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Resident fellow section: Clinical vignette
Neurology
Differential diagnosis of motor weakness in the right lower limb of a 59-year-old male patient
Jae Hwa Bae, Soyoung Kwak
J Yeungnam Med Sci. 2022;39(4):347-351.   Published online September 20, 2022
DOI: https://doi.org/10.12701/jyms.2022.00535
  • 6,947 View
  • 82 Download
  • 1 Crossref
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Citations to this article as recorded by  
  • Advances in Imaging for Metastatic Epidural Spinal Cord Compression: A Comprehensive Review of Detection, Diagnosis, and Treatment Planning
    Paschyanti R Kasat, Shivali V Kashikar, Pratapsingh Parihar, Pratiksha Sachani, Priyal Shrivastava, Smruti A Mapari, Utkarsh Pradeep, Gautam N Bedi, Paritosh N Bhangale
    Cureus.2024;[Epub]     CrossRef
Focused Review article
Neurology
Pain in amyotrophic lateral sclerosis: a narrative review
Soyoung Kwak
J Yeungnam Med Sci. 2022;39(3):181-189.   Published online June 8, 2022
DOI: https://doi.org/10.12701/jyms.2022.00332
  • 14,672 View
  • 206 Download
  • 16 Web of Science
  • 17 Crossref
AbstractAbstract PDF
Amyotrophic lateral sclerosis (ALS) is a rapidly progressive neurodegenerative condition characterized by loss of motor neurons, resulting in motor weakness of the limbs and/or bulbar muscles. Pain is a prevalent but neglected symptom of ALS, and it has a significant negative impact on the quality of life of patients and their caregivers. This review outlines the epidemiology, clinical characteristics, underlying mechanisms, and management strategies of pain in ALS to improve clinical practice and patient outcomes related to pain. Pain is a prevalent symptom among patients with ALS, with a variable reported prevalence. It may occur at any stage of the disease and can involve any part of the body without a specific pattern. Primary pain includes neuropathic pain and pain from spasticity or cramps, while secondary pain is mainly nociceptive, occurring with the progression of muscle weakness and atrophy, prolonged immobility causing degenerative changes in joints and connective tissue, and long-term home mechanical ventilation. Prior to treatment, the exact patterns and causes of pain must first be identified, and the treatment should be tailored to each patient. Treatment options can be classified into pharmacological treatments, including nonsteroidal anti-inflammatory drugs, antiepileptic drugs, drugs for cramps or spasticity, and opioid; and nonpharmacological treatments, including positioning, splints, joint injections, and physical therapy. The development of standardized and specific assessment tools for pain-specific to ALS is required, as are further studies on treatments to reduce pain, diminish suffering, and improve the quality of life of patients with ALS.

Citations

Citations to this article as recorded by  
  • Resting-State EEG Oscillations in Amyotrophic Lateral Sclerosis (ALS): Toward Mechanistic Insights and Clinical Markers
    James Chmiel, Marta Stępień-Słodkowska
    Journal of Clinical Medicine.2025; 14(2): 545.     CrossRef
  • Progressive Bulbar Palsy (PBP) or Bulbar Onset MND: “A Case Report”
    Sagar S. Bhovare, Akhataribano S. Sayyad
    Journal of Pharmacy and Bioallied Sciences.2025; 17(Suppl 1): S971.     CrossRef
