Publications by authors named "Kang-Min Park"

Background And Purpose: Peak width of skeletonized mean diffusivity (PSMD) is a novel marker of white matter damage, which may be related to small vessel disease. This study aimed to investigate the presence of white matter damage in patients with isolated rapid eye movement sleep behavior disorder (RBD) using PSMD.

Methods: We enrolled patients with newly diagnosed isolated RBD confirmed by polysomnography and age- and sex-matched healthy controls.

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This study aimed to investigate alterations in a multilayer network combining structural and functional layers in patients with end-stage kidney disease (ESKD) compared with healthy controls. In all, 38 ESKD patients and 43 healthy participants were prospectively enrolled. They exhibited normal brain magnetic resonance imaging (MRI) without any structural lesions.

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Objectives: Peak width of skeletonized mean diffusivity (PSMD) is a novel marker of white matter changes probably due to small vessel disease. This study aimed to investigate the presence of white matter changes in juvenile myoclonic epilepsy (JME) using PSMD.

Methods: We enrolled patients with JME and age- and sex-matched healthy controls.

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Objective: White matter abnormalities in patients with temporal lobe epilepsy (TLE) and hippocampal sclerosis (HS) are well known. Peak width of skeletonized mean diffusivity (PSMD) is a novel marker for quantifying white matter integrity that may reflect small vessel disease. In this study, we aimed to quantify the extent of white matter damage in patients with TLE and HS by using PSMD.

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Purpose: Peak width of skeletonized mean diffusivity (PSMD) is a novel marker of small vessel disease in the brain. This study aimed to investigate the association between small vessel disease and obstructive sleep apnea (OSA) using PSMD.

Methods: We enrolled patients with OSA and age- and sex-matched healthy controls, and performed diffusion tensor imaging (DTI) using a 3-tesla MRI scanner in them.

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Article Synopsis
  • Peak width of skeletonized mean diffusivity (PSMD) is a new marker used to identify small vessel disease, and this study focused on patients with restless legs syndrome (RLS) to see if there's a connection.
  • Researchers included 65 RLS patients and 59 healthy controls, using advanced diffusion tensor imaging (DTI) to calculate PSMD and analyze their results.
  • The findings revealed that patients with RLS had a significantly higher PSMD than healthy individuals, indicating small vessel disease, with PSMD levels rising in correlation with the severity of RLS symptoms.
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Objectives: The choroid plexus plays a role in eliminating detrimental metabolites from the brain as an integral component of the glymphatic system. This study aimed to investigate alterations in choroid plexus volume in patients with end-stage renal disease (ESRD) compared with healthy controls.

Methods: We enrolled 40 patients with ESRD and 42 healthy controls.

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Increased choroid plexus (ChP) volume is well known to be associated with glymphatic system dysfunction. This study aimed to investigate glymphatic system function in patients with transient global amnesia (TGA) compared to healthy controls through ChP volumes measurements. We retrospectively enrolled patients with TGA from our hospital, as well as healthy controls.

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Article Synopsis
  • The study examined how structural connectivity and glymphatic system function differ between patients with temporal lobe epilepsy (TLE) and hippocampal sclerosis (HS) compared to healthy individuals.
  • Results indicated that patients with TLE and HS had higher assortativity coefficients and lower glymphatic function (measured by the DTI-ALPS index) than healthy controls, with no significant difference in glymphatic function between patients who responded well or poorly to antiseizure medication (ASM).
  • The findings suggest a link between structural changes in the brain's connectivity and the functionality of the glymphatic system in epilepsy, with age also influencing these measures in TLE and HS patients.
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Article Synopsis
  • - The study investigated the presence of small vessel disease in patients with transient global amnesia (TGA) by using a new marker called peak width of skeletonized mean diffusivity (PSMD).
  • - Researchers compared PSMD levels between 75 newly diagnosed TGA patients and 65 healthy controls, finding that TGA patients had significantly higher PSMD values.
  • - The results suggest that PSMD could be a potential marker for detecting small vessel disease in neurological disorders, indicating that such diseases may be present in TGA patients even without common vascular risk factors.
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Objectives: Studies have recently shown an alteration of the structural connectivity and a dysfunctional glymphatic system in patients with chronic kidney disease (CKD). In this study, we aimed to investigate the effects of the structural connectivity and glymphatic system on the cognitive function of patients with CKD.

Methods: We prospectively enrolled patients with CKD and healthy controls.

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Introduction: Patients with end-stage renal disease (ESRD) are known to have reduced structural and functional brain connectivity in the brain regions associated with cognitive function. However, the effect of dialysis on brain connectivity remains unclear. This study aimed to evaluate the effects of dialysis on structural brain connectivity in patients with ESRD.

