• Parasites, Hosts and Diseases
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• v.30 no.4
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• pp.299-307
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• 1992

An antigenic protein in cystic quid of Taenia solium metacestodes (CF) of 150 kDa was measured by antibody-sandwich ELISA in serum and cerebrospinal quid (CSF) of neurocysticercosis patients. Capture antibodies were rabbit antisera against CF (RACF) and a monoclonal antibody (MAb) against 150 kDa protein in CF. Lower limit of antibody-sandwich ELISA was 8 ng/ml of the protein. Except CF, no tested helminthes extracts reacted. Levels of the protein in 351 sera from 255 patients (55 surgery confirmed and 202 antibody and CT/MRl confirmed) were below sensitivity of the assay. Of 276 CSF from 212 patients, 31 samples (11.2%) showed positive findings. This assay, therefore, was not sensitive enough to be a diagnostic. Instead, the 150 kDa protein appeared in CSF in such situations as in 2 days after prasiquantel treatment, or as in a patient infected with a racemose cysticercus with degenerated cyst wall. Of cases whose follow-up CSF were assayed, 2 cases showed that the protein appeared intermittently, These results suggest strongly that appearance of free 150 kDa protein is associated with cyst wall rupture. In CSF which contained the 150 kDa protein over 61 ng/ml, the protein was recognized in 505-PAGE before and after immunoprecipitation.

• Clinical and Experimental Pediatrics
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• v.49 no.5
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• pp.533-538
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• 2006

Purpose : The headache, one of the symptoms of meningitis, is related to abrupt elevation of intracranial pressure(ICP) or stimulation of intracranial nociceptive structure. However, in cases of mild elevation of ICP or normal findings of cerebrospinal fluid(CSF) analysis, patients sometimes complain of headaches. Therefore, other pathways may contribute to the occurrence of headaches in aseptic meningitis or meningismus. We intend to investigate the role of substance P(SP) and calcitonin gene-related peptide(CGRP) in aseptic meningitis or meningismus. Methods : We measured leukocyte count, the concentration of protein and glucose in CSF and ICP of patients with meningeal irritation sign. We also measured SP and CGRP levels by using immunoassay. We analyzed the relationship between the presence of headache and the value of SP and CGRP. Results : The concentrations of CGRP($18.8{\pm}10.5ng/mL$) in CSF and ICP($14.8{\pm}4.5cmH_2O$) in aseptic meningitis group were significantly higher than in those($14.1{\pm}7.4ng/mL$ and $12.0{\pm}5.1cmH_2O$, respectively) of the meningismus group(P<0.05). There was no significant difference in the SP levels between the two groups. In the aseptic meningitis group, the concentrations of SP and CGRP were significantly higher in the normal ICP group than in the elevated ICP group(P<0.05). Conclusion : Headaches in children with aseptic meningitis or meningismus is considered to be related to the elevation of the CSF levels of SP and CGRP.

• Clinical and Experimental Pediatrics
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• v.46 no.4
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• pp.345-350
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• 2003

Purpose : Bacterial meningitis is a serious infection of childhood associated with a significant morbidity and mortality. Repeated cerebrospinal fluid(CSF) examination is a useful prognostic indicator and a delayed sterilization is associated with a higher incidence of neurologic abnormalities. In this study we tried to determine the prognostic value of repeated CSF latex agglutination testing. Methods : We retrospectively evaluated 19 patients admitted to Ewha Womans University Mokdong Hospital for bacterial meningitis from January 1997 to June 2002. Bacterial meningitis was confirmed by a positive CSF culture and a positive CSF latex agglutination test. Repeated CSF examinations were done at three, seven, 14, 21 and 28 days after antibiotics therapy. Neuroradiologic studies were performed. Results : The mean age was $10.6{\pm}12.3months$(range; two to 33 months). The male to female ratio was 2.8 : 1. The causative organisms were Haemophilus influenzae type b 57.9%, Group B Streptococcus 21.1%, Streptococcus pneumoniae 15.7% and Escherichia coli 5.3%. Three days after the initiation of antibiotics therapy, repeated CSF latex agglutination tests persisted as positive in nine (47.4%) out of 19 cases, but all CSF cultures became negative. In those cases with negative latex agglutination tests three days after antibiotics therapy, neuroradiologic findings were completely normal. But, in cases with positive latex agglutination tests three days after antibiotics therapy, neuroradiologic abnormalities such as cerebral infarction, encephalomalasia occurred in 44.4%. Conclusion : Repeated CSF latex agglutination testing was valuable as a prognostic factor in bacterial meningitis. Neuroradiologic abnormalities may occur in cases with delayed clearance of CSF latex agglutination tests more often than in cases with negative latex agglutination tests three days after antibiotics therapy.

• Pediatric Infection and Vaccine
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• v.4 no.2
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• pp.265-270
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• 1997

Purpose: Rapid diagnosis and prompt treatment remain the cornerstone of management of patients with meningitis. Examination of cerebrospinal fluid(CSF) for glucose, protein, cells, and organisms is necessary for accurate diagnosis, but in many parts of the world facilities do not exist to do so. We tested CSF samples from 69 children with suspected meningitis with urinary reagent strips and analyzed the results to know the usability of urinary reagent strips in diagnosis of meningitis. Methods: 69 CSF samples obtained from children with suspected meningitis were analysed. Each sample was divided into two; one was sent to the laboratory for routine diagnostic evaluation, and the other was tested with the reagent strip(Combur10 Test M). Laboratory values of CSF glucose, protein, and leucocytes for each CSF sample were plotted against the corresponding reagent-strip category. Results: There was good agreement between the dipstick and laboratory values for CSF protein and cell count but not for glucose. Conclusion: Rapid diagnosis of meningitis could be made with three component of the Combur10 test strip. It is easy to do and would be of particular value to those working in parts of the world where no laboratory facilities exist.

