Journal of the Korean Neurological Association最新文献

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Pontine Infarction Presenting as Millard-Gubler Syndrome 桥脑梗死表现为Millard-Gubler综合征
Journal of the Korean Neurological Association Pub Date : 2023-08-01 DOI: 10.17340/jkna.2023.3.11
Sumi Ha, H. Woo, Sangil Park, H. Yoon, S. Heo
{"title":"Pontine Infarction Presenting as Millard-Gubler Syndrome","authors":"Sumi Ha, H. Woo, Sangil Park, H. Yoon, S. Heo","doi":"10.17340/jkna.2023.3.11","DOIUrl":"https://doi.org/10.17340/jkna.2023.3.11","url":null,"abstract":"","PeriodicalId":437080,"journal":{"name":"Journal of the Korean Neurological Association","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121857119","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
Pain Control and Sedation in Neuro Intensive Critical Unit 神经重症病房的疼痛控制与镇静
Journal of the Korean Neurological Association Pub Date : 2023-08-01 DOI: 10.17340/jkna.2023.3.1
Soo-Hyun Park, Yerim Kim, Yeojin Kim, J. Bae, Ju-Hun Lee, Wook-Sung Kim, Hong-Ki Song
{"title":"Pain Control and Sedation in Neuro Intensive Critical Unit","authors":"Soo-Hyun Park, Yerim Kim, Yeojin Kim, J. Bae, Ju-Hun Lee, Wook-Sung Kim, Hong-Ki Song","doi":"10.17340/jkna.2023.3.1","DOIUrl":"https://doi.org/10.17340/jkna.2023.3.1","url":null,"abstract":"Neurocritical patients who can self-report pain use the 0-10 numerical rating scale (NRS, verbal or visual form). However, critically ill patients whose nervous systems cannot express pain use the behavioral pain scale (BPS) and the critical care pain observation tool (CPOT) behavioral pain assessment tools. These tools reveal pain-related changes in movement, facial expression, posture, and physiological indicators such as heart rate, blood pressure, and respiratory rate. In pain control, it is first essential to reduce unnecessary painkillers through non-drug therapy and maximize the effect of the administered analgesics. For nonneuropathic pain, narcotic analgesics such as fentanyl, hydromorphone, morphine, and remifentanil are administered intravenously. Gabapentin, pregabalin, and carbamazepine are recommended along with narcotic analgesics for neuropathic pain control. In addition, nonnarcotic analgesics for multi-modal analgesia are used to reduce the use of narcotic analgesics or the side effects of narcotic analgesics. In the intensive care unit (ICU), the sedation-agitation scale (SAS) and the Richmond agitation-sedation scale (RASS) are used to determine the depth of sedation to be maintained during shallow or deep sedation, considering the condition of the critically ill patient. When selecting sedatives for critically ill patients, preferentially consider nonbenzodiazepines such as propofol or dexmedetomidine rather than benzodiazepines such as midazolam or lorazepam. In addition, patients use painkillers or sedatives for over a week, and neurological changes or physiological dependence may occur. Therefore, clinicians should evaluate the critically ill patient’s condition, and sedatives and painkillers should be reduced or discontinued.","PeriodicalId":437080,"journal":{"name":"Journal of the Korean Neurological Association","volume":"65 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126251016","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
What Is an Independent Medical Examination? 什么是独立的身体检查?
Journal of the Korean Neurological Association Pub Date : 2023-08-01 DOI: 10.17340/jkna.2023.3.2
D. Jeong
{"title":"What Is an Independent Medical Examination?","authors":"D. Jeong","doi":"10.17340/jkna.2023.3.2","DOIUrl":"https://doi.org/10.17340/jkna.2023.3.2","url":null,"abstract":"An independent medical examination (IME) is a medical evaluation performed by a medical professional on a patient who was not previously involved in the treatment of that patient, to evaluate the patient’s course of prior treatment and current condition. IMEs are conducted by doctors, psychologists, and other licensed healthcare professionals in essentially all medical disciplines, depending on the purpose of the exam and the claimed injuries. Such examinations are generally conducted in the context of a legal or administrative proceeding, at the request of the party opposing the patient’s request for benefits. Conducting an independent medical examination does not establish a typical doctor-patient relationship as exists when a clinician treats a patient. Thus, a “limited doctor-patient relationship” exists when conducting independent medical examinations.","PeriodicalId":437080,"journal":{"name":"Journal of the Korean Neurological Association","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134100886","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
