• Title/Summary/Keyword: Neurology

Search Result 2,039, Processing Time 0.029 seconds

Septo-optic dysplasia plus diagnosed in a middle-aged woman

  • Oh, Seung Tae;Kang, Mi-Ri;Oh, Seong-il;Kim, Eung Gyu;Kim, Sang Jin;Seo, Jung Hwa;Chung, Eun Joo;Ji, Ki-Hwan
    • Annals of Clinical Neurophysiology
    • /
    • v.20 no.2
    • /
    • pp.85-88
    • /
    • 2018
  • Septo-optic dysplasia is a congenital anomaly with diverse phenotypes from normal to mixtures of visual abnormality, endocrine dysfunction, psychomotor retardations and epileptic seizures. It is characterized by optic atrophy, pituitary dysfunction and midline structure abnormalities in corpus callosum or septum pellucidum. Diagnosis of septo-optic dysplasia plus is made when cortical malformations accompanied. Here we report a middle-aged woman with septo-optic dysplasia plus having unilateral optic atrophy, agenesis of septum pellucidum and cortical malformations.

A Case of Pretarsal Blepharospasm Presenting as Apraxia of Lid Opening (안검개방실행증의 임상양상을 보인 검판전부의 안검경련 1례)

  • Kim, Joon-Tae;Kim, Byeong-Chae;Hwang, In-Yong;Lee, Sung-Min;Choi, Sung-Min;Son, Eui-Ju;Kim, Myeong-Kyu;Cho, Ki-Hyun
    • Annals of Clinical Neurophysiology
    • /
    • v.4 no.1
    • /
    • pp.63-66
    • /
    • 2002
  • Blepharospasm and apraxia of lid opening(ALO) are non-paralytic causes of involuntary eyelid closure. Clinically it is difficult to differentiate blepharospasm and ALO, and these two conditions are sometimes associated. We report a case of pretarsal blepharospasm presenting as apraxia of lid opening. 55-year-old woman was noted to have voluntary eye opening difficulty. We synchronously record the electromyographic(EMG) from the levator palpebrae superioris and the orbicularis oculi muscles in this patient. This results suggested that she has a variant of blepharospasm due to abnormal contraction in the pretarsal orbicularis oculi.

  • PDF

A Case of Peripheral Facial Palsy in Ponto-medullary Junction Area Infarction (말초성 안면신경 마비로 발현된 교뇌-연수 인접 부위 뇌경색 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
    • /
    • v.8 no.2
    • /
    • pp.186-189
    • /
    • 2006
  • A 69 year-old woman was admitted with sudden left facial weakness. She had no other neurologic deficit, except for left peripheral type facial palsy. She had a presumptive diagnosis of Bell's palsy. The blink test was indicative of left facial neuropathy due to left medullary lesion. Diffusion weighted (DWI) brain MRI demonstrated high signal signal lesion in left dorsolateral ponto-medullary junction. Apperant diffusion coefficient (ADC) brain MRI showed low signal lesion in the same area. We present an unusual case of ipsilateral peripheral facial palsy in dosolateral ponto-medullary infarction without other neurologic deficits.

  • PDF

A Case of Childhood-onset Form of Nemaline Myopathy (소아형 Nemaline 근병증 1예)

  • Kim, Hyun Kyung;Kim, Sung-Min;Kim, Nam-Hee;Hong, Yoon-Ho;Sung, Jung-Joon;Choe, Gheeyoung;Park, Seong-Ho;Lee, Kwang-Woo;Park, Kyung Seok
    • Annals of Clinical Neurophysiology
    • /
    • v.8 no.1
    • /
    • pp.98-101
    • /
    • 2006
  • Nemaline myopathy is one of the congenital myopathy, which is characterized by histological findings of nemaline bodies (rods) and type 1 fiber hypotrophy and predominance. It can be classified into three forms according to the age of onset and clinical features: congenital form, childhood-onset form, and adult-onset form. We report an 18-year-old patient with generalized muscle weakness and dysmorphic features who was diagnosed as typical childhood-onset nemaline myopathy.

  • PDF

Evaluation of Facial Synkinesis With Applied Blink Reflex Test (순목반사검사를 응용한 안면근육 공동반사운동 평가)

  • Kim, Jung-Mee;Han, Young-Su;Cho, Jeong-Seon;Park, Sang-Eun;Ha, Sang Won;Han, Jeong-Ho;Cho, Eun-Kyoung;Kim, Doo-Eung
    • Annals of Clinical Neurophysiology
    • /
    • v.7 no.2
    • /
    • pp.88-92
    • /
    • 2005
  • Blink reflex could be a useful tool to differentiate facial synkinesis as one of complications of facial neuropathy, from volitional associated movements. We had performed applied blink reflex test for 23 patients with objective evidence of hemifacial weakness in which orbicularis oculi muscle(zygomatic branch) and mentalis muscle(mandibular branch) are electrophysiologically evaluated in response to supraorbital stimulation of trigeminal nerve. For an unaffected side of face there is no evidence of positive blink reflex from the mentalis muscle. We concluded that a positive blink reflex from mentalis muscle is almost always suggestive of chronic facial neuropathy even in clinical silence of facial synkinesis, or an aberrant reinnervation after peripheral facial neuropathy, and does not electrophysiologically correlate with the severity of facial palsy.

