Ken‐ichi Shibata, T. Mukai, H. Nakagaki, S. Nagano
{"title":"Disseminated small cortical lesions of stroke‐like episodes in a patient with MELAS with an m.3271 T > C mutation","authors":"Ken‐ichi Shibata, T. Mukai, H. Nakagaki, S. Nagano","doi":"10.1111/ncn3.12655","DOIUrl":"https://doi.org/10.1111/ncn3.12655","url":null,"abstract":"Little is known about magnetic resonance imaging findings in patients with mitochondrial myopathy, encephalopathy, lactic acidosis, and stroke‐like episodes (MELAS) with the m.3271 A > G mutation. A 31‐year‐old man presented with headache and left‐sided homonymous hemianopsia. Brain magnetic resonance imaging showed hyperintensities in the right occipital lobe on diffusion‐ and T2‐weighted imaging. MELAS was diagnosed, and the etiological mutation was identified as m.3271 T > C. Although his symptoms gradually resolved, magnetic resonance imaging revealed disseminated small cortical lesions in the left occipital lobe. We report a rare case of atypical stroke‐like lesions in a patient with MELAS with the m.3271 T > C mutation.","PeriodicalId":19154,"journal":{"name":"Neurology and Clinical Neuroscience","volume":"10 1","pages":"259 - 261"},"PeriodicalIF":0.4,"publicationDate":"2022-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41416798","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Autoimmunity to ion channels in neurological diseases Autoimmunity to aquaporin water channels","authors":"Keiko Tanaka, Akiko Nagaishi, M. Matsui","doi":"10.1111/ncn3.12653","DOIUrl":"https://doi.org/10.1111/ncn3.12653","url":null,"abstract":"","PeriodicalId":19154,"journal":{"name":"Neurology and Clinical Neuroscience","volume":"1 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2022-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42968439","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Chika Matsuoka, Yuki Taira, Ryo Sasaki, Namiko Matsumoto, Koh Tadokoro, Emi Nomura, Yuko Kawahara, M. Takemoto, R. Morihara, A. Hashiguchi, H. Takashima, Hidemi Takeuchi, M. Araki, K. Abe, T. Yamashita
{"title":"A case of successful renal transplantation of Charcot‐Marie‐Tooth disease associated with FSGS due to mutation of the INF2 gene","authors":"Chika Matsuoka, Yuki Taira, Ryo Sasaki, Namiko Matsumoto, Koh Tadokoro, Emi Nomura, Yuko Kawahara, M. Takemoto, R. Morihara, A. Hashiguchi, H. Takashima, Hidemi Takeuchi, M. Araki, K. Abe, T. Yamashita","doi":"10.1111/ncn3.12651","DOIUrl":"https://doi.org/10.1111/ncn3.12651","url":null,"abstract":"Focal and segmental areas of glomerular sclerosis (FSGS) have various subcategories. Here, we report on a 35‐year‐old man who suffered from Charcot‐Marie‐Tooth disease (CMT) with FSGS carrying the INF2 mutation (c.206 T > C, p.L69P). The INF2 mutation might cause abnormal actin filaments of the podocytes and Schwann cells, leading to CMT associated with FSGS. He successfully underwent living donor kidney transplantation from a mother with a normal INF2 gene without any serious adverse events. Following genetic testing, the identification of the INF2 mutation allows a recipient to reduce the use of immunosuppressive drugs. Genetic testing may provide a treatment plan for kidney transplantation.","PeriodicalId":19154,"journal":{"name":"Neurology and Clinical Neuroscience","volume":"10 1","pages":"252 - 254"},"PeriodicalIF":0.4,"publicationDate":"2022-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49222353","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Emi Nomura, Y. Omote, M. Takemoto, N. Hishikawa, Y. Nakano, Taijun Yunoki, R. Morihara, Tatsuya Sasaki, H. Akagawa, K. Abe, T. Yamashita
{"title":"A Japanese case of successful surgical resection of cerebral cavernous malformations with a CCM2 mutation","authors":"Emi Nomura, Y. Omote, M. Takemoto, N. Hishikawa, Y. Nakano, Taijun Yunoki, R. Morihara, Tatsuya Sasaki, H. Akagawa, K. Abe, T. Yamashita","doi":"10.1111/ncn3.12649","DOIUrl":"https://doi.org/10.1111/ncn3.12649","url":null,"abstract":"Cerebral cavernous malformations (CCMs) are congenital abnormalities of cerebral vessels. Surgical resection is rarely considered for the control of epilepsy in a first seizure patient with vascular malformation. In contrast, lesions that produce repetitive or progressive symptoms should be considered for surgical resection as treatment. Herein, we report a Japanese patient with a CCM2 mutation, c.609G>A (p.K203K) substitution, who showed drug‐resistant epilepsy and dramatic improvement after surgical resection.","PeriodicalId":19154,"journal":{"name":"Neurology and Clinical Neuroscience","volume":"10 1","pages":"255 - 258"},"PeriodicalIF":0.4,"publicationDate":"2022-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48832257","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
K. Yong, E. Yap, Y. Goh, L. Y. Tan, C. Choong, K. Ng
