Brain & NeuroRehabilitation最新文献_第10页

The Importance of Nutrition in Neurological Disorders and Nutrition Assessment Methods. 营养在神经系统疾病中的重要性及营养评估方法。

Brain & NeuroRehabilitation Pub Date : 2022-03-01 DOI: 10.12786/bn.2022.15.e1

Hosun Lee

{"title":"The Importance of Nutrition in Neurological Disorders and Nutrition Assessment Methods.","authors":"Hosun Lee","doi":"10.12786/bn.2022.15.e1","DOIUrl":"https://doi.org/10.12786/bn.2022.15.e1","url":null,"abstract":"Neurological disorders can change patients' nutritional status by directly or indirectly affecting dietary intake through mechanisms such as dysphagia, movement disorders, cognitive impairment, and depression. Malnutrition contributes to complications, resulting in delayed rehabilitation and increased morbidity and mortality. It is important to prevent malnutrition in patients with neurological disorders and to improve their nutritional status by identifying nutritional deterioration at an early stage and implementing appropriate nutritional interventions. This review examines the nutritional screening and assessment process in patients with neurological disorders, with a particular focus on stroke patients undergoing rehabilitation. Nutritional assessment, the first step of clinical nutrition management, identifies nutritional problems and their causes, signs, and symptoms through an overall evaluation including anthropometric measurements, dietary assessments, biochemical assessment, nutrition-related physical examinations, and functional assessment data. Based on the assessment, a nutritional intervention plan is established. By synthesizing the assessment results of selected subjective and objective indicators, nutritional screening tools to screen patients at risk of malnutrition and nutritional assessment tools to diagnose malnutrition were developed. It is important to use those tools with a clear understanding of their characteristics and scope.","PeriodicalId":72442,"journal":{"name":"Brain & NeuroRehabilitation","volume":"15 1","pages":"e1"},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/82/46/bn-15-e1.PMC9833464.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10667742","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Erratum: Effect of Repetitive Transcranial Magnetic Stimulation on Post-stroke Non-fluent Aphasia in Relation with Broca's Area. 反复经颅磁刺激对脑卒中后非流利性失语的影响与布洛卡区有关。

Brain & NeuroRehabilitation Pub Date : 2022-03-01 DOI: 10.12786/bn.2022.15.e11

Sung-Hwa Ko

引用次数: 0

Successful Control of Intractable Myoclonus in a Patient With Hypoxic Brain Injury After Intrathecal Baclofen Therapy: A Case Report. 鞘内巴氯芬治疗后缺氧脑损伤患者难治性肌阵挛的成功控制:1例报告。

Brain & NeuroRehabilitation Pub Date : 2022-03-01 DOI: 10.12786/bn.2022.15.e10

Geon Jae Lee, Hyoung Seop Kim

{"title":"Successful Control of Intractable Myoclonus in a Patient With Hypoxic Brain Injury After Intrathecal Baclofen Therapy: A Case Report.","authors":"Geon Jae Lee, Hyoung Seop Kim","doi":"10.12786/bn.2022.15.e10","DOIUrl":"https://doi.org/10.12786/bn.2022.15.e10","url":null,"abstract":"Myoclonus is an abrupt arrhythmic condition with shock-like movements that can be triggered by sensory stimuli, affecting the trunk or limbs during voluntary movement. Since motor symptoms are often not easily treatable, various pharmacological treatment options have been suggested. We report a case of using intrathecal baclofen (ITB) therapy in a patient with hypoxic brain injury (HBI), leading to the alleviation of myoclonus. A 29-year-old woman repeatedly presented with generalized myoclonus and multiple joint contractures at both upper and lower limbs after resuscitation. She cried during intractable myoclonus events, making it difficult for her to maintain a good sleep pattern. Due to the persistent status of multiple joint contractures and intractable myoclonus, we offered an ITB trial to control her symptoms. After ITB, her total scores on the Unified Myoclonus Rating Scale progressively improved as the doses of baclofen increased. Therefore, ITB therapy should be considered as a substantial option in the management of intractable myoclonus in patients with HBI to prevent various complications and improve the quality of life.","PeriodicalId":72442,"journal":{"name":"Brain & NeuroRehabilitation","volume":"15 1","pages":"e10"},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/bb/fd/bn-15-e10.PMC9833462.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10667737","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Rehabilitation Service for Traumatic Brain Injury in Korea: Increasing Burden and Challenges. 韩国的创伤性脑损伤康复服务：日益增加的负担和挑战。

