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Serial Magnetic Resonance Imaging Findings in Hyperglycemia-Related Osmotic Demyelination Syndrome: A Case Report

Kim JH, Park NH, Park JY, Kim SJ

We report a rare case of hyperglycemia-related osmotic demyelination syndrome (ODS) with focus on the imaging findings. A 61-year-old man with diabetes was admitted for general weakness and severe thirst....
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Feasibility and Effectiveness of Direct Puncture and Onyx Embolization for Transverse Sinus Dural Arteriovenous Fistula

Nam TK, Byun JS, Choi HH, Chung MS, Lee EJ

Direct puncture and embolization of the transverse sinus (TS) for treatment of dural arteriovenous fistula (DAVF) is typically performed with coils with or without glue. We report a case of...
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Clinical and Radiographic Characteristics of Neuro-Behçet's Disease in South Korea

Kim SW, Kim TG, Oh J, Kim DY, Choi YC, Kim SM, Shin HY, Bang D

BACKGROUND AND PURPOSE: Neurological involvement in Behçet's disease [neuro-Behçet's disease (NBD)] is uncommon, but it is worth investigating since it can cause substantial disability. However, difficulties exist in understanding the...
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Reduction glossectomy of congenital macroglossia due to lymphangioma

Kim JH, Kwon HJ, Rhie JW

Macroglossia is a rare clinical condition defined as an enlarged tongue. Macroglossia can cause structural deformities like diastema and disproportionate mandibular growth and present functional disorders such as dysarthria, dysphonia,...
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Prosthetic rehabilitation by double-processing technique for edentulous patient with soft palate defect after maxillectomy: A case report

Park JY, Wang YK, Song KY, Park JM, Lee JJ

A patient who went through maxillectomy can have soft palate defects including oronasal fistulas and suffer from dysphagia and dysarthria due to velopharyngeal insufficiency. This defect causes the food to...
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An Imported Case of Disseminated Echinococcosis in Korea

Shin DH, Jo HC, Kim JH, Jun KI, Park WB, Kim NJ, Choi MH, Kang CK, Oh MD

A complicated case of echinococcosis with multiple organ involvement is reported in a 53-year-old businessman who frequently traveled overseas, including China, Russia, and Kazakhstan from 2001 to 2007. The patient...
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A Case of Recurrent Supratentorial Extraventricular Anaplastic Ependymoma in Adult

Seo SW, Kang HJ, Lee MS, Suh SJ, Lee YS, Lee JH, Kang DG

Supratentorial extraventricular anaplastic ependymoma (SEAE) in adults is a relatively rare intracranial tumor. Because of the very low prevalence, only a few cases have been reported. According to a recent...
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Assessment of Dysarthria Using One-Word Speech Recognition with Hidden Markov Models

Lee SH, Kim M, Seo HG, Oh BM, Lee G, Leigh JH

BACKGROUND: The gold standard in dysarthria assessment involves subjective analysis by a speech–language pathologist (SLP). We aimed to investigate the feasibility of dysarthria assessment using automatic speech recognition. METHODS: We developed...
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Constrained-Induced Dysarthria Therapy: Case Report

Roggeman S, Truyers C, Safin I, Huysman E, Dan B

We describe a 33-year-old woman with chronic bulbar dysarthria after ischemic brainstem stroke who underwent a new form of constraint-induced therapy, namely constraint-induced dysarthria therapy, based on three principles: avoidance...
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Novel compound heterozygous mutations of ATM in ataxia-telangiectasia: A case report and calculated prevalence in the Republic of Korea

Jang MJ, Lee CG, Kim HJ

Ataxia-telangiectasia (AT; OMIM 208900) is a rare autosomal recessive inherited progressive neurodegenerative disorder, with onset in early childhood. AT is caused by homozygous or compound heterozygous mutations in ATM (OMIM...
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Bilateral Lesions in the Posterior Limb of Internal Capsule Attributed to Combination Therapy of Isoniazid and Rifampin

Park MW, Roh J, Im S, Kim MO, Kim YS, Kang J, Kim DH, Kwon OY

Transient isoniazid-induced brain lesions have rarely been reported. The lesions were in the dentate nucleus of cerebellum and thalamus. Meanwhile, the neurotoxicity of rifampin has not been reported evidently. We...
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STA-Distal ACA Bypass Using a Contralateral STA Interposition Graft for Symptomatic ACA Stenosis

Hwang YH, Kwon YS, Lee YH

Intracranial arterial stenosis usually occurs due to atherosclerosis and is considered the most common cause of stroke worldwide. Although the effectiveness of bypass surgery for ischemic stroke is controversial, the...
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Postoperative Transient Neurologic Dysfunction: A Proposal for Pathophysiology

Phi JH, Lee SJ, Kang HS, Kim JE, Kim SK, Cho WS, Lee SY

BACKGROUND AND PURPOSE: Sudden neurological deterioration which cannot be explained by structural change, ischemia or seizure is often observed among neurosurgical patients. We aimed to provide new insight into the...
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Hashimoto's Encephalopathy with Reversible Diffuse Leukoencephalopathy

Hwang W, Jeong DE

BACKGROUND: The magnetic resonance imaging (MRI) findings of Hashimoto's encephalopathy (HE) are variable; images range from having a normal appearance, to showing ischemic lesions, demyelination, or vasogenic edema. CASE REPORT: A...
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Miliary Tuberculosis Mimicking Brain Metastasis from Renal Cell Carcinoma

Ko Y, Mo EK, Park YB, Kang MR, Bae JS, Kim Y

BACKGROUND: Miliary tuberculosis (TB) can cause diagnostic confusion for clinicians because its radiological appearance can resemble that of metastatic cancer. CASE REPORT: Here, we describe the case of a 72-yearold woman...
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Paroxysmal Ataxia and Dysarthria in a Patient with Demyelinating Disease

Baek MS, Lee H, Kim D, Koo Y, Jang K, Jeong J, Kim WJ

Paroxysmal dysarthria and ataxia is characterized by abrupt onset of dysarthria and ataxia of unilateral limbs for seconds. We present a 45-year-old female patient with paroxysmal symptoms of dysarthria, right-sided...
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Clinical Characteristics of Stroke Mimics Presenting to a Stroke Center within the Therapeutic Window of Thrombolysis

Yahia MM, Bashir S

This study aimed at identifying the frequency and final diagnoses of stroke mimics (SMs) among suspected stroke cases, and seeking differences in clinical & imaging features between SMs and true...
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A Case of Medullary Infarction Presented Initial Symptoms Similar to Meniere’s Disease

Park JH, Kim DH, Sung JM, Kim CW

Fluctuating hearing loss and vertigo are the typical presentations of Meniere’s disease. However, it is unusual that fluctuating hearing loss and vertigo are caused by vertebral artery occlusion or cerebral...
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A case of acute motor sensory axonal neuropathy presenting reversible conduction block

Lee D, Kim HC, Park KM, Park J, Ha SY, Kim SE, Lee BI, Kim JK, Yoon B, Shin KJ

Reversible conduction block (RCB) was rare in patients with acute motor sensory axonal neuropathy (AMSAN). A-46-year-old man presented with paresthesia, weakness, diplopia, and dysarthria. Nerve conduction study (NCS) exhibited axonal...
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Neurodegenerative Disease and Speech Rehabilitation

Yoon JH

Neurodegenerative diseases such as Parkinson's disease and amyotrophic lateral sclerosis may induce impairment of speech motor system. This review discusses the characteristics of dysarthria and symptom management for these conditions....
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