  • Health-Related Quality of Life, Psychological Health, and Patient-Reported Outcomes of Amyotrophic Lateral Sclerosis Patients in China
    Dilip Dhakal, Congzhou Chen, Bo Zhang, Guanqiao Li
    Brain Sciences.2025; 15(7): 696.     CrossRef
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    Qianping Jiang, Dan Yang, Rui Jiang, Shilei Wan, Miao Wu, Dandan Xu, Jing Zhou
    Scientific Reports.2025;[Epub]     CrossRef
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    Ramin Raoufinia, Ghazal Alyari, Amin Tadayoni nia, Mohammad Reza Abbaszadegan, Ali Mahmoudi, Sajjad Shafaeibajestan, Ehsan Saburi, Jalil Tavakol-Afshari, Mehdi Hassani, Faezeh Jamali, Shahram Salari, Amir Reza Boroumand, Hamid reza Rahimi
    Stem Cell Research & Therapy.2025;[Epub]     CrossRef
  • Greek Registry for Amyotrophic Lateral Sclerosis (ALS‐GR): An Observational Cohort of Individuals With ALS Across 11 Specialized Centers in Greece
    Ioannis Liampas, Vasilios K. Kimiskidis, Vasiliki Zouvelou, Dimitra Veltsista, Afroditi Moscholouri, Eleftherios Triantafyllou, Ariadni Daponte, Sofia Xirou, Angeliki‐Erato Sterpi, Stavroula Salakou, Vasiliki Poulidou, Marianthi Arnaoutoglou, Zisis Tsouri
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    Andreas Gratzer, Natalie Gdynia, Nadine Sasse, Rainer Beese, Cordula Winterholler, Yvonne Bauer, Carsten Schröter, Hans-Jürgen Gdynia
    Journal of Clinical Medicine.2025; 14(23): 8590.     CrossRef
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    Katie Stenson, T. E. Fecteau, L. O’Callaghan, P. Bryden, J. Mellor, J. Wright, L. Earl, O. Thomas, H. Iqbal, S. Barlow, S. Parvanta
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  • Amyotrophic Lateral Sclerosis and Pain: A Narrative Review from Pain Assessment to Therapy
    Vincenzo Pota, Pasquale Sansone, Sara De Sarno, Caterina Aurilio, Francesco Coppolino, Manlio Barbarisi, Francesco Barbato, Marco Fiore, Gianluigi Cosenza, Maria Beatrice Passavanti, Maria Caterina Pace, Enzo Emanuele
    Behavioural Neurology.2024;[Epub]     CrossRef
  • Non-motor symptoms in patients with amyotrophic lateral sclerosis: current state and future directions
    Bogdan Bjelica, Maj-Britt Bartels, Jasper Hesebeck-Brinckmann, Susanne Petri
    Journal of Neurology.2024; 271(7): 3953.     CrossRef
  • Perceived Pain in People Living with Amyotrophic Lateral Sclerosis—A Scoping Review
    Debora Rosa, Laura Ingrande, Ilaria Marcomini, Andrea Poliani, Giulia Villa, Martina Sodano, Duilio Fiorenzo Manara
    Nursing Reports.2024; 14(4): 3023.     CrossRef
  • Pain in Amyotrophic Lateral Sclerosis Is Underrated
    Soyoung Kwak, Min Cheol Chang
    International journal of Pain.2024; 15(2): 51.     CrossRef
  • Likely Pathogenic Variants of Cav1.3 and Nav1.1 Encoding Genes in Amyotrophic Lateral Sclerosis Could Elucidate the Dysregulated Pain Pathways
    Zsófia Flóra Nagy, Balázs Sonkodi, Margit Pál, Péter Klivényi, Márta Széll
    Biomedicines.2023; 11(3): 933.     CrossRef
  • Palliative Care in Amyotrophic Lateral Sclerosis
    Sebastiano Mercadante, Lou'i Al-Husinat
    Journal of Pain and Symptom Management.2023; 66(4): e485.     CrossRef
  • The blind spot and challenges in pain management
    Min Cheol Chang
    Journal of Yeungnam Medical Science.2022; 39(3): 179.     CrossRef
  • Synucleinopathy in Amyotrophic Lateral Sclerosis: A Potential Avenue for Antisense Therapeutics?
