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en: Segmental Zoster Paresis Accompanied by Horner's Syndrome.

en: We herein report a 90-year-old immunocompromised woman who developed right upper limb weakness and right ptosis with a miotic pupil 1 week after oral therapy for zoster on the right T2 dermatome. The right pupil was dilated with instillation of 1% apraclonidine, indicating Horner's syndrome. The patient was treated with intravenous acyclovir and methylprednisolone. Focal weakness related to zoster, generally known as segmental zoster paresis, improved over five months, but Horner's syndrome remained. We suggest that aggressive intravenous treatment should be considered for rare cases of zoster that occur with a combination of these two neurological conditions.

en: Internal Medicine

ja: Internal Medicine


en: A novel COL4A1 variant associated with recurrent epistaxis and glioblastoma.

en: COL4A1-related disorders are characterized by a higher incidence of cerebral hemorrhage than other hereditary cerebral small vessel diseases. Accumulating data have shown broad phenotypic variations, and extracerebral hemorrhages have been linked to these disorders. Moreover, the coexistence of neural tumors has been described. Here, we report a Japanese family with a novel COL4A1 variant, including a patient with recurrent epistaxis and glioblastoma.

en: Human Genome Variation

ja: Human Genome Variation


en: Reversible mixed perfusion on 123 I-IMP SPECT in anti-AMPA receptor encephalitis: A case report

en: Journal of the Neurological Sciences

ja: Journal of the Neurological Sciences