Chang Ju Lee, Dong Kun Lee, Min A Lee, Byoung Wook Hwang, Ju Hye Kim, Hyeo Seo Moon, S. Ahn
{"title":"High Attenuate CT Crescent Sign in Basilar Artery Dissection Patient","authors":"Chang Ju Lee, Dong Kun Lee, Min A Lee, Byoung Wook Hwang, Ju Hye Kim, Hyeo Seo Moon, S. Ahn","doi":"10.17340/jkna.2023.1.19","DOIUrl":"https://doi.org/10.17340/jkna.2023.1.19","url":null,"abstract":"","PeriodicalId":437080,"journal":{"name":"Journal of the Korean Neurological Association","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132259934","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}
{"title":"Disseminated Cryptococcosis Mimicking Multiple Metastatic Malignancy","authors":"G. Kim, Seo Hyeon Lee, Keun Tae Kim","doi":"10.17340/jkna.2023.1.14","DOIUrl":"https://doi.org/10.17340/jkna.2023.1.14","url":null,"abstract":"","PeriodicalId":437080,"journal":{"name":"Journal of the Korean Neurological Association","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125916133","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}
Euihyun Sung, I. Kang, H. Kim, H. Lee, Jin-Ju Park
Anti-N-methyl-D-aspartate receptor (NMDAR) encephalitis is a neuroinflammatory disease mediated by autoantibodies against the NMDAR, typically presenting with psychiatric symptoms, cognitive dysfunction, and motor dysfunction. These neuropsychiatric symptoms may be mimicked by drug abuse, and the development of anti-NMDAR encephalitis may be triggered by certain substance use. Here we report a case of anti-NMDAR encephalitis who developed neuropsychiatric symptoms after illicit substance use, the first report in Korea.
抗n -甲基- d -天冬氨酸受体(NMDAR)脑炎是一种由抗NMDAR自身抗体介导的神经炎症性疾病，典型表现为精神症状、认知功能障碍和运动功能障碍。这些神经精神症状可能与药物滥用相似，抗nmdar脑炎的发展可能由某些物质使用引发。在这里，我们报告了一例抗nmdar脑炎患者在非法药物使用后出现神经精神症状，这是韩国的第一例报告。
{"title":"Anti-N-methyl-D-aspartate Receptor Encephalitis in Illicit Substance Use","authors":"Euihyun Sung, I. Kang, H. Kim, H. Lee, Jin-Ju Park","doi":"10.17340/jkna.2023.1.8","DOIUrl":"https://doi.org/10.17340/jkna.2023.1.8","url":null,"abstract":"Anti-N-methyl-D-aspartate receptor (NMDAR) encephalitis is a neuroinflammatory disease mediated by autoantibodies against the NMDAR, typically presenting with psychiatric symptoms, cognitive dysfunction, and motor dysfunction. These neuropsychiatric symptoms may be mimicked by drug abuse, and the development of anti-NMDAR encephalitis may be triggered by certain substance use. Here we report a case of anti-NMDAR encephalitis who developed neuropsychiatric symptoms after illicit substance use, the first report in Korea.","PeriodicalId":437080,"journal":{"name":"Journal of the Korean Neurological Association","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125464262","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}
J. Ha, Sean T. Hwang, M. Y. Choi, S. Kim, E. Cho, Heejeong Jeong, Seung-Mi Jung, Tae-won Yang
{"title":"Cytotoxic Lesions of the Splenium of Corpus Callosum (CLOCC) Induced by Hyponatremia","authors":"J. Ha, Sean T. Hwang, M. Y. Choi, S. Kim, E. Cho, Heejeong Jeong, Seung-Mi Jung, Tae-won Yang","doi":"10.17340/jkna.2023.1.20","DOIUrl":"https://doi.org/10.17340/jkna.2023.1.20","url":null,"abstract":"","PeriodicalId":437080,"journal":{"name":"Journal of the Korean Neurological Association","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125650021","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}
{"title":"Differential Diagnosis of Middle Cerebellar Peduncle Signal Changes on Brain MRI","authors":"S. Jang, Sol Chae, D. Yun, S. Lim, S. Yoon","doi":"10.17340/jkna.2023.1.21","DOIUrl":"https://doi.org/10.17340/jkna.2023.1.21","url":null,"abstract":"","PeriodicalId":437080,"journal":{"name":"Journal of the Korean Neurological Association","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122836406","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}
K. Lee, J. S. Lee, Jeong-Yoon Lee, J. Kim, Han-Yeong Jeong, Seong-Eun Kim, Jonguk Kim, D. Y. Kim, K. Lee, Jihoon Kang, B. Kim, Tae Jung Kim, S. J. An, Jang-Hyun Baek, Seong-Eun Kim, H. Nah, J. Lee, J. Kwon, S. Ahn, Keun-hwa Jung, Hee‐Kwon Park, T. Park, Jong-Moo Park, Yong‐Jin Cho, I. Koh, S. Lee, J. Cha, J. Rha, Juneyoung Lee, B. Lee, In Ok Bae, G. Kim, H. Bae
