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Journal of the Korean Neurological Association最新文献

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Approaches to Consciousness Assessment in Neurocritically Ill Patients 神经重症患者意识评估方法
Journal of the Korean Neurological Association Pub Date : 2024-05-01 DOI: 10.17340/jkna.2024.0018
Dong-Wan Kang, Tae Jung Kim
{"title":"Approaches to Consciousness Assessment in Neurocritically Ill Patients","authors":"Dong-Wan Kang, Tae Jung Kim","doi":"10.17340/jkna.2024.0018","DOIUrl":"https://doi.org/10.17340/jkna.2024.0018","url":null,"abstract":"The majority of neurocritically ill patients have disorders of consciousness. Both level and content of consciousness should be assessed repeatedly throughout the course of patient care. In this review, we describe the definition and diagnostic criteria for disorders of consciousness, and the neurological examination and standardized neurobehavioral assessment tools as methods of assessing consciousness. Next, we will discuss neurophysiological and neuroimaging tests as tools for assessing consciousness: automated quantitative pupillometry, electroencephalogram, evoked potentials, brain imaging, functional near-infrared spectroscopy, and biomarkers. We discuss the clinical utility of each assessment tool and the importance of a multimodal approach in the diagnosis, treatment, and prognostication of disorders of consciousness.","PeriodicalId":437080,"journal":{"name":"Journal of the Korean Neurological Association","volume":"20 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141051341","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
Saccade: Bedside Examination and Interpretation Saccade：床旁检查和解释
Journal of the Korean Neurological Association Pub Date : 2024-05-01 DOI: 10.17340/jkna.2024.0017
H. Lee, In-Young Lee, Seong-Hae Jeong
{"title":"Saccade: Bedside Examination and Interpretation","authors":"H. Lee, In-Young Lee, Seong-Hae Jeong","doi":"10.17340/jkna.2024.0017","DOIUrl":"https://doi.org/10.17340/jkna.2024.0017","url":null,"abstract":"","PeriodicalId":437080,"journal":{"name":"Journal of the Korean Neurological Association","volume":"18 21-22","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141053734","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
Vogt-Koyanagi-Harada Disease Presented with Bilateral Optic Disc Edema Vogt-Koyanagi-Harada 病伴有双侧视盘水肿
Journal of the Korean Neurological Association Pub Date : 2024-05-01 DOI: 10.17340/jkna.2023.0092
Jae Han Park
{"title":"Vogt-Koyanagi-Harada Disease Presented with Bilateral Optic Disc Edema","authors":"Jae Han Park","doi":"10.17340/jkna.2023.0092","DOIUrl":"https://doi.org/10.17340/jkna.2023.0092","url":null,"abstract":"Vogt-Koyanagi-Harada (VKH) disease is a multisystem inflammatory disease that occurs when body tissues including melanocytes are damaged by autoimmunity. The typical symptoms of VKH are bilateral multifocal uveitis and serous retinal detachment. Our patient was misdiagnosed as idiopathic intracranial hypertension because there were no other characteristic neurological symptoms other than bilateral optic disc edema. However, intracranial pressure was normal and pleocytosis was found, so VKH disease could be diagnosed. Bilateral optic disc edema may be a initial manifestation of VKH disease.","PeriodicalId":437080,"journal":{"name":"Journal of the Korean Neurological Association","volume":"27 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141031130","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
Primary Sjögren’s Syndrome Presenting with Dyskinesia 出现运动障碍的原发性斯约格伦综合征
Journal of the Korean Neurological Association Pub Date : 2024-05-01 DOI: 10.17340/jkna.2023.0106
Seungwon Chung, Ji-Yoon Lee, Soyoon Im, Chan Young Lee, Geon Ha Kim
