Neurology and Clinical Neuroscience最新文献_第2页

Paraneoplastic cerebellar degeneration after improvement of Lambert–Eaton myasthenic syndrome 兰伯特-伊顿肌无力综合征改善后的副肿瘤小脑变性

Neurology and Clinical Neuroscience Pub Date : 2023-11-11 DOI: 10.1111/ncn3.12783

Hiroaki Hirosawa, Hiroki Maesaka, Noriyuki Matsuda, Takamasa Nukui, Shunya Nakane, Yuji Nakatsuji

引用次数: 0

Neuroradiologic features associated with heat stroke 与中暑相关的神经放射学特征

Neurology and Clinical Neuroscience Pub Date : 2023-11-09 DOI: 10.1111/ncn3.12784

Yasutaka Tajima, Yasunori Mito

引用次数: 0

Clinical study of six patients with pure dysarthria and dysarthria—(Central) facial nerve palsy/isolated central facial nerve palsy caused by extracerebellar infarction 单纯构音障碍及构音障碍-(中枢)面神经麻痹/孤立性中枢面神经麻痹6例临床研究

Neurology and Clinical Neuroscience Pub Date : 2023-10-31 DOI: 10.1111/ncn3.12782

Katsuhiko Ogawa, Takayoshi Akimoto, Makoto Hara, Midori Fujishiro, Hideto Nakajima

{"title":"Clinical study of six patients with pure dysarthria and dysarthria—(Central) facial nerve palsy/isolated central facial nerve palsy caused by extracerebellar infarction","authors":"Katsuhiko Ogawa, Takayoshi Akimoto, Makoto Hara, Midori Fujishiro, Hideto Nakajima","doi":"10.1111/ncn3.12782","DOIUrl":"https://doi.org/10.1111/ncn3.12782","url":null,"abstract":"Abstract Background The corticobulbar tract (CBT) exerts bilateral supply to the cerebral nuclei. The cerebellar motor circuit controls the coordination and regulation of voluntary movements including speech function, and consists of input and feedback pathways including the parietopontine fibers (PPFs) which descend along with the CBT. Aim The pathogenesis of dysarthria caused by ischemic extracerebellar lesions was studied. Methods Six patients with extracerebellar lesions comprising two patients with pure dysarthria, three patients with dysarthria—(central) facial nerve palsy, and one patient with isolated central facial paresis were enrolled. Results Lesions were located in the corona radiata in four patients and the posterior limb of the internal capsule (PLIC) in two patients. Lesions were lateralized on the right side in three patients and the left side in three patients. Lesions in the corona radiata and the PLIC included the middle parts where the CBT exists. Conclusions Based on the hypothesis of bilateral supply to the cerebral nuclei for speech function through the cerebellar motor circuit, it was explicable that unilateral involvement of the PPFs caused dysfunction of the bilateral CBT, which led to the incidence of dysarthria in our case series. Involvement of the PPFs might play a crucial role in the incidence of dysarthria caused by ischemic extracerebellar lesions.","PeriodicalId":19154,"journal":{"name":"Neurology and Clinical Neuroscience","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135871060","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}

引用次数: 0

Successful treatment of seronegative immune‐mediated necrotizing myopathy developing during pregnancy: A case report and literature review 妊娠期血清阴性免疫介导的坏死性肌病的成功治疗:一例报告和文献综述

Neurology and Clinical Neuroscience Pub Date : 2023-10-30 DOI: 10.1111/ncn3.12781

Yuto Hayashi, Tatsuhiko Ozono, Goichi Beck, Yuki Yonenobu, Rika Yamashita, Kensuke Ikenaka, Tatsusada Okuno, Shigeo Murayama, Hideki Mochizuki

引用次数: 0

Arm levitation in multiple system atrophy 多系统萎缩中的手臂悬浮

Neurology and Clinical Neuroscience Pub Date : 2023-10-02 DOI: 10.1111/ncn3.12780

Masaya Shimozato, Nobuaki Yoshikura, Akio Kimura, Mika Otsuki, Takayoshi Shimohata

引用次数: 0

Quality of life at work and fatigue after hospitalization due to COVID‐19 COVID - 19导致的工作生活质量和住院后的疲劳

Neurology and Clinical Neuroscience Pub Date : 2023-09-29 DOI: 10.1111/ncn3.12777

Iwona Mazurkiewicz, Zaneta Chatys‐Bogacka, Joanna Slowik, Joanna Szaleniec, Jacek Czepiel, Agnieszka Slowik, Leszek Drabik, Marcin Wnuk