• 대한핵의학회:학술대회논문집
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• 1978.06a
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• pp.65.1-65.1
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• 1978

• Proceedings of the Korean Information Science Society Conference
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• 2000.04b
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• pp.517-519
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• 2000

본 논문은 뇌의 수직단면에 대하여 촬영된 자기공명영상에서 뇌 영역을 분리한 후 백질과 회백질 및 뇌척수액을 분리하고 각각의 체적을 산출하기 위한 것이다. 본 연구는 먼저 뇌의 자기공명영상에서 영상의 배경 및 뇌 내부를 둘러싸고 있는 외피 및 지방층으로부터 뇌 영역 전체를 분리하였으며, 부분체적의 문제(partial volume artifact)에 의해 명암값의 번짐 현상을 보이는 뇌의내부 영역에서 각 성분의 부분체적을 산출하여 각 조직을 분리하기 위한 명암 값을 결정한 후 백질과 회백질 및 뇌척수액의 영역을 분리하였다. 본 연구는 뇌의 위축을 보이지 않은 정상인의 자기공명영상을 대상으로 하였으며, 향후, 이러한 연구 결과는 알쯔하이머 병이나 뇌성마비 등과 같은 퇴행성 뇌질환 환자의 뇌 위축정도를 객관적으로 진단하는 방법으로 사용될 수 있도록 하는데 있다.

• Proceedings of the Korea Information Processing Society Conference
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• 2003.05a
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• pp.405-408
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• 2003

영상의 구성물질에 따른 정확한 분할은 질병의 유무를 판단하는데 매우 중요하다. 그러나 영상에서 구성물질들을 정확하게 분할하기란 쉬운 문제가 아니다. 그리고 많은 연구들이 뇌의 실질적인 량을 고려하지 못한 상태서 분할이 이루어지고 있다. 따라서 뇌의 실질적인 량과 비교할 때 가장 근접한 방법 의 개발이 필요하다고 볼 수 있다. 본 논문은 fat을 소거한 T2 영상과 T1 영상을 이용하여 조직에 따르는 명암 분포가 각각 다르게 분포되어 있는 것을 이용하여 평활화한 후 두 영상의 차로 백질, 회백질, 뇌척수액을 분리하는 방법을 제안한다. 이 방법을 이용하여 정상이의 뇌 MR 영상 이용하여 (19 Slice) 백질, 회백질, 뇌척수액을 분리하는 방법을 제시하였다.

• Proceedings of the Korea Information Processing Society Conference
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• 2014.04a
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• pp.753-756
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• 2014

파킨슨병은 도파민계 신경이 파괴되는 질병으로 알츠하이머병과 함께 대표적인 퇴행성 뇌 질환으로 병의 진행을 완화시킬 수 있는 치료법이 존재하기 때문에 병의 진단이 굉장히 중요하다. 파킨슨병을 진단하기 위한 과거의 연구는 대부분 단일 생체지표를 이용하는 것이었지만 이러한 방법에는 한계성이 존재한다. 따라서 본 연구에서는 생화학적 생체지표인 뇌척수액 내의 ${\alpha}-synuclein$ 단백질 수치와 영상학적 생체지표인 확산 텐서 영상의 여러 모수들을 결합한 융합 생체지표를 특징으로 사용하는 파킨슨병 진단 모델을 개발하고 성능을 평가하였다. 10-fold cross validation 에서 모든 성능지표에 대해 최고 100%를 보였으며, cross validation 의 과적합을 감안하더라도 파킨슨병의 조기진단에 유용하게 사용될 수 있는 가능성을 제시하였다.

• 전자공학회논문지 IE
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• v.43 no.4
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• pp.21-27
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• 2006

This paper is for the segmentation and volume calculation of the white matter and gray matter from brain MRI. We segment white matter, gray matter and CSF from the Brain image in the normal and abnormal person, and calculate the volume of segmented tissue. In this paper, we present a new method of extracting white matter, gray matter and CSF and calculation its volume from MR images for brain. And we have developed the determining method of threshold that can extract white matter and gray matter from MR image for brain through the analysis of gray values represented by ratio of each component. We proposed the calculation method of volume for white matter and gray matter by using number of extracted pixels in each slice. This algorithm input CSF/Head volume ratio and age of patient and calculates discriminant value through discriminant expression, classifies normal and abnormal using calculated discriminant value. As a result, we could blow that white matter and gray matter volume decrease and CSF volume increase as we grow gold.

• Neonatal Medicine
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• v.16 no.2
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• pp.234-238
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• 2009

Posthemorrhagic hydrocephalus is a major problem in premature infants. We describe our experience with a neonate that was an extremely low birth weight infant with posthemorrhagic hydrocephalus, who was treated by repeated ventricular drainage through an Ommaya reservoir for more than two months until the placement of a ventriculoperitoneal shunt was possible. The Ommaya reservoir served as a bridge to definitive treatment. The patient required sodium supplements due to excessive salt loss from the repeated ventricular drainage procedures. Regular measurement of serum electrolytes in any infant requiring serial ventricular drainage is recommended.