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Background: End-stage kidney disease (ESKD) patients undergoing hemodialysis experience diverse neurological complications. This study investigated prefrontal cerebral blood volume (CBV) and cerebral blood flow (CBF) during hemodialysis using functional near-infrared spectroscopy (fNIRS) to analyze cerebral hemodynamic changes.

Methods: ESKD patients undergoing maintenance hemodialysis without a history of neurological disorders were enrolled prospectively.

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The pathophysiology of restless legs syndrome (RLS) remains incompletely understood. Although several studies have investigated the alterations of brain connectivity as one of the pathophysiological mechanisms of RLS, there are only few reports on functional connectivity changes after RLS treatment. Forty-nine patients with newly diagnosed RLS and 50 healthy controls were prospectively enrolled.

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Objectives: The function of choroid plexus is to produce cerebrospinal fluid, which is critical for the glymphatic system function. In this study, we aimed to analyze the differences in choroid plexus volume between patients with obstructive sleep apnea (OSA) and healthy controls, with the goal of discovering the glymphatic system dysfunction in patients with OSA.

Methods: We prospectively enrolled 40 patients with OSA confirmed by polysomnography and 38 age- and sex-matched healthy controls.

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Recently, interest in sarcopenia has been increasing in patients with various neurological diseases. Thus, we investigated the presence of sarcopenia in patients with episodic migraine (EM) based on temporal muscle thickness (TMT). This was a retrospectively observational study following STROBE guidelines.

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Introduction: We conducted a multilayer network analysis in patients with juvenile myoclonic epilepsy (JME) and healthy controls, to investigate the gray matter layer using a morphometric similarity network and analyze the white matter layer using structural connectivity.

Methods: We enrolled 42 patients with newly diagnosed JME and 53 healthy controls. Brain magnetic resonance imaging (MRI) using a three-tesla MRI scanner, including T1-weighted imaging and diffusion tensor imaging (DTI) were performed.

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Sarcopenia, characterized by progressive muscle loss and functional decline, poses significant risks, including falls, impaired daily activities, and increased mortality. We developed Allgeun, a novel device that measures handgrip strength, muscle mass, and physical performance. This study aimed to investigate whether temporal muscle thickness (TMT) could be used as a sarcopenia marker and to evaluate the usability of Allgeun.

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Article Synopsis
  • The study investigated the relationship between white matter (WM) tracts and severity of obstructive sleep apnea (OSA) using correlation tractography.
  • Participants (40 with OSA) underwent diffusion tensor imaging (DTI) to analyze various diffusion metrics and correlate them with the apnea-hypopnea index (AHI) as a measure of OSA severity.
  • Results showed a negative correlation between the AHI and fractional anisotropy (FA) values in several specific WM tracts, indicating OSA severity may involve changes in tissue properties rather than neuronal loss.
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Purpose: The objective of this research was to examine changes in the neural networks of both gray and white matter in individuals with obstructive sleep apnea (OSA) in comparison to those without the condition, employing a comprehensive multilayer network analysis.

Methods: Patients meeting the criteria for OSA were recruited through polysomnography, while a control group of healthy individuals matched for age and sex was also assembled. Utilizing T1-weighted imaging, a morphometric similarity network was crafted to represent gray matter, while diffusion tensor imaging provided structural connectivity for constructing a white matter network.

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Objectives: This study aimed to identify clinical characteristics that could predict the response to perampanel (PER) and determine whether structural connectivity is a predictive factor.

Methods: We enrolled patients with epilepsy who received PER and were followed-up for a minimum of 12 months. Good PER responders, who were seizure-free or presented with more than 50 % seizure reduction, were classified separately from poor PER responders who had seizure reduction of less than 50 % or non-responders.

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We investigated the differences in functional connectivity based on the source-level electroencephalography (EEG) analysis between stroke patients with and without post-stroke epilepsy (PSE). Thirty stroke patients with PSE and 35 stroke patients without PSE were enrolled. EEG was conducted during a resting state period.

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Background And Purpose: We aimed to explore structural connectivity in status epilepticus.

Methods: We enrolled participants who underwent diffusion tensor imaging. We applied graph theory to investigate structural connectivity.

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Introduction: This study aimed to investigate the presence of sarcopenia in patients with juvenile myoclonic epilepsy (JME) and the association between sarcopenia and response to anti-seizure medication (ASM) in patients with JME.

Methods: We enrolled 42 patients with JME and 42 healthy controls who underwent brain magnetic resonance imaging with three-dimensional T1-weighted imaging. We measured the temporal muscle thickness (TMT), a radiographic marker for sarcopenia, using T1-weighted imaging.

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