No abstract available.
Paresis

We present our recent experience of two rare cases of ruptured aneurysm of the azygos anterior cerebral together with a review of the literature. On admission, the patients were in clinical Grade 4 of Hunt and Hess classification. Cerebral angiograms showed a giant saccular aneurysm(25x10x10mm in size) on the distal bifurcation portion of the azygos anterior cerebral artery in one patient, and a medium sized saccular aneurysm(7x9mm in size) on the proximal portion of azygos anterior cerebral artery in the other patient. Both the patients underwent a successful, direct clipping of the aneurysmal neck through an interhemispheric and left parietal approach, respectively. One month later after the operations, one patient showed mutism and spastic paraparesis and the other remained in a drowsy mental status with left side hemiparesis. The pre-operative neurologic status and further neurologic deficits attributed to cerebral vasospasm are thought to be the most important prognostic factors in deciding the post-operative outcome in these patients.
Aneurysm ; Aneurysm, Ruptured ; Anterior Cerebral Artery ; Classification ; Humans ; Mutism ; Neck ; Neurologic Manifestations ; Paraparesis, Spastic ; Paresis ; Rabeprazole ; Vasospasm, Intracranial

We present our recent experience of two rare cases of ruptured aneurysm of the azygos anterior cerebral together with a review of the literature. On admission, the patients were in clinical Grade 4 of Hunt and Hess classification. Cerebral angiograms showed a giant saccular aneurysm(25x10x10mm in size) on the distal bifurcation portion of the azygos anterior cerebral artery in one patient, and a medium sized saccular aneurysm(7x9mm in size) on the proximal portion of azygos anterior cerebral artery in the other patient. Both the patients underwent a successful, direct clipping of the aneurysmal neck through an interhemispheric and left parietal approach, respectively. One month later after the operations, one patient showed mutism and spastic paraparesis and the other remained in a drowsy mental status with left side hemiparesis. The pre-operative neurologic status and further neurologic deficits attributed to cerebral vasospasm are thought to be the most important prognostic factors in deciding the post-operative outcome in these patients.
Aneurysm ; Aneurysm, Ruptured ; Anterior Cerebral Artery ; Classification ; Humans ; Mutism ; Neck ; Neurologic Manifestations ; Paraparesis, Spastic ; Paresis ; Rabeprazole ; Vasospasm, Intracranial

We present our recent experience of two rare cases of ruptured aneurysm of the azygos anterior cerebral together with a review of the literature. On admission, the patients were in clinical Grade 4 of Hunt and Hess classification. Cerebral angiograms showed a giant saccular aneurysm(25x10x10mm in size) on the distal bifurcation portion of the azygos anterior cerebral artery in one patient, and a medium sized saccular aneurysm(7x9mm in size) on the proximal portion of azygos anterior cerebral artery in the other patient. Both the patients underwent a successful, direct clipping of the aneurysmal neck through an interhemispheric and left parietal approach, respectively. One month later after the operations, one patient showed mutism and spastic paraparesis and the other remained in a drowsy mental status with left side hemiparesis. The pre-operative neurologic status and further neurologic deficits attributed to cerebral vasospasm are thought to be the most important prognostic factors in deciding the post-operative outcome in these patients.
Aneurysm ; Aneurysm, Ruptured ; Anterior Cerebral Artery ; Classification ; Humans ; Mutism ; Neck ; Neurologic Manifestations ; Paraparesis, Spastic ; Paresis ; Rabeprazole ; Vasospasm, Intracranial

We present our recent experience of two rare cases of ruptured aneurysm of the azygos anterior cerebral together with a review of the literature. On admission, the patients were in clinical Grade 4 of Hunt and Hess classification. Cerebral angiograms showed a giant saccular aneurysm(25x10x10mm in size) on the distal bifurcation portion of the azygos anterior cerebral artery in one patient, and a medium sized saccular aneurysm(7x9mm in size) on the proximal portion of azygos anterior cerebral artery in the other patient. Both the patients underwent a successful, direct clipping of the aneurysmal neck through an interhemispheric and left parietal approach, respectively. One month later after the operations, one patient showed mutism and spastic paraparesis and the other remained in a drowsy mental status with left side hemiparesis. The pre-operative neurologic status and further neurologic deficits attributed to cerebral vasospasm are thought to be the most important prognostic factors in deciding the post-operative outcome in these patients.
Aneurysm ; Aneurysm, Ruptured ; Anterior Cerebral Artery ; Classification ; Humans ; Mutism ; Neck ; Neurologic Manifestations ; Paraparesis, Spastic ; Paresis ; Rabeprazole ; Vasospasm, Intracranial

