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Pathogenetic factors in Parkinson disease and novel experimental therapies 帕金森病的发病因素和新的实验治疗方法
Pub Date : 2022-09-19 DOI: 10.52662/jksfn.2022.00192
Hyung Ho Yoon, S. Jeon
Parkinson disease (PD) is the second most common neurodegenerative disease, characterized by the denervation of dopaminergic neurons in the substantia nigra. Its cardinal symptoms are rigidity, tremor, and bradykinesia. The gold-standard treatment for PD is the administration of levodopa, but no approved treatment can stop the progression of PD. Thus, the development of new therapeutics based on the pathogenesis of PD is needed. In this study, we review the pathogenetic factors of PD to achieve a better understanding of the disease and novel experimental therapies based on recently obtained knowledge regarding its pathogenesis. This could allow us to explore new therapeutic targets and treatments for PD.
帕金森病(PD)是第二常见的神经退行性疾病,其特征是黑质多巴胺能神经元失神经支配。其主要症状是强直、震颤和运动迟缓。PD的金标准治疗方法是左旋多巴,但目前还没有批准的治疗方法可以阻止PD的进展。因此,需要开发基于PD发病机制的新疗法。在本研究中,我们回顾了PD的发病因素,以更好地了解PD的发病机制和新的实验治疗方法。这可以让我们探索新的治疗靶点和治疗PD。
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引用次数: 0
Factors influencing the outcomes and mortality of brain abscess: a retrospective analysis of 54 cases 54例脑脓肿预后及死亡率的影响因素回顾性分析
Pub Date : 2022-06-30 DOI: 10.52662/jksfn.2022.00164
Sangjun Ahn, Jae Meen Lee
Objective: Brain abscess is relatively uncommon because the brain has an abundant blood supply and protection from the blood-brain barrier. The objective of this study was to analyze the outcomes of brain abscesses and to identify factors associated with patients’ outcomes. Methods: The characteristics (age, sex, medical history, initial neurologic status, laboratory data, abscess morphology) and outcomes of 54 patients with brain abscesses who underwent surgical treatment at our hospital from January 2011 to December 2020 were retrospectively analyzed.Results: There were more male patients than female patients (44:10). Sixteen patients died or became disabled, whereas 38 patients recovered. Statistical analyses indicated that those with a penetration cause, Glasgow coma scale≤12, ventriculitis, or Gram-negative bacilli grown in abscess culture had significantly poorer outcomes, whereas those with a contiguous cause and isolated brain abscess had significantly better outcomes (p<0.05). Conclusion: This study identified poor prognostic factors in brain abscess patients. Despite advances in diagnosis and treatment techniques, brain abscess still has a high mortality rate. The results of this study are expected to help with exact diagnoses and more accurate prognostication of brain abscess patients.
目的:脑脓肿是一种较为罕见的脓肿,因为大脑有丰富的血供和血脑屏障的保护。本研究的目的是分析脑脓肿的预后,并确定与患者预后相关的因素。方法:回顾性分析2011年1月至2020年12月在我院行手术治疗的54例脑脓肿患者的特点(年龄、性别、病史、初始神经系统状况、实验室资料、脓肿形态)及转归。结果:男性多于女性(44:10)。16名患者死亡或致残,38名患者康复。统计分析表明,穿透性病因、格拉斯哥昏迷评分≤12、脑室炎或脓肿培养中生长革兰氏阴性杆菌的预后明显较差,而连续性病因和孤立性脑脓肿的预后明显较好(p<0.05)。结论:本研究确定了脑脓肿患者预后不良的因素。尽管诊断和治疗技术有所进步,但脑脓肿的死亡率仍然很高。本研究的结果有望帮助脑脓肿患者的准确诊断和更准确的预后。
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引用次数: 0
Late seroma and infection in patients with cranioplasty implants after lateral suboccipital craniectomy 侧枕下颅骨切除术后行颅骨成形术患者的晚期血肿和感染
Pub Date : 2022-06-30 DOI: 10.52662/jksfn.2022.00178
C. Yoon, S. Cheon, Kwan Park, Seunghoon Lee
Late wound complications, such as dehiscence or infection, are rare following the retrosigmoid approach, especially when the cranial opening is small. Here, we report two cases of late wound complications after lateral suboccipital craniectomy and cranioplasty with polymethyl methacrylate. Sudden neck rotation was the cause of complications in both cases, and seroma formation, wound dehiscence, and infection developed subsequently 4 and 19 years after surgeries, respectively.
