594 results match your criteria Acta neurologica Taiwanica[Journal]


Moyamoya Presenting after Whole Body Cryotherapy.

Acta Neurol Taiwan 2020 Jun;29(2):64-66

University of California, San Diego, Department of Neurosciences, Stroke Center.

Background Purpose: Moyamoya syndrome is the progressive stenosis of intracranial carotids with secondary collateralization. Whole body cryotherapy (WBC) involves external cooling and is used in holistic and sports medicine, its neurologic effects are unknown.

Case Report: We report a first case of symptoms of moyamoya syndrome presenting following WBC and diagnosed with classic MRI ( "Brush Sign", "Ivy sign") and digital subtracted angiography. Read More

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Ventral Displacement of Spinal Cord in Spontaneous Intracranial Hypotension: A Sign Easily Be Overlooked.

Acta Neurol Taiwan 2020 Jun;29(2):59-63

Division of Neurology, Department of Internal Medicine, Ditmanson Medical Foundation Chia-Yi Christian Hospital, Taiwan.

Purpose: Spontaneous intracranial hypotension (SIH) is suspected in patients presenting orthostatic headache and needs excluding structural or iatrogenic causes. Image studies are required to confirm the diagnosis and define exact locations of cerebrospinal fluid leakage, but currently there is no single study sensitive enough to make identifications among patients with various symptoms.

Case Report: We present a 24-year-old young woman having acute orthostatic headache. Read More

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Facial Artery Arteriovenous Malformation Endovascular and Surgical Treatment: Liquid Embolic Device an Advantage for Both Technique.

Acta Neurol Taiwan 2020 Jun;29(2):54-58

Department of Diagnostic and Therapeutic Advanced Technology - Diagnostic and Interventional Radiology Unit Azienda Socio Sanitaria Territoriale Santi Paolo and Carlo Hospital Via A di Rudinì, 8 - Via Pio II, 3 - 20100 Milano, ITALY.

Facial ArterioVenous Malformations (AVM) are rare lesions and present great difficulty in their diagnosis and treatment. We report a case of a 24-year-old male who has been diagnosed a right facial AVM that underwent endovascular embolization with a liquid embolic device and consequently surgical resection. The type of liquid embolic device used has given advantage for both treatment techniques. Read More

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Does Early Recognition of Treatment Failure and Changing Anti-Epilepsy Medication Regimen Improve Short-Term Seizure Remission Rates In Childhood Absence Epilepsy?

Acta Neurol Taiwan 2020 Jun;29(2):46-53

Comprehensive Epilepsy Program, Department of Neurology, Southern California Permanente Medical Center, Anaheim, California, USA.

Purpose: To study the role of early serial EEGs in improving seizure freedom rates after initiation of ethosuximide or valproic acid for childhood absence epilepsy.

Methods: Retrospective data analysis study of AED naive patients with childhood absence epilepsy undergoing treatment at the community-based epilepsy clinic. Due to small sample size Fisher's exact test was used to determine two-tailed p value at less than 0. Read More

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Apilarnil: A Novel Neuroprotective Candidate.

Acta Neurol Taiwan 2020 Jun;29(2):33-45

Department of Neurology, Bozok University Medical School, Yozgat, Turkey.

Purpose: This study was designed to investigate the effect of apilarnil on neuronal damage and related mechanisms in a sepsis model in order to demonstrate whether or not apilarnil has neuroprotective effect.

Methods: In this study, 64 adult male Sprague-Dawley species rats were randomly divided into eight groups. The rats were administered apilarnil and/or lipopolysaccharide (LPS). Read More

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Novel Coronavirus Disease (COVID-19) and Central Nervous System Complications: What Neurologist Need to Know.

Acta Neurol Taiwan 2020 Mar;29(1):24-31

Emam Hosssein Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

The novel coronavirus (Covid-19) is a family of large enveloped non-segmented positive-sense RNA viruses which has been considered as a global health concern as it has a very high transmissibility potential. Regarding to the similarity of the virus to SARS-CoV, it is postulated that the Covid-19 accumulates mainly in the nasal epithelia and lower respiratory airways. However, there is evidence suggesting the Covid-19 neurotropism which might contribute to respiratory failure. Read More

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Sonographic Clue in Non-traumatic Carotid-cavernous Fistula: Report of a Case and Literature Review.

