Encephalitis (Seoul, Korea)最新文献_第2页

Rare manifestation of initial central nervous system involvement in severe fever with thrombocytopenia syndrome-associated encephalopathy/encephalitis: a case report. 发热伴血小板减少综合征相关脑病/脑炎时中枢神经系统受累的罕见表现：1例报告。

Encephalitis (Seoul, Korea) Pub Date : 2025-04-01 Epub Date: 2025-03-11 DOI: 10.47936/encephalitis.2024.00108

Hyun Seung Kim, Seon-Jae Ahn, Han Sang Lee, Kon Chu

{"title":"Rare manifestation of initial central nervous system involvement in severe fever with thrombocytopenia syndrome-associated encephalopathy/encephalitis: a case report.","authors":"Hyun Seung Kim, Seon-Jae Ahn, Han Sang Lee, Kon Chu","doi":"10.47936/encephalitis.2024.00108","DOIUrl":"10.47936/encephalitis.2024.00108","url":null,"abstract":"Severe fever with thrombocytopenia syndrome (SFTS) is a potentially fatal infectious disease if not diagnosed and treated promptly. Typical clinical features include fever, thrombocytopenia, and lymphadenopathy. However, we encountered a case of SFTS in a 60-year-old male who initially did not exhibit these hallmark symptoms. The patient presented with headache and myalgia, but fever did not develop until the 4th day of hospitalization. Initial neuroimaging and cerebrospinal fluid (CSF) analysis revealed no abnormalities. When the fever emerged, follow-up imaging revealed findings consistent with meningitis as a complication of SFTS. The patient was successfully treated with antibiotics and made a full recovery. This case underscores the challenges in diagnosing SFTS in patients who lack fever, CSF pleocytosis, or typical neuroimaging findings at presentation. Additionally, it highlights the importance of differentiating SFTS-related meningitis from other causes of encephalitis to avoid inappropriate treatments, such as immunosuppressive therapy, which could worsen viral infections.","PeriodicalId":72904,"journal":{"name":"Encephalitis (Seoul, Korea)","volume":" ","pages":"61-66"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12042690/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143597748","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

Acyclovir-induced sinus bradycardia: a case report and literature review. 阿昔洛韦诱发窦性心动过缓1例并文献复习。

Encephalitis (Seoul, Korea) Pub Date : 2025-04-01 Epub Date: 2025-03-21 DOI: 10.47936/encephalitis.2024.00150

Gregory Mikerov, Ilyse Darwish, Gail Goldman

引用次数: 0

Exploring neuropharmacokinetics: mechanisms, models, and clinical implications. 探索神经药代动力学：机制、模型和临床意义。

Encephalitis (Seoul, Korea) Pub Date : 2025-04-01 Epub Date: 2025-04-08 DOI: 10.47936/encephalitis.2024.00080

Seon-Jae Ahn

引用次数: 0

Prognostic factors of subacute comprehensive encephalitis: a retrospective study. 亚急性综合性脑炎预后因素的回顾性研究。

Encephalitis (Seoul, Korea) Pub Date : 2025-01-01 Epub Date: 2025-01-10 DOI: 10.47936/encephalitis.2024.00136

Hiroshi Kataoka, Hitoki Nanaura, Kazuma Sugie

{"title":"Prognostic factors of subacute comprehensive encephalitis: a retrospective study.","authors":"Hiroshi Kataoka, Hitoki Nanaura, Kazuma Sugie","doi":"10.47936/encephalitis.2024.00136","DOIUrl":"10.47936/encephalitis.2024.00136","url":null,"abstract":"Purpose: The etiology of encephalitis is unknown in 40%-50% of cases, so a comprehensive examination of encephalitis would be significant and meaningful. The short-term outcomes in appropriately managed patients are also unknown. Short-term clinical outcomes following onset can provide clinicians with clues regarding the clinical course in the immediate future. We investigated cases of encephalitis, including viral and autoimmune encephalitis, to determine the predictable risk factors that can be assessed to determine a short-term prognosis.Methods: We studied 90 patients with encephalitis. Poor and good outcomes were defined as scores of ≥3 and ≤2 on the modified Rankin scale, respectively. Multivariate logistic regression analysis using 19 independent variables was performed.Results: Multivariate logistic regression analysis identified cranial magnetic resonance imaging (MRI) lesions (odds ratio [OR], 3.119; 95% confidence interval [CI], 1.166-8.344; p = 0.023) and the need for mechanical ventilation (OR, 4.461; 95% CI, 1.685-11.813; p = 0.003)) as being significantly associated with poor outcomes. In 57 patients with subacute encephalitis presenting with cranial MRI lesions, bilateral lesions on cranial MRI (OR, 5.078; 95% CI, 1.516-17.007; p = 0.008) and the need for mechanical ventilation (OR, 4.461; 95% CI, 1.135-13.584; p = 0.031) were significantly associated with poor outcomes.Conclusion: The location of brain lesions, lateral or bilateral, on the initial MRI during the acute phase of encephalitis may be a useful predictor of the outcome during the first 2 months after encephalitis onset, even in cases of encephalitis of unknown etiology.","PeriodicalId":72904,"journal":{"name":"Encephalitis (Seoul, Korea)","volume":"5 1","pages":"6-14"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11732267/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142959758","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