乙状结肠后入路的后期伤口并发症,如裂开或感染是罕见的,特别是当颅口很小时。在此,我们报告两例枕骨下外侧颅骨切除术和聚甲基丙烯酸甲酯颅骨成形术后的晚期伤口并发症。突然的颈部旋转是这两例并发症的原因,分别在术后4年和19年出现血清肿形成、伤口裂开和感染。
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引用次数: 0
Recent update on trigeminal neuralgia 三叉神经痛的最新进展
Pub Date : 2022-06-30 DOI: 10.52662/jksfn.2022.00150
Jaisan Islam, Elina Kc, Young Seok Park
Trigeminal neuralgia (TN), a long-term disorder affecting the trigeminal nerve, is a form of debilitating neuropathic pain. Although the underlying pathogenesis of TN is debatable, loss of myelin along the trigeminal nerve due to direct compression from a blood vessel or secondary to other conditions such as multiple sclerosis or stroke is thought to be the principal cause. Paroxysmal sporadic pain, with unilateral onset, is the main phenomenon of TN. TN is typically diagnosed clinically. Medications, surgery, and complementary techniques are among the current therapy options for altering the neural circuits associated with TN. Nevertheless, anti-epileptic and tricyclic antidepressant medications are recognized as first-line treatments, and surgical treatment may be required for patients who have not obtained a therapeutic effect with at least three medications, have experienced intolerable side effects, or have symptoms that are not resolving. Stimulation of brain regions is an emerging off-label technique that has the potential to offer pain relief from TN, but sufficient data and more extensive studies on both animals and humans are yet to be published. More specifically, convenient diagnostic techniques and affordable treatment modalities for TN have become crucial needs in order to reduce the psychological and socio-economical losses caused by TN.
三叉神经痛(TN)是一种影响三叉神经的长期疾病,是一种使人衰弱的神经性疼痛。尽管TN的潜在发病机制尚存争议,但由于血管直接压迫或继发于多发性硬化症或中风等其他疾病,沿三叉神经髓磷脂的损失被认为是主要原因。阵发性散发性疼痛,单侧起病,是TN的主要症状。药物、手术和辅助技术是目前改变与TN相关的神经回路的治疗选择。然而,抗癫痫和三环抗抑郁药物被认为是一线治疗方法,对于使用至少三种药物均未获得治疗效果、出现难以忍受的副作用或症状无法缓解的患者,可能需要手术治疗。刺激大脑区域是一种新兴的标签外技术,有可能缓解TN的疼痛,但足够的数据和对动物和人类的更广泛的研究尚未发表。更具体地说,便利的诊断技术和负担得起的治疗方式已成为关键需求,以减少TN造成的心理和社会经济损失。
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引用次数: 1
Posterior subthalamic area deep brain stimulation for recurrent tremor after ventral intermediate nucleus thalamotomy: a case report 后丘脑底区深部脑刺激治疗腹侧丘脑中间核切开术后复发性震颤1例
Pub Date : 2022-06-14 DOI: 10.52662/jksfn.2022.00171
Seung Un Lee, Na Young Jung
Neurosurgical treatment is considered as an effective treatment option for patients with essential tremor (ET), since approximately 50% of the ET population is refractory to medical treatment [1]. Historically, various methods, from ablative procedures to deep brain stimulation (DBS) have been used, each having its own strengths and weaknesses. With the recent development of magnetic resonance guided focused ultrasound (FUS), a new trend in the lesioning procedure for ET has emerged [2]. Although each treatment can be complementary to each other, clinicians inevitably face difficulties in deciding which surgical technique to use or which target needs to be operated on for the second treatment. In recurrent case after lesioning procedure, it is uncertain whether stimulating previously injured neural structures can achieve the same effectiveness to control