Clinical Neurology最新文献

[A case of POEMS syndrome presenting craniocervical vascular stenosis]. [一例POEMS综合征表现为颅颈血管狭窄]。

Clinical Neurology Pub Date : 2025-06-21 DOI: 10.5692/clinicalneurol.cn-002064

Minori Sawada, Gaku Okumura, Ken Takasone, Nagaaki Katoh, Yoshiki Sekijima

{"title":"[A case of POEMS syndrome presenting craniocervical vascular stenosis].","authors":"Minori Sawada, Gaku Okumura, Ken Takasone, Nagaaki Katoh, Yoshiki Sekijima","doi":"10.5692/clinicalneurol.cn-002064","DOIUrl":"10.5692/clinicalneurol.cn-002064","url":null,"abstract":"A 54-years-old Japanese man visited local hospital with six-month history of progressive numbness and muscle weakness in his lower limbs. He was diagnosed with POEMS syndrome based on positive serum M-protein, elevated serum VEGF, and splenomegaly. MRI showed multiple cerebral infarcts in the watershed area, and MRA showed complete vascular occlusion of the right internal carotid artery and severe vascular stenosis of the left common carotid artery, suggesting hemodynamic cerebral infarction. He was referred to our department and treated with three courses of Daratumumab-Bortezomib-Dexamethasone (DBd) therapy. After normalization of VEGF was confirmed, right superficial temporal artery-middle cerebral bypass surgery was performed. He has been kept in good condition with improved muscle strength and walking ability, and normalized VEGF level under the maintenance Daratumumab-Lenalidomide-Dexamethasone (DLd) therapy. Because POEMS syndrome-associated vasculopathy can develop even in the very early stage of the disease, intensive evaluation of craniocervical vessels before treatment initiation is very important for treatment selection and risk assessment.","PeriodicalId":39292,"journal":{"name":"Clinical Neurology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144369324","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

[Remarkable improvement of metastatic occipital condyle syndrome in a patient with lung adenocaricinoma treated with osimertinib]. [奥西替尼治疗肺腺癌患者转移性枕髁综合征的显著改善]。

Clinical Neurology Pub Date : 2025-06-21 DOI: 10.5692/clinicalneurol.cn-002115

Fujio Umehara

{"title":"[Remarkable improvement of metastatic occipital condyle syndrome in a patient with lung adenocaricinoma treated with osimertinib].","authors":"Fujio Umehara","doi":"10.5692/clinicalneurol.cn-002115","DOIUrl":"10.5692/clinicalneurol.cn-002115","url":null,"abstract":"A woman in her 50s. Since October of X-1, she had been suffering from lower back and occipital pain. Despite undergoing medical evaluations at multiple hospitals, no discernible abnormalities were identified. As her symptoms worsened, she presented to our department in January of X, reporting severe pain in the left occipital to posterior neck that increased with both neck flexion and extension. A neurological examination revealed a left-sided deviation of the tongue (left hypoglossal nerve paralysis). A head MRI revealed signal abnormalities in the left occipital condyle and multiple nodules with contrast effects in the brain parenchyma. A computed tomography (CT) scan revealed a mass in the left lung, multiple intrahepatic masses, and bone destruction in the spine and left occipital condyle. In light of these findings, a diagnosis of lung cancer with metastasis to multiple organs and occipital condyle syndrome due to metastasis to the left occipital condyle was suspected. Subsequent cytological analysis of bronchoalveolar lavage fluid and liver biopsy substantiated the diagnosis of adenocaricinoma. The subsequent administration of osimertinib, an epidermal growth factor receptor (EGFR) tyrosine kinase inhibitor, led to a reduction in the size of the tumor, as well as improvements in the hypoglossal nerve palsy and occipital pain. It is imperative to note that occipital condyle syndrome signifies the metastasis of a malignancy to the base of the skull, necessitating meticulous observation and management.","PeriodicalId":39292,"journal":{"name":"Clinical Neurology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144369328","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 case of severe COVID-19 infection with multiple brain microbleeds spreading to the ‍subcortical white matter, internal capsule and splenium of the corpus callosum]. [重症COVID-19感染伴多发脑微出血扩散至‍皮层下白质、内囊及胼胝体脾1例]。

Clinical Neurology Pub Date : 2025-06-21 DOI: 10.5692/clinicalneurol.cn-002072

Shoko Aburatani, Eito Miura, Yoshitaka Umeda, Shimon Aoki, Nobuya Fujita, Mutsuo Oyake

引用次数: 0

[Questionnaire survey regarding pediatric to adult transitional medical care targeting members of Japanese Society of Neurology]. [以日本神经病学学会会员为对象的儿童到成人过渡医疗护理问卷调查]。

Clinical Neurology Pub Date : 2025-06-21 DOI: 10.5692/clinicalneurol.cn-002055

Toshio Saito, Yoshio Sakiyama, Katsuhisa Ogata, Yoko Mochizuki, Ichiro Yabe, Hideki Mochizuki