    Bradley Roberts, Frances Theunissen, Francis L. Mastaglia, P. Anthony Akkari, Loren L. Flynn
    International Journal of Molecular Sciences.2022; 23(16): 9364.     CrossRef
  • Herbal medicine and acupuncture relieved progressive bulbar palsy for more than 3 years: A case report
    Siyang Peng, Weiqian Chang, Yukun Tian, Yajing Yang, Shaohong Li, Jinxia Ni, Wenzeng Zhu
    Medicine.2022; 101(45): e31446.     CrossRef
Review article
Physical therapy, Sports Therapy, and Rehabilitation
Home mechanical ventilation in children with chronic respiratory failure: a narrative review
Soyoung Kwak
J Yeungnam Med Sci. 2023;40(2):123-135.   Published online May 27, 2022
DOI: https://doi.org/10.12701/jyms.2022.00227
  • 13,151 View
  • 301 Download
  • 16 Web of Science
  • 20 Crossref
AbstractAbstract PDF
Advances in perinatal and pediatric intensive care and recent advances in mechanical ventilation during the last two decades have resulted in an exponential increase in the number of children undergoing home mechanical ventilation (HMV) treatment. Although its efficacy in chronic respiratory failure is well established, HMV in children is more complex than that in adults, and there are more considerations. This review outlines clinical considerations for HMV in children. The goal of HMV in children is not only to correct alveolar hypoventilation but also to maximize development as much as possible. The modes of ventilation and ventilator settings, including ventilation masks, tubing, circuits, humidification, and ventilator parameters, should be tailored to the patient’s individual characteristics. To ensure effective HMV, education for the parent and caregiver is important. HMV continues to change the scope of treatment for chronic respiratory failure in children in that it decreases respiratory morbidity and prolongs life spans. Further studies on this topic with larger scale and systemic approach are required to ensure the better outcomes in this population.

Citations

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  • Ventilación mecánica prolongada y paciente traqueostomizado en cuidados intensivos pediátricos
    Rafael González Cortés, Martí Pons Òdena, Mirella Gaboli, María Angeles García-Teresa
    Medicina Intensiva.2026; 50(1): 502294.     CrossRef
  • Prolonged mechanical ventilation and tracheostomised Paediatric
    Rafael González Cortés, Martí Pons Òdena, Mirella Gaboli, María Angeles García-Teresa
    Medicina Intensiva (English Edition).2026; 50(1): 502294.     CrossRef
  • Telemedicine outcome of mechanically ventilated children in Brazilian pediatric intensive care units
    Aristóteles de Almeida Pires, Luciano Remião Guerra, João Ronaldo Mafalda Krauzer, Luciane Gomes da Cunha, Mariana Motta Dias da Silva, Vanessa Cristina Jacovas, Hilda Maria Rodrigues Moleda Constant, Taís de Campos Moreira, Paulo Márcio Pitrez, Felipe Ce
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    Johan Florén, Magnus Ekström, Berit Lindahl, Agneta Markström, Andreas Palm, Åsa Israelsson-Skogsberg
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  • No socioeconomic disparities in the availability of personal care assistance: a population-based cohort analysis of children living with respiratory support
    Johan Florén, Åsa Israelsson-Skogsberg, Magnus Ekström, Berit Lindahl, Agneta Markström, Andreas Palm
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    Pediatric Pulmonology.2025;[Epub]     CrossRef
  • Impact of Physical Exercise and Home Care on Health Outcomes in Children with Disabilities: A Systematic Review
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  • Work‐Life Perceptions of Danish Personal Care Assistants Working in the Home Mechanical Ventilation Setting—A Survey Study
    Pernille Bang Nielsen, Anette Bjerregaard Alrø, Anna Holm, Dorthe Enggaard Trojel, Pia Dreyer
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  • Home paediatric CPAP/NIV: the basics
    Sonia Khirani, Alessandro Amaddeo, Lucie Griffon, Marine Dosso, Meryl Vedrenne-Cloquet, Clément Poirault, Benjamin Dudoignon, Brigitte Fauroux
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    Hamin Kim, Kyung Won Kim
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    Halime Nayır Büyükşahin, Ebru Yalcın
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    Gizem Özcan, Nazan Çobanoğlu
    Pediatric Pulmonology.2024; 59(8): 2149.     CrossRef
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    Ceyda Tuna Kirsaçlioğlu
    Pediatric Pulmonology.2024; 59(8): 2170.     CrossRef
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    Secahattin Bayav, Nazan Çobanoğlu
    Pediatric Pulmonology.2024; 59(8): 2210.     CrossRef
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JYMS : Journal of Yeungnam Medical Science
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