tremor. Moreover, it is uncomfortable to set the intracranial surgical tract due to thalamic scarring during the DBS. In contrast, lesioning after failed DBS can be very burdensome to ablate nearby areas with electrical devices. Here, we present a case of recurrent tremor after ablation of the ventral intermediate nucleus of the thalamus (VIM), which was effectively managed with posterior subthalamic area (PSA) DBS, and review previous reports with similar experiences. Posterior subthalamic area deep brain stimulation for recurrent tremor after ventral intermediate nucleus thalamotomy: a case report
神经外科治疗被认为是原发性震颤(ET)患者的有效治疗选择,因为大约50%的ET患者对药物治疗难治性[1]。从历史上看,从烧蚀手术到深部脑刺激(DBS),各种方法都被使用,每种方法都有自己的优缺点。随着近年来磁共振引导聚焦超声(FUS)技术的发展,ET的病变处理出现了新的趋势[2]。虽然每种治疗方法可以相互补充,但临床医生在决定使用哪种手术技术或需要对哪个靶点进行第二次治疗时不可避免地面临困难。在损伤手术后复发的病例中,不确定刺激先前损伤的神经结构是否能达到同样的控制震颤的效果。此外,在DBS过程中,由于丘脑瘢痕形成,设置颅内手术束不舒服。相比之下,在DBS失败后,用电气设备消融附近区域可能会造成非常沉重的损害。在此,我们报告了一例丘脑腹侧中间核(VIM)消融后复发性震颤的病例,该病例通过丘脑后底区(PSA) DBS有效地治疗,并回顾了以往有类似经验的报道。后丘脑底区深部脑刺激治疗腹侧丘脑中间核切开术后复发性震颤1例
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引用次数: 0
Analysis of risk factors related to early post-traumatic seizures and post-traumatic epilepsy 创伤后早期癫痫发作及创伤后癫痫相关危险因素分析
Pub Date : 2022-06-10 DOI: 10.52662/jksfn.2022.00136
Sang-Hoon Lee, E. Koh, Ha-young Choi, Jung-soo Park, Jong-Myong Lee, H. Jang
Traumatic brain injury (TBI) is a leading cause of death and disability and plays a critical role in early post-TBI seizures within 1 week of assault, which could transpire in as many as 53% of all TBIs [1]. Post-traumatic seizures (PTSs) caused by TBI can occur either early (within 1 week of the injury) or late (after 1 week of the injury). Proper control of early post-traumatic seizures (EPTSs) is of paramount importance because seizure attacks in the acute stage can add secondary injury to the already damaged brain [2]. In the long run, approximately 25% of patients with Analysis of risk factors related to early post-traumatic seizures and post-traumatic epilepsy
创伤性脑损伤(Traumatic brain injury, TBI)是导致死亡和残疾的主要原因之一,在攻击后1周内早期发生TBI后癫痫发作中起着关键作用,高达53%的TBI会发生这种情况[1]。创伤性脑损伤引起的创伤后癫痫发作(ptsd)可以发生在早期(损伤后1周内)或晚期(损伤后1周)。妥善控制早期创伤后癫痫发作(EPTSs)至关重要,因为急性期的癫痫发作会对已经受损的大脑造成继发性损伤[2]。长期来看,约有25%的患者与早期创伤后癫痫发作和创伤后癫痫相关的危险因素分析
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引用次数: 0
Colonic perforation as a complication of ventriculoperitoneal shunt: two case reports with a literature review 结肠穿孔作为脑室-腹膜分流术的并发症:两例报告并文献复习
Pub Date : 2022-06-09 DOI: 10.52662/jksfn.2022.00143
Hyeon Gu Kang, Kyu Yong Cho, J. Mun, L. S. Lee
A ventriculoperitoneal (VP) shunt is a commonly performed treatment modality for hydrocephalus. The VP shunt-related complications include infection (peritonitis, ventriculitis, and meningitis), obstruction, migration, and perforation of the intestine [1,2]. Shunt devices have a high incidence of malfunction mainly due to catheter obstruction or infection and are associated with various complications, 25% of which are abdominal complications [3]. Spontaneous bowel perforation is a rare complication with an incidence of 0.01% to 0.07% in VP shunt procedures, occurring at any time, including a few weeks to several years after the placement of the VP shunt