Brain & NeuroRehabilitation Pub Date : 2021-11-29 eCollection Date: 2021-11-01 DOI: 10.12786/bn.2021.14.e21

Sung-Hwa Ko

引用次数: 0

Role of Cortico-ponto-cerebellar Tract from Supplementary Motor Area in Ataxic Hemiparesis of Supratentorial Stroke Patients. 辅助运动区皮质-桥-小脑束在幕上脑卒中患者共济偏瘫中的作用。

Brain & NeuroRehabilitation Pub Date : 2021-11-01 DOI: 10.12786/bn.2021.14.e22

Nayeon Ko, Hyun Haeng Lee, Kyungmin Kim, Bo-Ram Kim, Won-Jin Moon, Jongmin Lee

{"title":"Role of Cortico-ponto-cerebellar Tract from Supplementary Motor Area in Ataxic Hemiparesis of Supratentorial Stroke Patients.","authors":"Nayeon Ko, Hyun Haeng Lee, Kyungmin Kim, Bo-Ram Kim, Won-Jin Moon, Jongmin Lee","doi":"10.12786/bn.2021.14.e22","DOIUrl":"https://doi.org/10.12786/bn.2021.14.e22","url":null,"abstract":"Cortical lesions of the supplementary motor area (SMA) are important in balance control and postural recovery in stroke patients, while the role of subcortical lesions of the SMA has not been studied. This study aimed to investigate the subcortical projections of the SMA and its relationship with ataxia in supratentorial stroke patients. Thirty-three patients with hemiparesis were divided into 3 groups (severe ataxia, n = 9; mild to moderate ataxia, n = 13; no ataxia, n = 11). Ataxia severity was assessed using the Scale for Ataxia Rating Assessment. Diffusion tensor imaging analysis used the fractional anisotropy (FA) values and tract volume as parameters of white matter tract degeneration. The FA values of regions related to ataxia were analyzed, that is the SMA, posterior limb of the internal capsule, basal ganglia, superior cerebellar peduncle, middle cerebellar peduncle, inferior cerebellar peduncle, and cerebellum. Tract volumes of the corticostriatal tract and cortico-ponto-cerebellar (CPC) tract originating from the SMA were evaluated. There were significant differences among the 3 groups in FA values of the subcortical regions of the CPC tract. Furthermore, the volume of the CPC tract originating from the SMA showed significant negative correlation with ataxia severity. There was no correlation between ataxia and corticostriatal tract volume. Therefore, we found that subcortical lesions of the CPC tract originating from the SMA could contribute to ataxia severity in stroke patients with ataxic hemiparesis.","PeriodicalId":72442,"journal":{"name":"Brain & NeuroRehabilitation","volume":"14 3","pages":"e22"},"PeriodicalIF":0.0,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f9/23/bn-14-e22.PMC9879374.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10661229","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Sick Sinus Syndrome Combined with Wallenberg Syndrome: a Case Report. 病态窦性综合征合并瓦伦堡综合征1例报告。