Lexical-semantic Deficit without Semantic Impairment in a Patient with Left Anterior Choroidal Artery Infarction: Neural Correlates Based on Diffusion-tensor Tractography 左前脉络膜动脉梗死患者的词汇语义缺陷无语义损害:基于弥散张量束造影的神经相关性
Journal of the Korean Neurological Association Pub Date : 2023-08-01 DOI: 10.17340/jkna.2023.3.6
Han Kyu Na, Y. Sun, Sangwon Joe, Chung-Seok Lee, Seok-joo Kim, Yunjung Choi, Haram Joo, Deog Young Kim, H. Nam
{"title":"Lexical-semantic Deficit without Semantic Impairment in a Patient with Left Anterior Choroidal Artery Infarction: Neural Correlates Based on Diffusion-tensor Tractography","authors":"Han Kyu Na, Y. Sun, Sangwon Joe, Chung-Seok Lee, Seok-joo Kim, Yunjung Choi, Haram Joo, Deog Young Kim, H. Nam","doi":"10.17340/jkna.2023.3.6","DOIUrl":"https://doi.org/10.17340/jkna.2023.3.6","url":null,"abstract":"A 35-year-old male presented with atypical aphasia following left anterior choroidal artery infarction associated with distal internal carotid artery dissection. He presented with 1) lexical-semantic deficit without semantic impairment, 2) frequent surface errors (both surface dyslexia and dysgraphia), and 3) intact non-word reading/repetition (preserved sub-lexical route), suggesting deficit in the phonological output lexicon. Diffusion-tensor tractography analysis revealed disruption in the inferior fronto-occipital fasciculus and inferior longitudinal fasciculus, which might serve as potential subcortical neural correlates for phonological output lexicon.","PeriodicalId":437080,"journal":{"name":"Journal of the Korean Neurological Association","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121121527","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
Posterior Reversible Encephalopathy after Quetiapine Overdose 喹硫平过量后后路可逆性脑病
Journal of the Korean Neurological Association Pub Date : 2023-08-01 DOI: 10.17340/jkna.2023.3.10
M. Kim, J. Jeon, Man Gyeong Han, D. Shin
{"title":"Posterior Reversible Encephalopathy after Quetiapine Overdose","authors":"M. Kim, J. Jeon, Man Gyeong Han, D. Shin","doi":"10.17340/jkna.2023.3.10","DOIUrl":"https://doi.org/10.17340/jkna.2023.3.10","url":null,"abstract":"Quetiapine is an atypical antipsychotic drug that can cause sinus tachycardia, hypotension, coma, etc. with overdose, and rarely convulsions, rhabdomyolysis and neuroleptic malignant syndrome. Posterior reversible encephalopathy syndrome usually occurs in association with hypertension, but can occur rarely in rhabdomyolysis accompanied by acute kidney injury and arginine vasopressin axis hyperstimulation. We report the experience of a patient hospitalized with a quetiapine overdose who developed drug-induced rhabdomyolysis and reversible encephalopathy without hypertension after acute renal injury.","PeriodicalId":437080,"journal":{"name":"Journal of the Korean Neurological Association","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130357098","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
Mnemonics for Key Phenomenology of Hyperkinetic Disorders 多动障碍关键现象学助记法
Journal of the Korean Neurological Association Pub Date : 2023-08-01 DOI: 10.17340/jkna.2023.3.17
Woong-Woo Lee
{"title":"Mnemonics for Key Phenomenology of Hyperkinetic Disorders","authors":"Woong-Woo Lee","doi":"10.17340/jkna.2023.3.17","DOIUrl":"https://doi.org/10.17340/jkna.2023.3.17","url":null,"abstract":"Received May 22, 2023 Revised June 13, 2023 Accepted June 13, 2023 이상운동 질환의 현상학(phenomenology)은 운동과다(hyperkinesia)와 운동 과소(hypokinesia)를 나누는 것으로부터 출발한다. 운동과소의 대표적인 것은 운 동완만(bradykinesia)으로, 이는 파킨슨증(Parkinsonism)의 핵심 증상이기도 하다. 운동과다는 운동과소보다 더 많은 표현형이 있어 모두 기억하기는 쉽지 않게 느껴진다. 하지만 대표적인 다섯 개의 표현형을 기억한다면 거의 대부분의 운동과 다 증상을 설명할 수 있다. 운동과다의 대표적인 표현형인 근긴장이상증(dystonia), 무도증(chorea), 실조 증(ataxia), 근간대경련(myoclonus), 떨림(tremor)의 앞 글자만 따면 “Dys-ChoAt-My-Trem”이라는 말로 축약할 수 있다. 다음 그림을 보면 “이상하게 열차에서 춤추고 있는 장면”, 즉 “디스-코-앳-마이-트렘”이므로 이상운동 질환 중에 운동과다 의 대표적인 현상학을 기억하기 위해 활용되기 좋다(Fig.). 물론 각각의 정의는 익숙 해지도록 숙지해야 한다.","PeriodicalId":437080,"journal":{"name":"Journal of the Korean Neurological Association","volume":"55 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117024957","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
Multifocal Peripheral Neuropathies, Rhabdomyolysis, and Dermal Change in Carbon Monoxide Intoxication 一氧化碳中毒的多灶性周围神经病变、横纹肌溶解和皮肤变化
Journal of the Korean Neurological Association Pub Date : 2023-08-01 DOI: 10.17340/jkna.2023.3.3