{"title":"Quality of life at work and fatigue after hospitalization due to COVID‐19","authors":"Iwona Mazurkiewicz, Zaneta Chatys‐Bogacka, Joanna Slowik, Joanna Szaleniec, Jacek Czepiel, Agnieszka Slowik, Leszek Drabik, Marcin Wnuk","doi":"10.1111/ncn3.12777","DOIUrl":"https://doi.org/10.1111/ncn3.12777","url":null,"abstract":"Abstract Objective To evaluate course of quality of life (QoL) after hospitalization due to COVID‐19 and to assess whether symptoms of chronic fatigue syndrome (CFS) were its predictors at different time points. Methods Participants aged 18 or older retrospectively reported QoL at work with 4‐point Likert scale and presence of eight CFS symptoms before infection, within 0–4, 4–12, and > 12 weeks post‐COVID with online or paper version of validated neuropsychological questionnaire. Results Two hundred and eighty‐three patients (median age 59 [47–67] years, 37.45% women, 95.76% non‐ICU residents) were evaluated after median of 27.1 (24.9–31.6) weeks from first positive swab test for SARS‐CoV‐2. Any decrease in QoL at work was observed in 33.21%, 29.28%, and 25.54% of patients within 4, 4–12, and > 12 weeks after COVID‐19, respectively ( p < 0.001). Within 4 weeks after COVID‐19 onset, decrease in QoL at work was predicted by age (OR = 0.93, 95% CI:0.90–0.96, p < 0.001), persistent fatigue unrelated to effort (OR = 4.03, 95% CI:1.21–13.50, p < 0.001), sore throat (OR = 5.33, 95% CI:1.92–14.78, p = 0.001), and prolonged post‐exercise fatigue (OR = 8.12, 95% CI:2.17–30.56, p = 0.002). Predictors of deterioration in QoL at work 4–12 and > 12 weeks post‐infection were age (OR = 0.97, 95% CI:0.94–0.99, p = 0.015 and OR = 0.93, 95% CI:0.90–0.97, p = 0.001, respectively), non‐restorative sleep (OR = 2.75, 95% CI:1.25–6.05, p = 0.012 and OR = 3.62, 95% CI:1.40–9.38, p = 0.008, respectively), and headache (OR = 2.78, 95% CI:1.29–5.99, p = 0.009 and OR = 5.68, 95% CI:2.15–15.02, p < 0.001, respectively). Furthermore, decreased QoL at work was predicted by post‐exercise fatigue (OR = 5.99, 95% CI:2.18–16.20, p < 0.001) and fatigue not caused by effort (OR = 14.40, 95% CI:4.77–43.45, p < 0.001) within 4–12 and > 12 weeks post‐infection, respectively. Conclusions Different CFS symptoms are associated with decreased QoL at work at various time points since COVID‐19 onset.","PeriodicalId":19154,"journal":{"name":"Neurology and Clinical Neuroscience","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135198973","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}

引用次数: 0

A systemized strategy to reduce door‐to‐puncture time using the ELVO screen: “Code AIS” 使用ELVO屏幕减少从门到穿刺时间的系统化策略:“Code AIS”

Neurology and Clinical Neuroscience Pub Date : 2023-09-28 DOI: 10.1111/ncn3.12778

Hiroyasu Inoue, Yusuke Nishikawa, Masahiro Oomura, Tomonori Hattori, Yuki Hayashi, Tomoyasu Yamanaka, Mitsuru Uchida, Yoko Taniguchi, Kengo Suzuki, Yuta Madokoro, Toyohiro Sato, Teppei Fujioka, Masayuki Mizuno, Shoji Kawashima, Kenji Okita, Mitsuhito Mase, Noriyuki Matsukawa