Brain & NeuroRehabilitation Pub Date : 2021-11-01 DOI: 10.12786/bn.2021.14.e27

Sang Wan Lee, Hojin Lee, Jeehyun Yoo, Jiyong Kim, Kil-Byung Lim

{"title":"Sick Sinus Syndrome Combined with Wallenberg Syndrome: a Case Report.","authors":"Sang Wan Lee, Hojin Lee, Jeehyun Yoo, Jiyong Kim, Kil-Byung Lim","doi":"10.12786/bn.2021.14.e27","DOIUrl":"https://doi.org/10.12786/bn.2021.14.e27","url":null,"abstract":"Cardiac arrhythmia is a rare manifestation of the Wallenberg syndrome; lesions are located in the brainstem, especially the lower medulla, which regulates sympathetic and parasympathetic activity. A 55-year-old man was admitted to the university hospital with symptoms including ataxia, left ptosis, decreased sensation of pain and temperature on the right side, left facial numbness, and dizziness. Brain magnetic resonance imaging revealed an infarction in the left dorsolateral medulla. Therefore, he was diagnosed with Wallenberg syndrome. While he underwent conservative treatment for Wallenberg syndrome, he experienced several events of self-limiting heart pounding, which required an evaluation of cardiac function. The 24-hour Holter monitor showed an increased RR interval with bradycardia and prolonged sinus pause. As a result, the diagnosis of sick sinus syndrome combined with Wallenberg syndrome was made. Sick sinus syndrome is a rare cardiac complication of the Wallenberg syndrome, and clinicians could overlook it when the initial electrocardiography shows a normal sinus rhythm. Sick sinus syndrome can cause sudden death without appropriate medical intervention. Therefore, clinicians should consider further evaluation, including a 24-hour Holter monitor, to check for the potential presence of sick sinus syndrome in the acute phase of Wallenberg syndrome.","PeriodicalId":72442,"journal":{"name":"Brain & NeuroRehabilitation","volume":"14 3","pages":"e27"},"PeriodicalIF":0.0,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a1/ca/bn-14-e27.PMC9879381.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10661228","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Hemidystonia after Pontine Hemorrhage Successfully Treated with Pharmacotherapy and Intensive Rehabilitation: a Case Report. 通过药物治疗和强化康复治疗脑桥出血后半肌张力障碍1例。

Brain & NeuroRehabilitation Pub Date : 2021-11-01 DOI: 10.12786/bn.2021.14.e28

Gyu Seong Kim, Yeon Gyu Jeong, Yoon Jeong Jeong, Seo Yeon Yoon

{"title":"Hemidystonia after Pontine Hemorrhage Successfully Treated with Pharmacotherapy and Intensive Rehabilitation: a Case Report.","authors":"Gyu Seong Kim, Yeon Gyu Jeong, Yoon Jeong Jeong, Seo Yeon Yoon","doi":"10.12786/bn.2021.14.e28","DOIUrl":"https://doi.org/10.12786/bn.2021.14.e28","url":null,"abstract":"Dystonia is a movement disorder characterized by involuntary contraction of muscles resulting in repetitive or twisting movements. Dystonia is generally caused by basal ganglia dysfunction. Recent studies have reported an association between dystonia and brainstem disorders. However, the pathological mechanism is uncertain, and detailed management strategies are limited. Here, we report a case of hemidystonia with abnormal posture and impaired proprioception after pontine hemorrhage that was effectively treated with pharmacotherapy combined with early intensive comprehensive rehabilitation. A 45-year-old man presented with abnormal posture and dystonic movement in the right hand and foot after a pontine hemorrhagic stroke. Pharmacotherapy with clonazepam and benztropine was administered, and comprehensive rehabilitation programs were implemented intensively from the early stages of symptom onset. After 3 months, the patient was able to walk independently, go up and down a few stairs without the use of a handrail, and was able to perform activities of daily living with minimal assistance.","PeriodicalId":72442,"journal":{"name":"Brain & NeuroRehabilitation","volume":"14 3","pages":"e28"},"PeriodicalIF":0.0,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/4c/ec/bn-14-e28.PMC9879375.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10661227","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Epidemiological Trends and Rehabilitation Utilization of Traumatic Brain Injury in Korea (2008-2018). 韩国外伤性脑损伤流行病学趋势及康复利用(2008-2018)

