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The effects of adrenal insufficiency and its treatment on cognition in an athlete with post-concussion syndrome. 肾上腺功能不全及其治疗对一名脑震荡后综合征运动员认知能力的影响。
IF 0.8 4区 医学
Neurocase Pub Date : 2025-04-01 Epub Date: 2024-12-17 DOI: 10.1080/13554794.2024.2443249
Holly Wilson, Emily Paton, David Hacker, Andrew Stevens, Antonio Belli, Kamal Yakoub, Christopher A Jones, Andrew Hawkins
{"title":"The effects of adrenal insufficiency and its treatment on cognition in an athlete with post-concussion syndrome.","authors":"Holly Wilson, Emily Paton, David Hacker, Andrew Stevens, Antonio Belli, Kamal Yakoub, Christopher A Jones, Andrew Hawkins","doi":"10.1080/13554794.2024.2443249","DOIUrl":"10.1080/13554794.2024.2443249","url":null,"abstract":"<p><p>Post-concussion Syndrome (PCS) describes persistent nonspecific neurological, cognitive and emotional symptoms following concussion. A young male presented to a sports concussion clinic with persistent symptoms post-injury. Neurocognitive testing found unexpected severe memory impairment. Blood tests for pituitary function returned low cortisol levels secondary to adrenal insufficiency (AI), which was immediately treated. Post-treatment and improvement of cortisol levels, repeat neuropsychology testing demonstrated reliable improvement in memory and processing speed test scores, commensurate with premorbid expectations. This case highlights the importance of a broad diagnostic approach to formulating unexpected persistent PCS symptoms, screening for AI in PCS cases, and completing neurocognitive testing.</p>","PeriodicalId":49762,"journal":{"name":"Neurocase","volume":" ","pages":"62-69"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142848264","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","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 developmental topographical disorientation: impact on diagnostic trajectory and everyday life. 发育性地形定向障碍一例：对诊断轨迹和日常生活的影响。
IF 0.8 4区 医学
Neurocase Pub Date : 2025-04-01 Epub Date: 2025-01-07 DOI: 10.1080/13554794.2024.2442552
Ineke J M van der Ham, Michiel H G Claessen
{"title":"A case of developmental topographical disorientation: impact on diagnostic trajectory and everyday life.","authors":"Ineke J M van der Ham, Michiel H G Claessen","doi":"10.1080/13554794.2024.2442552","DOIUrl":"10.1080/13554794.2024.2442552","url":null,"abstract":"<p><p>Developmental Topographical Disorientation (DTD) refers to impaired ability to create and consult mental maps in the absence of neurological abnormalities. We present the case study of I.S. to explore diagnostic opportunities for DTD. I.S. showed a very specific impairment in the ability to visualize spatial environments. Impaired performance was found for map use, map recognition and spatial working memory. The interview and observations showed I.S.'s quality of life and life choices have been severely affected by her navigation complaints, which have most likely been misdiagnosed repeatedly. We highlight the importance of awareness of DTD in clinicians and provide clinical recommendations.</p>","PeriodicalId":49762,"journal":{"name":"Neurocase","volume":" ","pages":"53-61"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142957928","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Double dissociation between lexical decision and comprehension in a Japanese patient with semantic dementia: based on the characteristic processing of Kanji. 日语语义性痴呆患者词汇决策与理解的双重分离：基于汉字特征加工的研究。
IF 0.8 4区 医学
Neurocase Pub Date : 2025-04-01 Epub Date: 2024-12-30 DOI: 10.1080/13554794.2024.2446318
Ayane Tateba, Kosei Hashimoto, Akihito Nagatoshi, Akira Uno
{"title":"Double dissociation between lexical decision and comprehension in a Japanese patient with semantic dementia: based on the characteristic processing of Kanji.","authors":"Ayane Tateba, Kosei Hashimoto, Akihito Nagatoshi, Akira Uno","doi":"10.1080/13554794.2024.2446318","DOIUrl":"10.1080/13554794.2024.2446318","url":null,"abstract":"<p><p>We report the case of a Japanese-speaking patient with semantic dementia who showed lower kanji visual performance than auditory performance in a lexical decision task (LDT), but better visual performance in a reading comprehension task (RCT). In the RCT, the patient presumed meanings from single-character kanji (e.g., \"rescue\" /kyuʀzyo/ → ける \"help\" /tasukeru/) or orthographic neighbors (e.g., \"rest\" /kyuʀsoku/ → \"rest\" /kyuʀkeʀ/). In the LDT, he misidentified non-words as real words by relying on semantic associations of individual kanji characters. The logographic characteristics of kanji may have facilitated RCT while complicating LDT performance.</p>","PeriodicalId":49762,"journal":{"name":"Neurocase","volume":"31 2","pages":"74-81"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651659","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Reduced levels of angiogenesis biomarkers predict increased symptom severity in Chinese Americans with Alzheimer's disease with demographic-specific effect. 血管生成生物标志物水平降低预测美籍华人阿尔茨海默病症状严重程度增加，具有人口统计学特异性效应。
