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Acta Neurologica Taiwanica

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https://read.qxmd.com/read/30315559/autologous-hematopoietic-stem-cell-transplantation-for-the-treatment-of-neuromyelitis-optica-in-singapore
#1
Koh Yeow Hoay, Pavanni Ratnagopal
No abstract text is available yet for this article.
March 15, 2018: Acta Neurologica Taiwanica
https://read.qxmd.com/read/30315558/recurrent-hypoglycemia-induced-hemiballism-with-self-limited-after-sleep-a-case-report
#2
Chiu-Jung Lin, Hsiu-Fen Lin
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. CASE REPORT: An 82-year-old female diabetic patient took oral anti-diabetic drugs (OADs) regularly. The doctor changed OADs doses and her appetite became poor before admission. She suffered from episodic left side involuntary movements with consciousness disturbance, and recovered spontaneously after a six-to-eight hour sleep in every attack at home...
March 15, 2018: Acta Neurologica Taiwanica
https://read.qxmd.com/read/30315557/delayed-endovascular-thrombectomy-in-a-patient-suffering-from-stroke-in-progression-after-intravenous-thrombolytic-therapy
#3
Yu-Ming Chang, Chih-Yuan Huang, Hui-Chen Su, Chih-Hung Chen, Pi-Shan Sung
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. Left proximal middle cerebral artery (MCA) occlusion was shown on CT angiography. After IVT, NIHSS significantly improved from 11 to 4 points...
March 15, 2018: Acta Neurologica Taiwanica
https://read.qxmd.com/read/30315556/subdural-hemorrhage-in-patients-with-end-stage-renal-disease-requiring-dialysis-a-single-center-study
#4
Cheng-Yang Hsieh, Chia-Cheng Lai, Jung-Shun Lee, Chin-Chung Tseng
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. METHODS: We retrospectively reviewed consecutive patients with SDH and ESRD in a medical center...
March 15, 2018: Acta Neurologica Taiwanica
https://read.qxmd.com/read/30315555/perceived-social-stigma-in-patients-with-multiple-sclerosis-a-study-from-iran
#5
Soroor Kalantari, Mojgan Karbakhsh, Zahra Kamiab, Zahra Kalantari, Mohammad Ali Sahraian
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. The main variables were perceived stigma, age, sex, marital status, educational level, occupation, duration of the disease, type of symptoms, disability expanded status scale, family history and economic status...
March 15, 2018: Acta Neurologica Taiwanica
https://read.qxmd.com/read/30315564/electroencephalographic-periodic-discharges-in-metronidazoleinduced-encephalopathy-a-case-report
#6
Hsing-Han Wang, Shang-Yeong Kwan
No abstract text is available yet for this article.
December 15, 2017: Acta Neurologica Taiwanica
https://read.qxmd.com/read/30315563/clinical-and-electrophysiological-analysis-of-chronic-eyelid-twitching
#7
Shih-Ying Lee, Szu-Chia Lai
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.e. chronic ET (CET). CET was seldom discussed seriously and studied extensively. Few studies concerning of CET especially its electrophysiological features had been reported. The purposes of this study are to delineate its clinical features and electrophysiological characters of CET...
December 15, 2017: Acta Neurologica Taiwanica
https://read.qxmd.com/read/30315562/a-review-of-infantile-vanishing-white-matter-disease-and-a-new-mutation
#8
Halûk Yavuz
No abstract text is available yet for this article.
December 15, 2017: Acta Neurologica Taiwanica
https://read.qxmd.com/read/30315561/quality-of-life-and-psychological-distress-of-caregivers-of-stroke-people
#9
Parpa Efi, Katri Fani, Tsilika Eleni, Katsaragakis Stylianos, Kouloulias Vassilios, Baliotis Konstantinos, Lemonidou Chrysoula, Mystakidou Kyriaki
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. Participants completed the Greek version of the 12-item Short Form Health Survey assessing caregivers' quality of life...
December 15, 2017: Acta Neurologica Taiwanica
https://read.qxmd.com/read/30315560/clinical-characteristics-and-therapeutic-outcomes-of-postneurosurgical-bacterial-meningitis-in-elderly-patients-over-65-a-hospital-based-study
#10
Jun-Jun Lee, Chia-Yi Lien, Chi-Ren Huang, Nai-Wen Tsai, Chiung-Chih Chang, Cheng-Hsien Lu, Wen-Neng Chang
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. Clinical, laboratory and therapeutic data of these two groups were compared...
December 15, 2017: Acta Neurologica Taiwanica
https://read.qxmd.com/read/29468623/isolated-basilar-artery-dissection-with-ischemic-stroke-report-of-4-cases
#11
Szu-Ju Chen, Li-Kai Tsai, Sung-Chun Tang, Jiann-Shing Jeng
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. CASE REPORT: Four patients (age, 22 to 57 years) experienced acute onset of hemiparesis and/or vertigo with half of them having initial headache. Acute infarct was noted at pons or thalamus...
