.

Pure Cerebellar Ataxia Presenting in the SCA 1 (순수 소뇌실조증의 임상 양상으로 SCA 1의 과도한 CAG 반복서열을 보인 유전성 소뇌실조증 가족 1례)

  • Song, Eun-Hyang;Lee, Chung-Seok;Kim, Woo-Jung;Kim, Doo-Eung
    • Annals of Clinical Neurophysiology
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    • v.3 no.2
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    • pp.151-155
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    • 2001
  • SCA 1 is an autosomal dominant disorder. The phenotypic manifestations of SCA 1 are not specific, and thus, the diagnosis of SCA 1 rests on molecular genetic testing. The number of CAG repeats ranges from 6-44 in normal alleles and from 39-81 repeats in disease-causing alleles(chromosomal locus 6p22-23). The main clinical features of SCA 1 are ataxia, dysarthria, ophthalmoparesis, extrapyramidal signs without retinal degeneration. A 24-year-old woman with suspected family history presented with progressive cerebellar ataxia, dysarthria, ptosis, titubation and general weakness. Brain MRI revealed a moderate cerebellar atrophy. A genomic polymerase chain reaction(PCR) analysis showed 66 repeats at the SCA 1 locus.

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Cerebellar Hippocampal and Basal Nuclei Transient Edema with Restricted diffusion (CHANTER) syndrome due to antidepressant (항우울제 복용에 의한 소뇌, 해마 그리고 기저핵에 확산이 제한된 일과성 부종 증후군(CHANTER syndrome) 증례)

  • Nah, Sangun;Kim, Han Bit;Han, Sangsoo;Choi, Sungwoo;Lim, Hoon
    • Journal of The Korean Society of Clinical Toxicology
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    • v.20 no.1
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    • pp.31-34
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    • 2022
  • Cerebellar Hippocampal and Basal Nuclei Transient Edema with Restricted diffusion (CHANTER) syndrome is characterized by an altered mental status. The acute MRI lesions show abnormal restricted diffusion imaging bilaterally and symmetrically in the cerebellum, hippocampus, and basal nuclei. This syndrome is an unknown syndrome and is presumed to be mainly an opioidinduced toxidrome. Here, we present a case study wherein we show that it can also be caused by an antidepressant overdose.

The Inducible form of Heat Shock Protein 70 (Hsp70) is Expressed in the Rat Cerebellar Synapses in Normal Condition (흰쥐 소뇌 정상 연접에서 열충격단백질70(HSP70)의 표현)

  • Cho Sun-Jung;Jung Jae-Seob;Jin IngNyol;Jung Seung Hyun;Park In Sick;Moon Il Soo
    • Journal of Life Science
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    • v.15 no.4 s.71
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    • pp.607-612
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    • 2005
  • Heat shock protein 70 (HSP70) is a multigene family composed of constitutively expressed members(Hsc70) and stress-inducible members (Hsp70). In the mammalian nervous system, a considerable amount of HSPs is also synthesized under normal conditions suggesting that they play an important role in the metabolism of unstressed cells. In this study we examined the expression of Hsp70 in the synapses of rat cerebellar neurons. Immunohistochemistry using specific antibodies revealed that both Hsp70 and Hsc70 are expressed in the cerebellar tissue, with strongest expression in Purkinje cells followed by granule cells. Neurons in deep cerebellar nuclei were also intensely stained by Hsp70 antibody. Immunocytochemical stainings of cultured cerebellar cells showed that Hsp70 is expressed in both Purkinje and granule cells. The expression was punctate in the soma and along dendritic trees, and the punctae were colocalized with those of PSD95, a postsynaptic marker. Immunoblotting also indicates that Hsp70 is associated with the postsynaptic density fraction. Taken together, our results indicate that the Hsp70 is expressed in cerebellar neurons in normal conditions, and that some are localized in the synapses.

A case study on Intention tremor of Cerebellar Infarction (소뇌경새(小腦硬塞) 환자(患者)의 기도진전(企圖振顫)에 대한 치험(治驗) 보고(報告))

  • Sung, Gang-Keyng
    • The Journal of Korean Medicine
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    • v.15 no.2 s.28
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    • pp.40-45
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    • 1994
  • A case study was done on 1 case of cerebellar infarction which was diagnosed with brain CT scan. the following conclusions were obtained: 1. Intention tremor was improved 10 days after administration of Youngyang gaksan. 2. Intention tremor was nearly disappeared 14 days administration of Young yanggaksan.

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Cerebral Dissecting Aneurysms in Patients with Essential Thrombocythemia

  • Baek, Jin Wook;Kim, Young Don
    • Journal of Korean Neurosurgical Society
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    • v.56 no.3
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    • pp.257-260
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    • 2014
  • The etiologies of intracranial artery dissection are various, the exogenous as well as inherited connective tissue disorders. We report on a patient who presented with diffuse subarachnoid hemorrhage who had been suffered from essential thrombocythemia. He was diagnosed to multiple dissecting aneurysms of left superior cerebellar artery, left posterior inferior cerebellar artery and right pericallosal artery and treated with endovascular coil embolization.

Traditional Korean Medical Treatment for Dizziness and Gait Instability due to Cerebellar Infarction: A Case Report

  • Lee, You Jung;Jeong, Jae Eun;Choi, Yeon Ah;Park, Jang Mi;Lee, Seung Min;Lee, Eun Yong;Lee, Cham Kyul;Jo, Na Young;Roh, Jeong Du
    • Journal of Acupuncture Research
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    • v.37 no.3
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    • pp.181-186
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    • 2020
  • This case study reports the effect of Korean medicine treatments on a 73 year-old female who had a cerebellar infarction. She was hospitalized for 120 days (without visiting Western medicine hospital) where she was treated with acupuncture, herbal decoction, pharmacopuncture, chuna, moxibustion and physiotherapy. Following treatment, her symptoms of dizziness were evaluated using the numeric rating scale and showed pain had reduced (3 to 0). The K-Modified Barthel, showed that life performance had improved (15 to 74), and the Berg balance scale showed an improved balance (2 to 32). Steps per minute and gait posture at stance phase for ataxia also showed improvement. This case report shows that Korean medicine treatment is effective in alleviating dizziness and improved gait instability caused by cerebellar infarction.