{"title":"Primary Sjögren’s Syndrome Presenting with Dyskinesia","authors":"Seungwon Chung, Ji-Yoon Lee, Soyoon Im, Chan Young Lee, Geon Ha Kim","doi":"10.17340/jkna.2023.0106","DOIUrl":"https://doi.org/10.17340/jkna.2023.0106","url":null,"abstract":"Sjögren’s syndrome (SS) is an autoimmune disease in which lymphocytes invade salivary and tear glands, leading to dry mouth and dry eyes. It is also associated with extraglandular manifestations. The most frequently reported neurological extraglandular manifestations are sensory polyneuropathies. Movement disorders have been reported in only 2% of primary SS patients. In this case, we present a case of primary SS initially manifesting as generalized chorea, which was initially misdiagnosed as tardive dyskinesia.","PeriodicalId":437080,"journal":{"name":"Journal of the Korean Neurological Association","volume":"34 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141050794","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
Magnetic Resonance Imaging of Brain Injury after Attempted Hanging 上吊未遂后脑损伤的磁共振成像
Journal of the Korean Neurological Association Pub Date : 2024-05-01 DOI: 10.17340/jkna.2023.0084
Young-Mok Song
{"title":"Magnetic Resonance Imaging of Brain Injury after Attempted Hanging","authors":"Young-Mok Song","doi":"10.17340/jkna.2023.0084","DOIUrl":"https://doi.org/10.17340/jkna.2023.0084","url":null,"abstract":"","PeriodicalId":437080,"journal":{"name":"Journal of the Korean Neurological Association","volume":"22 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141058308","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
Determination of Brain Death in Ethical Approach 从伦理角度确定脑死亡
Journal of the Korean Neurological Association Pub Date : 2024-05-01 DOI: 10.17340/jkna.2024.0020
Jin Park
{"title":"Determination of Brain Death in Ethical Approach","authors":"Jin Park","doi":"10.17340/jkna.2024.0020","DOIUrl":"https://doi.org/10.17340/jkna.2024.0020","url":null,"abstract":"","PeriodicalId":437080,"journal":{"name":"Journal of the Korean Neurological Association","volume":"16 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141024809","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
Venous Sinus Thrombosis and Dural Arteriovenous Fistula after Herpes Simplex Encephalitis in a Patient with Protein S, Protein C Deficiency 一名缺乏 S 蛋白和 C 蛋白的患者在患单纯疱疹性脑炎后出现静脉窦血栓和硬脑膜动静脉瘘
Journal of the Korean Neurological Association Pub Date : 2024-05-01 DOI: 10.17340/jkna.2023.0093
Yujin Song, Hwajin Choi, Yunyoung Choi, Hyunkyum Cho, Dongyu Kim, Yo Han Jung
{"title":"Venous Sinus Thrombosis and Dural Arteriovenous Fistula after Herpes Simplex Encephalitis in a Patient with Protein S, Protein C Deficiency","authors":"Yujin Song, Hwajin Choi, Yunyoung Choi, Hyunkyum Cho, Dongyu Kim, Yo Han Jung","doi":"10.17340/jkna.2023.0093","DOIUrl":"https://doi.org/10.17340/jkna.2023.0093","url":null,"abstract":"Herpes simplex encephalitis is known to cause intracranial hypertension and cerebral edema. When cerebral edema occurs, venous sinuses are compressed, resulting in congestion and thrombosis. An arteriovenous fistula may form as a result, particularly in conjunction with superior sagittal sinus thrombosis. In this report, the authors describe a patient with protein S and C deficiency who developed venous sinus thrombosis and dural arteriovenous fistula after experiencing herpes simplex encephalitis.","PeriodicalId":437080,"journal":{"name":"Journal of the Korean Neurological Association","volume":"42 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141044919","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
Klebsiella pneumoniae Meningoencephalitis and Ventriculitis Originated from Renal Abscess in an Immunocompetent Patient 免疫力低下患者肾脓肿引发的肺炎克雷伯氏菌脑膜脑炎和脑室炎
Journal of the Korean Neurological Association Pub Date : 2024-05-01 DOI: 10.17340/jkna.2023.0088
Ho Kyu Kim, Min Ji Song, Ji Hye Shin, Ji Hyun Kim
{"title":"Klebsiella pneumoniae Meningoencephalitis and Ventriculitis Originated from Renal Abscess in an Immunocompetent Patient","authors":"Ho Kyu Kim, Min Ji Song, Ji Hye Shin, Ji Hyun Kim","doi":"10.17340/jkna.2023.0088","DOIUrl":"https://doi.org/10.17340/jkna.2023.0088","url":null,"abstract":"","PeriodicalId":437080,"journal":{"name":"Journal of the Korean Neurological Association","volume":"8 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141042273","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
Comparative Analysis on Methylation Levels of Nerve and Stress Related Genes in Charcot-Marie-Tooth Disease Type 1A Patients Charcot-Marie-Tooth Disease 1A 型患者神经和应激相关基因甲基化水平的比较分析