September 15, 2017: Acta Neurologica Taiwanica
https://read.qxmd.com/read/29468622/diagnosis-of-chronic-leptomeningitis-by-using-meningeal-biopsy-a-case-report-of-tuberculous-meningitis
#12
Li-Kai Huang, Chien-Min Lin, Chi-Jen Chen, Chaur-Jong Hu
No abstract text is available yet for this article.
September 15, 2017: Acta Neurologica Taiwanica
https://read.qxmd.com/read/29468621/fusarium-brain-abscess-in-a-patient-with-diabetes-mellitus-and-liver-cirrhosis
#13
Yu-Ju Chen, Chao-Liang Chou, Kuan-Ju Lai, Ya-Ju Lin Lin
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. Neurological examination showed stupor consciousness, neck stiffness, multiple cranial nerves palsy, and bilateral Babinski signs...
September 15, 2017: Acta Neurologica Taiwanica
https://read.qxmd.com/read/29468620/malnutrition-in-acute-stroke-patients-stratified-by-stroke-severity-a-hospital-based-study
#14
Dong-Yi Hsieh, Jen-Wen Hung, Ku-Chou Chang, Yu-Ching Huang, Tsong-Hai Lee, Hsiu-Min Chen
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. METHODS: This was a hospital based, prospective, observational study recruiting cerebrovascular diseases patients hospitalized for acute management. Patients suffered from all kinds of cerebrovascular diseases hospitalized for management within 30 days after onset were consecutively recruited in the study hospitals...
September 15, 2017: Acta Neurologica Taiwanica
https://read.qxmd.com/read/29468619/outcome-of-myasthenia-gravis-treated-with-high-dose-prednisolone-and-azathioprine-a-single-centre-ambispective-study-from-india
#15
Mukesh Dube, Ajoy Sodani, Dinesh Chouksey
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...
September 15, 2017: Acta Neurologica Taiwanica
https://read.qxmd.com/read/29468618/analysis-of-clinical-and-metabolic-profile-of-acute-neuromuscular-weakness-related-to-hypokalemia
#16
Ajai Kumar Singh, Pradeep Kumar Maurya, Dinkar Kulshreshtha, Mayur Deepak Thakkar, Anup Kumar Thacker
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. Evaluation included demography, clinical features, investigations performed to ascertain the aetiologies. All the patients were categorised in to 3 groups; Idiopathic hypokalemic paralysis (IHP), dengue associated hypokalemic paralysis (DHP) and secondary group (SG) which included renal tubular acidosis (RTA- 1 and 2), thyrotoxic periodic paralysis (TPP) and Gitelman's syndrome (GS)...
September 15, 2017: Acta Neurologica Taiwanica
https://read.qxmd.com/read/29250761/medical-treatment-guidelines-for-acute-migraine-attacks
#17
Yung-Chu Hsu, Kao-Chang Lin, Treatment Guideline Subcommittee Of Taiwan Headache Society Taiwan Headache Society
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)...
June 15, 2017: Acta Neurologica Taiwanica
https://read.qxmd.com/read/29250760/rapid-progression-of-vertebral-artery-occlusion-after-radiotherapy-for-nasopharyngeal-carcinoma
#18
Tzu-Ching Chen, Sung-Chun Tang, Jiann-Shing Jeng
No abstract text is available yet for this article.
June 15, 2017: Acta Neurologica Taiwanica
https://read.qxmd.com/read/29250759/orbital-cellulitis-presenting-as-giant-cell-arteritis-a-case-report
#19
Yu-Wei Hsu, Fu-Chi Yang, Jiunn-Tay Lee, Hung-Wen Kao, Chia-Kuang Tsai
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. Giant cell arteritis was suspected initially. However, the symptoms progressed under oral corticosteroid therapy. The subsequent brain MRI with contrast revealed extensive contrast enhancement along the right optic nerve and optic canal with a rim-enhancing lesion in the posterior aspect of the optic nerve...
June 15, 2017: Acta Neurologica Taiwanica
https://read.qxmd.com/read/29250758/refractory-facial-paralysis-a-case-report
#20
Yu-Wei Hsu, Jiunn-Tay Lee, Yi-Shu Liao, Shin Nieh, Chun-An Cheng, Chia-Kuang Tsai
PURPOSE: To present a case of salivary gland malignancy initially mimicking Bell's palsy. CASE REPORT: A 75-year-old woman with hypertension visited our neurological outpatient department,complaining of persistent right facial paralysis for more than a year after oral glucocorticoid therapy with recent development of vertigo and unsteady gait. She was previously diagnosed as having Bell's palsy and was prescribed oral glucocorticoid. However, her right facial muscles were still completely paralyzed, with no signs of improvement...
June 15, 2017: Acta Neurologica Taiwanica
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