{"title":"Falsely “high” serum cobalamin level in subacute combined degeneration of spinal cord secondary to pernicious anemia masquerading as myelodysplastic syndrome","authors":"K. Yong, E. Yap, Y. Goh, L. Y. Tan, C. Choong, K. Ng","doi":"10.1111/ncn3.12648","DOIUrl":"https://doi.org/10.1111/ncn3.12648","url":null,"abstract":"Cobalamin deficiency causes clinical manifestations ranging from anemia to neuropsychiatric presentations. We present a patient initially treated as myelodysplastic syndrome (MDS), who was later diagnosed to have pernicious anemia. He presented with pancytopenia, and bone marrow aspirate was suggestive of MDS. Serum cobalamin was high. Six months later, he developed progressive lower limb weakness. Magnetic resonance imaging (MRI) of the spine showed a hyperintense signal in the lateral aspects of the cord at C6 to T10 suggestive of subacute combined degeneration of the spinal cord. Homocysteine, methylmalonic acid, and anti‐intrinsic factor levels were found to be high, confirming the diagnosis of cobalamin deficiency secondary to pernicious anemia. His pancytopenia and weakness improved markedly after 5 months of parenteral cobalamin injection. This case highlights that cobalamin deficiency can mimic MDS, and second‐line assays are important in a patient with a high clinical suspicion of cobalamin deficiency despite normal serum cobalamin level.","PeriodicalId":19154,"journal":{"name":"Neurology and Clinical Neuroscience","volume":"10 1","pages":"226 - 228"},"PeriodicalIF":0.4,"publicationDate":"2022-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49078399","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ayako Iimura, R. Sakakibara, S. Sawai, Tsuyoshi Ogata, K. Terayama, Hirohito Mizuno, Shuichi Katsuragawa, T. Nagao, Masaaki Nemoto, Keiko Suzuki, Kaori Izawa, Shin‐ichi Haruki, Nobuyuki Okada, Y. Ohashi, K. Yamazaki
{"title":"Hemodialysis and brain diseases in older individuals","authors":"Ayako Iimura, R. Sakakibara, S. Sawai, Tsuyoshi Ogata, K. Terayama, Hirohito Mizuno, Shuichi Katsuragawa, T. Nagao, Masaaki Nemoto, Keiko Suzuki, Kaori Izawa, Shin‐ichi Haruki, Nobuyuki Okada, Y. Ohashi, K. Yamazaki","doi":"10.1111/ncn3.12609","DOIUrl":"https://doi.org/10.1111/ncn3.12609","url":null,"abstract":"It is known that age‐related brain symptoms (namely gait difficulty and/or dementia/delirium) occur in older individuals under hemodialysis (HD). However, it is not known which types of brain disease underlie such symptoms most.","PeriodicalId":19154,"journal":{"name":"Neurology and Clinical Neuroscience","volume":"10 1","pages":"218 - 222"},"PeriodicalIF":0.4,"publicationDate":"2022-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43520377","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
K. Takakusaki, Mirai Takahashi, T. Noguchi, R. Chiba
{"title":"Neurophysiological mechanisms of gait disturbance in advanced Parkinson's disease patients","authors":"K. Takakusaki, Mirai Takahashi, T. Noguchi, R. Chiba","doi":"10.1111/ncn3.12683","DOIUrl":"https://doi.org/10.1111/ncn3.12683","url":null,"abstract":"This review considers pathophysiological mechanisms of posture‐gait disturbances in Parkinson's disease (PD). Clinical studies have shown that posture‐gait disturbance attributes to the dysfunction of the whole neuraxis in addition to the musculoskeletal system. The cerebral cortex, basal ganglia (BG), cerebellum, brainstem, and spinal cord temporally and spatially integrate and coordinate multisensory feedback and efferent copies of the motor command. Therefore, the extensive repertoire of voluntary movements can be coupled with anticipatory and reactive postural adjustments to provide the framework for supporting and stabilizing the goal‐directed gait activity. Redundancies in the system allow adaptation and compensation through reward‐oriented and error‐based learning processes implemented through the BG and cerebellar pathways, respectively. However, the impairment of these systems in PD may considerably compromise the capacity to adapt and lead to maladaptive changes impairing posture‐gait control. When these impairments occur, the risk of falls can significantly increase, and interventions are required to reduce morbidity. The damage in dopamine (DA) neurons is the primary cause of PD. Insufficient DA supply in the striatum disturbs the operation of intrinsic networks in the BG. This also pathologically increases GABAergic BG output to the cerebral cortex and brainstem, resulting in functional disconnection of other structures from the BG. The disconnection makes PD patients disable to achieve habitually acquired automatized gait control. Moreover, Lewy body degeneration in most brain areas, particularly in cholinergic and other monoaminergic systems vulnerable to neurodegeneration, further disturbs posture‐gait control and alters non‐motor symptoms of PD.","PeriodicalId":19154,"journal":{"name":"Neurology and Clinical Neuroscience","volume":"11 1","pages":"201 - 217"},"PeriodicalIF":0.4,"publicationDate":"2022-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47178259","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Nuclear envelope myopathy","authors":"Y. Hayashi","doi":"10.1111/ncn3.12602","DOIUrl":"https://doi.org/10.1111/ncn3.12602","url":null,"abstract":"Nuclear envelope (NE) is a term of the structure surrounding each nucleus of the cell and has many important functions including maintaining chromatin organization. Mutations in the genes encoding NE proteins are known to cause several diseases including myopathies. The age at onset and clinical features of NE myopathy are quite variable, but careful management of associated cardiac symptoms including lethal arrhythmia and cardiomyopathy is critical for the prognosis. In this review, clinical characteristics of NE myopathies together with recent advances of their management is described.","PeriodicalId":19154,"journal":{"name":"Neurology and Clinical Neuroscience","volume":"10 1","pages":"298 - 303"},"PeriodicalIF":0.4,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48686598","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}