Multiple Myeloma Manifesting as a Fluctuating Sixth Nerve Palsy

We report a case of multiple myeloma that presented as a fluctuating sixth cranial nerve palsy in the absence of widespread signs of systemic disease. A 63-year-old woman presented with horizontal diplopia of two weeks duration that subjectively changed over time. Ocular examination showed a fluctuating sixth nerve palsy. A computed tomography (CT) scan of the brain showed multiple, enhancing, soft tissue, mass-like lesions involving the left cavernous sinus and the apex of both petrous bones. Based on bone marrow biopsy and hematologic findings, she was diagnosed with multiple myeloma. Multiple myeloma may be included in the differential diagnosis of a fluctuating sixth nerve palsy, and although ophthalmic signs are rare and generally occur late in the course of multiple myeloma, they can still be its first signs

The Prevalence of Hepatitis C Virus Infection in Korea: Pooled Analysis

This study evaluated the prevalence of hepatitis C virus (HCV) infections in Korea. Pooled estimates of the anti-HCV positivity were calculated using the data published in 15 reports on the general population and health check-up examinees. The overall pooled estimate of the prevalence of HCV among middle-aged adults (40 yr old and above) was 1.68% (95% confidence interval: 1.51-1.86%) during the year of 1990-2000 among the general population. Most of the published data indicated that the prevalence of anti-HCV increased with age. The anti-HCV positivity was significantly higher in females than in males. Because the risk of HCV exposure in blood recipients has decreased remarkably, the spread of HCV through means other than a transfusion must be prevented

Xanthogranulomatous Pancreatitis Combined with Intraductal Papillary Mucinous Carcinoma In Situ

Xanthogranulomatous lesion is a rare condition in which lipid-laden histiocytes are deposited at various locations in the body. Xanthogranulomatous pancreatitis (XGP) associated with an intraductal papillary mucinous tumor (IPMT) is extremely rare. In this study, we described a case of XGP associated with IPMT and include a review of the literature. A pancreatic cystic mass was detected in a 72-yr-old woman by abdominal computed tomography. Pylorus-preserving pancreaticoduodenectomy was performed and diagnosis of XGP combined with intraductal papillary mucinous carcinoma in situ was made. After 13 months of follow-up, the patient is in good health without any evidence of tumor recurrence. Although XGP associated with IPMT is rare, we suggest that such cases should be brought to the attention of clinical investigators, as it may produce clinical features that mimic pancreatic cancer

Multi-Signal Reconstruction Using Masked Autoencoder From EEG During Polysomnography

Polysomnography (PSG) is an indispensable diagnostic tool in sleep medicine, essential for identifying various sleep disorders. By capturing physiological signals, including EEG, EOG, EMG, and cardiorespiratory metrics, PSG presents a patient's sleep architecture. However, its dependency on complex equipment and expertise confines its use to specialized clinical settings. Addressing these limitations, our study aims to perform PSG by developing a system that requires only a single EEG measurement. We propose a novel system capable of reconstructing multi-signal PSG from a single-channel EEG based on a masked autoencoder. The masked autoencoder was trained and evaluated using the Sleep-EDF-20 dataset, with mean squared error as the metric for assessing the similarity between original and reconstructed signals. The model demonstrated proficiency in reconstructing multi-signal data. Our results present promise for the development of more accessible and long-term sleep monitoring systems. This suggests the expansion of PSG's applicability, enabling its use beyond the confines of clinics.Comment: Proc. 12th IEEE International Winter Conference on Brain-Computer Interfac

Impact of Nap on Performance in Different Working Memory Tasks Using EEG

Electroencephalography (EEG) has been widely used to study the relationship between naps and working memory, yet the effects of naps on distinct working memory tasks remain unclear. Here, participants performed word-pair and visuospatial working memory tasks pre- and post-nap sessions. We found marked differences in accuracy and reaction time between tasks performed pre- and post-nap. In order to identify the impact of naps on performance in each working memory task, we employed clustering to classify participants as high- or low-performers. Analysis of sleep architecture revealed significant variations in sleep onset latency and rapid eye movement (REM) proportion. In addition, the two groups exhibited prominent differences, especially in the delta power of the Non-REM 3 stage linked to memory. Our results emphasize the interplay between nap-related neural activity and working memory, underlining specific EEG markers associated with cognitive performance.Comment: Submitted to 2024 12th IEEE International Winter Conference on Brain-Computer Interfac

