Publications by authors named "Hyunjin Ju"

Primary angiitis of the central nervous system (PACNS) is a rare inflammatory disease that affects both small- and medium-sized vessels of the CNS, while myelin oligodendrocyte glycoprotein (MOG) antibody-associated disease (MOGAD) is a novel antibody-mediated inflammatory demyelinating disorder that causes damage to the myelin in CNS. We report a case diagnosed as MOGAD due to a history of recurrent myelitis, brain lesions, and positive anti-MOG, but the brain biopsy showed vasculitis without demyelination.

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In this study, an experiment was conducted to investigate the shear performance of reinforced concrete (RC) beams strengthened using fabric-reinforced cementitious matrices (FRCM). Four reinforced concrete beams, including a control specimen, were fabricated, and the shear strengthening effect of the FRCM was investigated on eight shear specimens, with the strengthening type and shear reinforcement as key variables. In particular, the digital image correlation (DIC) technique was applied to closely analyze the deformation of reinforced concrete beams subjected to shear forces.

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Article Synopsis
  • A study investigated the impact of the timing of treatment for the first acute attack of myelin oligodendrocyte glycoprotein antibody-associated disease (MOGAD) on long-term relapse risk and conversion to MOG-IgG seronegative status.
  • Conducted in South Korea, the research involved a cohort of 240 adults diagnosed with MOGAD, focusing on their treatment timing categorized as early, intermediate, or late.
  • Results indicated that 45.8% of patients experienced relapses and 25% converted to seronegative MOG-IgG, highlighting the potential significance of timely treatment in managing MOGAD.
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Background And Purpose: Fatigue is common in demyelinating disorders of the central nervous system (CNS), including multiple sclerosis (MS), neuromyelitis optica spectrum disorder (NMOSD), and myelin oligodendrocyte glycoprotein antibody-associated disease (MOGAD). We aimed to validate the usefulness of the Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F) and the Fatigue Severity Scale (FSS) relative to the Korean version of the Modified Fatigue Impact Scale (MFIS-K) in Korean patients with MS, NMOSD, and MOGAD.

Methods: There were 294 patients with MS (=120), NMOSD (=103), or MOGAD (=71) enrolled in a prospective demyelinating CNS registry.

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This study evaluates the antibody responses to SARS-CoV-2 vaccines in patients with neuroimmunological disorders (pwNID) who are receiving immunomodulating treatments, compared to healthy individuals. It included 25 pwNID with conditions such as optic neuritis, neuromyelitis optica spectrum disorder, multiple sclerosis, myasthenia gravis, and polymyositis, as well as 56 healthy controls. All participants had completed their full SARS-CoV-2 vaccination schedule, and their blood samples were collected within six months of their last dose.

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Multiple sclerosis (MS) and neuromyelitis optica spectrum disorder (NMOSD) are autoimmune inflammatory disorders of the central nervous system (CNS) with similar characteristics. The differential diagnosis between MS and NMOSD is critical for initiating early effective therapy. In this study, we developed a deep learning model to differentiate between multiple sclerosis (MS) and neuromyelitis optica spectrum disorder (NMOSD) using brain magnetic resonance imaging (MRI) data.

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Article Synopsis
  • The study focused on detecting myelin oligodendrocyte glycoprotein autoantibodies (MOG-Ab), crucial for diagnosing MOG-Ab-associated disease (MOGAD), and explored the clinical implications of different recognized epitopes.
  • Researchers created a cell-based immunoassay to identify MOG-Ab epitopes and conducted a retrospective review of 55 patients in a registry, evaluating their serum samples.
  • Key findings revealed that the P42 epitope in MOG is a significant target for MOG-Ab, primarily associated with monophasic disease and childhood onset in affected patients, highlighting the need for further research on MOG-Ab's predictive value and epitopes.
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Background: Myelin oligodendrocyte glycoprotein antibody-associated disease (MOGAD) is a CNS autoimmune disease affecting the brain, spinal cord, and optic nerve. The neutrophil-to-lymphocyte ratio (NLR) is related to autoimmune disease activity. However, the clinical implication of index ratios such as the NLR is unclear in patients with MOGAD.

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Background And Purpose: The purpose of this study was to determine whether underweight is associated with poststroke cardiovascular events and whether such association is different according to the presence of atrial fibrillation (AF).

Methods: Patients with acute stroke or transient ischemic attack who were prospectively registered in a multicenter stroke database from April 2008 to July 2020 were analyzed, excluding those aged 75 or older and those who were overweight. We prospectively captured major adverse cardiovascular events (MACE) within one year after stroke.

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Clinicians sometimes encounter patients with Parkinson's disease complaining of dizziness in real clinical settings. We sought to identify the relationship between self-perceived dizziness and motor or non-motor symptoms, especially in Parkinsonian patients in the early stages. Eight-six patients with less than five years of Parkinson's disease duration were recruited.

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The consumption of structural concrete in the construction industry is rapidly growing, and concrete will remain the main construction material for increasing urbanization all over the world in the near future. Meanwhile, construction and demolition waste from concrete structures is also leading to a significant environmental problem. Therefore, a proper sustainable solution is needed to address this environmental concern.

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Aim: Clinical implications for motor phenotypes of Parkinson's disease (PD) remain to be further elucidated, particularly at the early stages of the disease. We aimed to compare the non-motor and fall-related features between tremor-dominant (TD) and postural instability-gait difficulty (PIGD) subtypes in patients with early PD.

Methods: PD was categorized into TD, intermediate and PIGD types, according to the literature.

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The association of non-motor symptoms (NMSs) with fall-related factors in patients with Parkinson's disease (PD) remains to be further elucidated in the early stages of the disease. Eighty-six patients with less than 5 years of the onset of PD were retrospectively enrolled in the study. We assessed potential fall-related risk factors including (1) a history of falls during the past year (faller versus non-faller), (2) the fear of falling (FoF), and (3) the freezing of gait (FoG).

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Case reports of bilateral facial palsy with horizontal gaze restriction are rare. A 62-year-old woman experienced sudden onset of bilateral adduction deficits, bilateral abducting nystagmus accompanied with facial diplegia. We confirmed acute ischemic stroke in the midline dorsal pons, where medial longitudinal fasciculus (MLF) and facial nerve fascicles are located.

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Article Synopsis
  • * 268 patients were divided into groups based on their glycated hemoglobin (HbA1c) levels, with progressive motor deficits measured within 72 hours after the stroke.
  • * Results show that higher HbA1c levels correspond to an increased incidence of progressive motor deficits, with a notable cutoff value of 6.65% being significant in predicting these deficits.
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Background: Dopamine transporter (DAT) imaging may enable clinicians to discriminate idiopathic normal pressure hydrocephalus (iNPH) from other parkinsonian disorders. However, a specific pattern of dopaminergic loss in DAT imaging of iNPH patients remains to be further elucidated.

Methods: In this preliminary study, 11 patients with iNPH in our hospital between March 2017 and February 2019 were finally enrolled.

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