Journal of the Korean Neurological Association Pub Date : 2024-05-01 DOI: 10.17340/jkna.2023.0076
Da Eun Nam, Seon Hyeok Hwang, Jun Yeop Yim, Byung-Ok Choi, Ki Wha Chung
{"title":"Comparative Analysis on Methylation Levels of Nerve and Stress Related Genes in Charcot-Marie-Tooth Disease Type 1A Patients","authors":"Da Eun Nam, Seon Hyeok Hwang, Jun Yeop Yim, Byung-Ok Choi, Ki Wha Chung","doi":"10.17340/jkna.2023.0076","DOIUrl":"https://doi.org/10.17340/jkna.2023.0076","url":null,"abstract":"Background: Charcot-Marie-Tooth disease type 1A (CMT1A) is caused by duplication of the 17p12 region including PMP22 gene. In CMT1A patients, anticipation showing increased severity by generations has been reported in the CMT1A patients. It has also been reported that severity increases in the non-de novo cases than in the de novo cases. This study was performed to examine epigenetic differences between CMT1A cases and controls as well as between de novo cases and non-de novo cases.Methods: This study examined 40 Korean CMT1A patients and 11 controls. Methylation level was determined using the SureSelect XT Methyl-Seq reagent kit and bisulfite sequence mapping program.Results: Many differentially methylated CpG sites (DMCs) were identified in the comparisonbetween cases and controls and between de novo cases and non-de novo cases. Most DMCs were located within or nearby genes related to the nervous system, mental stress, and motor ability.Conclusions: This study is the first epigenetic study to uncover the mechanism of clinical heterogeneity among CMT1A patients. We suggest that weak severity in the de novo cases than the non-de novo cases may be related to the epigenomic differences in the nerve and stress-related genes.","PeriodicalId":437080,"journal":{"name":"Journal of the Korean Neurological Association","volume":"6 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141024228","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
Risk Factors for Pressure Ulcer by Electrodes in Long-term Electroencephalography Monitoring 长期脑电图监测中电极压疮的风险因素
Journal of the Korean Neurological Association Pub Date : 2024-05-01 DOI: 10.17340/jkna.2023.0029
Keuntae Kim, Yong-won Cho
{"title":"Risk Factors for Pressure Ulcer by Electrodes in Long-term Electroencephalography Monitoring","authors":"Keuntae Kim, Yong-won Cho","doi":"10.17340/jkna.2023.0029","DOIUrl":"https://doi.org/10.17340/jkna.2023.0029","url":null,"abstract":"Background: Although electroencephalography is known as non-invasive, long-term electroencephalography monitoring has a significant risk of pressure ulcers caused by electrodes. We investigated the incidence and risk factors of pressure ulcers in long-term electroencephalography monitoring for more than 24 hours.Methods: All patients who underwent long-term electroencephalography monitoring for more than 24 hours from January 2020 to December 2021 were reviewed. Their medical records were reviewed to evaluate the risk factors for pressure ulcers by electroencephalography electrodes. All patients were divided into the presence (lesion positive) and absence (lesion negative) of pressure ulcers confirmed by a clinician.Results: A total of 541 patients were analyzed in this study. Their mean age was 56.0±21.5, and the average duration of the long-term electroencephalography monitoring was 118.0±68.6 hours. Pressure ulcers were identified in 49 patients (9.1%). The odds ratios of age and recording time were 1.032 (95% confidence interval [CI], 1.008-1.056, p=0.009) and 1.022 (95% CI, 1.015-1.029, p<0.001), respectively. The odds ratio of pressure ulcer was 2.702 (95% CI, 1.461-4.999, p=0.002) in patients with comatose mentality (1 point for eye response of Glasgow coma scale).Conclusions: The pressure ulcers caused by electrodes in long-term electroencephalography monitoring can be preventable with due diligence in clinical settings. Risk factor control to prevent pressure ulcers due to electroencephalography electrodes is needed.","PeriodicalId":437080,"journal":{"name":"Journal of the Korean Neurological Association","volume":"46 15","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141043562","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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