Acta Neurol Taiwan 2020 Mar;29(1):18-23

Department of Neurology, China Medical University Hospital, Taichung, Taiwan.

Background: Failure to recognize a carotid-cavernous fistula (CCF) promptly may lead to worse prognosis due to a setback in providing proper treatment. To promote early diagnosis of non-traumatic CCF, we report a case with classic clinical symptoms and signs that was diagnosed and followed up with carotid Doppler sonography (CDS) and transcranial color-coded duplex (TCD).

Case Report: A 45-year-old woman developed an intermittent headache, pulsatile tinnitus, and double vision sequentially within ten days. Read More

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Concomitant Guillain-Barré Syndrome and Acute Transverse Myelitis in an Older Adult-A Case Report.

Acta Neurol Taiwan 2020 Mar;29(1):12-17

Department of Neurology, Chang Gung Memorial Hospital, Keelung branch, Taiwan.

Purpose: Guillain-Barré syndrome concomitant with spinal cord involvement, which is defined as Guillain-Barré syndrome and acute transverse myelitis overlap syndrome, is rarely seen in the elders. Here we present a 68-year-old female patient who developed Guillain-Barré syndrome, as well as acute transverse myelitis at the same episode.

Case Report: This patient developed acute weakness of lower limbs, which then rapidly became tetraplegia and hyporeflexia within 5 days. Read More

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Serum Iron and Zinc Levels in Lebanese Multiple Sclerosis Patients.

Acta Neurol Taiwan 2020 Mar;29(1):5-11

Department of Biological Sciences, Faculty of Science, Beirut Arab University, Debbieh, Lebanon.

Purpose: Multiple sclerosis (MS) is an autoimmune disease of the central nervous system that attacks mainly the myelin sheath covering the axons of neurons. Various studies have reported a potential role of zinc and iron in MS disease. The aim of this study is to estimate the serum level of iron and zinc in Lebanese MS patients. Read More

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Progressive Myelopathy in a Patient with Pediatric Onset Neuromyelitis Optica Spectrum Disorder: A Case Report and a Mini Review.

Acta Neurol Taiwan 2020 Mar;29(1):1-4

Multiple Sclerosis Research Center, Neuroscience institute, Tehran University of Medical Sciences, Tehran, Iran.

Purpose: Neuromyelitis optica is an autoimmune disease characterized mainly by the involvement of the spinal cord and optic nerve. Clinical studies have identified the disease progression as the most important red flag. Previous researches showed that only 2% of patients with neuromyelitis optica experience a progressive course. Read More

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Orofacial Pain and Menstrually Related Migraine.

Acta Neurol Taiwan 2019 Dec;28(4):131-138

Department of Oral Diagnostic Sciences, Nihon University school of Dentistry Tokyo, Japan.

Purpose: Migraine is a common, debilitating, primary headache disorder that can cause and be affected by odontalgia.

Case Report: A 49-year-old woman(Patient 1) presented with pulsating pain in the left maxillary molar area, and a history of unsuccessful root canal treatment. She was ultimately diagnosed with menstrually related migraine without aura and zolmitriptan was prescribed, which reduced her headache and toothache together. Read More

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December 2019

Recurrent Epistaxis of Unknown Origin: the Role of Imaging.

Acta Neurol Taiwan 2019 Dec;28(4):126-130

Department of Ente Ospedaliero Ospedali Galliera, Department of Diagnostic and Interventional Neuroradiology.

We report two cases of patients who presented to the Emergency Room (ER) with a history of recurrent epistaxis. Conservative treatment was provided to both patients and the most common causes of bleeding were excluded. Patients underwent radiological examinations that revealed the presence of an Intracavernous Carotid Artery Aneurysm (ICAA) extending into the sphenoid sinus through the erosion of postero-lateral bony wall. Read More

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December 2019

Low Persistence of Antithrombotic Agents is Associated with Poor Outcomes after First-ever Acute Ischemic Stroke.

Acta Neurol Taiwan 2019 Dec;28(4):95-118

Department of Health Care Management, College of Management, Chang Gung University, Taoyuan, Taiwan.

