Sung-Hyuk Heo

Takayasu’s disease presenting with atherothrombotic ischaemic stroke

Takayasu’s arteritis is a chronic inflammatory disease of the aorta and its main branches, and a well known cause of stroke. Pathogenesis of ischaemic stroke has been attributed to intracranial vasculitic involvement or emboli from either stenoocclusive extracranial vessels or cardiac disease such as aortic regurgitation. We present a patient with Takayasu’s arteritis and recurrent cerebral infarctions associated with intracranial atherosclerosis. We postulate that the intracranial atherosclerotic process is an important mechanism in Takayasu’s arteritis-related ischaemic stroke.

A case of unilateral hemispheric encephalitis

Herein we report a case of encephalitis involving the unilateral hemisphere, with a clinical course different from that of Rasmussen syndrome. A 44-year-old man visited us because of headache and language abnormality. Cerebrospinal fluid examination showed lymphocytosis with increased level of protein. Brain MRI showed abnormal findings limited to the unilateral hemisphere. The symptoms and signs improved without any specific antiviral treatment in a week. However, language disturbance and right hemiparesis developed after a week. Steroid therapy was effective. He recovered without any neurologic sequelae. Our case was unusual encephalitis involving the unilateral hemisphere, which was benign and steroid-responsive.

Effects of uric acid levels on outcome in severe ischemic stroke patients treated with intravenous Rtpa

WCN 2013 No: 578 Topic: 3 — Stroke A case of relapse and remitting cerebral infarction associated with polycythemia vera S.-H. Lee, J.-H. Kim, S.H. Heo, S.-H. Cho, S.S. Yoon. Department of Neurology, Kyung Hee University Hospital, Seoul, Republic of Korea; Department of Neurolgy, SM Christianity Hospital, Pohang,