Relationship Between Mood, Sleepiness, and EEG Functional Connectivity by 40 Hz Monaural Beats

The monaural beat is known that it can modulate brain and personal states. However, which changes in brain waves are related to changes in state is still unclear. Therefore, we aimed to investigate the effects of monaural beats and find the relationship between them. Ten participants took part in five separate random sessions, which included a baseline session and four sessions with monaural beats stimulation: one audible session and three inaudible sessions. Electroencephalogram (EEG) were recorded and participants completed pre- and post-stimulation questionnaires assessing mood and sleepiness. As a result, audible session led to increased arousal and positive mood compared to other conditions. From the neurophysiological analysis, statistical differences in frontal-central, central-central, and central-parietal connectivity were observed only in the audible session. Furthermore, a significant correlation was identified between sleepiness and EEG power in the temporal and occipital regions. These results suggested a more detailed correlation for stimulation to change its personal state. These findings have implications for applications in areas such as cognitive enhancement, mood regulation, and sleep management

Leukotactin-1/CCL15-induced chemotaxis signaling through CCR1 in HOS cells

AbstractLeukotactin-1 (Lkn-1)/CCL15 is a recently cloned CC-chemokine that binds to the CCR1 and CCR3. Although Lkn-1 has been known to function as a chemoattractant for neutrophils, monocytes and lymphocytes, its cellular mechanism remains unclear. To understand the mechanism of Lkn-1-induced chemotaxis signaling, we examined the chemotactic activities of human osteogenic sarcoma cells expressing CCR1 in response to Lkn-1 using inhibitors of signaling molecules. Inhibitors of Gi/Go protein, phospholipase C (PLC) and protein kinase Cδ (PKCδ) inhibited the chemotactic activity of Lkn-1 indicating that Lkn-1-induced chemotaxis signal is transduced through Gi/Go protein, PLC and PKCδ. The activities of PLC and PKCδ were also enhanced by Lkn-1 stimulation. Chemotactic activity of Lkn-1 was inhibited by the treatment of cycloheximide and actinomycin D suggesting that newly synthesized proteins are needed for chemotaxis. Nuclear factor-κB (NF-κB) inhibitor reduced chemotactic activity of Lkn-1. DNA binding activity of NF-κB was also enhanced by Lkn-1 stimulation. These results suggest that Lkn-1 transduces the signal through Gi/Go protein, PLC, PKCδ, NF-κB and newly synthesized proteins for chemotaxis

Neurophysiological Response Based on Auditory Sense for Brain Modulation Using Monaural Beat

Brain modulation is a modification process of brain activity through external stimulations. However, which condition can induce the activation is still unclear. Therefore, we aimed to identify brain activation conditions using 40 Hz monaural beat (MB). Under this stimulation, auditory sense status which is determined by frequency and power range is the condition to consider. Hence, we designed five sessions to compare; no stimulation, audible (AB), inaudible in frequency, inaudible in power, and inaudible in frequency and power. Ten healthy participants underwent each stimulation session for ten minutes with electroencephalogram (EEG) recording. For analysis, we calculated the power spectral density (PSD) of EEG for each session and compared them in frequency, time, and five brain regions. As a result, we observed the prominent power peak at 40 Hz in only AB. The induced EEG amplitude increase started at one minute and increased until the end of the session. These results of AB had significant differences in frontal, central, temporal, parietal, and occipital regions compared to other stimulations. From the statistical analysis, the PSD of the right temporal region was significantly higher than the left. We figure out the role that the auditory sense is important to lead brain activation. These findings help to understand the neurophysiological principle and effects of auditory stimulation.Comment: Accepted to EMBC 202