Objective: This study investigated the time-trend persistence with antithrombotic agents (AT) and assessed the impact of AT persistence on outcome events and adverse events (AE) within two years after first-ever acute ischemic stroke (IS).

Methods: Using Taiwan's National Health Insurance claims dataset, 7,341 IS subjects hospitalized between 2001 and 2005 with AT prescribed at discharge and survived at least 3 months were followed up for 2 years. Time-trends of AT usage were analyzed. Read More

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December 2019

Potential Mechanism and Pathways in Cerebral Ischemia- Reperfusion Injury: Therapeutic GLANCE.

Acta Neurol Taiwan 2019 Dec;28(4):88-94

Physiology Research Center and department of physiology, Ahvaz Jundishapur university of medical sciences, Ahvaz, Iran.

Abtract Cerebral ischemia-reperfusion injury is a progressive disease that results in the lack of oxygen and nutrients needed for cellular metabolism in neurons due to blood flow disorders. The pathogenesis of this disease is different; however, it has been shown that the onset of inflammation interacts with I/R through the production of active oxygen species and increases the apoptosis of the neural cells. Therefore, different signaling pathways interfere with the induction of inflammation and the production of active oxygen species. Read More

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December 2019

Medication Adherence and Stroke Prevention: What Real World Data Tells Us.

Authors:
Cheng-Yang Hsieh

Acta Neurol Taiwan 2019 Dec;28(4):86-87

Department of Neurology, Tainan Sin Lau Hospital, Tainan, Taiwan.

Medication adherence, by definition,(2) is "the extent to which a patient acts in accordance with the prescribed interval and dose of a dosing regimen." Poor medication adherence can interfere with the ability to treat many diseases, leading to greater complications and a lower quality of life.(3) In this issue of Acta Neurologica Taiwanica, Chen et al. Read More

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December 2019

Acute Ischemic Stroke.

Acta Neurol Taiwan 2019 Sep;28(3):84-85

Advanced Technology Department of Diagnostic and Therapy - Radiology and Interventional Radiology Unit, ASST Santi Paolo and Carlo - San Carlo Borromeo Hospital, Milano, ITALY.

A 77-year-old woman with a history of hypertension developed acute onset of aphasia and right hemiplegia and hemisensory loss. She was urgently referred to emergency department. Cerebral multidetector computed tomographic angiography (MD-CTA) revealed an acute ischemic stroke due to the occlusion of the left middle cerebral artery (Figure 1). Read More

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September 2019

Ictal-Interictal Comparison of FDG-PET Findings in Sporadic Hemiplegic Migraine.

Acta Neurol Taiwan 2019 Sep;28(3):78-83

Department of Neurology, Neurological Institute, Taipei Veterans General Hospital, Taipei, Taiwan.

Purpose: Sporadic hemiplegic migraine (SHM) is characterized by a prolonged motor aura that accompanies a migraine attack, and its underlying pathophysiology remains unclear. Functional image during the event can help to explore the mechanism.

Case Report: We report a finding of 18-fluorodeoxyglucose positron emission tomography (FDG-PET) in a 15-year-old female with SHM. Read More

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September 2019

High Resistance Index in the Feeding Arteries of Indirect Carotidcavernous Fistulae: A Diagnostic Pitfall.

Acta Neurol Taiwan 2019 Sep;28(3):75-77

Department of Neurology, Mackay Memorial Hospital, Taipei, Taiwan.

Carotid-cavernous fistulae (CCFs) are classified into the direct and indirect types, which can be attributed to trauma, atherosclerosis, hypertension, diabetes mellitus, pregnant or postmenopausal status(1). Cerebral angiography is the gold standard for the diagnosis of CCFs. Doppler ultrasound, which typically reveals increased blood flow velocity and decreased resistance index (RI) in the feeding arteries, can assist in the diagnosis(2-3). Read More

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September 2019

Association of Paraoxonse1 (PON1) Genotypes with the Activity of PON1 in Patients with Parkinson's Disease.

Acta Neurol Taiwan 2019 Sep;28(3):66-74

Department of Biochemistry and Clinical Laboratories, Faculty of Medical Sciences, Tabriz University of Medical Sciences, Tabriz, Iran.