Background: Korea recently established 70 emergency medical service areas. However, there are many concerns that medical resources for stroke could not be evenly distributed through the country. We aimed to compare the treatment quality and outcomes of acute stroke among the emergency medical service areas.Methods: This study analyzed the data of 28,800 patients admitted in 248 hospitals which participated in the 8th acute stroke quality assessment by Health Insurance Review and Assessment Service. Individual hospitals were regrouped into emergency service areas according to the address of the location. Assessment indicators and fatality were compared by the service areas. We defined the appropriate hospital by the performance of intravenous thrombolysis.Results: In seven service areas, there were no hospitals which received more than 10 stroke patients for 6 months. In nine service areas, there were no patients who underwent intravenous thrombolysis (IVT). Among 167 designated emergency medical centers, 50 hospitals (29.9%) responded that IVT was impossible 24 hours a day. There are 97 (39.1%) hospitals that meet the definitions of appropriate hospital. In 23 service areas (32.9%) had no appropriate or feasible hospitals. The fatality of service areas with stroke centers were 6.9% within 30 days and 15.6% within 1 year from stroke onset than those without stroke centers (7.7%, 16.9%, respectively).Conclusions: There was a wide regional gap in the medical resource and the quality of treatments for acute stroke among emergency medical service areas in Korea. The poststroke fatality rate of the service areas which have stroke centers or appropriate hospitals were significantly low.
{"title":"Quality of Acute Stroke Care within Emergency Medical Service System in Korea: Proposal for Severe Emergency Medical Center","authors":"K. Lee, J. S. Lee, Jeong-Yoon Lee, J. Kim, Han-Yeong Jeong, Seong-Eun Kim, Jonguk Kim, D. Y. Kim, K. Lee, Jihoon Kang, B. Kim, Tae Jung Kim, S. J. An, Jang-Hyun Baek, Seong-Eun Kim, H. Nah, J. Lee, J. Kwon, S. Ahn, Keun-hwa Jung, Hee‐Kwon Park, T. Park, Jong-Moo Park, Yong‐Jin Cho, I. Koh, S. Lee, J. Cha, J. Rha, Juneyoung Lee, B. Lee, In Ok Bae, G. Kim, H. Bae","doi":"10.17340/jkna.2023.1.3","DOIUrl":"https://doi.org/10.17340/jkna.2023.1.3","url":null,"abstract":"Background: Korea recently established 70 emergency medical service areas. However, there are many concerns that medical resources for stroke could not be evenly distributed through the country. We aimed to compare the treatment quality and outcomes of acute stroke among the emergency medical service areas.Methods: This study analyzed the data of 28,800 patients admitted in 248 hospitals which participated in the 8th acute stroke quality assessment by Health Insurance Review and Assessment Service. Individual hospitals were regrouped into emergency service areas according to the address of the location. Assessment indicators and fatality were compared by the service areas. We defined the appropriate hospital by the performance of intravenous thrombolysis.Results: In seven service areas, there were no hospitals which received more than 10 stroke patients for 6 months. In nine service areas, there were no patients who underwent intravenous thrombolysis (IVT). Among 167 designated emergency medical centers, 50 hospitals (29.9%) responded that IVT was impossible 24 hours a day. There are 97 (39.1%) hospitals that meet the definitions of appropriate hospital. In 23 service areas (32.9%) had no appropriate or feasible hospitals. The fatality of service areas with stroke centers were 6.9% within 30 days and 15.6% within 1 year from stroke onset than those without stroke centers (7.7%, 16.9%, respectively).Conclusions: There was a wide regional gap in the medical resource and the quality of treatments for acute stroke among emergency medical service areas in Korea. The poststroke fatality rate of the service areas which have stroke centers or appropriate hospitals were significantly low.","PeriodicalId":437080,"journal":{"name":"Journal of the Korean Neurological Association","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115258960","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}
Jee-Eun Yoon, H. Kim, M. Kang, Soohyun Cho, Dongwhane Lee, Jong-Moo Park, Oh-hyun Kwon, B. Yoon, Hyo Young Lee, Yoon Hee Hong
Acute hyperammonemic encephalopathy is generally associated with severe liver disease, manifesting with neuropsychiatric symptoms including confusion, lethargy, seizure, coma, and even death. Electroencephalogram (EEG) is a proven diagnostic, prognostic, and therapeutic tool in patients with acute and chronic encephalopathies. EEG changes in acute hyperammonemic encephalopathy are associated with background slowing in theta to delta ranges, accompanied by presence of triphasic waves. We reported a patient with acute hyperammonemic encephalopathy showing an unusual burst-suppression pattern, which was reversible with proper treatment.
