Publications by authors named "Hanjoon Kim"

Speech change is a biometric marker for Parkinson's disease (PD). However, evaluating speech variability across diverse languages is challenging. We aimed to develop a cross-language algorithm differentiating between PD patients and healthy controls using a Taiwanese and Korean speech data set.

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Introduction: Idiopathic blepharospasm is a clinically heterogeneous form of focal dystonia, also associated with psychiatric symptoms. The identification of the most relevant sets of motor and psychiatric manifestations may help better understand the specific phenomenology of the condition and delineate blepharospasm subtypes more accurately.

Methods: Patients with idiopathic blepharospasm were from the Dystonia Coalition project.

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Study Objectives: Isolated REM sleep behavior disorder (iRBD) is recognized as a prodromal stage of alpha-synucleinopathies. Predicting phenoconversion in iRBD patients remains a key challenge. We aimed to investigate whether event-related potentials (ERPs) recorded during visuospatial attention task can serve as predictors of phenoconversion in iRBD patients.

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Objectives: This study aims to objectively evaluate turning gait parameters in Parkinson disease (PD) patients using 2D-RGB video-based analysis and explore their relationships with imbalance.

Methods: We prospectively enrolled PD patients for clinical assessments, balance analysis and gait with 180' turning. Spatiotemporal gait parameters during turning were derived based on video-based analysis and correlated with modified Hoehn and Yahr (mHY) stages and center of pressure (COP) oscillations.

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Alternating-current electroluminescent fibres are promising candidates as light sources for smart textiles and soft machines. However, physical damage from daily use causes device deterioration or failure, making self-healable electroluminescent fibres attractive. In addition, soft robots could benefit from light-emitting combined with magnetically actuated functions.

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Article Synopsis
  • * Among 232 probands, 66 individuals (28.4%) had genetic diagnoses and 12 (5.2%) had non-genetic causes, highlighting the challenges faced in diagnosing those with probable genetic origins or early symptom onset.
  • * The research emphasizes that integrating sequencing methods not only improves diagnostic accuracy but also facilitates better health management strategies, including surveillance and personalized planning for affected adults.
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Objective: We conducted this study to assess the efficacy and safety of taltirelin hydrate (TH) in spinocerebellar degeneration (SCD).

Methods: Patients were randomly assigned to either the taltirelin group (5 mg orally, twice daily) or the control group. The primary endpoint was changes in the Korean version of Scale for the Assessment and Rating of Ataxia (K-SARA) scores at 24 weeks.

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Background: Clonal hematopoiesis of indeterminate potential (CHIP) is associated with cardiovascular diseases and other disorders, possibly via inflammation. Recent research suggests a connection of CHIP with neurodegenerative disorders.

Objective: We aimed to investigate the association between multiple system atrophy (MSA) and CHIP.

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This study advances the automation of Parkinson's disease (PD) diagnosis by analyzing speech characteristics, leveraging a comprehensive approach that integrates a voting-based machine learning model. Given the growing prevalence of PD, especially among the elderly population, continuous and efficient diagnosis is of paramount importance. Conventional monitoring methods suffer from limitations related to time, cost, and accessibility, underscoring the need for the development of automated diagnostic tools.

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Article Synopsis
  • Clonal hematopoiesis of indeterminate potential (CHIP) is a condition where mutated blood stem cells expand and is linked to immune changes, prompting a study on its possible connection to Parkinson's disease (PD).
  • Researchers analyzed blood DNA from 341 PD patients, 92 with isolated REM sleep behavior disorder (iRBD), and 5003 controls, focusing on specific genetic mutations related to blood disorders.
  • The study found that PD patients, especially those with rapid motor progression, had a higher prevalence of CHIP with TET2 mutations compared to controls, indicating potential immune dysfunction in PD's development.
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  • The study examined clinical features and conversion rates of isolated rapid-eye movement behavior disorder (iRBD) in a large cohort from Seoul National University Hospital (SNUH) compared to a Montreal cohort.
  • In the SNUH group, fewer patients converted to neurodegenerative diseases, with a lower overall conversion rate and fewer developing dementia with Lewy bodies than in the Montreal cohort.
  • These findings highlight the need for deeper research into factors influencing these disparities, including potential racial and geographical influences.
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  • * Results show that 75.3% of PD patients had AS accumulation compared to only 8.5% of control patients, indicating the diagnostic potential of AS presence in identifying PD.
  • * The research found that longer disease duration and the specific rostrocaudal distribution of AS accumulation in the GI tract serve as predictors for the presence of AS in PD patients, suggesting a distinct progression pattern in the disease.
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Introduction: Parkinson's disease (PD) encompasses a range of non-motor symptoms attributed to deficits in various neurotransmitter systems. This study aimed to investigate the associations between cognitive and autonomic symptoms and the degeneration of brainstem monoaminergic nuclei, particularly the serotonergic and noradrenergic nuclei, in a prospective cohort of early PD patients.