Objective: Various numbers of factors such as oxidative stress, neurotoxins, and pesticides have been implicated in its pathophysiology of Parkinson's disease (PD). Paraoxonas1 (PON1) metabolizes xenobiotics, including pesticides. Therefore, we surveyed the relationship between PON1 polymorphisms with its activities in the pathogenesis of Parkinson's disease. Read More

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September 2019

Auditory Brainstem Response in Patients with Tinnitus Associated with Vitamin B12 Deficiency.

Acta Neurol Taiwan 2019 Sep;28(3):59-65

Department of Neurology, Sivas State Hospital Sivas.

Abtract Objective: The auditory brainstem response (ABR) has been reported as normal in patients with vitamin B12 deficiency, but there have also been reported cases of interference in amplitude responses. However, studies investigating the effects of vitamin B12 on auditory response are limited in patients with tinnitus. The aim of this study was to investigate the ABR findings in patients with tinnitus together with vitamin B12 deficiency. Read More

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September 2019

Duplication of Intracavernous Internal Carotid Artery.

Acta Neurol Taiwan 2019 Jun;28(2):57-58

Department of Diagnostic Imaging-Interventional Radiology Unit E.O. Galliera Hospital, Mura delle Cappuccine, 14-16128 Genova, ITALY.

ation. No significant past medical history except for pharmacologically controlled mild hypertension. During the neurological examination the patient appeared alert, oriented and showed no deficit of strength, sensitivity and coordination. Read More

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A Case of Fabry Disease Presenting with Young Stroke and Fever.

Acta Neurol Taiwan 2019 Jun;28(2):52-56

Department of Neurology, Pathology and Nephrology, Mennonite Christian Hospital, Hualien, Taiwan.

Although it is known that Fabry disease should be included in the differential diagnosis of young stroke and fever of unknown origin, it has not been reported in the literature of stroke with fever as the presentation of Fabry disease. This is relevant because stroke with fever may misguide the differential diagnosis. Here we present a young stroke patient with fever. Read More

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Adult onset MELAS Syndrome Presenting as A Mimic of Herpes Simplex Encephalitis.

Acta Neurol Taiwan 2019 Jun;28(2):46-51

Department of Neurology, Neurological Institute, Taipei Veterans General Hospital, Taipei, Taiwan.

Purpose: Mitochondrial encephalomyopathy, lactic acidosis and stroke-like episodes (MELAS) syndrome primarily affects the young and may not be considered first in an older adult with infection-like encephalopathy. Here, we present the case of a patient who suffered from the acute onset of fever, delirium, and epilepsy, mimicking herpes simplex encephalitis (HSE).

Case Report: A 52-year-old woman with diabetes and end stage renal disease (ESRD) regularly took oral anti-diabetic drugs (OADs) and received hemodialysis. Read More

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Cerebellar PACNS in an Elderly Patient Present as a Tumor-Like Mass Lesion: A case Report.

Acta Neurol Taiwan 2019 Jun;28(2):38-43

Division of Neurology, Department of Medicine, Kaohsiung Veterans General Hospital, Taiwan.

Purpose: PACNS has a broad spectrum of clinical manifestations without typical features, and its clinical diagnosis is challenging. We report an elderly patient of cerebellar PACNS (Primary angiitis of central nervous system) presented as a brain tumor by MRI, and primary angiitis was proven by pathology.

Case Report: We report an 81-year-old female who complained about vertigo for 3 weeks with right arm dysmetria. Read More

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Cannabis and Neuropsychiatric Disorders: An Updated Review.

Acta Neurol Taiwan 2019 Jun;28(2):27-39

Department of Neurology, Kaiser Permanente Medical Center, Orange County, California, U.S.A.

Cannabis plant has the scientific name called Cannabis sativa L. Cannabis plant has many species, but there are three main species including Cannabis sativa, Cannabis indica and Cannabis ruderalis. Over 70 compounds isolated from cannabis species are called cannabinoids (CBN). Read More

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Cerebral microbleeds associated with critical illness.

Acta Neurol Taiwan 2019 Mar;28(1):25-26

School of Medicine, National Yang-Ming University, Taipei, Taiwan.

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March 2019
1 Read

Effects of surgical treatment for classical trigeminal neuralgia with concomitant persistent facial pain.