Influence of sleep on seizures and interictal epileptiform discharges in epilepsy. 睡眠对癫痫发作和发作间期癫痫样放电的影响。

Encephalitis (Seoul, Korea) Pub Date : 2025-01-01 Epub Date: 2024-11-12 DOI: 10.47936/encephalitis.2024.00087

Jun-Sang Sunwoo

{"title":"Influence of sleep on seizures and interictal epileptiform discharges in epilepsy.","authors":"Jun-Sang Sunwoo","doi":"10.47936/encephalitis.2024.00087","DOIUrl":"10.47936/encephalitis.2024.00087","url":null,"abstract":"Sleep significantly influences seizure occurrence and interictal epileptiform discharges (IEDs) in patients with epilepsy. Sleep-related epilepsy, where seizures occur exclusively or predominantly during sleep, has been observed in various epilepsy syndromes. Understanding the influence of sleep on seizures and IEDs is crucial in the diagnosis, classification, and management of epilepsy. Although there is a bidirectional relationship between sleep and epilepsy, this review focuses on the influence of sleep on seizures and IEDs in epilepsy. Seizures are more common during non-rapid eye movement (NREM) sleep, particularly during stage N2, and are suppressed during rapid eye movement (REM) sleep. Sleep also activates IEDs, increasing the diagnostic yield of EEG recordings. The rate of IEDs increases during NREM sleep, reaches its maximum during stage N3, and decreases during REM sleep. Sleep affects the electrical field of IEDs, with an increase of spiking fields during NREM sleep and a decrease during REM sleep. In the localization of epileptogenic foci, REM sleep is less sensitive but more specific than NREM sleep. Thalamocortical EEG synchronization during NREM sleep and desynchronization during REM sleep underlie their opposing effects on seizures and IEDs. Accumulating evidence has suggested an antiseizure effect of orexinergic antagonism in animal studies. Interventions that promote REM sleep, including orexinergic antagonists, should be studied in the future as novel treatment strategies for epilepsy.","PeriodicalId":72904,"journal":{"name":"Encephalitis (Seoul, Korea)","volume":" ","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11732270/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142634007","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

Progressive multifocal leukoencephalopathy, the role of the susceptibility-weighted imaging sequence in a case of immunosuppression of an initially unknown cause. 进行性多灶性白质脑病，感度加权成像序列在最初原因不明的免疫抑制病例中的作用。

Encephalitis (Seoul, Korea) Pub Date : 2025-01-01 Epub Date: 2024-12-13 DOI: 10.47936/encephalitis.2024.00094

Giuseppe Maria Andrea D'Arma, Rosario Francesco Balzano, Federica Masino, Giuseppe Guglielmi

引用次数: 0

Multifocal disseminated necrotizing leukoencephalopathy as severe central nervous system toxicity from nivolumab therapy for Hodgkin lymphoma: a case report. 尼伐单抗治疗霍奇金淋巴瘤引起的严重中枢神经系统毒性--多灶播散性坏死性白质脑病：病例报告。

Encephalitis (Seoul, Korea) Pub Date : 2025-01-01 Epub Date: 2024-11-01 DOI: 10.47936/encephalitis.2024.00101

Hussein Algahtani, Bader Shirah, Mohamed Najm Aldeen Alameen, Abdulrahman Bin Saeed, Alwaleed Abdulhadi Alqahtani

{"title":"Multifocal disseminated necrotizing leukoencephalopathy as severe central nervous system toxicity from nivolumab therapy for Hodgkin lymphoma: a case report.","authors":"Hussein Algahtani, Bader Shirah, Mohamed Najm Aldeen Alameen, Abdulrahman Bin Saeed, Alwaleed Abdulhadi Alqahtani","doi":"10.47936/encephalitis.2024.00101","DOIUrl":"10.47936/encephalitis.2024.00101","url":null,"abstract":"Nivolumab, a monoclonal antibody approved in 2014 as an immune checkpoint inhibitor, offers benefits in cancer treatment but can cause serious neurological complications, including multifocal disseminated necrotizing leukoencephalopathy. We report a case of severe central nervous system toxicity in a 13-year-old boy with Hodgkin lymphoma who was treated with nivolumab following an inadequate response to multiple lines of chemotherapy. After six cycles of nivolumab, the patient developed multifocal disseminated necrotizing leukoencephalopathy, presenting with altered mental status, seizures, and neurological deficits with magnetic resonance imaging (MRI) findings of extensive white matter involvement, rendering him completely disabled. This case highlights the potential for disabling neurological complications associated with immune checkpoint inhibitors, emphasizing the importance of early detection through regular neurological assessment and MRI surveillance. The case also underscores the need for careful patient selection and monitoring when using nivolumab to mitigate the risk of severe central nervous system toxicity.","PeriodicalId":72904,"journal":{"name":"Encephalitis (Seoul, Korea)","volume":" ","pages":"21-26"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11732269/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142560343","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

