Clinical Neurology最新文献_第7页

[A case of primary central nervous system post-transplant lymphoproliferative disease 14 years after living donor liver transplantation]. [活体肝移植 14 年后的一例原发性中枢神经系统移植后淋巴增生性疾病】。］

Clinical Neurology Pub Date : 2024-11-22 Epub Date: 2024-10-19 DOI: 10.5692/clinicalneurol.cn-001991

Hiroaki Otsuka, Tomoaki Shima, Koichi Yoshida, Hirokazu Kurohama, Akira Tsujino

引用次数: 0

[An adult case of adenovirus type 3 infection presenting as clinically mild encephalitis/encephalopathy with a reversible splenial lesion and increased IL-6 levels in the cerebrospinal fluid]. [一例成人腺病毒 3 型感染病例，临床表现为轻度脑炎/脑病，脾脏病变可逆，脑脊液中 IL-6 水平升高]。

Clinical Neurology Pub Date : 2024-11-22 Epub Date: 2024-10-12 DOI: 10.5692/clinicalneurol.cn-002020

Yasutake Tada, Hiroyasu Kaya, Keisuke Shima

引用次数: 0

Meningeal carcinomatosis causing paroxysmal and reversible right midbrain symptoms: a case report. 脑膜癌导致阵发性和可逆性右中脑症状：病例报告。

Clinical Neurology Pub Date : 2024-11-22 Epub Date: 2024-10-12 DOI: 10.5692/clinicalneurol.cn-001959

Haruna Akanuma, Suguru Kadowaki

引用次数: 0

[Five-year outcomes in patients with ischemic stroke or transient ischemic attack after widespread use of direct oral anticoagulants]. [广泛使用直接口服抗凝剂后缺血性中风或短暂性脑缺血发作患者的五年预后]。

Clinical Neurology Pub Date : 2024-11-22 Epub Date: 2024-10-12 DOI: 10.5692/clinicalneurol.cn-001988

Yoshinari Nagakane, Eijirou Tanaka, Takehiro Yamada, Masashi Hamanaka, Jun Fujinami, Shinji Ashida, Yuta Kojima, Keiko Maezono-Kandori, Shiori Ogura, Yasumasa Yamamoto

{"title":"[Five-year outcomes in patients with ischemic stroke or transient ischemic attack after widespread use of direct oral anticoagulants].","authors":"Yoshinari Nagakane, Eijirou Tanaka, Takehiro Yamada, Masashi Hamanaka, Jun Fujinami, Shinji Ashida, Yuta Kojima, Keiko Maezono-Kandori, Shiori Ogura, Yasumasa Yamamoto","doi":"10.5692/clinicalneurol.cn-001988","DOIUrl":"10.5692/clinicalneurol.cn-001988","url":null,"abstract":"The long-term outcomes of patients with stroke or transient ischemic attack (TIA) after widespread use of direct oral anticoagulants (DOACs) were investigated. Patients with ischemic stroke or TIA admitted between April 2014 and September 2015 were prospectively enrolled and followed for up to 5 years after the index stroke or TIA. Primary outcome measures were any cause of death and stroke recurrence. A total of 555 consecutive patients (323 men; mean age, 75 years; ischemic stroke, n = 520; TIA, n = 35) were analyzed. The follow-up rate was 93%, and the mean follow-up period was 48 ± 20 months. DOACs accounted for 52% of anticoagulants at discharge. During follow-up, 162 patients died, for cumulative mortality rates of 30% (particularly, 53% in cardioembolism) at 5 years. Recurrent stroke occurred in 90 patients, with cumulative risks of stroke recurrence of 19% at 5 years. The 5-year mortality rate remain even after widespread use of DOACs, and further treatment approaches are warranted.","PeriodicalId":39292,"journal":{"name":"Clinical Neurology","volume":" ","pages":"781-788"},"PeriodicalIF":0.0,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142476979","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 propriospinal myoclonus at sleep onset in which video-polysomnography with additional surface electromyogram was useful for diagnosis]. [一例睡眠开始时出现本体脊髓肌阵挛的病例，其视频多导睡眠图和附加的表面肌电图有助于诊断]。

