• Title/Summary/Keyword: Neurological disorder

Search Result 274, Processing Time 0.023 seconds

Animal Naming Performance in Korean Elderly: Effects of age, education, and gender, and Typicality

  • Kim, Jung-Wan;Kim, Hyang-Hee
    • International Journal of Contents
    • /
    • v.8 no.3
    • /
    • pp.26-33
    • /
    • 2012
  • The animal naming test (ANT) is known to be influenced not only by age, gender, and education but only by ethnicity, culture, and language. Thus, population-specific norm considering these variables needs to be developed for Korean-speaking elderly. We evaluated 185 healthy elderly people with five measures. Education was the single statistically independent correlate of the total number of words ($R^2$ = .312, p = .038). After adjusting for education, there was slightly significant negative correlation (r = -.215, p = .049) between age and total number of words. Mean number of words produced was $13.71{\pm}3.09$. The production frequency was negatively correlated with the typicality rating (r = -0.41, p < .05). The concrete and exact scoring rule could be set up in the comparison of naming performance between a normal and patient with neuro-linguistic disorder and its data could be utilized in a differential diagnosis for patients with neurological disorders.

A Neuro-Behçet's Case Operated with the Intracranial Mass Misdiagnosis

  • Tokgoz, Osman Serhat;Akpinar, Zehra;Guney, Figen;Seyithanoglu, Abdullah
    • Journal of Korean Neurosurgical Society
    • /
    • v.52 no.5
    • /
    • pp.488-490
    • /
    • 2012
  • Behçet's disease (BD) is an inflammatory systemic disorder with oral and genital ulcers, as well as ophthalmologic and cutaneous symptoms. Neurological manifestations in BD represent between 2.2% to 50% of the cases. The 25-year-old male patient, diagnosed with BD three years earlier, was admitted to our clinic with complaints of recurrent headaches. Tumor-like-parenchimal involvement was detected on a cranial magnetic resonance imaging. The lesion was removed surgically and then he suffered from right hemiparesis and epilepsy. Pathological examination of the lesion noted a demyelinating non-tumoural etiology. A neuro-Beh$\check{g}$et's case with parenchymal involvement has been examined in light of the literature, in terms of a tumor and a demyelinating disease differential diagnosis.

Glucose metabolism and evaluation of hypoglycemia in neonates (신생아에서의 포도당 대사와 저혈당증의 평가)

  • Kim, Eun Young
    • Clinical and Experimental Pediatrics
    • /
    • v.50 no.3
    • /
    • pp.223-229
    • /
    • 2007
  • The fetus is completely dependent on mother for glucose and other nutrient transfer across the placenta. At birth, when the maternal supply is discontinued, the neonate must adjust to an independent existence. The changes in the neonate's glucose homeostasis during this transition to the extrauterine environment are influenced by the mother's metabolism and intrinsic fetal and placental problems. Maturation of carbohydrate homeostasis results from a balance between substrate availability and coordination of developing hormonal, enzymatic, and neural systems. These mechanisms may not be fully developed in neonates, so the neonate is vulnerable to carbohydrate disequilibrium resulting in damage to the central nervous system. Hypoglycemia is a relatively common metabolic problem seen during newborn care. However its definition, management and long term sequalae remain controversial. Hyporglycemia occurs frequently as a transient disorder with excellent prognosis. It also may persist and recur and cause permanent neurological complications. Although the key to effective treatment of hypoglycemia is diagnostic specific, the maintenance of euglycemia is critical to the preservation of central nervous system function. This article discusses physiology of perinatal glucose homeostasis, focusing on evaluation and treatment of hypoglycemia.

Mammalian target of rapamycin inhibitors for treatment in tuberous sclerosis

  • Kim, Won-Seop
    • Clinical and Experimental Pediatrics
    • /
    • v.54 no.6
    • /
    • pp.241-245
    • /
    • 2011
  • Tuberous sclerosis complex (TSC) is a genetic multisystem disorder that results from mutations in the TSC1 or TSC2 genes, and is associated with hamartomas in several organs, including subependymal giant cell tumors. The neurological manifestations of TSC are particularly challenging and include infantile spasms, intractable epilepsy, cognitive disabilities, and autism. The TSC1- and TSC2-encoded proteins modulate cell function via the mammalian target of rapamycin (mTOR) signaling cascade, and are key factors in the regulation of cell growth and proliferation. The mTOR pathway provides an intersection for an intricate network of protein cascades that respond to cellular nutrition, energy levels, and growth factor stimulation. In the brain, TSC1 and TSC2 have been implicated in cell body size, dendritic arborization, axonal outgrowth and targeting, neuronal migration, cortical lamination, and spine formation. The mTOR pathway represents a logical candidate for drug targeting, because mTOR regulates multiple cellular functions that may contribute to epileptogenesis, including protein synthesis, cell growth and proliferation, and synaptic plasticity. Antagonism of the mTOR pathway with rapamycin and related compounds may provide new therapeutic options for TSC patients.