  • PDF

Gastrointestinal Pseudoobstruction and Sensory Neuronopathy in Small Cell Lung Cancer (거짓 장막힘과 감각신경세포병증으로 발현된 소세포폐암 1예)

  • Lee, Hyun-Jeong;Choi, Young-Chul;Yun, Dong-Joo;Ko, Young-Chai;Jang, Sang-Hyun;Yoon, Soo-Jin;Oh, Gun-Sei;Lee, Soo-Joo
    • Annals of Clinical Neurophysiology
    • /
    • v.13 no.2
    • /
    • pp.106-110
    • /
    • 2011
  • Subacute sensory neuronopathy and gastrointestinal pseudoobstruction are considered classical paraneoplastic neurological syndromes. We report a 56-year-old male who presented with typical symptoms of subacute sensory neuronopathy and autonomic neuropathy with gastrointestinal pseudoobstruction. The biopsy of the palpable supraclavicular lymph node revealed a small cell lung cancer. To our knowledge, intestinal pseudoobstruction and sensory neuronopathy in a small cell lung cancer have not been reported in Korea.

Myoclonus as the Presenting Symptom of Hashimoto's Encephalopathy (근육간대경련으로 발현된 하시모토 뇌병증)

  • Chung, Curie;Nam, Jungmoo;Hwang, Suntae;Kim, Byung-Kun;Koo, Ja-Seong;Kwon, Ohyun;Park, Jong-Moo;Lee, Jung Ju
    • Annals of Clinical Neurophysiology
    • /
    • v.9 no.2
    • /
    • pp.85-88
    • /
    • 2007
  • Hashimoto's encephalopathy has been described as a steroid-responsive syndrome of encephalopathy associated with high serum concentration of anti-thyroid antibodies. We report a 67-year-old woman who presented with myoclonus involving both upper extremities. Brain MRI and EEG showed no diagnostic abnormalities. Thyroid functions were normal, but anti-thyroid antibodies were elevated both in serum and in CSF. Hashimoto's encephalopathy can present with myoclonus even without outstanding encephalopathic feature, therefore anti-thyroid antibody test should be included in diagnostic test in patient with myoclonus.

  • PDF

Inclusion body myositis accompanied with T-cell large granular lymphocyte leukemia

  • Dong-Young Jeong;Seung-Hee Lee;Jungmin So;Ji Yon Kim;Young Chul, Kim;Miyoung Kim;Eun-Ji Choi;Eun-Jae Lee;Hyung Jun Park;Young-Min Lim;Hyunjin Kim
    • Annals of Clinical Neurophysiology
    • /
    • v.25 no.2
    • /
    • pp.106-109
    • /
    • 2023
  • Inclusion body myositis (IBM) is a late-onset myopathy that manifests as distinct muscle weakness in the quadriceps, finger flexors, and ankle dorsiflexors. T-cell large granular lymphocyte (T-LGL) leukemia is a late-onset clonal disorder of CD8+ cytotoxic T-cells that is often accompanied by autoimmune diseases. To date, the association between IBM and T-LGL leukemia has been infrequently reported. Here, we report a case of a patient with T-LGL leukemia who developed IBM, along with in-depth laboratory, electrophysiological, and pathologic findings.

Analysis the Characteristic of Heart Rate Variability Changes between Deficiency Pattern and Excess Pattern in Stroke Patients Admitted to the Hospital (중풍 환자의 입원 후 허실변증별 심박변이도 변화 특성에 대한 고찰)

  • Lee, Hyun-Joong;Lee, Bo-Yun;Yang, Seung-Bo;Lee, Hyoung-Min;Cho, Seung-Yeon;Kwon, Seung-Won;Jung, Woo-Sang;Park, Seong-Uk;Ko, Chang-Nam;Park, Jung-Mi
    • Korean Journal of Acupuncture
    • /
    • v.33 no.4
    • /
    • pp.176-182
    • /
    • 2016
  • Objectives : This study was designed to analyze the characteristic of heart rate variability(HRV) changes between Deficiency Pattern and Excess Pattern in Stroke Patients admitted to the hospital. Methods : We measured heart rate variability of stroke patients who were admitted to the Department of Korean Internal medicine, Stroke and Neurological Disorders Center from February 1, 2015 to May 30, 2016. We recruited a total of 28 stroke patients and heart rate variability tests were performed on the first day of admission, 2weeks after admission, and 4 weeks after admission. Results : VLF and LF/HF ratio significantly increased over time in Deficiency Pattern group compared with those in the Excess Pattern group. Conclusions : This results suggest that the parasympathetic function of Deficiency Pattern group is lower than that of the Excess Pattern group, resulting in imbalance of the autonomic nervous system.