IF 0.8 4区 医学
Neurocase Pub Date : 2025-04-01 Epub Date: 2025-02-09 DOI: 10.1080/13554794.2025.2455759
Taylor P Johnson, Elena Tsoy, Jeffrey Shen, Will Rivera, Kevin Lieu, Cande Salazar, Marian Tse, Yi Li, Lauren Goldberger, Brendan M Soo, Joel Kramer, Howard J Rosen, Bruce L Miller, Daniel W Sirkis, Luke W Bonham, Jennifer S Yokoyama
{"title":"Reduced levels of angiogenesis biomarkers predict increased symptom severity in Chinese Americans with Alzheimer's disease with demographic-specific effect.","authors":"Taylor P Johnson, Elena Tsoy, Jeffrey Shen, Will Rivera, Kevin Lieu, Cande Salazar, Marian Tse, Yi Li, Lauren Goldberger, Brendan M Soo, Joel Kramer, Howard J Rosen, Bruce L Miller, Daniel W Sirkis, Luke W Bonham, Jennifer S Yokoyama","doi":"10.1080/13554794.2025.2455759","DOIUrl":"10.1080/13554794.2025.2455759","url":null,"abstract":"<p><p>Alzheimer's disease (AD) symptomatology, while classically studied through the lens of amyloid-β and tau burden, is likely also influenced by multiple-interacting co-pathologies like vascular disease and dysmetabolism. These co-pathologies, especially vascular disease, occur disparately in the Chinese-American population and are often treatable via therapeutics and lifestyle modifications. Given this, we explored whether plasma biomarkers, including an array of vascular-related proteins, associate with cognition in a cohort of 34 Chinese Americans clinically diagnosed as cognitively normal, with mild cognitive impairment, or with AD. We found that a composite score of plasma angiogenesis biomarkers (MMP-1, bFGF, VEGF, and VEGF-C) were positively associated with total Mini Mental State Examination scores (<i>p</i> = 0.045) as well as memory performance (<i>p</i> = 0.006), and that this relationship was most pronounced in AD (biomarker composite score within AD vs MMSE & memory, both <i>p</i> < 0.001). To explore whether these findings were specific to the Chinese-American population, we repeated the above analyses in 73 demographically matched non-Hispanic White American participants and found no significant associations between angiogenesis biomarkers and MMSE or memory, highlighting the potential relevance of vascular dysregulation in Chinese Americans at risk for AD.</p>","PeriodicalId":49762,"journal":{"name":"Neurocase","volume":" ","pages":"82-91"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11919552/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143383912","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Electroconvulsive therapy in the treatment of catatonia in a patient with Budd Chiari syndrome: a case report. 电痉挛疗法治疗Budd - Chiari综合征紧张症1例报告。
IF 0.8 4区 医学
Neurocase Pub Date : 2025-04-01 Epub Date: 2025-01-16 DOI: 10.1080/13554794.2024.2446316
Muhammad Abbas, Jack Noto, David Adams, Renzmark Vallesteros, Syed Muhammad Awais Bukhari
{"title":"Electroconvulsive therapy in the treatment of catatonia in a patient with Budd Chiari syndrome: a case report.","authors":"Muhammad Abbas, Jack Noto, David Adams, Renzmark Vallesteros, Syed Muhammad Awais Bukhari","doi":"10.1080/13554794.2024.2446316","DOIUrl":"10.1080/13554794.2024.2446316","url":null,"abstract":"<p><p>Catatonia may manifest as an independent entity or as a feature of a neuropsychiatric or medical illness. While electroconvulsive therapy (ECT) is the gold standard treatment for catatonia, it is typically administered if the patient's symptoms fail to respond to benzodiazepines. We describe the case of a 22-year-old male with Budd Chiari induced cirrhosis and no prior psychiatric history, who presented with symptoms of psychosis and hepatic encephalopathy, was treated in the ICU for multi-factorial delirium, developed symptoms of catatonia that failed to respond to lorazepam, ultimately requiring ECT with a favorable response. This report hopes to add to the literature by discussing potential etiologies of catatonia and by providing an illustrative example of the treatment of catatonia and its considerations in patients with hepatic impairment.</p>","PeriodicalId":49762,"journal":{"name":"Neurocase","volume":" ","pages":"96-99"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014875","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Knowing and not knowing: practical reflections on video based feedback as part of neuro-rehabilitation in a case of persistent anosognosia for hemiplegia. 知道和不知道：视频反馈作为偏瘫患者持续性病感失认的神经康复的一部分的实际反思。