Longterm Benefit and Unmet Needs in Enzyme Replacement Therapy of Gaucher (고셔병 환자에서 효소대체치료의 장기적 효과와 한계)

  • Kim, Yoo-Mi
    • Journal of The Korean Society of Inherited Metabolic disease
    • /
    • v.14 no.1
    • /
    • pp.42-47
    • /
    • 2014
  • Gaucher disease is a multisystemic disorder arising from a deficient activity of the lysosomal enzyme glucocerebrosidase, which leads to accumulation of glycosylceraide and other glycolipids in the regiculoendothelial system. The characteristics of Gaucher disease are anemia, thrombocytopenia, hepatosplenomegaly, and skeletal disease. Enzyme replacement therapy (ERT) has been proven to prevent progressive manifestations of Gaucher disease and effective in improving anemia, thrombocytopenia, bone markers and biomarkers. However, some patient needs still remain unmet because of the inaccessibility of certain sites including brain, bone and various organs. ERT could not Improve the irreversible lesion such as liver fibrosis, hepatopulmonary syndrome, and necrosis or infarction of bone and other organs. Adult patients with Gaucher disease should be screened for longterm complication such as bone disease, pulmonary hypertension, gallstone, and cancer, especially in patients with splenectomy. Parkinsonism and polyneuropathy was also reported among patients with type 1 Gaucher disease, but ERT does not improve neurological function. We need to review the benefits and unmet needs of ERT in Gaucher disease.

Movement Disorders Affecting the Larynx (후두운동장애)

  • Kwon, Tack-Kyun;Son, Hee-Young
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
    • /
    • v.21 no.1
    • /
    • pp.22-26
    • /
    • 2010
  • Neuromuscular Disorders Affecting the Larynx are steadily important topics at laryngology. Physiology of larynx is controlled by the frame structure and neuromuscular dynamics to acting on the specialized soft tissue, Therefore, for a proper understanding of the larynx, it is needed the voice and swallowing, a series of prayers on the regulation of neurologic function and the correlation between systemic neuromuscular disease and laryngeal symptoms and clinical knowledge, We described that clinical findings and treatments of the 3 neurological diseases causing dysphonia well (Parkinson's disease, laryngeal tremor, spasmodic dysphonia) and vocal impairments for stoke patients.

  • PDF

Management of Bilateral Vocal Cord Palsy (양측성 성대 마비의 치료)

  • Ryu, In Sun;Choi, Seung-Ho
    • Korean Journal of Bronchoesophagology
    • /
    • v.19 no.1
    • /
    • pp.5-10
    • /
    • 2013
  • Bilateral vocal cord palsy (BVCP) present a challenging condition which result from various etiologies including iatrogenic recurrent laryngeal nerve injury, progressive neurological disorder, intubation, trauma, tumor and idiopathic cause. Careful history taking, laryngoscopic evaluation, laryngeal EMG, and imaging studies are helpful for providing a precise diagnosis and planning appropriate treatment. BVCP causes airway restriction and not vocal dysfunction. In patients with BVFP, treatment is directed at maximizing the airway, while attempting to limit the negative effects of treatment on vocal function. A variety of surgical procedures are available for mangement of BVCP. The most conservative, limited procedure should be selected initially, and then further surgery and more extensive surgery can be tailored to the patient's airway and voice needs. This review will address the etiology, diagnosis, and managements of BVCP.

  • PDF

Importance of Microglial Cytoskeleton and the Actin-interacting Proteins in Alzheimer's Disease

  • Choi, Go-Eun
    • Biomedical Science Letters
    • /
    • v.26 no.1
    • /
    • pp.1-7
    • /
    • 2020
  • Alzheimer's disease (AD) is the most common neurodegenerative disorder and is expected to become more and more widespread as life expectancy increases. New therapeutic target, as well as the identification of mechanisms responsible for pathology, is urgently needed. Recently, microglial actin cytoskeleton has been proposed as a beneficial role in axon regeneration of brain injury. This review highlights in understanding of the characteristics of microglial actin cytoskeleton and discuss the role of specific actin-interacting proteins and receptors in AD. The precise mechanisms and functional aspects of motility by microglia require further study, and the regulation of microglial actin cytoskeleton might be a potential therapeutic strategy for neurological diseases.

Clinical and Electrophysiologic Characteristics of Paraproteinemic Neuropathy (파라단백혈증신경병의 임상 및 전기생리학적 특징)

  • Pyun, So Young;Kim, Byung-Jo
    • Annals of Clinical Neurophysiology
    • /
    • v.17 no.2
    • /
    • pp.45-52
    • /
    • 2015
  • The paraproteinemia is a disorder in which a single clone of plasma cells (monoclonal gammopathy) is responsible for the proliferation of monoclonal proteins (M-proteins). Approximately 10% of patients with idiopathic peripheral neuropathy have monoclonal gammopathy. Some M-proteins have the properties of an antibody to the components of peripheral nerve myelin, but the pathophysiological relationship between the neuropathy and the M-protein is often obscure. The relationship between peripheral neuropathy and monoclonal gammopathy requires the appropriate neurological and hematological investigations for precise diagnosis and treatment. In this review, we provide an update on the causal associations between peripheral neuropathy and monoclonal gammopathy as well as characteristics of clinical and electrophysiologic features.

Case Study of Tremor Patient with Ssanghaptang-gamibang (쌍합탕 가미방으로 호전된 진전 환자 1례)

  • Park, Kyung;Byun, Joon-Seok;Kim, Dae-Jun;Hur, Jin-Il
    • Journal of Physiology & Pathology in Korean Medicine
    • /
    • v.21 no.3
    • /
    • pp.781-784
    • /
    • 2007
  • Tremor is a rhythmic and involuntary muscular contraction charaterized by oscillations of body parts. tremor often accompanies neurological disorders associated with aging. Although the disorder is not life-threatening, it can be responsible for functional disability and interpersonal relationship problems. We have recently examined a number of tremor-patients. One of them was improved significantly through the herbal medicine (Ssanghaptang-gamibang) and accupuncture, so we report it for the better treatment.