Acta neurologica Taiwanica最新文献_第8页

Ventral Displacement of Spinal Cord in Spontaneous Intracranial Hypotension: A Sign Easily Be Overlooked. 自发性颅内低血压的脊髓腹侧移位:一个容易被忽视的迹象。

Acta neurologica Taiwanica Pub Date : 2020-06-01

Mao-Hsun Lin, Yung-Chu Hsu

{"title":"Ventral Displacement of Spinal Cord in Spontaneous Intracranial Hypotension: A Sign Easily Be Overlooked.","authors":"Mao-Hsun Lin, Yung-Chu Hsu","doi":"","DOIUrl":"","url":null,"abstract":"Purpose: Spontaneous intracranial hypotension (SIH) is suspected in patients presenting orthostatic headache and needs excluding structural or iatrogenic causes. Image studies are required to confirm the diagnosis and define exact locations of cerebrospinal fluid leakage, but currently there is no single study sensitive enough to make identifications among patients with various symptoms.Case report: We present a 24-year-old young woman having acute orthostatic headache. She denied having previous headache, head trauma, or neuraxial procedures like lumbar punctures. Brain magnetic resonance image (MRI) with gadolinium enhancement reported normal findings on arrival. She received conservative treatment including analgesics and aggressive intravenous hydration, but her headache improved little. Whole spine MRI with gadolinium enhancement revealed no obvious leakage of cerebrospinal fluid but typical dilated epidural veins with ventral displacement of her thoracic spinal cord. After autologous epidural blood patches therapy, her headache relieved completely.Conclusion: We review the typical and uncommon findings of spinal MRI in SIH, which is more sensitive than brain MRI in acute stages. Spinal MRI offers the diagnostic value in SIH especially when cranial images do not respond in time.","PeriodicalId":7102,"journal":{"name":"Acta neurologica Taiwanica","volume":"29(2) ","pages":"59-63"},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37959038","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

Moyamoya Presenting after Whole Body Cryotherapy. 全身冷冻治疗后出现烟雾病。

Acta neurologica Taiwanica Pub Date : 2020-06-01

Patrick M Chen, Michael M Chen, Chia-Chun Chiang, Scott Olson, Divya S Bolar, Kunal Agrawal

引用次数: 0

Concomitant Guillain-Barré Syndrome and Acute Transverse Myelitis in an Older Adult-A Case Report. 老年人合并格林-巴利综合征和急性横贯脊髓炎1例报告。

Acta neurologica Taiwanica Pub Date : 2020-03-30

Ching-I Wu, Chia-Lun Wu, Kuo-Hsuan Chang, Wen-Yi Huang

{"title":"Concomitant Guillain-Barré Syndrome and Acute Transverse Myelitis in an Older Adult-A Case Report.","authors":"Ching-I Wu, Chia-Lun Wu, Kuo-Hsuan Chang, Wen-Yi Huang","doi":"","DOIUrl":"","url":null,"abstract":"Purpose: Guillain-Barré syndrome concomitant with spinal cord involvement, which is defined as Guillain-Barré syndrome and acute transverse myelitis overlap syndrome, is rarely seen in the elders. Here we present a 68-year-old female patient who developed Guillain-Barré syndrome, as well as acute transverse myelitis at the same episode.Case report: This patient developed acute weakness of lower limbs, which then rapidly became tetraplegia and hyporeflexia within 5 days. She also had impaired pinprick and vibration sensations below T4, as well as urinary and defecation incontinence. The nerve conduction studies revealed a motorsensory axonal neuropathy. Cerebrospinal fluid analysis showed albuminocytological dissociation and elevated IgG index. The spinal magnetic resonance imaging study revealed heterogeneously contrastenhanced, long-segmental intramedullary lesion from C2 to T3. Other laboratory findings, including blood anti-aquaporin 4 antibody, were not remarkable. The patient's tetraplegia was gradually improved by plasmapheresis and methylprednisolone pulse therapy.Conclusion: Although Guillain-Barré syndrome and acute transverse myelitis overlap syndrome is occasionally seen in young adults, it could still occur in the elderly patients. Plasmapheresis and steroid pulse therapy could be beneficial to improve functional outcome of patients with this immunemediated neurological disease.","PeriodicalId":7102,"journal":{"name":"Acta neurologica Taiwanica","volume":"29(1) ","pages":"12-17"},"PeriodicalIF":0.0,"publicationDate":"2020-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37829744","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

Serum Iron and Zinc Levels in Lebanese Multiple Sclerosis Patients. 黎巴嫩多发性硬化症患者血清铁和锌水平

