Journal of Clinical Neurology

Intellectual Disability in Episodic Ataxia Type 2: Beyond Paroxysmal Vertigo and Ataxia
Kim S, Kim JS, Lee SH, Kim JM, Na S, Choi JH and Kim HJ
Episodic ataxia type 2 (EA2) is characterized by recurrent vertigo and ataxia due to mutations in that encodes the α-subunit of the P/Q-type voltage-gated calcium channel. This study aimed to determine intellectual function in EA2.
CGG Repeat Expansion in Causing Overlapping Oculopharyngodistal Myopathy and Neuronal Intranuclear Inclusion Disease With Diffusion Weighted Imaging Abnormality in the Cerebellum
Ma J, Zhang H, Meng B, Qin J, Liu H, Pang X, Zhao R, Wang J, Chang X, Guo J and Zhang W
CGG repeat expansion in the 5' untranslated region (5'UTR) of the Notch 2 N-terminal-like C gene () has been associated with neuronal intranuclear inclusion disease (NIID) and oculopharyngodistal myopathy type 3 (OPDM3). Few OPDM3 patients have been reported. This report describes two OPDM3 patients with novel imaging findings who presented the typical features of NIID, and reviews all OPDM3 cases available in the literature.
Novel Variant Linked to Primary Familial Brain Calcification
Cristea AC, Pérez-Castrillón JL and Usategui-Martin R
Syncope in Migraine: A Genome-Wide Association Study Revealing Distinct Genetic Susceptibility Variants Across Subtypes
Lin W, Liu Y, Liang CS, Yeh PK, Tsai CK, Hung KS, An YC and Yang FC
Syncope is characterized by the temporary loss of consciousness and is commonly associated with migraine. However, the genetic factors that contribute to this association are not well understood. This study investigated the specific genetic loci that make patients with migraine more susceptible to syncope as well as the genetic factors contributing to syncope and migraine comorbidity in a Han Chinese population in Taiwan.
Impact of Siponimod on Clinical and Radiological Parameters of Secondary Progressive Multiple Sclerosis: A Real-World Prospective Study
Stavrogianni K, Kitsos DK, Giannopapas V, Stefanou MI, Christouli N, Smyrni V, Chasiotis AK, Akrivaki A, Dimitriadou E, Chondrogianni M, Tsivgoulis G and Giannopoulos S
Secondary progressive multiple sclerosis (SPMS) presents with a challenging clinical phenotype, and siponimod has a potential to treat the active clinical phenotype of this disease. This single-center longitudinal study aimed to determine the therapeutic effects of siponimod in patients with active SPMS over 12 months.
Association Between Vertebral Arterial Tortuosity and Aneurysm Growth in Intracranial Vertebral Artery Dissection
Park JY, Ha SH, Jeong S, Chang JY, Kang DW, Kwon SU and Kim BJ
An intracranial vertebral artery dissecting aneurysm (iVADA) increases the risk of future subarachnoid hemorrhage, which is a severe complication with high rebleeding rates and poor outcomes. Identifying potential risk factors associated with iVADA growth is crucial for their effective management.
Clinical Cues for the Early Diagnosis of Transthyretin-Related Polyneuropathy
Escolano-Lozano F, Dimova V, Baka P, Geber C and Birklein F
The estimated prevalence of hereditary transthyretin-related familial amyloid polyneuropathy (TTR-FAP) and the small number of known patients in Germany indicate that many patients with TTR-FAP remain undiagnosed, and may instead be classified as "idiopathic." The aim of this study was to identify biomarkers for detecting TTR-FAP among a cohort of patients with idiopathic polyneuropathy (PNP).