IF 0.8 4区 医学
Neurocase Pub Date : 2025-02-01 Epub Date: 2024-12-10 DOI: 10.1080/13554794.2024.2439568
Jenny Allum, Max Whittaker, Huw Green
{"title":"Knowing and not knowing: practical reflections on video based feedback as part of neuro-rehabilitation in a case of persistent anosognosia for hemiplegia.","authors":"Jenny Allum, Max Whittaker, Huw Green","doi":"10.1080/13554794.2024.2439568","DOIUrl":"10.1080/13554794.2024.2439568","url":null,"abstract":"<p><p>We report the case of DT, a man in his fifties who suffered a large right fronto-parietal hemorrhage, resulting in a dense left weakness and a persistent anosognosia for the resultant hemiplegia. DT engaged in several video-feedback sessions. Video feedback therapy has been successful in previously reported cases of anosognosia, resulting in immediate and lasting resolution. In the current case, similarly dramatic effects were observed, but with a subsequent recurrence of the anosognosic ideation. The present case sheds light on the interplay of neurologic and psychological mechanisms involved in anosognosia and on some of the pragmatic emotional considerations of engaging in this form of rehabilitative therapy.</p>","PeriodicalId":49762,"journal":{"name":"Neurocase","volume":" ","pages":"29-36"},"PeriodicalIF":0.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142802868","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comprehensive evaluation and diagnosis of persistent vegetative state after hypoxic-ischemic encephalopathy: a case report. 缺氧缺血性脑病后持续植物人状态的综合评价与诊断1例。
IF 0.8 4区 医学
Neurocase Pub Date : 2025-02-01 Epub Date: 2024-11-30 DOI: 10.1080/13554794.2024.2436682
Guohui Yang, Li Wang, Hongyu Xie, Xinwei Tang, Maisedi Mukedaisihan, Youbei Yang, Chenyu Fan, Junfa Wu, Yi Wu
{"title":"Comprehensive evaluation and diagnosis of persistent vegetative state after hypoxic-ischemic encephalopathy: a case report.","authors":"Guohui Yang, Li Wang, Hongyu Xie, Xinwei Tang, Maisedi Mukedaisihan, Youbei Yang, Chenyu Fan, Junfa Wu, Yi Wu","doi":"10.1080/13554794.2024.2436682","DOIUrl":"10.1080/13554794.2024.2436682","url":null,"abstract":"<p><p>We report a case of a 39-year-old woman with persistent vegetative state (PVS) following cardiac arrest and a right lower extremity fracture. Despite comprehensive rehabilitation for over 4 months, there was no improvement. Neuroelectrophysiological and neuroimaging assessments showed poor brain function, and the coma recovery scale-revised scale results suggested low arousal probability. Furthermore, patients with PVS exhibit autonomic reactivity and physiological responses to external stimuli. It is important to note that while these reactions may manifest as responsiveness to external stimuli, they should be interpreted as automatic physiological responses rather than indicative of consciousness.</p>","PeriodicalId":49762,"journal":{"name":"Neurocase","volume":" ","pages":"17-22"},"PeriodicalIF":0.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773920","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A new GRN variant in logopenic variant primary progressive aphasia: a case report and literature review. 原发性进行性失语症中一种新的GRN变异：1例报告及文献复习。
IF 0.8 4区 医学
Neurocase Pub Date : 2025-02-01 Epub Date: 2024-12-04 DOI: 10.1080/13554794.2024.2436215
Sha-Sha Jia, Pu-Lei Li, Ping Gao, Ye Jiang, Cheng-Liang Zhang, Wen-Wei Yun
{"title":"A new <i>GRN</i> variant in logopenic variant primary progressive aphasia: a case report and literature review.","authors":"Sha-Sha Jia, Pu-Lei Li, Ping Gao, Ye Jiang, Cheng-Liang Zhang, Wen-Wei Yun","doi":"10.1080/13554794.2024.2436215","DOIUrl":"10.1080/13554794.2024.2436215","url":null,"abstract":"<p><p>The majority of genetic Primary progressive aphasia (PPA) patients harbor mutations in the granulin (<i>GRN</i>) gene. The present case showed impaired performances in single-word retrieval in spontaneous speech and naming, and repetition. Head MRI revealed marked lateral atrophy in the left parietal cortex. A diagnosis of logopenic variant PPA (lvPPA) was established. Genetic analysis showed a heterozygous 10-bp frameshift deletion in exon 4 of the <i>GRN</i> gene (NM_002087.4), leading to transformation of cysteine into alanine at amino acid 92 and creation of a premature stop codon at position 161. This patient represented a rare case of <i>GRN</i>-associated lvPPA. A new mutation site was detected in exon 4 of <i>GRN</i> gene.</p>","PeriodicalId":49762,"journal":{"name":"Neurocase","volume":" ","pages":"11-16"},"PeriodicalIF":0.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142781690","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Linguistic characteristics of primary progressive aphasia in a verb-final language. 动末语中原发性进行性失语症的语言特征。
