- Parainfectious Anti-Glial Fibrillary Acidic Protein-Associated Meningoencephalitis
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Jae Young Joo, Dallah Yoo, Tae-Beom Ahn
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J Mov Disord. 2022;15(1):66-70. Published online November 25, 2021
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DOI: https://doi.org/10.14802/jmd.21115
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Abstract
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- Movement disorders associated with glial fibrillary acidic protein (GFAP) autoantibodies have rarely been reported as ataxia or tremors. A 32-year-old man with headache and fever, initially diagnosed with viral meningoencephalitis, showed gradual improvement with empirical treatment. Two weeks after the illness, he suddenly developed orofacial, tongue, and neck dyskinesia accompanied by oculomotor abnormalities, which developed into severe generalized choreoballism. Brain magnetic resonance imaging (fluid-attenuated inversion recovery) showed signal hyperintensities in the bilateral globus pallidus interna. The clinical picture suggested an acute inflammatory trigger of secondary autoimmune encephalitis. The autoimmune antibody test was positive for GFAP, with the strongest reactivity in the cerebrospinal fluid (CSF) before treatment and decreased reactivity in serial CSF examinations during immunotherapy. Dyskinesia gradually improved to the extent that it could be controlled with only oral medications. This patient presented with parainfectious GFAP meningoencephalitis with distinctive clinical features and imaging findings.
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Citations
Citations to this article as recorded by 
- Comment on “Parainfectious Anti-Glial Fibrillary Acidic Protein-Associated Meningoencephalitis”
Byoung June Ahn, Kyum-Yil Kwon Journal of Movement Disorders.2022; 15(2): 187. CrossRef - Re: Comment on “Parainfectious Anti-Glial Fibrillary Acidic Protein-Associated Meningoencephalitis”
Dallah Yoo, Tae-Beom Ahn Journal of Movement Disorders.2022; 15(2): 189. CrossRef
- A survey on the patients’ perspective on the telemedicine for patients with Parkinson’s disease
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Jae Young Joo, Ji Young Yun, Young Eun Kim, Yu Jin Jung, Ryul Kim, Hui-Jun Yang, Woong-Woo Lee, Aryun Kim, Han Joon Kim
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Received July 12, 2023 Accepted August 21, 2023 Published online August 22, 2023
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DOI: https://doi.org/10.14802/jmd.23130
[Accepted]
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Abstract
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- Objective
PD patients often find it difficult to visit hospitals because of the motor symptoms, distance to the hospital, or absence of caregivers. Telemedicine is one way to solve this problem.
Methods We surveyed 554 PD patients from eight university hospitals in Korea. The questionnaire consisted of clinical characteristics of participants, possible teleconferencing methods, and preference of telemedicine.
Results A total of 385 patients (70%) had interest to receive telemedicine. Among them, 174 preferred telemedicine whereas 211 preferred in-person visit. The longer the duration of disease, and the longer the time required to visit the hospital, the more the patients have interest to receive telemedicine.
Conclusion This is the first study on PD patients' preference for telemedicine in Korea. Although the majority of patients with PD have a positive perspective on telemedicine, their interest to receive telemedicine depends on their different circumstance.
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