{"title":"Reversible Burst-suppression Pattern of Acute Hyperammonemic Encephalopathy","authors":"Jee-Eun Yoon, H. Kim, M. Kang, Soohyun Cho, Dongwhane Lee, Jong-Moo Park, Oh-hyun Kwon, B. Yoon, Hyo Young Lee, Yoon Hee Hong","doi":"10.17340/jkna.2023.1.10","DOIUrl":"https://doi.org/10.17340/jkna.2023.1.10","url":null,"abstract":"Acute hyperammonemic encephalopathy is generally associated with severe liver disease, manifesting with neuropsychiatric symptoms including confusion, lethargy, seizure, coma, and even death. Electroencephalogram (EEG) is a proven diagnostic, prognostic, and therapeutic tool in patients with acute and chronic encephalopathies. EEG changes in acute hyperammonemic encephalopathy are associated with background slowing in theta to delta ranges, accompanied by presence of triphasic waves. We reported a patient with acute hyperammonemic encephalopathy showing an unusual burst-suppression pattern, which was reversible with proper treatment.","PeriodicalId":437080,"journal":{"name":"Journal of the Korean Neurological Association","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123193861","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}
Chang Ju Lee, Dong Kun Lee, Min A Lee, Byoung Wook Hwang, Ju Hye Kim, Hyeo Seo Moon, S. Lim, S. Ahn
In stroke patients, upper extremity deep vein thrombosis (UEDVT) is uncommon compared with lower extremity. Unlike the blood stasis in lower extremity, UEDVT has been developed by secondary cause. We reported a case of stroke patient with repeated UEDVT, presenting superficial venous congestion, who was finally diagnosed with pulmonary adenocarcinoma. The cause of stroke was non-bacterial thromboembolism formed at the mitral valve. Our case shows that unexpected UEDVT should be closely evaluated for higher coagulable status such as a malignancy.
{"title":"The Etiology of Acute Stroke with Experience of Repeated Upper Extremity Deep Vein Thrombosis","authors":"Chang Ju Lee, Dong Kun Lee, Min A Lee, Byoung Wook Hwang, Ju Hye Kim, Hyeo Seo Moon, S. Lim, S. Ahn","doi":"10.17340/jkna.2023.1.9","DOIUrl":"https://doi.org/10.17340/jkna.2023.1.9","url":null,"abstract":"In stroke patients, upper extremity deep vein thrombosis (UEDVT) is uncommon compared with lower extremity. Unlike the blood stasis in lower extremity, UEDVT has been developed by secondary cause. We reported a case of stroke patient with repeated UEDVT, presenting superficial venous congestion, who was finally diagnosed with pulmonary adenocarcinoma. The cause of stroke was non-bacterial thromboembolism formed at the mitral valve. Our case shows that unexpected UEDVT should be closely evaluated for higher coagulable status such as a malignancy.","PeriodicalId":437080,"journal":{"name":"Journal of the Korean Neurological Association","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124607905","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}
Jae Yong Lee, Sun-ku Han, Sung Wook Hyung, D. Y. Kim, Min Jae Seong
Neurocysticercosis is the most common parasitic infection of the nervous system. However, the improvement in public health made the prevalence of neurocysticercosis low. Neurocysticercosis may have symptoms such as seizures, headache, and hydrocephalus, and calcified neurocysticercosis is generally known to be asymptomatic and inert. Also, status epilepticus associated with neurocysticercosis has been rarely reported. Therefore, we report a case of focal status epilepticus caused by calcified neurocysticercosis that invaded the subarachnoid space, which is uncommon pathophysiology of neurocysticercosis.