Clinical Neurology Pub Date : 2024-11-22 Epub Date: 2024-10-19 DOI: 10.5692/clinicalneurol.cn-001951

Yoko Fujii, Mutsumi Okura, Yaeko Kashiwai, Mitsutaka Taniguchi, Motoharu Ohi

{"title":"[A case of propriospinal myoclonus at sleep onset in which video-polysomnography with additional surface electromyogram was useful for diagnosis].","authors":"Yoko Fujii, Mutsumi Okura, Yaeko Kashiwai, Mitsutaka Taniguchi, Motoharu Ohi","doi":"10.5692/clinicalneurol.cn-001951","DOIUrl":"10.5692/clinicalneurol.cn-001951","url":null,"abstract":"Propriospinal myoclonus at sleep onset (PSM-S) is a sudden myoclonic jerk that occurs during the transition from wakefulness to sleep. It is a sleep-related movement disorder that causes difficulty falling asleep due to involuntary movements that spread caudally and rostrally through the propriospinal tract. Diagnosis requires observation of movements and polysomnography (PSG), and there are few reports. An 80-year-old man was referred to our center for insomnia due to abdominal movements at sleep onset. During the EEG test, we observed the caudal and rostral propagation of movements emanating from the abdomen. Attended video-PSG with additional surface electromyography revealed that myoclonic jerks occurred during the transition from wake to stage N1 and disappeared during sleep stage N2. EMG activity originated from the rectus abdominis muscle, followed by rostral and caudal propagation. Here, we report a case demonstrating that PSG with additional surface electromyography is important and useful for the diagnosis of PMS at sleep onset.","PeriodicalId":39292,"journal":{"name":"Clinical Neurology","volume":" ","pages":"813-817"},"PeriodicalIF":0.0,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142476977","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 T1 radiculopathy caused by intervertebral disc herniation with cervical angina]. [椎间盘突出症引起的 T1 根神经病伴颈部心绞痛病例]。

Clinical Neurology Pub Date : 2024-10-29 Epub Date: 2024-10-26 DOI: 10.5692/clinicalneurol.cn-001989

Kazuki Sogawa, Tetsuo Ando, Yasuo Kanamori, Syunsuke Koga, Masahiro Sonoo, Toshio Fukutake

引用次数: 0

[Proposals for the early diagnosis of late-onset hereditary ATTR amyloidosis in ‍nonendemic areas in Japan]. [关于在日本非流行区早期诊断晚发型遗传性 ATTR 淀粉样变性病的建议]。

Clinical Neurology Pub Date : 2024-10-29 Epub Date: 2024-10-26 DOI: 10.5692/clinicalneurol.cn-002002

Keiko Maruyama Saladini, Haruki Koike, Mitsuharu Ueda, Yoshiki Sekijima, Yukio Ando

引用次数: 0

[A case of hypertrophic pachymeningitis as a systemic autoimmune/inflammatory disorder (SAID) associated with chronic myelomonocytic leukemia]. [与慢性粒单核细胞白血病相关的肥厚性咽鼓管炎作为系统性自身免疫/炎症性疾病（SAID）的一个病例]。

Clinical Neurology Pub Date : 2024-10-29 Epub Date: 2024-10-21 DOI: 10.5692/clinicalneurol.cn-002007

Tatsuya Sato, Tomoyuki Inoue, Satoshi Kubo, Kota Sato, Takahiro Himeno, Yuka Terasawa