We present our recent experience of two rare cases of ruptured aneurysm of the azygos anterior cerebral together with a review of the literature. On admission, the patients were in clinical Grade 4 of Hunt and Hess classification. Cerebral angiograms showed a giant saccular aneurysm(25x10x10mm in size) on the distal bifurcation portion of the azygos anterior cerebral artery in one patient, and a medium sized saccular aneurysm(7x9mm in size) on the proximal portion of azygos anterior cerebral artery in the other patient. Both the patients underwent a successful, direct clipping of the aneurysmal neck through an interhemispheric and left parietal approach, respectively. One month later after the operations, one patient showed mutism and spastic paraparesis and the other remained in a drowsy mental status with left side hemiparesis. The pre-operative neurologic status and further neurologic deficits attributed to cerebral vasospasm are thought to be the most important prognostic factors in deciding the post-operative outcome in these patients.
Aneurysm ; Aneurysm, Ruptured ; Anterior Cerebral Artery ; Classification ; Humans ; Mutism ; Neck ; Neurologic Manifestations ; Paraparesis, Spastic ; Paresis ; Rabeprazole ; Vasospasm, Intracranial

We present our recent experience of two rare cases of ruptured aneurysm of the azygos anterior cerebral together with a review of the literature. On admission, the patients were in clinical Grade 4 of Hunt and Hess classification. Cerebral angiograms showed a giant saccular aneurysm(25x10x10mm in size) on the distal bifurcation portion of the azygos anterior cerebral artery in one patient, and a medium sized saccular aneurysm(7x9mm in size) on the proximal portion of azygos anterior cerebral artery in the other patient. Both the patients underwent a successful, direct clipping of the aneurysmal neck through an interhemispheric and left parietal approach, respectively. One month later after the operations, one patient showed mutism and spastic paraparesis and the other remained in a drowsy mental status with left side hemiparesis. The pre-operative neurologic status and further neurologic deficits attributed to cerebral vasospasm are thought to be the most important prognostic factors in deciding the post-operative outcome in these patients.
Aneurysm ; Aneurysm, Ruptured ; Anterior Cerebral Artery ; Classification ; Humans ; Mutism ; Neck ; Neurologic Manifestations ; Paraparesis, Spastic ; Paresis ; Rabeprazole ; Vasospasm, Intracranial

We present our recent experience of two rare cases of ruptured aneurysm of the azygos anterior cerebral together with a review of the literature. On admission, the patients were in clinical Grade 4 of Hunt and Hess classification. Cerebral angiograms showed a giant saccular aneurysm(25x10x10mm in size) on the distal bifurcation portion of the azygos anterior cerebral artery in one patient, and a medium sized saccular aneurysm(7x9mm in size) on the proximal portion of azygos anterior cerebral artery in the other patient. Both the patients underwent a successful, direct clipping of the aneurysmal neck through an interhemispheric and left parietal approach, respectively. One month later after the operations, one patient showed mutism and spastic paraparesis and the other remained in a drowsy mental status with left side hemiparesis. The pre-operative neurologic status and further neurologic deficits attributed to cerebral vasospasm are thought to be the most important prognostic factors in deciding the post-operative outcome in these patients.
Aneurysm ; Aneurysm, Ruptured ; Anterior Cerebral Artery ; Classification ; Humans ; Mutism ; Neck ; Neurologic Manifestations ; Paraparesis, Spastic ; Paresis ; Rabeprazole ; Vasospasm, Intracranial

No abstract available.
Hypoglycemia ; Paresis

A child, aged 4-year-old girl was admitted to our hospital because of impaired vision and right hemiparesis. Brain MRI showed a lesion in the left parietal white matter, and visual evoked potentials and brainstem evoked potentials gave abnormal findings showing lesions also of the optic nerves and brainstem. Her symptoms were resolved with steroid therapy. Afterwards, she had 3 episodes of spastic paraparesis, cerebellar syndrome, downbeat nystagmus, and clinical seizures for a year. With a history of remissions and exacerbations and brain MRls that revealed new scattered lesions each time, the diagnosis of multiple sclerosis was able to be made. This is the one of the youngest of known patients with MS, yet described, in Korea, whose first attack occurred at 4 years old of age.
Brain ; Brain Stem ; Cerebellar Diseases ; Child ; Child, Preschool ; Diagnosis ; Evoked Potentials ; Evoked Potentials, Visual ; Female ; Humans ; Korea ; Magnetic Resonance Imaging ; Multiple Sclerosis ; Optic Nerve ; Paraparesis, Spastic ; Paresis ; Rabeprazole ; Seizures