Immunoglobulin G4-related disease in an elderly patient with treatment-resistant headache: a case report. 一名头痛难治的老年患者的免疫球蛋白 G4 相关疾病：病例报告。

Encephalitis (Seoul, Korea) Pub Date : 2024-10-01 Epub Date: 2024-10-10 DOI: 10.47936/encephalitis.2024.00073

Kevser Erdogan, Nermin Tepe, Gülay Turan, Musa Öztürk

{"title":"Immunoglobulin G4-related disease in an elderly patient with treatment-resistant headache: a case report.","authors":"Kevser Erdogan, Nermin Tepe, Gülay Turan, Musa Öztürk","doi":"10.47936/encephalitis.2024.00073","DOIUrl":"https://doi.org/10.47936/encephalitis.2024.00073","url":null,"abstract":"Immunoglobulin G4 (IgG4)-related disease is an immune-mediated, fibroinflammatory condition that causes multisystemic contrast enhancement and is predominantly observed in elderly male patients. The most prominent features of IgG4-related disease are systemic involvement affecting from two to six systems. In the central nervous system, these contrast enhancements are typically found in the meninges and orbit. This case study describes a 78-year-old female patient with persistent headaches and constant diarrhea who underwent treatment for IgG4-related disease. Despite two months of treatment with non-steroidal and opioid analgesics, the patient remained unresponsive and continued to experience diarrhea for 4 months. Brain magnetic resonance imaging revealed contrast enhancement in the leptomeningeal surfaces, and a biopsy of the gastrointestinal mucosa confirmed the diagnosis of IgG4-related disease, showing widespread plasma cell infiltration and IgG4 expression on plasma cells. The patient was initially treated with 1.0 g/day of pulse therapy for 5 days, followed by a maintenance dose of 1.0 mg/kg oral azathioprine. When azathioprine caused significant pancytopenia, rituximab therapy was initiated. The patient's headaches resolved completely, and the diarrheal attacks were controlled. This case highlights the importance of considering IgG4-related disease as a potential cause of headache or multiorgan symptoms in elderly patients with new-onset headache unresponsive to conventional analgesics. IgG4-related disease can often be effectively treated with steroids and monoclonal antibodies.","PeriodicalId":72904,"journal":{"name":"Encephalitis (Seoul, Korea)","volume":"4 4","pages":"87-90"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11472142/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142482282","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

Stress as a possible trigger in anti-N-methyl-ᴅ-aspartate receptor encephalitis: a case series. 压力可能是抗 N-甲基-ᴅ-天冬氨酸受体脑炎的诱因：一个病例系列。

Encephalitis (Seoul, Korea) Pub Date : 2024-10-01 Epub Date: 2024-09-11 DOI: 10.47936/encephalitis.2024.00059

Sheikh Hilal Ahmad, Atif Kawoosa, Tanveer Hassan, Bashir Sanaie

引用次数: 0

Movement disorders in dengue encephalitis: a case report and literature review. 登革热脑炎的运动障碍：病例报告和文献综述。

Encephalitis (Seoul, Korea) Pub Date : 2024-10-01 Epub Date: 2024-10-07 DOI: 10.47936/encephalitis.2024.00066

Pranjali Batra, Neetu Rani Dhiman, Ibrahim Hussain, Anand Kumar, Deepika Joshi

{"title":"Movement disorders in dengue encephalitis: a case report and literature review.","authors":"Pranjali Batra, Neetu Rani Dhiman, Ibrahim Hussain, Anand Kumar, Deepika Joshi","doi":"10.47936/encephalitis.2024.00066","DOIUrl":"10.47936/encephalitis.2024.00066","url":null,"abstract":"Dengue is a mosquito-borne viral disease caused by the dengue virus (DENV). The clinical manifestations of DENV infection range from mild febrile illness to severe dengue shock syndrome and dengue hemorrhagic fever. Recently, its neurological manifestations have been reported. The mechanisms of neurological complications in DENV infection are often attributed to neurotropism or may be immune-mediated. A double-doughnut sign is a radiological pattern of signal changes in the bilateral thalami, resembling a doughnut. Although this sign has been reported with dengue encephalitis, Japanese encephalitis, and other neurotropic infections, its co-occurrence with mixed movement disorders is rare. We report a case of dengue encephalitis involving a spectrum of movement disorders in the form of jaw opening dystonia, stereotypies, parkinsonism, and tremors during recovery. Magnetic resonance imaging showed bilateral thalami involvement with a double-doughnut sign. The patient was managed with pulse steroid therapy and benzodiazepines and showed gradual improvement in symptoms. Movement disorders with DENV infection are rare and self-limiting.","PeriodicalId":72904,"journal":{"name":"Encephalitis (Seoul, Korea)","volume":" ","pages":"83-86"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11472140/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142382616","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