{"title":"[A case of hypertrophic pachymeningitis as a systemic autoimmune/inflammatory disorder (SAID) associated with chronic myelomonocytic leukemia].","authors":"Tatsuya Sato, Tomoyuki Inoue, Satoshi Kubo, Kota Sato, Takahiro Himeno, Yuka Terasawa","doi":"10.5692/clinicalneurol.cn-002007","DOIUrl":"10.5692/clinicalneurol.cn-002007","url":null,"abstract":"A 67-year-old woman with past medical history of chronic myelomonocytic leukemia (CMML) presented with a chief complaint of headache, diplopia, and hearing impairment in the right ear. Examination revealed impaired ocular movement in the left eye and sensorineural hearing loss in the right ear. Cerebrospinal fluid analysis showed increased cell count and protein, and MRI showed contrast enhancement of hypertrophic dura mater. Since there were no other abnormalities which would have been a cause of hypertrophic pachymeningitis, it was considered as systemic autoimmune/inflammatory disorder (SAID) associated with CMML. Treatment with steroid, cyclophosphamide, and methotrexate led to improvement of the symptoms. SAIDs develop in up to 25% of patients with myelodysplastic syndromes (MDS) or CMML, which may be the only symptoms of MDS/CMML. As a phenotype of SAIDs, systemic vasculitis, connective tissue diseases, and neutrophilic diseases are frequently reported; however, isolated involvement of central nerve system is rarely reported. To our knowledge, this is the first report of hypertrophic pachymeningitis as SAID associated with CMML. To clarify the pathogenesis of neurologic involvement of SAIDs, accumulation of cases is necessary.","PeriodicalId":39292,"journal":{"name":"Clinical Neurology","volume":" ","pages":"742-745"},"PeriodicalIF":0.0,"publicationDate":"2024-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142308725","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

[Amaurosis fugax in Marfan syndrome with myxomatous degeneration]. [马凡综合征伴肌瘤变性的大眼病]。

Clinical Neurology Pub Date : 2024-10-29 Epub Date: 2024-10-21 DOI: 10.5692/clinicalneurol.cn-001987

Takeo Sato, Mari Satake, Hiroki Iitsuka, Masahiro Mimori, Tadashi Umehara, Chisen Takeuchi, Yasuyuki Iguchi

引用次数: 0

[Acute internal carotid artery occlusion following administration of Andexanet alfa for the reversal of direct factor Xa inhibitors in patients with cerebral hemorrhage]. [脑出血患者使用安达赛酮α逆转直接 Xa 因子抑制剂后出现急性颈内动脉闭塞]。

Clinical Neurology Pub Date : 2024-10-29 Epub Date: 2024-10-21 DOI: 10.5692/clinicalneurol.cn-001997

Sota Uemura, Junji Takasugi, Nobuyuki Ohara, Masamori Koyanagi, Tsuyoshi Ohta, Michi Kawamoto

{"title":"[Acute internal carotid artery occlusion following administration of Andexanet alfa for the reversal of direct factor Xa inhibitors in patients with cerebral hemorrhage].","authors":"Sota Uemura, Junji Takasugi, Nobuyuki Ohara, Masamori Koyanagi, Tsuyoshi Ohta, Michi Kawamoto","doi":"10.5692/clinicalneurol.cn-001997","DOIUrl":"10.5692/clinicalneurol.cn-001997","url":null,"abstract":"An 87-year-old woman receiving aspirin and apixaban with a history of large artery atherosclerotic stroke, and pulmonary embolism presented to the hospital for aphasia and right hemiplegia. A head CT scan showed 18-ml hematoma in the left thalamus. Low-dose Andexanet alfa was administered 84 minutes after the onset of stroke, and 10 hours and 24 minutes after the last dose of apixaban. Three hours later after admission, she had flaccid hemiplegia and became comatose. CT and CT angiography revealed occlusion of left internal carotid artery (ICA) and no evidence of hematoma expansion. Although repetitive mechanical thrombectomy resulted in recanalization (modified TICI 2b), carotid ultrasound revealed the occlusion of left ICA on next day. On day 7, she died of brain herniation following extensive cerebral infarction. It has been reported that some patients did experience thrombotic events after administration of Andexanet alfa. Our case illustrates that even large vessel occlusion might occur after intravenous injection of Andexanet alfa. Thus, careful follow-up, including cerebrovascular imaging, is required immediately after administration of Andexanet alfa.","PeriodicalId":39292,"journal":{"name":"Clinical Neurology","volume":" ","pages":"730-735"},"PeriodicalIF":0.0,"publicationDate":"2024-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142308727","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