• 제목/요약/키워드: Neurology

검색결과 2,129건 처리시간 0.03초

Febrile Hashimoto's encephalopathy mimicking infectious encephalitis

  • Lee, Jung-Ju;Youn, Michelle Sojung;Park, Jong-Moo;Kwon, Ohyun;Lee, Woong-Woo;Kang, Kyusik;Kim, Byung Kun
    • Annals of Clinical Neurophysiology
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    • 제22권1호
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    • pp.24-28
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    • 2020
  • Hashimoto's encephalopathy (HE) is a heterogeneous encephalopathy with diverse clinical presentations. Here we report on a 69-year-old woman who presented with confusion, aphasia, fever, and focal ictal discharges. Cerebrospinal fluid analysis and a workup for other fever origins revealed no abnormality and a high level of thyroperoxidase antibody was detected, which findings led to a diagnosis of HE. The symptoms subsided after treatment. This study highlights the importance of considering HE in patients presenting with fever and abnormal EEG findings.

Neurolymphomatosis presenting as brachial plexopathy with involvement of cranial nerves

  • Lee, Hye Jung;Kim, Keun Soo;Song, Pamela;Lee, Jae-Jung;Sung, Jung-Joon;Choi, Kyomin;Kim, Bohyun;Cho, Joong-Yang
    • Annals of Clinical Neurophysiology
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    • 제20권1호
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    • pp.44-48
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    • 2018
  • Neurolymphomatosis (NL) is a rare disease characterized by lymphomatous invasion of the cranial or peripheral nerves by lymphoma. A high suspicion is important due to the various presenting symptoms mandating consideration of many differential diagnoses. We report a case of NL of the cranial nerves and plexus presenting as diplopia, facial palsy, and weakness of the upper and lower limbs in sequence.

Adrenomyeloneuropathy with cerebral involvement due to a novel frameshift variant in ABCD1 gene

  • Kim, Hye Weon;Kim, Hyunjin;Jeong, Dongyoung;Chung, Kyuyoon;Lee, Eun-Jae;Lim, Young-Min;Kim, Kwang-Kuk
    • Annals of Clinical Neurophysiology
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    • 제23권1호
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    • pp.61-64
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    • 2021
  • Adrenoleukodystrophy (ALD) is the most common peroxisomal disorder caused by mutations in the gene, ABCD1, causing abnormal accumulation of very-long-chain fatty acids in the nervous system and adrenal glands. There are various clinical manifestations of ALD. Here we report a 47-year-old male with adrenomyeloneuropathy with cerebral involvement who exhibited progressive gait disturbance and cognitive impairment. A novel frameshift variant (c.95del [p.Val32Alafs*36]) in exon 1 of ABCD1 was identified. This report provides additional information regarding the various clinical characteristics of ALD.

Orthostatic hypotension with meningoencephalitis involving the rostral ventrolateral medulla

  • Young, Ik-Jung;Sunwoo, Mun Kyung;Lee, Hee Jin;Seo, Jeong Hee;Kim, Jeongyeon
    • Annals of Clinical Neurophysiology
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    • 제21권1호
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    • pp.66-69
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    • 2019
  • Orthostatic hypotension (OH) is commonly associated with autonomic failure in the peripheral nervous system. Less often it is related to central lesions in brainstem and cerebellum. We describe a patient with OH associated with tuberculosis meningoencephalitis involving the brainstem including rostral ventrolateral medulla. This is the first case of OH resulting from focal lesions in the dorsal medulla in a patient with meningoencephalitis.