device [4]. Treatment must be individualized and depends upon the clinical presentation. Conservative management, endoscopy, and surgery have been performed for the treatment of bowel-related complications from a VP shunt device [5,6]. We report cases of a 79-year-old female and a 49-year-old male with colonic perforations due to migrated VP shunts that were successfully treated by the colonoscopic removal of the migrated distal catheter and hemoclipping of the perforated colonic wall, Colonic perforation as a complication of ventriculoperitoneal shunt: two case reports with a literature review
脑室-腹膜(VP)分流术是脑积水的常用治疗方法。副静脉分流相关并发症包括感染(腹膜炎、脑室炎和脑膜炎)、肠梗阻、迁移和肠穿孔[1,2]。分流器的故障发生率高,主要是由于导管阻塞或感染,并伴有各种并发症,其中25%为腹部并发症[3]。自发性肠穿孔是一种罕见的并发症,发生率为0.01%至0.07%,发生在任何时间,包括放置副静脉分流装置[4]后的几周至几年内。治疗必须个体化,并取决于临床表现。保守管理、内窥镜检查和手术已被用于治疗VP分流装置引起的肠道相关并发症[5,6]。我们报告了一名79岁的女性和一名49岁的男性,他们的结肠穿孔是由迁移的VP分流管引起的,通过结肠镜切除迁移的远端导管并夹住穿孔的结肠壁成功治疗,结肠穿孔是脑室-腹膜分流的并发症:两例报告并文献回顾
{"title":"Colonic perforation as a complication of ventriculoperitoneal shunt: two case reports with a literature review","authors":"Hyeon Gu Kang, Kyu Yong Cho, J. Mun, L. S. Lee","doi":"10.52662/jksfn.2022.00143","DOIUrl":"https://doi.org/10.52662/jksfn.2022.00143","url":null,"abstract":"A ventriculoperitoneal (VP) shunt is a commonly performed treatment modality for hydrocephalus. The VP shunt-related complications include infection (peritonitis, ventriculitis, and meningitis), obstruction, migration, and perforation of the intestine [1,2]. Shunt devices have a high incidence of malfunction mainly due to catheter obstruction or infection and are associated with various complications, 25% of which are abdominal complications [3]. Spontaneous bowel perforation is a rare complication with an incidence of 0.01% to 0.07% in VP shunt procedures, occurring at any time, including a few weeks to several years after the placement of the VP shunt device [4]. Treatment must be individualized and depends upon the clinical presentation. Conservative management, endoscopy, and surgery have been performed for the treatment of bowel-related complications from a VP shunt device [5,6]. We report cases of a 79-year-old female and a 49-year-old male with colonic perforations due to migrated VP shunts that were successfully treated by the colonoscopic removal of the migrated distal catheter and hemoclipping of the perforated colonic wall, Colonic perforation as a complication of ventriculoperitoneal shunt: two case reports with a literature review","PeriodicalId":193825,"journal":{"name":"Journal of the Korean Society of Stereotactic and Functional Neurosurgery","volume":"70 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133921595","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: 1
Gamma Knife radiosurgery for spontaneous carotid-cavernous fistulas: a preliminary report 伽玛刀放射治疗自发性颈动脉-海绵窦瘘:初步报告
Pub Date : 2022-05-23 DOI: 10.52662/jksfn.2021.00129
E. Koh, Ha-young Choi, Jung-soo Park
fistulas to improvement 15.5 Seven by transfemoral angiography magnetic resonance Three fistulas in the a larger patient group and longer follow-up duration, GKRS can be considered a definitive treatment modality for any type of CCF, not only an adjuvant modality.
