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  • 31 Aug
    2016
    Case Report

    Takayasu’s arteritis - aphasia as an initial presentation

    Davinder Singh Rana , Anuradha Batra , Ish Anand , Samir Patel , Pooja Gupta
    Takayasu arteritis (TA) is an uncommon disease of young women, characterized by granulomatous vasculitis of medium and large arteries. Neurological involvement is reported in only a minority of patients and occurrence of neurological syndromes as the first manifestation of disease has been rarely reported. We present clinical, laboratory and imaging findings of a 40 years old lady with TA, who initially presented with clinical manifestations of stroke in form of aphasia. The rarity of the disease and especially such a presentation can cause considerable delay in the diagnosis and treatment.
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  • 31 Aug
    2016
    Review

    Population of inflammatory cells in intracranial aneurysm with the special insight to the development of novel diagnostic and therapeutic approaches

    Hirokazu Koseki , Tomohiro Aoki
    Intracranial aneurysms (IAs) can cause a lethal subarachnoid hemorrhage after rupture. The prevalence of IA is high in the general public; however, the annual risk for the rupture of an incidentally found lesion is relatively low. Therefore, it is crucial to selectively diagnose rupture-prone IAs among many diagnosed IAs, and properly treat such IAs before rupture. Recent studies using human IA specimens or experimentally-induced IAs in animals have revealed some important findings regarding the role of inflammatory cells infiltrating IA lesions. Currently, IA is considered an inflammatory...
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  • 31 Aug
    2016
    Case Report

    D-cycloserin, a NMDA-agonist may be a treatment option for anti-NMDAR encephalitis

    Hong-Zhi Guan , Tie-Kuan Du , Jin Xu , Xia Lv , Hua-Dong Zhu , Yi-Cheng Zhu , Bin Peng , Li-Ying Cui
    Anti-N-methyl-D-aspartate receptor (NMDAR) encephalitis is caused by reversible neuron dysfunction associated an autoantibody-mediated decrease of NMDAR in the entire brain. A N-methyl-D-aspartate (NMDA) -agonist treatment for anti-NMDAR encephalitis might have a role considering its specific mechanism. The authors used D-cycloserine, a partial NMDA-agonist in a refractory case with prolonged intensive care unit duration. A 13-year-old female presented with headache, cognitive deterioration, generalized seizures, coma and hypoventilation with required mechanical ventilation. Anti-NMDAR...
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  • 31 Aug
    2016
    Commentary

    Auto-reactive B cells in MuSK myasthenia gravis

    Yoon-Ho Hong , Jung-Joon Sung
    Acquired myasthenia gravis (MG) is a protoypical autoimmune disease caused by a dysfunction of neuromuscular transmission at the postsynaptic part. Patients experience fluctuating muscle weakness that increases with exertion. It is typically classified into clinical subtypes depending on distribution of involved muscles, onset age, thymic pathology, and auto-antibodies. While the most common auto-antibodies are targeted towards the skeletal muscle acetylcholine receptor (AChR), the list of target molecules of pathogenic auto-antibodies has been expanding to include the muscle specific...
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  • 31 Aug
    2016
    Original Article

    Inhibition and reversal of growth cone collapse in adult sensory neurons by enteric glia-induced neurotrophic factors

    Simon Feng , Kiran Reddy , Cai-Xin Su , Shu-Cui Jiang
    Aim: Previous studies show enteric glia (EG)-conditioned medium promotes neurite outgrowth in adult dorsal root ganglia (DRG) derived sensory neurons. This EG-conditioned medium contains various neurotrophic factors, including nerve growth factor (NGF), brain-derived neurotrophic factor (BDNF), glial cell line-derived neurotropic factor (GDNF), and neurotrophin-3 (NT-3). This study attempts to determine the importance of these neurotrophic factors in enabling DRG-derived sensory neuron axons to overcome the inhibitory guidance cues released from the glial scar. Methods: A Semaphorin 3A...
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  • 20 Jul
    2016
    Case Report

    Progressive muscle cramps with pain as atypical initial presentations of amyotrophic lateral sclerosis: a case report

    Cheng-Hui Liu , Chi Zhu , Fan Zeng , Heng Yang , Yan-Jiang Wang
    Amyotrophic lateral sclerosis (ALS) is the most common form of motor neuron disease and is a progressive and devastating neurodegenerative disease that affects both lower and upper motor neurons. Muscle cramps, which are characterized by a sudden, painful, involuntary contraction of muscles, are not rare in ALS patients. However, muscle cramps do not normally present early in ALS and therefore not used for the initial diagnosis of ALS. In this paper the authors present a case of ALS with initial manifestation of progressive painful muscle cramps in the absence of muscle weakness. This case...
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