Dae Wang Jeong, Dasom Yoon, Jeong Kyu Lee, Kyoung Mi Lee, Y. Suh, Y. Jung
{"title":"Multifocal Peripheral Neuropathies, Rhabdomyolysis, and Dermal Change in Carbon Monoxide Intoxication","authors":"Dae Wang Jeong, Dasom Yoon, Jeong Kyu Lee, Kyoung Mi Lee, Y. Suh, Y. Jung","doi":"10.17340/jkna.2023.3.3","DOIUrl":"https://doi.org/10.17340/jkna.2023.3.3","url":null,"abstract":"Carbon monoxide poisoning is common cause of fatal intoxication. When carbon monoxide is absorbed into the blood, it interferes with the oxygen supply to the cells, causing damage to tissues and organs. Delayed neuropsychiatric sequelae (DNS) manifested by cognitive dysfunction, motor disorder, micturition disorder are widely known complication of carbon monoxide intoxication. But neuromuscular complication is a rare DNS of carbon monoxide intoxication. We herein report a 42-year-old patient with multifocal neuropathies, rhabdomyolysis, and dermal change due to carbon monoxide intoxication.","PeriodicalId":437080,"journal":{"name":"Journal of the Korean Neurological Association","volume":"99 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114259496","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
TWNK Gene Associated Perrault Syndrome Patient with Neurological Features 与神经系统特征相关的TWNK基因佩诺特综合征患者
Journal of the Korean Neurological Association Pub Date : 2023-05-01 DOI: 10.17340/jkna.2023.2.6
Hyung Ki Kim, Jae Young Bae, J. Lim, J. Seok, Jongkyu Park
{"title":"TWNK Gene Associated Perrault Syndrome Patient with Neurological Features","authors":"Hyung Ki Kim, Jae Young Bae, J. Lim, J. Seok, Jongkyu Park","doi":"10.17340/jkna.2023.2.6","DOIUrl":"https://doi.org/10.17340/jkna.2023.2.6","url":null,"abstract":"Perrault syndrome 5 is a rare autosomal recessive disorder that is characterized by the association of sensorineural hearing loss and ovarian dysgenesis in females with diversity of neurologic deficits due to variants of twinkle mtDNA helicase (TWNK) gene. Since neurologic deficits develop gradually, patient is often misdiagnosed with other neurological disease during early age. Herein, we report a case of genetically diagnosed Perrault syndrome 5.","PeriodicalId":437080,"journal":{"name":"Journal of the Korean Neurological Association","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124909782","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
Development of Software Solutions for Stroke: A Personal Experience 中风软件解决方案的开发:个人经验
Journal of the Korean Neurological Association Pub Date : 2023-05-01 DOI: 10.17340/jkna.2023.2.1
Joonnyung Heo
{"title":"Development of Software Solutions for Stroke: A Personal Experience","authors":"Joonnyung Heo","doi":"10.17340/jkna.2023.2.1","DOIUrl":"https://doi.org/10.17340/jkna.2023.2.1","url":null,"abstract":"Variety of software solutions are being used for clinical use. This special contribution focuses on the personal experience of developing several software solutions concerning stroke. Stroke119 application was developed to inform the patient of the closest hospital available for thrombolytic therapy and provides a simple three-step self-test for detection of acute stroke. A multi-center web-based registry solution named SMART DB was developed to facilitate multi-center studies. Over 650,000 records were created by 25 centers in SMART DB. An artificial intelligence-based web solution for prediction of coronary artery disease in stroke patients was developed named S2CAD. A clinical decision support platform for thrombi acquired from endovascular thrombectomy named ARIA Cloud was developed. Software for stroke is actively being developed in Korea. Software solutions are expected to increase efficiency by providing clinical decision support in the near future.","PeriodicalId":437080,"journal":{"name":"Journal of the Korean Neurological Association","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115033344","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
Muscle Biopsy 肌肉活检
Journal of the Korean Neurological Association Pub Date : 2023-05-01 DOI: 10.17340/jkna.2023.2.14
Jin-Hong Shin, Sang Jun Park, Dae-Seong Kim
{"title":"Muscle Biopsy","authors":"Jin-Hong Shin, Sang Jun Park, Dae-Seong Kim","doi":"10.17340/jkna.2023.2.14","DOIUrl":"https://doi.org/10.17340/jkna.2023.2.14","url":null,"abstract":"","PeriodicalId":437080,"journal":{"name":"Journal of the Korean Neurological Association","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129511789","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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