- A Case of Wernicke's Encephalopathy Associated with Hyperemesis Gravidarum.
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Seung Hyun Lee, Se Jin Lee, Yun Kyung Lee, Jung Sang Ha, Jun Lee
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Yeungnam Univ J Med. 2004;21(1):91-95. Published online June 30, 2004
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DOI: https://doi.org/10.12701/yujm.2004.21.1.91
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- Wernicke's encephalopathy is an acute-onset illness characterized by mental confusion, ataxia and ophthalmoplegia due to a thiamine deficiency. Immediate administration of thiamine prevents progression of the disease and reverses brain lesions. We have experienced a case of Wernicke's encephalopathy associated with hyperemesis gravidarum. As Wernicke's encephalopathy is mostly associated with chronic alcoholism, the possibility of Wernicke's encephalopathy may be ignored in young women. We emphasize the need for thiamine supplementation in the patient requiring intravenous alimentation such as hyperemesis gravidarum.
- Driving of Motor Vehicles of the Epileptic Patients.
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Yeung Ju Byun, Mee Young Park, Jung Sang Ha
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Yeungnam Univ J Med. 1994;11(1):16-29. Published online June 30, 1994
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DOI: https://doi.org/10.12701/yujm.1994.11.1.16
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- No abstract available.
- Antiepileptic Therapy for Latent Epilepsy.
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Choong Suh Park, Yeung Joo Byun, Jung Sang Ha
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Yeungnam Univ J Med. 1985;2(1):71-75. Published online December 31, 1985
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DOI: https://doi.org/10.12701/yujm.1985.2.1.71
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- The clinical state with EEG pattern similar to interval discharge of epileptics is named as latent epilepsy, which does not necessarily mean that the patient will develop epilepsy later. However, since there is possibility of developing epilepsy on later date, antiepileptic mainly dilantin was tried to control the abnormal EEG. Since January to October 1985, total 580 headache cases with more than moderately abnormal EEG visited the Neurology Clinic. Among them 162 cases with interval seizure pattern (ISP) of epilepsy were selected for the study. The main ISP was 1. diffuse theta and/or delta bursts and 2. spikes. Since the study in only analysis of clinical treatment of 162 cases without previous planning based on financial aid, about 30% of the patients did not return after the 1st EEG examination, in 42% failed to follow the EEG after the treatment and only remaining 28% of the cases were studied. Among 29 patients who were treated with Dilantin 100mg tid po, 16 improved and 13 not. Of the 13, 4 showed partial improvement and partial progression. Case1. In 4 weeks of antiepileptic therapy (AR), spikes disappeared but in 2 months developed bursts. Case2. In 17days of AR, spikes and bursts disappeared but in 3 months bursts reccured. Case3. In 1 week of AR, bursts disappeared but spikes developed. Case4. In 3 months of AR, no change of spikes and bursts and she discontinued the AR. In 6 months she developed grandma seizure. Eighteen cases, treated with other drugs except antiepileptics, all showed improvement. The other drugs were vincaprol, polygammalon, aronamin, ATP and hydergine. The improved cases had spikes more often than theta bursts. In view of the small number of the cases due to dropping most patients out of present study, it is considered meaningless to perform statistical analysis. Further well planned study with more patients is to be expected.
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Yeungnam University College of Medicine
