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[Posterior reversible encephalopathy syndrome after COVID-19 in a patient with chronic renal failure]. [1例慢性肾衰竭患者COVID-19后后部可逆性脑病综合征]。
Clinical Neurology Pub Date : 2025-01-29 Epub Date: 2024-12-21 DOI: 10.5692/clinicalneurol.cn-002013
Masato Kochi, Yoshiki Yokoyama
{"title":"[Posterior reversible encephalopathy syndrome after COVID-19 in a patient with chronic renal failure].","authors":"Masato Kochi, Yoshiki Yokoyama","doi":"10.5692/clinicalneurol.cn-002013","DOIUrl":"10.5692/clinicalneurol.cn-002013","url":null,"abstract":"<p><p>A 61-year-old man with chronic renal failure had an embolic stroke of undetermined source that was treated with warfarin. Five weeks later, the patient contracted coronavirus disease (COVID-19). Six days after the onset of COVID-19, high blood pressure (>200 ‍mmHg) and consciousness disturbance were reported. CT demonstrated symmetrical hypodensity areas in the bilateral cerebellar hemispheres. MRI revealed hyperintensity lesions in the bilateral cerebellar hemispheres and pons on the T<sub>2</sub>-weighted and fluid-attenuated inversion recovery images. Moreover, cerebellar lesions appeared as hyperintensity areas on apparent diffusion coefficient mapping. Based on these findings, a diagnosis of posterior reversible encephalopathy syndrome (PRES) was made. The patient was treated with antihypertensive drugs, and the consciousness level improved gradually. MRI after one month showed that the lesions had disappeared. PRES should be considered if the brain CT of patients with COVID-19 shows a low-density lesion, especially in patients with risk factors for PRES such as chronic renal failure or hypertension.</p>","PeriodicalId":39292,"journal":{"name":"Clinical Neurology","volume":" ","pages":"32-38"},"PeriodicalIF":0.0,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142877083","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
[Interictal burden of migraine and its evaluations: a literature review]. [偏头痛的间期负担及其评估：文献综述]。
Clinical Neurology Pub Date : 2025-01-29 Epub Date: 2024-12-21 DOI: 10.5692/clinicalneurol.cn-002016
Tsubasa Takizawa, Ryo Takemura, Hisaka Igarashi, Yasuhiko Matsumori, Minako Sato, Kaname Ueda
{"title":"[Interictal burden of migraine and its evaluations: a literature review].","authors":"Tsubasa Takizawa, Ryo Takemura, Hisaka Igarashi, Yasuhiko Matsumori, Minako Sato, Kaname Ueda","doi":"10.5692/clinicalneurol.cn-002016","DOIUrl":"10.5692/clinicalneurol.cn-002016","url":null,"abstract":"<p><p>We conducted a targeted literature review on patient burden during the interictal period of migraine. The results of the literature review revealed that: (1) migraine-associated burden persists into the interictal period and is not confined to the headache episodes themselves; (2) anxiety over the possible recurrence of headache episodes is a factor that reduces daily activities and quality of life (QOL); and (3) prophylactic treatment with calcitonin gene-related peptide (CGRP) antibody drugs may reduce the burden during the interictal period. From these findings, it is considered important in migraine treatment to identify the unmet needs of patients, including the burden during the interictal period, and to select an appropriate treatment method based on the burden experienced by individual patients.</p>","PeriodicalId":39292,"journal":{"name":"Clinical Neurology","volume":" ","pages":"8-15"},"PeriodicalIF":0.0,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142878230","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
[Case of ictal aphasia and post-ictal aphasia due to focal epilepsy associated with cerebral hemorrhage]. 局灶性癫痫并发脑出血致发作性失语及发作后失语1例。
Clinical Neurology Pub Date : 2025-01-29 Epub Date: 2024-12-18 DOI: 10.5692/clinicalneurol.cn-001954
Arisa Yamamoto, Kosuke Yoshida, Yasuhiro Suzuki, Kenji Kuroda, Takashi Kimura, Yoko Aburakawa
{"title":"[Case of ictal aphasia and post-ictal aphasia due to focal epilepsy associated with cerebral hemorrhage].","authors":"Arisa Yamamoto, Kosuke Yoshida, Yasuhiro Suzuki, Kenji Kuroda, Takashi Kimura, Yoko Aburakawa","doi":"10.5692/clinicalneurol.cn-001954","DOIUrl":"10.5692/clinicalneurol.cn-001954","url":null,"abstract":"<p><p>The patient was a 69-year-old right-handed woman. She had sensory aphasia, and the brain MRI revealed a subacute phase hemorrhage in the left subcortical temporal lobe. We speculated that the patient had post-ictal aphasia due to symptomatic epileptic seizures associated with cerebral hemorrhage. Seven months later, she was readmitted to the hospital with sensory aphasia; however, this time, the brain MRI FLAIR demonstrated high signal in the left medial temporal lobe and thalamic pillow. Furthermore, the electroencephalogram showed periodic discharges focused on the left temporal region. <sup>123</sup>I-IMP SPECT of cerebral blood flow indicated a cluster within the medial left temporal lobe. Aphasia associated with nonconvulsive seizures was considered. Sudden onset sensory aphasia should be differentiated from ictal and post-ictal aphasias.</p>","PeriodicalId":39292,"journal":{"name":"Clinical Neurology","volume":" ","pages":"22-26"},"PeriodicalIF":0.0,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142855979","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