Neurophysiological Tests in a Myasthenia Gravis Patient With Muscle-Specific Kinase Antibody Accompanied by Myotonic Discharges
Gökmen S, Fidancı H, Alaydın HC and Söker EB
Solute Carrier Family 2 Member 1 Gene Mutation Presenting as Adult-Onset Paroxysmal Exercise-Induced Dyskinesia Without Epilepsy
Hwang YS and Oh E
Cerebellar Ataxia, Neuropathy, and Vestibular Areflexia Syndrome: The First Genetically Confirmed Case in South Korea
Yun SY, Choi SY, Lee JO, Kim HJ and Kim JS
Cardiovascular Autonomic Dysfunction Before and After Chemotherapy in Cancer Patients
Yoon SY and Oh J
Complications that occur during cancer therapy have emerged as a major contributor to the poor quality of life experienced by cancer patients as they live longer due to improved treatments. Many studies have investigated chemotherapy-induced peripheral neuropathy, but few have investigated the autonomic nervous system. Cardiovascular autonomic dysfunction (CAD) contributes to the distressing symptoms experienced by cancer patients, and it is also related to poor treatment outcomes. CAD has a multifactorial etiology in patients with cancer: it can be caused by the cancer itself, chemotherapy or radiation therapy, or other comorbidities. Its symptoms are nonspecific, and they include orthostatic hypotension, resting tachycardia, dizziness, chest tightness, and exertional dyspnea. It is important to suspect CAD and perform therapeutic interventions in a clinical context, because a patient who is more frail is less like to endure the treatment process. The quality of life of patients receiving active cancer treatments can be improved by evaluating the risk of CAD before and after chemotherapy, and combining both nonpharmacological and pharmacological management. Here we review the prevalence, pathogenesis, diagnosis, and treatment of CAD, which is the most common and a sometimes serious symptom in cancer patients.
Blood Pressure Variability and Ocular Vestibular-Evoked Myogenic Potentials Are Independently Associated With Orthostatic Hypotension
Kim KT, Lee JH, Hong JP, Park JW, Lee SU, Park E, Kim BJ and Kim JS
We delineated the association between otolithic dysfunction and blood pressure (BP) variability.
Erratum: Development and Validation of the Korean Version of the Edinburgh Cognitive and Behavioral Amyotrophic Lateral Sclerosis Screen (ECAS-K)
Lee J, Kim A, Choi SJ, Cho E, Seo J, Oh SI, Jung J, Kim JS, Sung JJ, Abrahams S and Hong YH
This corrects the article on p. 454 in vol. 19, PMID: 37488957.
Customized Visual Discrimination Digital Therapy According to Visual Field Defects in Chronic Stroke Patients
Namgung E, Kim H, Kim YH, Kim YS, Lee EJ, Lee JH, Sasaki Y, Watanabe T and Kang DW
Visual perceptual learning (VPL) may improve visual field defects (VFDs) after chronic stroke, but the optimal training duration and location remain unknown. This prospective study aimed to determine the efficacy of 8 weeks of VFD-customized visual discrimination training in improving poststroke VFDs.
Treatment Patterns and Persistence Among Patients Newly Diagnosed With Migraine in South Korea: A Retrospective Analysis of Health Claims Data
Kim KY, Ko HY, Bea S, Lee HJ, Shin JY and Chu MK
Migraine is one of the most common chronic neurological diseases worldwide. Although diverse treatment regimens have been recommended, there is insufficient evidence for which treatment patterns to apply in routine clinical settings.
Genetic Diagnosis in Neonatal Encephalopathy With Hypoxic Brain Damage Using Targeted Gene Panel Sequencing
Lee S, Kim SH, Kim HD, Lee JS, Ko A and Kang HC
Neonatal encephalopathy (NE) is a neurological syndrome that presents with severe neurological impairments and complications. Hypoxic-ischemic encephalopathy is a major contributor to poor outcomes, being responsible for 50%-80% of admissions to neonatal intensive care units. However, some cases of NE accompanied by hypoxic brain damage cannot be solely attributed to hypoxia-ischemia. We aimed to identify diverse pathogenic genetic variations that may be associated with cases of NE accompanied by hypoxic brain damage rather than hypoxia-ischemia.
Withdrawal of Life-Sustaining Mechanical Ventilation for a Patient With Amyotrophic Lateral Sclerosis in Locked-In Syndrome
Choi SJ, Yoo SH, Lee SY and Sung JJ
Myotonic Dystrophy Type 1 With Cerebellar Ataxia and Cerebellar Atrophy
Ling C, Wang J, Zheng Y and Sun Y
Refractory Status Epilepticus Associated With Dialysis Disequilibrium Syndrome
An J, Kang JY and Kim HK
Recurrent Seizures in a Case of Linear Scleroderma En Coup de Sabre
Ahn SH, Lee HS, Yeom S and Park KI
Potential Benefits of Using Artificial Intelligence to Diagnose Alzheimer's Disease
Cecot J, Zarzecki K and Mandryk M