Acta neurologica Taiwanica Pub Date : 2020-03-30

Alaa Matar, Shada Jennani, Hassan Abdallah, Nabil Mohsen, Jamilah Borjac

{"title":"Serum Iron and Zinc Levels in Lebanese Multiple Sclerosis Patients.","authors":"Alaa Matar, Shada Jennani, Hassan Abdallah, Nabil Mohsen, Jamilah Borjac","doi":"","DOIUrl":"","url":null,"abstract":"Purpose: Multiple sclerosis (MS) is an autoimmune disease of the central nervous system that attacks mainly the myelin sheath covering the axons of neurons. Various studies have reported a potential role of zinc and iron in MS disease. The aim of this study is to estimate the serum level of iron and zinc in Lebanese MS patients.Methods: Sixty-nine participants were enrolled in this study, 27 were diagnosed with MS according to McDonald's criteria and 42 were normal control. Subjects were matched in age. Serum iron and zinc levels were measured using colorimetric methods. Descriptive methods and Mann-Whitney U test were used in the statistical analysis.Results: The mean age of MS patients and healthy subjects was 42.8 and 38.3 years respectively. The mean serum iron level in patient and control groups was 84.7 and 83.3 μg/dl respectively. The mean serum zinc level in patient and control groups was 80.6 and 82.0 μg/dl respectively. No significant association was observed between serum iron and zinc levels in both groups. No association was also observed between serum iron and zinc levels in terms of gender.Conclusion: Our results showed no significant difference in serum iron and zinc levels between MS patients and healthy controls.","PeriodicalId":7102,"journal":{"name":"Acta neurologica Taiwanica","volume":"29(1) ","pages":"5-11"},"PeriodicalIF":0.0,"publicationDate":"2020-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37829743","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

Progressive Myelopathy in a Patient with Pediatric Onset Neuromyelitis Optica Spectrum Disorder: A Case Report and a Mini Review. 进行性脊髓病患者的儿童发病神经脊髓炎视谱障碍:一个病例报告和一个小型回顾。

Acta neurologica Taiwanica Pub Date : 2020-03-30

Abdorreza Naser Moghadasi

{"title":"Progressive Myelopathy in a Patient with Pediatric Onset Neuromyelitis Optica Spectrum Disorder: A Case Report and a Mini Review.","authors":"Abdorreza Naser Moghadasi","doi":"","DOIUrl":"","url":null,"abstract":"Purpose: Neuromyelitis optica is an autoimmune disease characterized mainly by the involvement of the spinal cord and optic nerve. Clinical studies have identified the disease progression as the most important red flag. Previous researches showed that only 2% of patients with neuromyelitis optica experience a progressive course. On the other hand, neuromyelitis optica is rarely occurred in children. In the present study a case of neuromyelitis optica was reported in a female who suffered from progressive myelopathy in the course of the disease.Case report: The patient was a 30-year-old woman who has been affected to the disease at the age of 10 manifesting the quadriparesis. The patient also manifested optic neuritis twice. The disease became progressive at the age of 27. According to the results of the magnetic resonance imaging on spinal cord, severe atrophy was observed in the cervical and thoracic spine cord. The patient's antiaquaporin 4 antibody was positive.Conclusion: Neuromyelitis optica is an astrocytopathy disease characterized by debilitating attacks. A very small percentage of patients may suffer a progressive course. According to the reported cases, this progressive course may be completely variable symptomatically, including progressive myelopathy, progressive vision impairments, and progressive cognitive impairment.","PeriodicalId":7102,"journal":{"name":"Acta neurologica Taiwanica","volume":"29(1) ","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2020-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37829742","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

Novel Coronavirus Disease (COVID-19) and Central Nervous System Complications: What Neurologist Need to Know. 新型冠状病毒病(COVID-19)和中枢神经系统并发症:神经科医生需要知道的。

Acta neurologica Taiwanica Pub Date : 2020-03-30

Sepideh Paybast, Ali Emami, Mohsen Koosha, Fatemeh Baghalha

引用次数: 0

Sonographic Clue in Non-traumatic Carotid-cavernous Fistula: Report of a Case and Literature Review. 非外伤性颈海绵状瘘的超声提示:1例报告并文献复习。

