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Cefepime-induced nonconvulsive status epilepticus in a hemodialysis patient

  • Lee, Yoo Jin;Park, Bong Soo;Park, Kang Min;Kim, Il Hwan;Park, Jin Han;Park, Si Hyung;Kim, Yang Wook
    • Annals of Clinical Neurophysiology
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    • v.20 no.2
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    • pp.97-100
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    • 2018
  • Nonconvulsive status epilepticus (NCSE) is an unusual complication in patients treated with cefepime. An 82-year-old woman on maintenance hemodialysis was given cefepime for pneumonia. Her level of consciousness decreased since the administration of cefepime, and she was diagnosed with NCSE based on electroencephalography (EEG) findings. After discontinuation of cefepime, improvement was seen both in the level of consciousness and EEG findings. Clinicians should be aware of cefepime-induced NCSE, particularly in patients with renal failure.

Anti-Myelin Oligodendrocyte Glycoprotein Syndrome with Findings Resembling "Snake-Eye Appearance": a Case Report

  • Hong, Sujin;Yi, Jisook;Lee, Ho-joon;Hahn, Seok;Lim, Yun-jung;Lee, Yedaun;Shin, Kyong Jin
    • Investigative Magnetic Resonance Imaging
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    • v.25 no.3
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    • pp.189-192
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    • 2021
  • Anti-myelin oligodendrocyte glycoprotein (anti-MOG) syndrome is an immune-mediated inflammatory condition of the central nervous system, which usually involves spinal cord and optic nerves. Herein, we studied the case of a 57-year-old female patient who presented with acute/subacute symptoms of sphincter dysfunction, paraparesis, and ocular pain. The patient was diagnosed with anti-MOG syndrome with findings resembling snake-eye appearance (SEA), characterized by nearly symmetrical round high signal intensity lesions located at anterior horns (gray matter) on T2-weighted image.

Right Diaphragmatic Rupture after Blunt Trauma - Case Report- (둔상에 의한 우측 횡격막 손상)

  • Kim, Ki Hoon;Kim, Jin Su;Park, Sung Jin;Kim, Woon-Won;Kang, Do Kyun;Min, Ho Gi;Kim, Yong Han;O, Cheol Gyu
    • Journal of Trauma and Injury
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    • v.25 no.3
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    • pp.87-90
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    • 2012
  • Blunt diaphragmatic rupture (BDR) is a relatively rare injury and occurs in 0.8% to 7% of all thorocoabdominal blunt trauma. Especially right diaphragmatic rupture after blunt abdominal trauma is a rarer than left. The diagnosis of BDR can be missed while evaluating the multiple trauma patient. Other severe injuries may mask BDR during the primary resuscitation and survey. We experienced two cases of traumatic rupture of right diaphragm, one diagnosed immediately and the other diagnosed delayed. In this paper we present two cases of traumatic diaphragmatic rupture.

A case of acute motor sensory axonal neuropathy presenting reversible conduction block

  • Lee, Dongah;Kim, Hyung Chan;Park, Kang Min;Park, Jinse;Ha, Sam Yeol;Kim, Sung Eun;Lee, Byung In;Kim, Jong Kuk;Yoon, Byeola;Shin, Kyong Jin
    • Annals of Clinical Neurophysiology
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    • v.20 no.1
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    • pp.49-52
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    • 2018
  • Reversible conduction block (RCB) was rare in patients with acute motor sensory axonal neuropathy (AMSAN). A-46-year-old man presented with paresthesia, weakness, diplopia, and dysarthria. Nerve conduction study (NCS) exhibited axonal changes with conduction block in motor and sensory nerves. His symptoms were rapidly progressed and recovered. Conduction block was disappeared in the follow-up NCS performed after 2 weeks. The AMSAN case with RCB showed rapid progress and rapid recovery of clinical symptoms as acute motor axonal neuropathy patients with RCB.

Exercise-induced rhabdomyolysis with acute kidney injury complicated by posterior reversible encephalopathy syndrome: a case report

  • Kim, Su Min;Lee, Yoo Jin;Heo, Chang Min;Park, Si Hyung;Park, Kang Min;Ko, Jung Hae;Park, Bong Soo;Kim, Yang Wook
    • Annals of Clinical Neurophysiology
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    • v.24 no.2
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    • pp.93-97
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    • 2022
  • Posterior reversible encephalopathy syndrome (PRES) is a rare condition manifested by inflammation in certain areas of the brain. Rhabdomyolysis with acute kidney injury (AKI) complicated by PRES is rarely reported. A 26-year-old female presented with neurological symptoms, high blood pressure, and AKI. Her symptoms improved with blood pressure control, anticonvulsant drug medications, and renal replacement therapy. This case demonstrates that PRES should be considered in the differential diagnosis of patients who have rhabdomyolysis with AKI accompanied by neurological symptoms, including headaches and convulsions.