Brain & NeuroRehabilitation Pub Date : 2021-11-01 DOI: 10.12786/bn.2021.14.e25

Han-Kyoul Kim, Ja-Ho Leigh, Tae-Woo Kim, Byung-Mo Oh

{"title":"Epidemiological Trends and Rehabilitation Utilization of Traumatic Brain Injury in Korea (2008-2018).","authors":"Han-Kyoul Kim, Ja-Ho Leigh, Tae-Woo Kim, Byung-Mo Oh","doi":"10.12786/bn.2021.14.e25","DOIUrl":"https://doi.org/10.12786/bn.2021.14.e25","url":null,"abstract":"This study aimed to estimate the trend of traumatic brain injuries (TBIs) and TBI-related medical usage in Korea. Patients first diagnosed with disease codes of TBIs were included. We calculated the crude incidence and age-adjusted incidence, as well as medical cost, length of stay (LOS), clinic visits, and the number of specialized rehabilitation therapy for 1 year. Patients first diagnosed as TBI was higher in national health insurance (NH-I) than in automobile insurance (AUTO-I). In contrast with the gradual decrease of the crude incidence, total medical costs both in NH-I and AUTO-I were generally and steadily increased. For oriental medicine, total medical costs dramatically increased in both inpatient and outpatient. LOS, clinic visits, and the number of specialized rehabilitation therapy were higher in AUTO-I than in NH-I. The most frequent age groups in NH-I were the young (0-9) and old (70 or over), whereas in AUTO-I, the working age group was prominent. Our results show differences in the incidence of TBI and medical usage between NH-I and AUTO-I, which could be associated with the policy for strengthening health insurance coverage, automobile-related regulations to prevent accidents and injuries, as well as rapid changes in the structure of the population in Korea.","PeriodicalId":72442,"journal":{"name":"Brain & NeuroRehabilitation","volume":"14 3","pages":"e25"},"PeriodicalIF":0.0,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/3b/70/bn-14-e25.PMC9879377.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10716090","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

The Socioeconomic Burden of Acquired Brain Injury among the Korean Patients over 20 Years of Age in 2015-2017: a Prevalence-Based Approach. 2015-2017年韩国20岁以上患者获得性脑损伤的社会经济负担:基于患病率的方法

Brain & NeuroRehabilitation Pub Date : 2021-11-01 DOI: 10.12786/bn.2021.14.e24

Ye Seol Lee, Hoo Young Lee, Ja-Ho Leigh, Yoonjeong Choi, Han-Kyoul Kim, Byung-Mo Oh

{"title":"The Socioeconomic Burden of Acquired Brain Injury among the Korean Patients over 20 Years of Age in 2015-2017: a Prevalence-Based Approach.","authors":"Ye Seol Lee, Hoo Young Lee, Ja-Ho Leigh, Yoonjeong Choi, Han-Kyoul Kim, Byung-Mo Oh","doi":"10.12786/bn.2021.14.e24","DOIUrl":"https://doi.org/10.12786/bn.2021.14.e24","url":null,"abstract":"Acquired brain injury (ABI) is a leading cause of serious long-term disability resulting in substantial economic costs for post-ABI care. This study was conducted to estimate the socioeconomic burden of persons with ABI in Korea. We used a prevalence-based approach and societal perspective to estimate the direct medical, non-medical costs and indirect costs of ABI, including stroke, traumatic brain injury (TBI), and non-traumatic ABI (anoxia, brain tumor, encephalitis, meningitis, hydrocephalus, and other brain disorders) from 2015 to 2017. The study population included patients with ABI over 20 years of age and analyzed according to insurance types encompassing National Health Insurance and automobile insurance. The socioeconomic burden of ABI was 4.67, 5.18, and 5.73 trillion KRW (approximately 4,162, 4,612, and 5,106 million USD) from 2015 to 2017 and around 0.3% of Korea's GDP annually. Estimating by disease, the socioeconomic cost was 72.4% for stroke, 18.6% for TBI, and 9.0% for non-traumatic ABI. Calculated by cost component, medical costs and non-medical costs showed a slight increase every year. Through this study, establishment of rehabilitation systems maximizing the health and quality of life for injured persons remain the key public health strategy for ABI to reduce socioeconomic burden and financial policies to support patients should be needed.","PeriodicalId":72442,"journal":{"name":"Brain & NeuroRehabilitation","volume":"14 3","pages":"e24"},"PeriodicalIF":0.0,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/6d/6c/bn-14-e24.PMC9879376.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10716089","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 6

Hemoptysis in Quadriplegia with Atrial Fibrillation Who Was Taking Edoxaban: a Case Report. 服用依多沙班的四肢瘫伴房颤咯血1例。

Brain & NeuroRehabilitation Pub Date : 2021-11-01 DOI: 10.12786/bn.2021.14.e26

Hoyoung Jeong, Bo Young Hong, Joon Sung Kim, Jisoo Park, Ji Yoon Jung, Seong Hoon Lim

引用次数: 1