在更大的患者群体和更长的随访时间中,有3个瘘管,GKRS可以被认为是任何类型CCF的最终治疗方式,而不仅仅是辅助治疗方式。
{"title":"Gamma Knife radiosurgery for spontaneous carotid-cavernous fistulas: a preliminary report","authors":"E. Koh, Ha-young Choi, Jung-soo Park","doi":"10.52662/jksfn.2021.00129","DOIUrl":"https://doi.org/10.52662/jksfn.2021.00129","url":null,"abstract":"fistulas to improvement 15.5 Seven by transfemoral angiography magnetic resonance Three fistulas in the a larger patient group and longer follow-up duration, GKRS can be considered a definitive treatment modality for any type of CCF, not only an adjuvant modality.","PeriodicalId":193825,"journal":{"name":"Journal of the Korean Society of Stereotactic and Functional Neurosurgery","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132335352","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
An updated algorithm for the treatment of spinal metastasis 一种治疗脊柱转移的新算法
Pub Date : 2021-09-30 DOI: 10.52662/jksfn.2021.00087
Kawngwoo Park, Seong Son, Sang Gu Lee, E. K. Cho, H. Ahn, I. Park, S. Sym, Young Saing Kim
{"title":"An updated algorithm for the treatment of spinal metastasis","authors":"Kawngwoo Park, Seong Son, Sang Gu Lee, E. K. Cho, H. Ahn, I. Park, S. Sym, Young Saing Kim","doi":"10.52662/jksfn.2021.00087","DOIUrl":"https://doi.org/10.52662/jksfn.2021.00087","url":null,"abstract":"","PeriodicalId":193825,"journal":{"name":"Journal of the Korean Society of Stereotactic and Functional Neurosurgery","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129657187","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
Long-term follow-up study of Gamma Knife radiosurgery for arteriovenous malformations with diffuse-type nidi 伽玛刀放射治疗伴弥漫性nidi动静脉畸形的长期随访研究
Pub Date : 2021-09-30 DOI: 10.52662/jksfn.2021.00067
Yuwhan Chung, C. Park, S. Choi, Y. Lim
This is an Open Access article distributed under the terms of the Creative Commons Attribution NonCommercial License (http://creativecommons.org/ licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. Long-term follow-up study of Gamma Knife radiosurgery for arteriovenous malformations with diffuse-type nidi
这是一篇基于知识共享署名非商业许可协议(http://creativecommons.org/ licenses/by-nc/4.0/)的开放获取文章,该协议允许在任何媒介上不受限制地进行非商业使用、分发和复制,前提是正确引用原创作品。伽玛刀放射治疗伴弥漫性nidi动静脉畸形的长期随访研究
{"title":"Long-term follow-up study of Gamma Knife radiosurgery for arteriovenous malformations with diffuse-type nidi","authors":"Yuwhan Chung, C. Park, S. Choi, Y. Lim","doi":"10.52662/jksfn.2021.00067","DOIUrl":"https://doi.org/10.52662/jksfn.2021.00067","url":null,"abstract":"This is an Open Access article distributed under the terms of the Creative Commons Attribution NonCommercial License (http://creativecommons.org/ licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. Long-term follow-up study of Gamma Knife radiosurgery for arteriovenous malformations with diffuse-type nidi","PeriodicalId":193825,"journal":{"name":"Journal of the Korean Society of Stereotactic and Functional Neurosurgery","volume":"226 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134021572","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
期刊
Journal of the Korean Society of Stereotactic and Functional Neurosurgery
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