Publications by authors named "Yeon Lim Suh"

Background And Purpose: Neuronal intranuclear inclusion disease (NIID) is a progressive neurodegenerative disease characterized by a wide range of clinical manifestations. GGC-repeat expansion in was recently identified as the genetic cause of NIID. Here we report clinical, radiological, pathological, and genetic findings in NIID patients.

View Article and Find Full Text PDF

Background And Purpose: The National Brain Biobank of Korea (NBBK) is a brain bank consortium supported by the Korea Disease Control and Prevention Agency and the Korea National Institute of Health, and was launched in 2015 to support research into neurodegenerative disease dementia (NDD). This study aimed to introduce the NBBK and describes clinicopathological correlations based on analyses of data collected from the NBBK.

Methods: Four hospital-based brain banks have been established in South Korea: Samsung Medical Center Brain Bank (SMCBB), Seoul National University Hospital Brain Bank (SNUHBB), Pusan National University Hospital Brain Bank (PNUHBB), and Myongji Hospital Brain Bank (MJHBB).

View Article and Find Full Text PDF

Adult-onset leukoencephalopathy with axonal spheroids and pigmented glia (ALSP) is a rare white matter disease characterized by axonal and glial injury. Although its clinical characteristics have been described in case reports, the prevalence of CSF1R mutations in clinically suspected ALSP cases remains unclear. Herein, we analysed the frequency of CSF1R mutations in patients with probable or possible ALSP and describe the genetic, clinical, radiological, and pathological findings of ALSP cases in individuals of Korean ancestry.

View Article and Find Full Text PDF

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.

View Article and Find Full Text PDF

Backgruound: Thyroid-stimulating hormone (TSH)-secreting pituitary neuroendocrine tumor (TSH PitNET) is a rare subtype of PitNET. We investigated the comprehensive characteristics and outcomes of TSH PitNET cases from a single medical center. Also, we compared diagnostic methods to determine which showed superior sensitivity.

View Article and Find Full Text PDF

The World Health Organization Classification of Tumors of the Central Nervous System recently incorporated histological features, immunophenotypes, and molecular characteristics to improve the accuracy of glioblastoma (GBM) diagnosis. (F3T3) fusion has been identified as an oncogenic driver in -wildtype GBMs. Recent studies have demonstrated the potential of using FGFR inhibitors in clinical trials and TACC3-targeting agents in preclinical models for GBM treatment.

View Article and Find Full Text PDF
Article Synopsis
  • The study focused on diagnosing and classifying IDH-wildtype diffuse astrocytic gliomas to inform treatment and prognosis, especially differentiating glioblastoma (GBM) from lower-grade variants when DNA methylation analysis isn’t possible.
  • A total of 479 glioma cases were examined, revealing 91.6% were diagnosed as GBM while 8.4% were classified as lower-grade gliomas not fitting established criteria.
  • Findings highlighted that certain genetic alterations, particularly PTEN and EGFR mutations, were prevalent in GBM; however, mTOR pathway mutations correlated with better prognoses despite histological similarities to aggressive tumors.*
View Article and Find Full Text PDF

Adult-onset leukoencephalopathy with axonal spheroids and pigmented glia encompasses hereditary diffuse leukoencephalopathy with axonal spheroids and pigmented orthochromatic leukodystrophy. We describe the clinicopathological and genetic findings of three patients with this disorder. All patients presented with dysarthria, with or without cognitive decline.

View Article and Find Full Text PDF

Background: Cerebrotendinous xanthomatosis (CTX) is a rare autosomal recessive lipid storage disease caused by a mutation in the gene. Due to the disruption of bile acid synthesis leading to cholesterol and cholestanol accumulation, CTX manifests as premature cataracts, chronic diarrhea, and intellectual disability in childhood and adolescence. This report presents a case of CTX with an unusual phenotype of behavioral variant frontotemporal dementia (bvFTD) in middle age.

View Article and Find Full Text PDF

We present an autopsy case of a 19-year-old man with a history of epilepsy whose unwitnessed sudden death occurred unexpectedly in the night. About 4 years before death, he was diagnosed with unilateral optic neuritis (ON). Demyelinating disease was suspected, but he was lost to follow up after the recovery.

View Article and Find Full Text PDF

Subependymomas are rare, intraventricular glial tumors histologically characterized by clusters of small uniform cells distributed in an abundant fibrillary matrix. These tumors can arise in the parenchyma of the cerebrum, cerebellum, or spinal cord. Herein, we report an extremely rare case of cerebellar intraparenchymal subependymoma in a 62-year-old woman.

View Article and Find Full Text PDF

A late-onset treatment-related changes (TRCs), which represent radiographic radiation necrosis (RN), frequently occur after stereotactic radiosurgery (SRS) for brain metastases and often need surgical treatment. This study aimed to validate the true pathology and investigate clinical implication of surgically resected TRCs on advanced magnetic resonance imaging (MRI). Retrospective analyses of 86 patients who underwent surgical resection after radiosurgery of brain metastases were performed.

