Eung-Joon Lee, Hee-Kwon Park, Hae Woong Jeong, Ki Yung Boo, Yang-Jin Park, Tae-Woo Kim, Min Ho Chun, Min Wook Kim, Soo-Kyung Bok, Jeong‐Ho Hong, Ju-Hun Lee, Hong‐Kyun Park, Jeonghoon Bae, Jihoon Kang, Chi Kyung Kim, Seongheon Kim, Sung Hyuk Heo, K. Lee, Chang Hun Kim, M. Oh, S. J. An, Jinkwon Kim, Han-Yeong Jeong, Jong-Moo Park, Kyung Yol Lee, J. Cha, J. Rha, Sun U. Kwon, Gyeong-Moon Kim, H. Bae
led to a need for comprehensive stroke centers (CSC) capable of providing advanced and multidisciplinary care. Articles with information about guidelines, and other relevant clinical and research reports were investigated to establish the concept of certification for a CSC. Experts recommended by stroke-related societies gathered to form a consensus through public hearings, several meetings, and academic conferences. Herein, we aimed to write the policy statement for CSC certification. We described key elements of CSC in Korea. These areas include healthcare personnel with specific expertise in a number of specializations for stroke care, specific infrastructures and advanced diagnostic techniques including neuroimaging capabilities, surgical and endovascular techniques and neurocritical care for complex stroke care, and programmatic elements such as a stroke registry, education, and quality improvement activities. CSCs should have a comprehensive team that includes neurologists, neurosurgeons, vascular surgeons, neurointensivists, neuroradiologists, rehabilitation specialists who perform cutting edge diagnosis and treatment for two or more complex acute stroke patients simultaneously in an all-in-shop model without additional transfer to other hospitals.
{"title":"Current Status of Stroke Center Certification Accreditation Recommendations for Comprehensive Stroke Centers Certification: A Consensus Statement from the Stroke Associated Korean Societies","authors":"Eung-Joon Lee, Hee-Kwon Park, Hae Woong Jeong, Ki Yung Boo, Yang-Jin Park, Tae-Woo Kim, Min Ho Chun, Min Wook Kim, Soo-Kyung Bok, Jeong‐Ho Hong, Ju-Hun Lee, Hong‐Kyun Park, Jeonghoon Bae, Jihoon Kang, Chi Kyung Kim, Seongheon Kim, Sung Hyuk Heo, K. Lee, Chang Hun Kim, M. Oh, S. J. An, Jinkwon Kim, Han-Yeong Jeong, Jong-Moo Park, Kyung Yol Lee, J. Cha, J. Rha, Sun U. Kwon, Gyeong-Moon Kim, H. Bae","doi":"10.17340/jkna.2023.0057","DOIUrl":"https://doi.org/10.17340/jkna.2023.0057","url":null,"abstract":"led to a need for comprehensive stroke centers (CSC) capable of providing advanced and multidisciplinary care. Articles with information about guidelines, and other relevant clinical and research reports were investigated to establish the concept of certification for a CSC. Experts recommended by stroke-related societies gathered to form a consensus through public hearings, several meetings, and academic conferences. Herein, we aimed to write the policy statement for CSC certification. We described key elements of CSC in Korea. These areas include healthcare personnel with specific expertise in a number of specializations for stroke care, specific infrastructures and advanced diagnostic techniques including neuroimaging capabilities, surgical and endovascular techniques and neurocritical care for complex stroke care, and programmatic elements such as a stroke registry, education, and quality improvement activities. CSCs should have a comprehensive team that includes neurologists, neurosurgeons, vascular surgeons, neurointensivists, neuroradiologists, rehabilitation specialists who perform cutting edge diagnosis and treatment for two or more complex acute stroke patients simultaneously in an all-in-shop model without additional transfer to other hospitals.","PeriodicalId":437080,"journal":{"name":"Journal of the Korean Neurological Association","volume":"330 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115388139","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":"Propriospinal Myoclonus and Cervical Dystonia Developed by Compressive Cervical Myelopathy","authors":"S. Jo, Jaehyung Ahn, G. Ehm","doi":"10.17340/jkna.2023.3.13","DOIUrl":"https://doi.org/10.17340/jkna.2023.3.13","url":null,"abstract":"","PeriodicalId":437080,"journal":{"name":"Journal of the Korean Neurological Association","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114247894","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}
Tetanus is a bacterial infection by Clostridium tetani. Its neurotoxin causes spastic paralysis and autonomic dysfunction. Intrathecal infusion of baclofen has been suggested as a pertinent treatment for generalized spasm. Our case describes a patient who had a severe generalized form of tetanus, and was effectively treated with intrathecal baclofen infusion. He showed cerebral and brainstem dysfunction during baclofen infusion, which were reversed without sequelae when baclofen was discontinued.
