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진주예,이상암,김보미 대한수면연구학회 2014 Journal of sleep medicine Vol.11 No.1
Most secondary form of rapid eye movement (REM) sleep behavior disorder (RBD) is associated with neurodegenerative diseases or narcolepsy. However, RBD may also occur in acute or subacute conditions involving the central nervous system, for example structural lesions, encephalitis, Gguillain-Bbarré syndrome, drug and alcohol withdrawal. Three patients developed an acute inflammatory encephalitis. Between and after these episodesThereafter, they had RBD lasting for 3 months to 1 year. They talked, moved and walked nightly while asleep. During night video-polysomnography, there were REM sleep without atonia and abnormallyity increased REM sleep as 37~93% of total sleep. The RBD improved with clonazepam and there was no recurrencet at 1 year follow up. The global encephalitis could be responsible for the RBD and destruction of sleep architecture.
진주예,류온화,이주경,임영민,이상암 대한신경과학회 2014 대한신경과학회지 Vol.32 No.1
Anti-GQ1 antibody is found in patients with Miller-Fisher syndrome (MFS), atypical MFS, and Bickerstaff’s brainstemencephalitis (BBE). These conditions are various manifestations of post-infectious autoimmune disorders, and anti-GQ1bantibodies play a core pathogenic role. So they are referred as the ‘anti-GQ1b antibody syndrome’. We report two cases ofrecurrent anti-GQ1b antibody syndrome.
흉선종을 가진 환자에서 부분운동간대발작으로 발현한 신생물딸림 변연계외부 뇌염
이유진,류한욱,진주예,김효재,이상암 대한신경과학회 2015 대한신경과학회지 Vol.33 No.3
Paraneoplastic encephalitis presenting with partial clonic seizure is rare. We report a 57-year-old man with clonic seizure in his left arm. He had past medical history of recurrent thymoma and thymomectomy. Magnetic resonance imaging showed multiple brain lesions, but none of them were congruent with the partial seizure. His symptoms and brain lesions resolved after steroid therapy. This is the first reported case extralimbic encephalitis presenting as partial seizure with invasive thymoma in Korea.
증상이 있는 대뇌정맥발달이상의 병리기전 규명을 위한 디지털감산혈관조영술의 진단 가치
권보성,김범준,구준모,윤혁준,진주예,권순억 대한신경과학회 2014 대한신경과학회지 Vol.32 No.2
Cerebral developmental venous anomaly (DVA) is generally benign. However, we have experienced two cases of DVAcausing symptoms. In the first case, the patient demonstrated DVA with venous infarction. DVA was visualized in thearterial phase using digital subtraction angiography (DSA), and was diagnosed as arterialized DVA. The second casepresented as transient right homonymous hemianopia. DSA revealed venous congestion; the transient aggravation ofvenous congestion may have caused the symptom. DSA is useful for diagnosing the pathomechanism of symptomaticDVAs.