{"title":"Calcified Neurocysticercosis that Invaded the Subarachnoid Space Presenting as Focal Status Epilepticus","authors":"Jae Yong Lee, Sun-ku Han, Sung Wook Hyung, D. Y. Kim, Min Jae Seong","doi":"10.17340/jkna.2023.1.6","DOIUrl":"https://doi.org/10.17340/jkna.2023.1.6","url":null,"abstract":"Neurocysticercosis is the most common parasitic infection of the nervous system. However, the improvement in public health made the prevalence of neurocysticercosis low. Neurocysticercosis may have symptoms such as seizures, headache, and hydrocephalus, and calcified neurocysticercosis is generally known to be asymptomatic and inert. Also, status epilepticus associated with neurocysticercosis has been rarely reported. Therefore, we report a case of focal status epilepticus caused by calcified neurocysticercosis that invaded the subarachnoid space, which is uncommon pathophysiology of neurocysticercosis.","PeriodicalId":437080,"journal":{"name":"Journal of the Korean Neurological Association","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132736231","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}
Sung-hyun Park, S. Choi, Ji-hye Kim, Jae-Yeon Kim, J. Heo
Background: This study aims to develop a well-founded program for the elderly in the community to provide a guide to continuous practice and to be used as basic data for its spread in the community.Methods: Among the elderly aged 60 or older living in Seongdong-gu, a total of 130 people agreed to participate in the study and met the criteria for selecting subjects, and 86 were the final subjects. The effects on cognitive function, depression, daily life activities, and quality of life before and after participating in the program were investigated and evaluated. Cognitive Impairment Screening Test, Subjective Memory Complaints Questionnaire, Short form of Geriatric Depression Scale-Korean version, Korean version of Instrumental Activities of Daily Living, and EuroQol-5 dimension were used as test tools. After the pre-test, they participated in the program twice a week for 14 50 minutes sessions, and the average score of the posttest was compared.Results: It was found that cognitive function improved and depression significantly decreased regardless of age after participating in the program than before participating in the program. There was a difference in cognitive function improvement according to the level of education, but depression was found to decrease equally, and health-related quality of life improved.Conclusions: Based on the results of this study, it is recommended that senior citizens aged60 or older continue to practice the 'Connect Memories' program to improve cognitivefunction.
{"title":"The Effect of Cognitive Programs on Cognitive Functions of the Elderly with Normal Cognitive Functions in the Community: Based on the Program 'Connect Memories'","authors":"Sung-hyun Park, S. Choi, Ji-hye Kim, Jae-Yeon Kim, J. Heo","doi":"10.17340/jkna.2023.1.2","DOIUrl":"https://doi.org/10.17340/jkna.2023.1.2","url":null,"abstract":"Background: This study aims to develop a well-founded program for the elderly in the community to provide a guide to continuous practice and to be used as basic data for its spread in the community.Methods: Among the elderly aged 60 or older living in Seongdong-gu, a total of 130 people agreed to participate in the study and met the criteria for selecting subjects, and 86 were the final subjects. The effects on cognitive function, depression, daily life activities, and quality of life before and after participating in the program were investigated and evaluated. Cognitive Impairment Screening Test, Subjective Memory Complaints Questionnaire, Short form of Geriatric Depression Scale-Korean version, Korean version of Instrumental Activities of Daily Living, and EuroQol-5 dimension were used as test tools. After the pre-test, they participated in the program twice a week for 14 50 minutes sessions, and the average score of the posttest was compared.Results: It was found that cognitive function improved and depression significantly decreased regardless of age after participating in the program than before participating in the program. There was a difference in cognitive function improvement according to the level of education, but depression was found to decrease equally, and health-related quality of life improved.Conclusions: Based on the results of this study, it is recommended that senior citizens aged60 or older continue to practice the 'Connect Memories' program to improve cognitivefunction.","PeriodicalId":437080,"journal":{"name":"Journal of the Korean Neurological Association","volume":"19 8","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114021366","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}
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