{"title":"[Questionnaire survey regarding pediatric to adult transitional medical care targeting members of Japanese Society of Neurology].","authors":"Toshio Saito, Yoshio Sakiyama, Katsuhisa Ogata, Yoko Mochizuki, Ichiro Yabe, Hideki Mochizuki","doi":"10.5692/clinicalneurol.cn-002055","DOIUrl":"10.5692/clinicalneurol.cn-002055","url":null,"abstract":"The Special Committee on Measures for Transition from Pediatric to Adult Health Care surveyed approximately 9,000 members of the Japanese Society of Neurology regarding transitional care. Only 744 responses were returned, less than 10% of the total number of members contacted. More than half answered that they generally provide treatment for adult patients with a childhood-onset disease, with many noting as reasons that the related diseases and ages in such cases are targeted by neurology specialists, and that other adult medical departments are not equipped to treat them. As for reasons given for not treating such patients, lack of knowledge related to developmental disorders, lack of support system, and difficulties with communication were noted. There were no noticeable differences in the responses of providing treatment for adult patients with a childhood-onset disease in association with the affiliated regional association or branch. These results indicate that resolution of issues related to neurologist unfamiliarity with pediatric neurological disorders and lack of relevant information are important issues to be addressed for establishment of a smooth medical care transition.","PeriodicalId":39292,"journal":{"name":"Clinical Neurology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144369327","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 case of rapidly progressive HTLV-I associated myelopathy that developed after a ‍living donor kidney transplantation]. [一例在‍活体肾移植后发生的迅速进展的HTLV-I相关性脊髓病]。

Clinical Neurology Pub Date : 2025-06-21 DOI: 10.5692/clinicalneurol.cn-002119

Fujio Umehara

引用次数: 0

Clinical characteristics of hemiplegic migraine: a clinical study of 163 cases in a tertiary care headache centre. 偏瘫性偏头痛的临床特征：163例三级保健头痛中心的临床研究。

Clinical Neurology Pub Date : 2025-05-27 Epub Date: 2025-04-25 DOI: 10.5692/clinicalneurol.cn-002070

Daisuke Danno, Paul Shanahan, Manjit Matharu

{"title":"Clinical characteristics of hemiplegic migraine: a clinical study of 163 cases in a tertiary care headache centre.","authors":"Daisuke Danno, Paul Shanahan, Manjit Matharu","doi":"10.5692/clinicalneurol.cn-002070","DOIUrl":"10.5692/clinicalneurol.cn-002070","url":null,"abstract":"Objective: Although population-based studies of hemiplegic migraine (HM) exist, large-scale clinic-based studies focusing on the detailed clinical characteristics of HM have not been reported. This study aims to define the clinical characteristics of HM in a tertiary care headache centre.Methods: A retrospective analysis was conducted based on the medical records of HM patients.Patients: This study included 163 consecutive HM patients who visited the National Hospital for Neurology and Neurosurgery between 2006 and 2013.Results: According to the diagnostic criteria of International Classification of Headache Disorders (ICHD-3β), 142 patients were diagnosed with HM. Although 21 patients did not satisfy the diagnostic criteria, migrainous headaches with repetitive hemiparesis were reported and other disorders were excluded, hence these patients were clinically diagnosed with HM. The temporal progression of aura symptoms was atypical in 40 patients. The median duration of hemiparesis was 24 hours (interquartile range: 3-60 hours) which was far longer than that of previous population-based studies. The lifetime experience of an episode of motor aura exceeding 72 hours was reported in 51.6%. Hemiparesis was observed without full recovery in 9 patients (5.5%).Conclusions: In many HM patients, the temporal progression of aura symptoms was diverse compared to typical descriptions in the literature, and the aura symptoms sustained longer than reported in the population-based study.","PeriodicalId":39292,"journal":{"name":"Clinical Neurology","volume":" ","pages":"338-351"},"PeriodicalIF":0.0,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144031711","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

[Current trends in multiple sclerosis/neuromyelitis optica spectrum disorder therapy: considerations for domestic administration and personalized therapy]. [多发性硬化症/视神经脊髓炎谱系障碍治疗的当前趋势：对国内管理和个性化治疗的考虑]。

Clinical Neurology Pub Date : 2025-05-27 Epub Date: 2025-05-09 DOI: 10.5692/clinicalneurol.cn-002095

Masami Tanaka

引用次数: 0

[Intravenous glucose infusion may have caused refeeding syndrome in a patient with advanced amyotrophic lateral sclerosis]. 【静脉输注葡萄糖可能引起晚期肌萎缩性侧索硬化症患者的再进食综合征】。

Clinical Neurology Pub Date : 2025-05-27 Epub Date: 2025-04-25 DOI: 10.5692/clinicalneurol.cn-002086

Naoki Yamahara, Nobuaki Yoshikura, Iwasa Yuhei, Takayoshi Shimohata

引用次数: 0

[Factors associated with fatigue in patients with Parkinson's disease]. [帕金森病患者疲劳的相关因素]。

Clinical Neurology Pub Date : 2025-05-27 Epub Date: 2025-04-25 DOI: 10.5692/clinicalneurol.cn-002061

Kanako Kurihara, Takayasu Mishima, Koichi Nagaki, Yoshio Tsuboi

引用次数: 0

[Early-onset cerebral infarction with psoriasis vulgaris and thromboangiitis obliterans as an athterosclerotic risk factor: a case report]. 【早发性脑梗死伴寻常型银屑病和血栓闭塞性脉管炎为动脉粥样硬化危险因素：1例报告】。

Clinical Neurology Pub Date : 2025-05-27 Epub Date: 2025-04-30 DOI: 10.5692/clinicalneurol.cn-002027

Yasunobu Inagaki, Soichiro Abe, Hiroyuki Ishiyama, Takeshi Yoshimoto, Manabu Inoue, Masafumi Ihara

引用次数: 0