• Title/Summary/Keyword: Neurology

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Zoster-associated limb paresis presenting as femoral neuropathy

  • Hwang, Inha;Yun, UnKyu;Bae, Heewon;Han, Jeong Ho;Ha, Sang-Won;Kim, Doo-eung
    • Annals of Clinical Neurophysiology
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    • v.21 no.1
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    • pp.44-47
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    • 2019
  • Zoster-associated limb paresis is a relatively uncommon complication of herpes zoster that is characterized by focal motor weakness. Awareness of this disorder is important to avoid unnecessary invasive investigations and to ensure appropriate treatment. We report a case of a herpes zoster involving the femoral nerve.

One Family with Hereditary Spastic Paraplegia due to SPG4 Gene Mutation (SPG4 유전자 변이에 의한 유전경직하반신마비를 보인 가족 1예)

  • Cho, Jeong-Seon;Kim, Doo-Eung;Kim, Jung-Mee;Han, Young-Su;Ha, Sang-Won;Park, Sang-Eun;Han, Jeong-Ho;Cho, Eun-Kyoung
    • Annals of Clinical Neurophysiology
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    • v.7 no.2
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    • pp.138-140
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    • 2005
  • Strumpell, in 1880, was the first to describe familial case of spastic paraplegia characterized by progressive weakness and spasticity of the lower limbs with little or no involvement of the upper extremities. This syndrome is heterogeneous in inheritance, age of onset, severity and associated signs. We present one family with autosomal dominant hereditary spastic paraplegia (HSP) due to SPG4 (spastin) gene mutation which is confirmed by genomic DNA isolated from peripheral blood.

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Acute-onset chronic inflammatory demyelinating polyneuropathy following hepatitis A virus infection

  • Jung, Eui Sung;Kim, Ye Sel;Min, Ju-Hong;Kang, Kyusik;Lee, Jung Ju;Park, Jong-Moo;Kim, Byung-Kun;Kwon, Ohyun
    • Annals of Clinical Neurophysiology
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    • v.19 no.1
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    • pp.50-53
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    • 2017
  • An infection is less likely to elicit chronic inflammatory demyelinating polyneuropathy (CIDP) than Guillain-$Barr{\acute{e}}$ syndrome. We here report a case of acute-onset CIDP following hepatitis A virus infection and briefly comment on the potential mechanisms regarding the induction and chronicity of autoimmunity after a viral infection.

Alcoholic Myopathy Accompanied with Acute Reversible Encephalopathy (급성으로 발병한 가역성 뇌병증을 동반한 알코올 근육병증)

  • Kim, Jong Kuk;Lee, Ji-Hyun;Kim, Min-Jeong;Yoo, Bong-Goo;Kim, Kwang-Soo;Cheon, Sang-Myung;Jo, Hee Young;Yi, Sang Won
    • Annals of Clinical Neurophysiology
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    • v.7 no.2
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    • pp.110-113
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    • 2005
  • Patients of chronic alcoholism may show many kinds of complications such as myopathy, nutritional problems, peripheral neuropathy, withdrawal seizure and encephalopathies. We report an unusual case of alcoholic myopathy diagnosed with typical laboratory and pathological findings initially manifested as acute reversible encephalopathy showing transient abnormalities on brain MRI.

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Myeloma-associated Amyloidosis Presenting as Orthostatic Intolerance (기립불능증으로 발현한 다발골수종과 연관된 아밀로이드증)

  • Jeong, Heejeong;Nam, Wonsik;Son, Seungnam;Kim, Soo-Kyung;Kang, Heeyoung;Choi, Nack-Cheon;Kwon, Oh-Young;Lim, ByeongHoon;Park, Ki-Jong
    • Annals of Clinical Neurophysiology
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    • v.17 no.1
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    • pp.24-27
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    • 2015
  • Amyloidosis is a systemic disorder associated with clonal plasma cell dyscrasia. Nephrotic syndrome, congestive heart failure, autonomic and peripheral neuropathy is often associated features in amyloidosis. Early diagnosis is most important because of different prognosis by stage. The diagnosis can be delayed since symptoms of amyloidosis may vary or nonspecific. We describe a patient of myeloma-associated amyloidosis, who showed orthostatic intolerance as the first symptom of the disease.

Potential risks of nerve conduction studies and needle electromyography

  • Yoon, Byung-Nam;Ahn, Suk-Won;Kim, Jee-Eun;Seok, Jin Myoung;Kim, Kwang-Kuk;Kwon, Ki-Han;Park, Kee Duk;Suh, Bum Chun;Lim, Young Min;Korean Society of Clinical Neurophysiology Education Committee
    • Annals of Clinical Neurophysiology
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    • v.20 no.2
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    • pp.66-70
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    • 2018
  • Electrodiagnostic studies such as nerve conduction studies (NCS) and needle electromyography (EMG) provide important and complementary information for evaluating patients with suspected neuromuscular disorders. NCS and needle EMG are reasonably safe diagnostic investigations and are generally associated with only mild transient discomfort when performed by experienced physicians. However, there is the risk of complications in some patients, because NCS involve the administration of electric current and EMG involves inserting a needle percutaneously into muscle tissue. This article reviews the potential risks of NCS and needle EMG.

Bickerstaff's Brainstem Encephalitis Treated with Immunoglobulin (면역글로불린으로 치료한 Bickerstaff 뇌간뇌염 1예)

  • Kim, Beom Joon;Choi, Yoon Jae;Kim, Nam-Hee;Hong, Yoon-Ho;Sung, Jung-Joon;Han, Moon-Ku;Park, Seong-Ho;Lee, Kwang-Woo;Park, Kyung Seok
    • Annals of Clinical Neurophysiology
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    • v.8 no.1
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    • pp.94-97
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    • 2006
  • Bickerstaff's brainstem encephalitis (BBE) is a rare disorder with acute ophthalmoparesis, ataxia, consciousness disturbance, and pyramidal signs of suspected autoimmune origin. A-62-year-old woman developed acute diplopia, dysarthria, gaze-paretic nystagmus and gait ataxia. Her mental status fell subsequently into stupor. Brain MRI and nerve conduction study showed no significantly abnormal findings. Electroencephalography revealed diffuse low voltage slowings. After treating with intravenous immunoglobulin, she demonstrated rapid clinical recovery. This case suggests that immunoglobulin can be an alternative option in BBE treatment, especially when plasmapheresis and corticosteroids are difficult or contraindicated.

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Primary Aldosteronism Presenting as Hypokalemia and Rhabdomyolysis (저칼륨혈증과 횡문근융해증으로 발현한 원발성 알도스테론증 1예)

  • Park, Kee Hong;Kim, Soo-Kyung;Cho, Eun Bin;Jeong, Heejeong;Choi, Nack-Cheon;Kwon, Oh-Young;Lim, Byeong Hoon;Hahm, Jong Ryeal;Park, Ki-Jong
    • Annals of Clinical Neurophysiology
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    • v.18 no.1
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    • pp.21-24
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    • 2016
  • Primary aldosteronism is one of the most common cause of secondary hypertension and can be accompanied with hypokalemia. Rhabdomyolysis with hypokalemia in primary aldosteronism has been rarely reported. We describe a patient of primary aldosteronism who presented with limb-girdle type weakness.