Methods: Twenty-eight early PD patients (with an average disease duration of approximately three years) underwent baseline [F]FP-CIT positron emission tomography (PET) scans, Montreal Cognitive Assessment (MoCA), and Composite Autonomic Symptom Scale-31 (COMPASS-31) evaluations, followed by repeat MoCA and COMPASS-31 assessments three years later.

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  • This study focuses on atypical late-onset ataxia-telangiectasia (AT) in a Korean family, contrasting with the typical early childhood cases caused by ATM variants.
  • A 52-year-old woman with dystonia and a family history of similar symptoms underwent various tests, including genetic analysis, which revealed two pathogenic gene variants.
  • The findings highlight the expanded clinical understanding of AT and the importance of Nanopore long-read sequencing for accurate diagnosis, particularly in genetic conditions lacking parental samples.
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  • GGC repeat expansions are linked to various progressive neurological disorders, specifically neuronal intranuclear inclusion disease (NIID), prompting a study on their prevalence and clinical features in Koreans.
  • The research involved two cohorts: one from Seoul National University Hospital where patients with specific MRI signs underwent genetic testing, and another from the Korea Biobank that analyzed whole-genome data from nearly 4,000 individuals for repeat counts.
  • Findings revealed that 17.8% of the SNUH cohort had NIID, and the Korea Biobank analysis identified potential NIID patients, highlighting the relationship between repeat count variations and disease symptoms in a Korean population.
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Using photodynamic therapy (PDT) to treat deep-seated cancers is limited due to inefficient delivery of photosensitizers and low tissue penetration of light. Polymeric nanocarriers are widely used for photosensitizer delivery, while the self-quenching of the encapsulated photosensitizers would impair the PDT efficacy. Furthermore, the generated short-lived reactive oxygen spieces (ROS) can hardly diffuse out of nanocarriers, resulting in low PDT efficacy.

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Background: Rapid eye movement sleep behavior disorder (RBD) may precede or follow motor symptoms in Parkinson's disease (PD). While over 70% of idiopathic RBD cases phenoconvert within a decade, a small subset develops PD after a more extended period or remains nonconverted. These heterogeneous manifestations of RBD in PD prompt subtype investigations.

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Introduction: Levodopa-induced dyskinesia is a common complication of long-term treatment of Parkinson's disease (PD), but its impact on daily activities is somewhat controversial. This study investigated the prevalence and severity of dyskinesia, particularly non-troublesome dyskinesia, to provide insights into its significance for long-term PD management.

Methods: We reviewed electronic medical records of 2571 PD patients, who had been followed up at Seoul National University Hospital and were seen between January 2016 and June 2017.

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Article Synopsis
  • - The study aimed to evaluate the reliability and validity of the Korean version of the SCales for Outcomes in Parkinson's Disease-Cognition (K-SCOPA-Cog) for assessing cognition in Parkinson's disease patients in South Korea.
  • - A total of 129 patients participated, and various statistical methods, including Cronbach's alpha and Spearman’s rank correlation, were employed to test the reliability and concurrent validity against established cognitive assessments.
  • - Results showed that the K-SCOPA-Cog has strong reliability (Cronbach's alpha of 0.797, ICC of 0.887) and a significant correlation with other cognitive measures (MOCA-K and K-MMSE), indicating it is a valid tool for cognitive assessment in this
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Study Objectives: This study aimed to identify electroencephalographic (EEG) spectro-spatial covariance patterns associated with phenoconversion in isolated rapid eye movement sleep behavior disorder (iRBD) patients and explore their longitudinal trajectories within α-synucleinopathies.

Methods: We assessed 47 participants, including 35 patients with iRBD and 12 healthy controls (HC), through baseline eye-closed resting EEGs. Patients with iRBD underwent follow-up EEG assessments and 18 patients with iRBD converted (12 to Parkinson's disease (PD), 6 to dementia with Lewy bodies [DLB]) during follow-up.

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Study Objectives: Isolated rapid eye movement sleep behavior disorder (iRBD) is a prodromal stage of α-synucleinopathies and eventually phenoconverts to overt neurodegenerative diseases including Parkinson's disease (PD), dementia with Lewy bodies (DLB), and multiple system atrophy (MSA). Associations of baseline resting-state electroencephalography (EEG) with phenoconversion have been reported. In this study, we aimed to develop machine learning models to predict phenoconversion time and subtype using baseline EEG features in patients with iRBD.

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