IF 0.8 4区 医学
Neurocase Pub Date : 2025-02-01 Epub Date: 2024-12-05 DOI: 10.1080/13554794.2024.2437152
Jee Eun Sung, Eun-Joo Kim, Sujin Choi, Jee Hyang Jeong
{"title":"Linguistic characteristics of primary progressive aphasia in a verb-final language.","authors":"Jee Eun Sung, Eun-Joo Kim, Sujin Choi, Jee Hyang Jeong","doi":"10.1080/13554794.2024.2437152","DOIUrl":"10.1080/13554794.2024.2437152","url":null,"abstract":"<p><strong>Purpose: </strong>The current study aimed to examine the linguistic characteristics of Korean-speaking individuals diagnosed with primary progressive aphasia(PPA).</p><p><strong>Methods: </strong>Two individuals with agrammatic/non-fluent variants of nfvPPA and two with semantic variants of svPPA participated in this study. Picture description tasks were used to collect connected speech samples. Analysis focused on linguistic variables, including quantitative(number of utterances, words, nouns, and verbs), syntactic(mean length of utterance in morphemes, case markers per utterance, predicates per utterance), and semantic variables(correct information units, verb types). Additionally, participants completed two types of confrontation naming tasks.</p><p><strong>Results: </strong>The nfvPPA group exhibited fewer linguistic units overall compared to the svPPA group, with noun-verb dissociation apparent only in the nfvPPA group. The svPPA group showed poorer performance in content-related linguistic variables. A notable clinical symptom specific to Korean, case marker deficits, was observed in the nfvPPA group.</p><p><strong>Discussion: </strong>The study identified distinct linguistic patterns associated with the subtype of PPA in Korean speakers. The evaluation and interpretation of Korean-specific linguistic variables are crucial for classifying Korean-speaking individuals with PPA. Understanding these variables can enhance our comprehension of the unique linguistic deficits present in Korean PPA, particularly in relation to confrontation naming tasks and their implications for diagnosis and classification.</p>","PeriodicalId":49762,"journal":{"name":"Neurocase","volume":" ","pages":"37-44"},"PeriodicalIF":0.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142787480","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Sustained improvement of obsessive-compulsive symptoms following interruption of deep brain stimulation. 中断脑深部刺激后强迫症症状持续改善。
IF 0.8 4区 医学
Neurocase Pub Date : 2025-02-01 Epub Date: 2024-12-16 DOI: 10.1080/13554794.2024.2441942
Israel Aristides de Carvalho Filho, Marcelo Queiroz Hoexter, Fabio L F Godinho, Ricardo F Iglesio, Igor Studart, Isabelle C Alencar, Katia G Benigno, Antonio Carlos Lopes
{"title":"Sustained improvement of obsessive-compulsive symptoms following interruption of deep brain stimulation.","authors":"Israel Aristides de Carvalho Filho, Marcelo Queiroz Hoexter, Fabio L F Godinho, Ricardo F Iglesio, Igor Studart, Isabelle C Alencar, Katia G Benigno, Antonio Carlos Lopes","doi":"10.1080/13554794.2024.2441942","DOIUrl":"10.1080/13554794.2024.2441942","url":null,"abstract":"<p><p>A 59-year-old male with severe treatment-resistant OCD achieved sustained symptom improvement after discontinuing deep brain stimulation (DBS) for over four years. Despite partial relief with ventral capsule/ventral striatum (VC/VS) DBS, complications led to device removal in 2018. Remarkably, the patient remained largely symptom-free, suggesting neuroplasticity changes in dysfunctional neurocircuits. This rare case highlights DBS's role in psychiatry, emphasizing the need for tailored surgical strategies and long-term follow-ups to optimize outcomes and understand DBS mechanisms.</p>","PeriodicalId":49762,"journal":{"name":"Neurocase","volume":" ","pages":"45-48"},"PeriodicalIF":0.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830677","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","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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