[Rheumatoid meningitis without arthritis presenting as widespread symmetrical high-‍intensity lesions along cerebral sulci on diffusion-weighted MRI: a case report]. [无关节炎的类风湿性脑膜炎在弥散加权MRI上表现为沿脑沟广泛对称的高‍强度病变：1例报告]。
Clinical Neurology Pub Date : 2025-01-29 Epub Date: 2024-12-18 DOI: 10.5692/clinicalneurol.cn-002022
Takanobu Kita, Hiroaki Okada, Seiji Takenouchi, Yoshiyuki Nakai, Masahiro Kanai, Keiji Yamaguchi
{"title":"[Rheumatoid meningitis without arthritis presenting as widespread symmetrical high-‍intensity lesions along cerebral sulci on diffusion-weighted MRI: a case report].","authors":"Takanobu Kita, Hiroaki Okada, Seiji Takenouchi, Yoshiyuki Nakai, Masahiro Kanai, Keiji Yamaguchi","doi":"10.5692/clinicalneurol.cn-002022","DOIUrl":"10.5692/clinicalneurol.cn-002022","url":null,"abstract":"<p><p>A 52-year-old woman presented with the subacute onset of pantalgia, fever and consciousness disturbance. MRI revealed widespread symmetrical high-intensity areas along the sulci in both cerebral hemispheres on diffusion-weighted imaging (DWI). Rheumatoid meningitis was suspected based on elevated levels of anti-cyclic citrullinated peptide antibodies (ACPA) in both serum and cerebrospinal fluid (CSF), as well as an elevated ACPA index. Brain biopsy revealed marked infiltration of inflammatory cells in the subarachnoid space, confirming the diagnosis of rheumatoid meningitis. The patient fully recovered after receiving six courses of steroid pulse therapy, followed by postremission therapy. Diagnosing cases without arthritis can be challenging, but testing for ACPA and evaluating the ACPA index can be useful for both diagnosis and assessing therapeutic efficacy in cases of suspected rheumatoid meningitis.</p>","PeriodicalId":39292,"journal":{"name":"Clinical Neurology","volume":" ","pages":"39-44"},"PeriodicalIF":0.0,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142855980","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
[Notice for Members].
Clinical Neurology Pub Date : 2025-01-01 DOI: 10.5692/clinicalneurol.65_2_announce2
{"title":"[Notice for Members].","authors":"","doi":"10.5692/clinicalneurol.65_2_announce2","DOIUrl":"https://doi.org/10.5692/clinicalneurol.65_2_announce2","url":null,"abstract":"","PeriodicalId":39292,"journal":{"name":"Clinical Neurology","volume":"65 2","pages":"184-189"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143494099","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
Clinical Neurology Pub Date : 2025-01-01 DOI: 10.5692/clinicalneurol.65_1_facilities1
{"title":"","authors":"","doi":"10.5692/clinicalneurol.65_1_facilities1","DOIUrl":"https://doi.org/10.5692/clinicalneurol.65_1_facilities1","url":null,"abstract":"","PeriodicalId":39292,"journal":{"name":"Clinical Neurology","volume":"65 1","pages":"53-54"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068569","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
[The Proceedings of the 170th Tokai-Hokuriku Regional Meeting of the Japanese Society of Neurology]. [日本神经病学学会第 170 届东海-北陆地区会议论文集]。
Clinical Neurology Pub Date : 2025-01-01 DOI: 10.5692/clinicalneurol.65_1_proceedings3
{"title":"[The Proceedings of the 170th Tokai-Hokuriku Regional Meeting of the Japanese Society of Neurology].","authors":"","doi":"10.5692/clinicalneurol.65_1_proceedings3","DOIUrl":"https://doi.org/10.5692/clinicalneurol.65_1_proceedings3","url":null,"abstract":"","PeriodicalId":39292,"journal":{"name":"Clinical Neurology","volume":"65 1","pages":"78-89"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068573","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
[The Proceedings of the 129th Kinki Regional Meeting of the Japanese Society of Neurology].
Clinical Neurology Pub Date : 2025-01-01 DOI: 10.5692/clinicalneurol.65_2_proceedings2
{"title":"[The Proceedings of the 129th Kinki Regional Meeting of the Japanese Society of Neurology].","authors":"","doi":"10.5692/clinicalneurol.65_2_proceedings2","DOIUrl":"https://doi.org/10.5692/clinicalneurol.65_2_proceedings2","url":null,"abstract":"","PeriodicalId":39292,"journal":{"name":"Clinical Neurology","volume":"65 2","pages":"164-175"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143494101","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
[Notice for Members].
Clinical Neurology Pub Date : 2025-01-01 DOI: 10.5692/clinicalneurol.65_3_announce1
{"title":"[Notice for Members].","authors":"","doi":"10.5692/clinicalneurol.65_3_announce1","DOIUrl":"https://doi.org/10.5692/clinicalneurol.65_3_announce1","url":null,"abstract":"","PeriodicalId":39292,"journal":{"name":"Clinical Neurology","volume":"65 3","pages":"242-249"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732238","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
[The Proceedings of the 250th Kanto-Koshinetsu Regional Meeting of the Japanese Society of Neurology].
Clinical Neurology Pub Date : 2025-01-01 DOI: 10.5692/clinicalneurol.65_1_proceedings1
{"title":"[The Proceedings of the 250th Kanto-Koshinetsu Regional Meeting of the Japanese Society of Neurology].","authors":"","doi":"10.5692/clinicalneurol.65_1_proceedings1","DOIUrl":"https://doi.org/10.5692/clinicalneurol.65_1_proceedings1","url":null,"abstract":"","PeriodicalId":39292,"journal":{"name":"Clinical Neurology","volume":"65 1","pages":"55-70"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068576","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
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