A Retrospective Chart Review of 122 Inpatients with Knee Osteoarthritis Treated with Korean Medicine: An Analysis of the Effects of Treatment

  • Yoo, Dong-Hwi;Park, Han-Bin;Jang, Won-Suk;Kwon, Oh-Bin;Choi, Ki-Won;Lee, Yu-Jin;Lee, Sang-Gun;Choi, Jae-Yong;Kim, Ho;Jang, Seon-Woo
    • Journal of Acupuncture Research
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    • v.38 no.3
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    • pp.205-218
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    • 2021
  • Background: Korean medicine treatment was assessed in patients with knee osteoarthritis (OA) according to subgroups of: sex, age, cause of knee OA, body mass index, hospitalization period, history, OA compartment, phenotype, and comorbidity. Methods: A retrospective review was performed of 122 inpatients who were admitted to the Hospital of Korean Medicine for Korean medicine treatment of knee pain, and were diagnosed with knee OA based on magnetic resonance imaging findings. Analysis of patient subgroups (sex, age, cause of knee OA, body mass index, hospitalization period, history, OA compartment, phenotype, and comorbidity) was carried out and treatments including acupuncture, cupping, pharmacopuncture, herbal medicine, chuna therapy, medicinal steaming therapy, manual therapy, and extracorporeal shock wave therapy were listed. The numeric rating scale (NRS), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), and 5-level EuroQol- 5 Dimension (EQ-5D-5L) scores were measured before and after treatment to assess the effects of treatment on pain and quality of life. Results: Seventeen males and 105 females were included in this study. Most patients were in their 60s. In the total study population, NRS, WOMAC, and EQ-5D-5L scores were improved statistically significant when comparing before and after treatment. The NRS and WOMAC scores improved statistically significant in the medial, patellofemoral, medial + patellofemoral, medial + lateral + patellofemoral compartment. Conclusion: Korean medicine treatment significantly reduced pain, stiffness, and physical dysfunction, and improved the quality of life of patients with knee OA, suggesting that it may be an effective alternative to the current conservative treatments.

Clinical Study on 2 Cases of Cervical Spondylotic Myelopathy Treated by Korean Traditional Medicine (한의학적 치료를 통하여 호전을 보인 경추증성 척수증 환자 치험 2예)

  • Lee, Tae-Geol;Kim, Kwang-Hwi;Kim, Tae-Yeon;Lee, Sang-Woon;Chu, Hui-Yeong;Kim, Ho;Lee, Sang-Gun;Choi, Jae-Yong;Choi, Kang-Eah;Cho, Hyun-Woo
    • Journal of Korean Medicine Rehabilitation
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    • v.29 no.3
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    • pp.141-148
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    • 2019
  • Cervical spondylotic myelopathy (CSM) is a severe disease that usually needs surgical treatment. We have treated two CSM patients with Korean traditonal medicine, which includes acupuncture, pharmacopuncture, herbal medicine and manual treatment (Chuna). For objective evaluation, we used Nurick's classification, JOA (Japanses Orthopedic Association) score, grip and release test and hand grasping power measurement. Post-treatment analysis has shown that grip and release test score and grasping power of two patients were both remarkably improved, along with the improvements on both Nurick's classification and JOA score. This study showed that Korean traditional medicine could be effective conservative treatment for CSM.

A Case of Combination of Korean Medicine Treatments in Neurogenic Claudication and Lower Extremity Weakness due to Spinal Stenosis (척추관 협착으로 인한 신경원성 파행 및 하지 근력 저하에 대한 한방복합치료 치험 1례)

  • Choi, Ki-hoon;Kim, Tae-ju;Choi, Ki-won;Heo, Seung-jin;Kwon, Oh-hoon;Kim, Kwang-hwi;Kim, Tae-yeon;Lee, Tae-geol;Choi, Kang-eah
    • The Journal of Internal Korean Medicine
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    • v.40 no.2
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    • pp.165-172
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    • 2019
  • Background: To suggest potential of Korean medicine treatments as a conservative management for neurogenic claudication and lower extremity weakness due to spinal stenosis. Case Summary: The patient suffered weakness, pain and numbness of the right leg and difficulty walking with diagnosis of spinal stenosis due to herniated lumbar intervertebral disc. Korean medicine treatments, including herbal medicine, acupuncture, pharmacopuncture and Chuna manual therapy were applied. The Numeric Rating Scale (NRS) of pain and numbness in the right leg decreased from 7 to 4, with an increase in strength of the right leg from 60% to 95% compared to the strength of left leg. Walking duration also increased from less than one minute to more than five minutes. Conclusion: Korean medicine treatment may be considered as an effective conservative management for symptoms of spinal stenosis.

Endovascular treatment of Takayasu arteritis in a middle-aged woman with syncope and limb claudication: a case report

  • Ha-Young Choi;Sunggun Lee;Jino Park;Yeo-Jeong Song;Dong-Kie Kim;Ki-Hun Kim;Sang-Hoon Seol;Doo-Il Kim;Seunghwan Kim
    • Journal of Yeungnam Medical Science
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    • v.40 no.4
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    • pp.448-453
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    • 2023
  • Takayasu arteritis (TA) is a disease that causes inflammation and stenosis of medium to large blood vessels. We report a case of a 50-year-old female patient with newly developed hypertension, syncope, and claudication of the extremities. Total occlusion of the left subclavian artery at the origin was found and significant stenosis of the right common iliac artery was revealed by hemodynamic analysis. She was successfully treated with percutaneous angioplasty for multiple peripheral arterial diseases and was finally diagnosed with TA. In consultation with a rheumatologist, medical treatment for TA was initiated, the patient's hypertension disappeared, and her claudication symptoms improved.