Acta Neurol Taiwan 2019 Mar;28(1):17-24

Department of Oral Diagnostic Sciences, Nihon University school of Dentistry Tokyo, Japan.

Purpose: Classical trigeminal neuralgia with concomitant persistent facial pain responds poorly to conservative treatment. The authors describe the effects of microvascular decompression and radiofrequency thermocoagulation for patients with classical trigeminal neuralgia and concomitant persistent facial pain.

Case Report: Case 1 was a 61-year-old man with dull, continuous, aching pain in the left maxillary and mandibular molar area. Read More

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March 2019
1 Read

Klebsiella pneumoniae brain abscesses in an elderly patient without clinically evident neurological signs and symptoms.

Acta Neurol Taiwan 2019 Mar;28(1):12-16

Department of Neurology, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, Taiwan.

Purpose: It is difficult to diagnose a brain abscess if the patient does not have clinically evident neurological features. We present the diagnosis and therapeutic course of an elderly woman with multiple Klebsiella (K.) pneumoniae brain abscesses without neurological signs or symptoms. Read More

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March 2019
3 Reads

New insights of the fever following subarachnoid hemorrhage and introducing a new thermoregulator like structure in choroid plexuses; preliminary study.

Acta Neurol Taiwan 2019 Mar;28(1):1-11

Ataturk University, Medical Faculty Department of Pathology Erzurum Turkey.

Objective: Vagal nerves and their thermoreceptors could regulate temperature of brain. Cerebrospinal fluid (CSF) is increased in the early phases of subarachnoid hemorrhage (SAH). We hypothesised that choroid plexuses probably innervated by vagal nerves may play a role on the regulation of brain temperature and studied this subject. Read More

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March 2019
3 Reads

Renal Function Estimates and Dosing of Direct Oral Anticoagulants in Stroke Patients with Atrial Fibrillation: An Observational Study.

Acta Neurol Taiwan 2018 Jun;27(2):39-44

Department of Neurology, Chi-Mei Medical Center, Tainan, Taiwan.

Purpose: Appropriate dosing of direct oral anticoagulants (DOACs) requires consideration of renal function. Discordance between commonly used estimated glomerular filtration rate (eGFR) and creatinine clearance (CrCl) might affect the dosing appropriateness in stroke patients with atrial fibrillation (AF). We aimed to explore the effect of renal function estimates on the dosing patterns in a real-world setting. Read More

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Epilepsy versus Asthma Perceptions among Preschool Teachers in Taiwan-Past versus Present.

Acta Neurol Taiwan 2018 Jun;27(2):33-38

Department of Neurology , Cheng-Ching Hospital.

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Electroencephalographic periodic discharges in Metronidazoleinduced encephalopathy: a case report.

Acta Neurol Taiwan 2017 Dec;26(4):184-188

Department of Neurology, Neurological Institute, Taipei Veterans General Hospital, Taipei, Taiwan.

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December 2017
2 Reads

Clinical and Electrophysiological Analysis of Chronic Eyelid Twitching.

Acta Neurol Taiwan 2017 Dec;26(4):177-183

Department of Neurology, West Garden Hospital.

Purpose: Nearly everyone had experience of eyelid twitching (ET) and most physicians think it is benign and self limited. Most neurologists consider it is a symptom rather a disease. However, sometimes ET persists longer and becomes bothersome in some cases, i. Read More

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December 2017
14 Reads

A Review of Infantile Vanishing White Matter Disease and A New Mutation.

Authors:
Halûk Yavuz

Acta Neurol Taiwan 2017 Dec;26(4):167-176

Necmettin Erbakan Üniversitesi, Meram Tıp Fakültesi, Çocuk Bölümü, Akyokuş/Meram, 42080 Konya, Turkey.

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December 2017
9 Reads

Quality of Life and Psychological Distress of Caregivers' of Stroke People.

Acta Neurol Taiwan 2017 Dec;26(4):154-166

Purpose: Caregivers play a substantial role on support at stroke survivors after acute hospitalization. The aims of the current study were: to determine the quality of life of caregivers of patients with stroke, and to evaluate the predictors of quality of life in caregivers.

Methods: It is a cross-sectional study including 150 caregivers of patients with haemorrhagic or ischemic stroke. Read More

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December 2017
4 Reads

Clinical Characteristics and Therapeutic Outcomes of Postneurosurgical Bacterial Meningitis in Elderly Patients over 65: A Hospital-based Study.