{"title":"A systemized strategy to reduce door‐to‐puncture time using the <scp>ELVO</scp> screen: “Code <scp>AIS</scp>”","authors":"Hiroyasu Inoue, Yusuke Nishikawa, Masahiro Oomura, Tomonori Hattori, Yuki Hayashi, Tomoyasu Yamanaka, Mitsuru Uchida, Yoko Taniguchi, Kengo Suzuki, Yuta Madokoro, Toyohiro Sato, Teppei Fujioka, Masayuki Mizuno, Shoji Kawashima, Kenji Okita, Mitsuhito Mase, Noriyuki Matsukawa","doi":"10.1111/ncn3.12778","DOIUrl":"https://doi.org/10.1111/ncn3.12778","url":null,"abstract":"Abstract Background A shorter onset‐to recanalization (O2R) time in mechanical thrombectomy for acute ischemic stroke (AIS) results in better outcomes. Thus, we should reduce the door‐to‐puncture (D2P) time. Aim To evaluate the effectiveness of a triage system named “Code AIS.” We adopted the emergency large vessel occlusion (ELVO) screen as a screening test. Methods Using the ELVO screening test, Code AIS was invoked when ≥1 positive results were obtained without witnessed seizures. The Code AIS system requires the assembly of neurologists, neurosurgeons, and an endovascular team in the emergency department before a patient arrives at the hospital. In total, 104 consecutive patients who underwent thrombectomy after emergency transport from January 2015 to December 2022 were included. The Code AIS system was initiated on February 17, 2022, and patients were divided into the pre‐Code AIS and Code AIS era groups. D2P time, outcome, and other parameters were compared between the groups. Results Eighty‐eight and 16 cases were in the pre‐Code AIS and Code AIS era groups, respectively. Background factors, including age, sex, and etiology, did not differ between the groups. The median (interquartile range) time of D2P in the Code AIS era was 60 (41–102) min and significantly shortened compared to 135 (109–161) min in the pre‐Code AIS era ( p < 0.001). The proportion of patients with favorable outcomes (modified Rankin Scale score, 0–2) improved significantly from 33% (pre‐Code AIS era) to 63% (Code AIS era) ( p = 0.047). Conclusion Using Code AIS, we succeeded in shortening D2P time and improving patient outcomes.","PeriodicalId":19154,"journal":{"name":"Neurology and Clinical Neuroscience","volume":"129 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135344470","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}

引用次数: 0

Ropinirole patch treatment of nocturnal violent tremor in Parkinson's disease 罗匹尼罗贴片治疗帕金森病夜间剧烈震颤

Neurology and Clinical Neuroscience Pub Date : 2023-09-27 DOI: 10.1111/ncn3.12779

Hiroshi Kataoka, Kazuma Sugie

引用次数: 0

Clinical study of 16 patients with thalamic infarction 丘脑梗死16例临床研究

Neurology and Clinical Neuroscience Pub Date : 2023-09-22 DOI: 10.1111/ncn3.12776

Katsuhiko Ogawa, Takayoshi Akimoto, Makoto Hara, Midori Fujishiro, Hideto Nakajima

{"title":"Clinical study of 16 patients with thalamic infarction","authors":"Katsuhiko Ogawa, Takayoshi Akimoto, Makoto Hara, Midori Fujishiro, Hideto Nakajima","doi":"10.1111/ncn3.12776","DOIUrl":"https://doi.org/10.1111/ncn3.12776","url":null,"abstract":"Abstract Background The pathophysiology of sensory impairment in thalamic infarction is unclear. Aim The association between extents of lesions in the ventroposterior nucleus (VP) and distributions of sensory impairments after thalamic infarction was studied. Methods Neurological symptoms and locations of lesions in 16 patients with thalamic infarction were analyzed. Locations of lesions were grouped into the four regions (region 1–4) in the front to back direction. Results The lateral part of the region3 within the intermediate to caudal levels where the VP exists was frequently involved. Subjective superficial sensory impairments were noted in eight patients. The other six patients showed objective sensory impairment alone. The most frequent type was the face/arm in 6 patients. In these six patients, sensory impairments were distributed to the distal part of the arm and the mouth surrounding in five patients each. Sensory impairments were distributed to the half of the body in four patients, the face/trunk/arm in one patient, the face/arm/leg in two patients, and the arm in one patient. Conclusions The principal inferolateral branch supplies the VP and has no anastomosis. In ischemic conditions, blood flow can be decreased in the inside part of the VP, which corresponds to the field of the hand and the mouth surrounding. The detection threshold of superficial sensations for hand and mouth is low. These phenomena were associated with frequent involvement limited to the face/arm. Distributions of sensory impairments were considered to depend on the detection threshold and the lower blood flow in the inside part.","PeriodicalId":19154,"journal":{"name":"Neurology and Clinical Neuroscience","volume":"334 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136060623","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}

引用次数: 0

Myelin oligodendrocyte glycoprotein antibody‐associated disease presenting with dystonia 髓鞘少突胶质细胞糖蛋白抗体相关疾病，表现为肌张力障碍

Neurology and Clinical Neuroscience Pub Date : 2023-09-21 DOI: 10.1111/ncn3.12775

Omri Zveik, Tal Benoliel Berman, Tarek Keadan, Khalil Barhum, Ariel Rechtman, Adi Vaknin‐Dembinsky

引用次数: 0