Acta neurologica Taiwanica Pub Date : 2020-03-30

Guan-Woei Tseng, Ting-Yu Kuo, Pao-Sheng Yen, Chon-Haw Tsai, Ming-Kuei Lu

{"title":"Sonographic Clue in Non-traumatic Carotid-cavernous Fistula: Report of a Case and Literature Review.","authors":"Guan-Woei Tseng, Ting-Yu Kuo, Pao-Sheng Yen, Chon-Haw Tsai, Ming-Kuei Lu","doi":"","DOIUrl":"","url":null,"abstract":"Background: Failure to recognize a carotid-cavernous fistula (CCF) promptly may lead to worse prognosis due to a setback in providing proper treatment. To promote early diagnosis of non-traumatic CCF, we report a case with classic clinical symptoms and signs that was diagnosed and followed up with carotid Doppler sonography (CDS) and transcranial color-coded duplex (TCD).Case report: A 45-year-old woman developed an intermittent headache, pulsatile tinnitus, and double vision sequentially within ten days. Progressive left retro-orbital pain, continuous ringing in the left ear, sensory impairment of trigeminal nerve and abducens nerve palsy were also noted on examination. Despite insignificant findings on computed tomography (CT) of the brain, TCD revealed an aberrant flow pattern with high velocity and low resistance at the left carotid siphon. Digital subtraction angiography (DSA) later confirmed a left direct type CCF by illustrating a quick opacification of left cavernous sinus via the internal carotid artery.Conclusion: In addition to invasive DSA, non-invasive CDS and TCD may serve as useful apparatus during the initial evaluation and subsequent follow-ups. The positive sonographic clues, including abnormal turbulent and hemodynamic parameters, are quite exhibitive in the existence of CCFs.","PeriodicalId":7102,"journal":{"name":"Acta neurologica Taiwanica","volume":"29(1) ","pages":"18-23"},"PeriodicalIF":0.0,"publicationDate":"2020-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37829745","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

Potential Mechanism and Pathways in Cerebral Ischemia- Reperfusion Injury: Therapeutic GLANCE. 脑缺血再灌注损伤的潜在机制和途径:治疗性GLANCE。

Acta neurologica Taiwanica Pub Date : 2019-12-15

Fatemeh Amini, Zeinab Deris Zayeri, Khojasteh Hoseiny Nejad

引用次数: 0

Recurrent Epistaxis of Unknown Origin: the Role of Imaging. 来历不明的复发性鼻出血:影像学的作用。

Acta neurologica Taiwanica Pub Date : 2019-12-15

Giacomo Rebella, Luca Basso, Margherita Federici, Antonio Castaldi

引用次数: 0

Low Persistence of Antithrombotic Agents is Associated with Poor Outcomes after First-ever Acute Ischemic Stroke. 抗血栓药物的低持久性与首次急性缺血性卒中后的不良预后相关。

Acta neurologica Taiwanica Pub Date : 2019-12-15

Shih-Hsuan Chen, Hsuei-Chen Lee, Ku-Chou Chang, Jen-Wen Hung, Hsiu-Min Chen, Ching-Yi Wu, Chung-Lin Yang, Yu-Ching Huang, Hui-Hsuan Wang

{"title":"Low Persistence of Antithrombotic Agents is Associated with Poor Outcomes after First-ever Acute Ischemic Stroke.","authors":"Shih-Hsuan Chen, Hsuei-Chen Lee, Ku-Chou Chang, Jen-Wen Hung, Hsiu-Min Chen, Ching-Yi Wu, Chung-Lin Yang, Yu-Ching Huang, Hui-Hsuan Wang","doi":"","DOIUrl":"","url":null,"abstract":"Objective: This study investigated the time-trend persistence with antithrombotic agents (AT) and assessed the impact of AT persistence on outcome events and adverse events (AE) within two years after first-ever acute ischemic stroke (IS).Methods: Using Taiwan's National Health Insurance claims dataset, 7,341 IS subjects hospitalized between 2001 and 2005 with AT prescribed at discharge and survived at least 3 months were followed up for 2 years. Time-trends of AT usage were analyzed. Medication persistence was assessed as the proportion of days covered (PDC) for filled prescription, and categorized into low, intermediate and high persistence. Multivariate logistic regression analysis and multivariate Cox proportional hazard regression models were performed to identify factors associated with AT persistence and its impact on vascular outcomes.Results: AT persistence rates declined sharply from 81% to 52% during the first 6 months. In addition to patient and facility-level characteristics, occurrence of AE (e.g., GI bleeding/ulceration, fractures/ major trauma, and iatrogenic/unspecific illness) was inversely related to AT persistence. Compared with patients with low persistence, the composite risk of recurrent stroke, cardiovascular disease, or death from any cause was significantly lower in patients with intermediate (Hazard Ratio [HR] 0.64, 0.57-0.71) or high AT persistence (0.74, 0.66-0.83).","PeriodicalId":7102,"journal":{"name":"Acta neurologica Taiwanica","volume":"28(4) ","pages":"95-118"},"PeriodicalIF":0.0,"publicationDate":"2019-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37616764","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