Acta Neurol Taiwan 2017 Dec;26(4):144-153

Departments of Neurology, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, Taiwan.

Purpose: To investigate the clinical characteristics, laboratory features and prognostic factors of elderly patients with postneurosurgical bacterial meningitis.

Methods: Five hundred and forty patients with adult bacterial meningitis (ABM) were collected from 1986-2015, of whom 167 were ≥ 65 years. Of these 167 elderly patients, 82 had postneurosurgical infections and 85 had spontaneous infections. Read More

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December 2017
11 Reads

Autologous Hematopoietic Stem Cell Transplantation for the Treatment of Neuromyelitis Optica in Singapore.

Acta Neurol Taiwan 2018 Mar;27(1):26-32

Department of Neurology, National Neuroscience Institute of Singapore, Singapore General Hospital, Singapore.

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March 2018
1 Read

Recurrent Hypoglycemia-induced Hemiballism with Self-limited after Sleep - A Case Report.

Acta Neurol Taiwan 2018 Mar;27(1):22-25

Neurology Department, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.

Purpose: Hemiballism caused by hypoglycemia is rare. We presented a case who suffered from episodic hemiballism induced by hypoglycemia with spontaneously recovery after sleep. The possible mechanism of these self-limited episodes was also discussed. Read More

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March 2018
22 Reads

Delayed Endovascular Thrombectomy in a Patient Suffering from Stroke in Progression after Intravenous Thrombolytic Therapy.

Acta Neurol Taiwan 2018 Mar;27(1):18-21

Department of Neurology, National Cheng Kung University Hospital, Tainan, Taiwan.

Purpose: Significant improvement of stroke symptoms may occur in acute stroke patients due to large artery occlusion (LAO) treated with intravenous thrombolysis (IVT). Directly proceeding with endovascular thrombectomy (EVT) would be a clinical dilemma.

Case Report: A 55-year-old male suddenly suffered from global aphasia and right side hemiplegia at work. Read More

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March 2018
6 Reads

Subdural Hemorrhage in Patients with End-Stage Renal Disease Requiring Dialysis: A Single-Center Study.

Acta Neurol Taiwan 2018 Mar;27(1):9-17

Division of Nephrology, Department of Internal Medicine, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.

Purpose: Patients with end-stage renal disease (ESRD) have higher risks of subdural hemorrhage (SDH) and subsequent 30-day mortality. However, evidences regarding optimal mode of dialysis therapy during acute management are sparse. We aimed to compare the outcomes of ESRD patients who received continuous peritoneal dialysis (CPD) or extended hemodialysis (EHD) after SDH and determined factors associated with 30-day mortality. Read More

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March 2018
4 Reads

Perceived Social Stigma in Patients with Multiple Sclerosis: A Study from Iran.

Acta Neurol Taiwan 2018 Mar;27(1):1-8

Department of Neurology, Sina MS Research Center, Tehran University of Medical Sciences, Tehran, Iran.

Objectives: Social Stigma is potentially a major problem in multiple sclerosis patients which strongly affects the quality of life. The aim of this study was to determine the prevalence of perceived stigma in patients with MS in a sample of Iranian population.

Methods: This cross-sectional study was performed on 305 MS patients who were referred to Iranian Multiple Sclerosis Society in 2014. Read More

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March 2018
4 Reads

Isolated Basilar Artery Dissection with Ischemic Stroke: Report of 4 Cases.

Acta Neurol Taiwan 2017 Sep;26(3):138-143

Department of Neurology, National Taiwan University Hospital, Taipei, Taiwan.

Purpose: Isolated basilar artery dissection (BAD) is a rare cause of ischemic stroke. Since the clinical presentations and imaging findings could be non-specific and subtle, the diagnosis may be difficult. Here, we presented four cases of isolated BAD with acute ischemic stroke. Read More

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September 2017
4 Reads

Diagnosis of Chronic Leptomeningitis by Using Meningeal Biopsy: A Case Report of Tuberculous Meningitis.

Acta Neurol Taiwan 2017 Sep;26(3):133-137

Department of Neurology, Shuang Ho Hospital, Taipei Medical University, New Taipei City, Taiwan.