{"title":"Generalized Tetanus Treated with Intrathecal Baclofen Infusion","authors":"Yeon-Jung Mun, W. Son., Gyeong-Jo Byeon, Eun Hwa Lee, Jin-Hong Shin","doi":"10.17340/jkna.2023.3.8","DOIUrl":"https://doi.org/10.17340/jkna.2023.3.8","url":null,"abstract":"Tetanus is a bacterial infection by Clostridium tetani. Its neurotoxin causes spastic paralysis and autonomic dysfunction. Intrathecal infusion of baclofen has been suggested as a pertinent treatment for generalized spasm. Our case describes a patient who had a severe generalized form of tetanus, and was effectively treated with intrathecal baclofen infusion. He showed cerebral and brainstem dysfunction during baclofen infusion, which were reversed without sequelae when baclofen was discontinued.","PeriodicalId":437080,"journal":{"name":"Journal of the Korean Neurological Association","volume":"58 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126251245","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}
Eun-Byul Ko, Il-Joong Hwang, Jung-Woo Kim, D. Jung, Ju-Suk Lee, S. Yoo, Joong-Seok Kim
We report a rare and unique presentation of a patient with early and levodopa-responsive Parkinson’s disease (PD) who exhibited clinical features similar to posterior cortical atrophy (PCA). The imaging evidence suggested the coexistence of PD and PCA, without the presence of amyloid pathology. Although the present case lacks pathologic evidence, this case represents a distinct manifestation of PD characterized by a combination of parkinsonism and early prominent posterior cognitive deficits, reminiscent of the visual variant of Alzheimer’s disease.
{"title":"Coexistence of Posterior Cortical Atrophy and Parkinson’s Disease","authors":"Eun-Byul Ko, Il-Joong Hwang, Jung-Woo Kim, D. Jung, Ju-Suk Lee, S. Yoo, Joong-Seok Kim","doi":"10.17340/jkna.2023.3.7","DOIUrl":"https://doi.org/10.17340/jkna.2023.3.7","url":null,"abstract":"We report a rare and unique presentation of a patient with early and levodopa-responsive Parkinson’s disease (PD) who exhibited clinical features similar to posterior cortical atrophy (PCA). The imaging evidence suggested the coexistence of PD and PCA, without the presence of amyloid pathology. Although the present case lacks pathologic evidence, this case represents a distinct manifestation of PD characterized by a combination of parkinsonism and early prominent posterior cognitive deficits, reminiscent of the visual variant of Alzheimer’s disease.","PeriodicalId":437080,"journal":{"name":"Journal of the Korean Neurological Association","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123068704","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}
Recurrent meningitis is defined as more than one episode of meningitis that is separated by an entire recovery period. Causes of recurrent meningitis include anatomical defects, immune deficiency, and parameningeal infections. A thorough investigation of the underlying causes of recurrent meningitis is required for proper treatment. Herein we report a case of recurrent bacterial meningitis caused by osteomyelitis of the odontoid process.
{"title":"Recurrent Bacterial Meningitis due to Osteomyelitis of the Odontoid Process","authors":"Mina Lee, H. Moon","doi":"10.17340/jkna.2023.3.4","DOIUrl":"https://doi.org/10.17340/jkna.2023.3.4","url":null,"abstract":"Recurrent meningitis is defined as more than one episode of meningitis that is separated by an entire recovery period. Causes of recurrent meningitis include anatomical defects, immune deficiency, and parameningeal infections. A thorough investigation of the underlying causes of recurrent meningitis is required for proper treatment. Herein we report a case of recurrent bacterial meningitis caused by osteomyelitis of the odontoid process.","PeriodicalId":437080,"journal":{"name":"Journal of the Korean Neurological Association","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127715697","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}
KyungWook Kang, Myeong-Kyu Kim, Jong hwa Hong, Jisu Jung, Kyung Wook Kang
Zolpidem is widely used for insomnia and is known to have relatively few side effects. There have been several reports of side effects, but only a few for withdrawal symptoms. A 41-year-old woman developed convulsions 4 days after discontinuing zolpidem. She was taking more than 10 times the standard dosage. After electroencephalography monitoring without antiseizure medications, she showed no more seizures. This case highlights the danger of zolpidem withdrawal and warns about the easy accessibility of zolpidem for individuals.
{"title":"Seizure Occurring 4 Days after Discontinuation of Long-term High-dose Zolpidem","authors":"KyungWook Kang, Myeong-Kyu Kim, Jong hwa Hong, Jisu Jung, Kyung Wook Kang","doi":"10.17340/jkna.2023.3.9","DOIUrl":"https://doi.org/10.17340/jkna.2023.3.9","url":null,"abstract":"Zolpidem is widely used for insomnia and is known to have relatively few side effects. There have been several reports of side effects, but only a few for withdrawal symptoms. A 41-year-old woman developed convulsions 4 days after discontinuing zolpidem. She was taking more than 10 times the standard dosage. After electroencephalography monitoring without antiseizure medications, she showed no more seizures. This case highlights the danger of zolpidem withdrawal and warns about the easy accessibility of zolpidem for individuals.","PeriodicalId":437080,"journal":{"name":"Journal of the Korean Neurological Association","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115352437","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":"Magnetic Resonance Imaging in Marchiafava-Bignami Disease","authors":"Hee-Jung Ha, Jee-Eun Kim","doi":"10.17340/jkna.2023.3.16","DOIUrl":"https://doi.org/10.17340/jkna.2023.3.16","url":null,"abstract":"50 세 남자가 혼수 상태로 발견되어 응급실에 내원하였다. 알코올","PeriodicalId":437080,"journal":{"name":"Journal of the Korean Neurological Association","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132646114","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":"Pontine Infarction Presenting as Millard-Gubler Syndrome","authors":"Sumi Ha, H. Woo, Sangil Park, H. Yoon, S. Heo","doi":"10.17340/jkna.2023.3.11","DOIUrl":"https://doi.org/10.17340/jkna.2023.3.11","url":null,"abstract":"","PeriodicalId":437080,"journal":{"name":"Journal of the Korean Neurological Association","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121857119","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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