View Article and Find Full Text PDF

Background: Recent genomic studies identified four discrete molecular subgroups of medulloblastoma (MB), and the risk stratification of childhood MB in the context of subgroups was refined in 2015. In this study, we investigated the effect of molecular subgroups on the risk stratification of childhood MB.

Methods: The nCounter® system and a customized cancer panel were used for molecular subgrouping and risk stratification in archived tissues.

View Article and Find Full Text PDF
Article Synopsis
  • This study focuses on the detection of TERT promoter mutations in glioblastomas using targeted next-generation sequencing (NGS), revealing challenges due to high GC content in the promoter region.
  • A comparison of detection rates between targeted NGS and Sanger sequencing showed that while Sanger identified mutations in 17 glioblastomas, targeted NGS missed all mutations initially but later detected them upon manual review.
  • The research emphasizes the need for careful interpretation of NGS data and the importance of optimizing sequencing methods to account for molecular biases in difficult-to-amplify regions.
View Article and Find Full Text PDF

Background: Glioblastoma (GBM) is the most common and malignant gliomas of adults and recur, resulting in death, despite surgery, radiotherapy, and temozolomide-based chemotherapy. There are a few reports on immunotherapy for the mismatch repair (MMR)-deficient GBMs with high tumor mutational burden (TMB). However, the clinicopathological and genetic features of the MMR genes altered in GBMs have not been elucidated yet.

View Article and Find Full Text PDF
Article Synopsis
  • Achieving remission in major depressive disorder (MDD) after antidepressant therapy is crucial, and using genetic markers could enhance this rate but existing studies lack strong evidence for clinical use.
  • A study conducted whole-genome sequencing on 100 MDD patients treated with SSRIs, identifying a notable genetic variant (rs3213755) linked to successful treatment outcomes, showing a significant association with remission rates in both discovery and replication groups.
  • The findings suggest that the KRTAP1-1 gene may play a role in treatment response, highlighting the need for further WGS research with larger, diverse patient samples to improve pharmacogenetic predictions.
View Article and Find Full Text PDF

Background: Infants and very young children with malignant brain tumors have a poorer survival and a higher risk for neurologic deficits. The present study evaluated the feasibility and effectiveness of multimodal treatment including tandem high-dose chemotherapy and autologous stem cell transplantation (HDCT/auto-SCT) in minimizing use of radiotherapy (RT) in very young children with non-metastatic malignant brain tumors.

Methods: Twenty consecutive patients younger than 3 years were enrolled between 2004 and 2017.

View Article and Find Full Text PDF

Preeclampsia is one of the most serious complications of pregnancy, affecting 5-10% of parturients worldwide. Recent studies have suggested that autophagy is involved in trophoblast invasion and may be associated with defective placentation underlying preeclampsia. We thus aimed to understand the mechanistic link between autophagy and trophoblast invasion.

View Article and Find Full Text PDF

Background: In this study, we report the follow-up results of reduced dose of craniospinal radiotherapy (CSRT) followed by tandem high-dose chemotherapy (HDCT) in patients with high-risk medulloblastoma (MB).

Methods: Newly diagnosed high-risk MB patients (metastatic disease, postoperative residual tumor >1.5 cm , or large cell/anaplastic histology) over 3 years of age were enrolled in this study.

View Article and Find Full Text PDF

Purpose: We performed a prospective single-arm trial (NCT02782754) to explore the feasibility of reducing radiation therapy (RT) dose when induction chemotherapy is combined in the treatment of intracranial germinoma with beta-human chorionic gonadotropin levels <200 mIU/mL.

Methods And Materials: All patients aged 3 to 35 years from November 2012 to June 2018 were eligible for this study. Four cycles of induction chemotherapy were given before RT.

View Article and Find Full Text PDF

The musculoskeletal system can be involved as an extra-intestinal manifestation of inflammatory bowel disease. Among these, myositis in ulcerative colitis (UC) is very rare. A 14-year-old girl was admitted due to severe shoulder tenderness.

View Article and Find Full Text PDF
Article Synopsis
  • - The study focuses on advanced metastatic lung adenocarcinoma, the most common type of lung cancer at stage IV, highlighting its unique molecular and cellular features compared to early-stage cancer.
  • - By analyzing over 200,000 cells from 44 patients, researchers discovered a specific cancer cell subtype that dominates during the metastatic phase and identified significant changes in stromal and immune cell dynamics that promote tumor growth and suppress immune response.
  • - This comprehensive single-cell analysis deepens our understanding of how metastatic lung cancer interacts with its microenvironment, suggesting new diagnostic and therapeutic targets for treatment.
View Article and Find Full Text PDF