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September 2017
2 Reads

Fusarium Brain Abscess in a Patient with Diabetes Mellitus and Liver Cirrhosis.

Acta Neurol Taiwan 2017 Sep;26(3):128-132

Department of Neurology, MacKay Memorial Hospital, Taipei, Taiwan.

Purpose: Invasive mycosis caused by the Aspergillus, Fusarium, and Mucor can be fetal, especially in the immunocompromised patients with central nervous system (CNS) involvement. Here we present a case of CNS Fusarium infection, and this is the first reported case of Fusarium brain abscess in Taiwan.

Case Report: A 65-year-old woman presented with fever and conscious disturbance for 3 days. Read More

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September 2017
12 Reads

Malnutrition in Acute Stroke Patients Stratified by Stroke Severity- A Hospital Based Study.

Acta Neurol Taiwan 2017 Sep;26(3):120-127

Division of Cerebrovascular Diseases, Department of Neurology, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, Taiwan.

Background: Stroke results in high mortality with tremendous health care burden. Malnutrition is frequently observed in patients after stroke. This study was designed to explore the nutritional status in the acute stage of stroke aiming at exploring factors related to malnutrition after stroke. Read More

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September 2017
3 Reads

Outcome of Myasthenia gravis treated with high-dose prednisolone and azathioprine: A single centre ambispective study from India.

Acta Neurol Taiwan 2017 Sep;26(3):106-119

Purpose: Myasthenia gravis (MG) is treated with many disease modifying therapies, namely corticosteroids, thymectomy and immunosuppressants, alone or in various combinations. But still, till today no consensus over the optimum therapy for MG has been made.

Methods: Out of total 101 patients with MG, 37 patients fulfilled the inclusion criteria and in them we ambispectively studied factors affecting the outcome in MG treated, to induce leukopenia, with prednisolone (PSL) plus azathioprine(AZA), from January 1993 through July 2014. Read More

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September 2017
7 Reads

Analysis of Clinical and Metabolic Profile of Acute Neuromuscular Weakness Related to Hypokalemia.

Acta Neurol Taiwan 2017 Sep;26(3):97-105

Department of Neurology, Dr. Ram Manohar Lohia Institute of Medical Sciences, Lucknow, Uttar Pradesh- 226010, India.

Objective: Acute neuromuscular weakness related to hypokalemia is a readily treatable disorder associated with diverse aetiologies. In this study we aim to report clinical pattern and biochemical features to identify the different aetiologies of the hypokalemic neuromuscular weakness.

Methods: Retrospective reviews of the medical record were analysed. Read More

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September 2017
14 Reads

Medical Treatment Guidelines for Acute Migraine Attacks.

Acta Neurol Taiwan 2017 Jun;26(2):78-96

In 2015, the American Headache Society (AHS) amended the treatment guideline of acute migraine based on evidence-based medicine (EBM) that all triptans in any form of preparations, acetaminophen, and non-steroid anti-inflammation drugs-NSAID (aspirin, diclofenac, ibuprofen, naproxen), sumatriptan/naproxen, combined acetaminophen/aspirin/caffeine are considered effective (Level A). Previously effective drugs as prochlorperazine, and dihydroergotamine-DHE (excluded inhaled form) were downrated to probable effective (Level B). Taiwan Headache Society published its treatment guideline for acute migraine attack in 2007. Read More

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June 2017
9 Reads

Rapid Progression of Vertebral Artery Occlusion After Radiotherapy for Nasopharyngeal Carcinoma.

Acta Neurol Taiwan 2017 Jun;26(2):76-77

Department of Neurology, National Taiwan University Hospital, Taipei, Taiwan.

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June 2017
6 Reads

Orbital Cellulitis Presenting as Giant Cell Arteritis: A Case Report.

Acta Neurol Taiwan 2017 Jun;26(2):72-75

Department of Neurology, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, Republic of China.

Purpose: To present a case of orbital cellulitis initially mimicking giant cell arteritis.

Case Report: An 80-year-old man with a history of hypertension and type 2 diabetes mellitus was referred with a prominent progressive headache over the right temporal and periorbital areas. Non-contrast brain CT results were normal, but ESR was elevated. Read More

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June 2017
21 Reads