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Meniere's Attack after Stellate Ganglion Block -A case report- (어지럼 발작 병력환자에서 성상신경절블록 후 다시 발생한 어지럼 발작 -증례 보고-)

  • Kang, Sin Young;Kim, Dong Yeon;Chung, Rack Kyung
    • The Korean Journal of Pain
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    • v.18 no.2
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    • pp.232-234
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    • 2005
  • Stellate ganglion block (SGB) is one of the most widely used treatment modalities for a broad range of disorders, including otolaryngologic indications such as Meniere's disease and sudden hearing loss. We present a case of a vertiginous attack following SGB for the management of Meniere's disease. A 31-year-old female, suffering from Meniere's disease, underwent repeated right side SGBs with 6 ml of 1% mepivacaine after negative aspiration tests for blood. The eleventh block was performed in the usual manner. Several seconds after injection, she showed agitation, anxiety, nystagmus, and left-sided tinnitus. Two minutes later, her tinnitus and nystagmus were resolved. Fifteen minutes after injection, she experienced acute onset of severe vertigo, nausea, and vomiting. However, her symptoms were gradually alleviated within two hours.

A Case of Convulsive Seizure Following Spinal Anesthesia in a Geriatric Patient with COPO (만성 폐쇄성 폐질환자에서 척추 마취후 발생한 경련발작 1례)

  • Suh, III-Sook
    • Journal of Yeungnam Medical Science
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    • v.5 no.2
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    • pp.213-219
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    • 1988
  • In the geriatric patient with COPD, incidence of postoperative pulmonary complication is higher than young patient. Therefore, some anesthesiologists preferred spinal anesthesia to general anesthesia for surgery of the perineum, lower extrimities, and pelvic extra peritoneal organs. But, during spinal anesthesia, the same careful observation is requiered as during general anesthesia. We experienced a case of the convulsive seizure at about 1 hour after spinal anesthesia for open prostatectomy in a 76-year-old male patient wit COPD. It was suspected that his convulsive seizure be resulted from hypercapnea combined with hypoxia following upper airway obstruction. This patient was treated successfully by ultrashort acting barbiturate and controlled ventilation.

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Non-epileptic paroxysmal events during sleep - Differentiation from epileptic seizures - (수면시 발생하는 비간질성 발작 - 간질 발작과의 비교 -)

  • Lee, In Kyu
    • Clinical and Experimental Pediatrics
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    • v.50 no.8
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    • pp.726-731
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    • 2007
  • This review describes the wide spectrum of paroxysmal events during sleep in infancy and childhood. The differential diagnosis between sleep-related non-epileptic paroxysmal events and epileptic seizures is difficult in special occasions. The nocturnal frontal lobe seizure and of the more common nonepileptic paroxysmal events during sleep are described. The main differentiating features characterizing parasomnias are: onset in early childhood, rare episodes of long duration, relatively lower frequency per night, absence of stereotypy, gradual disappearance of older age. Video-polysomnography is the gold standard to diagnosing and differentiating parasomnias from nocturnal frontal lobe seizures.

Diffusion Tensor Imaging in Nocturnal Frontal Lobe Epilepsy

  • Son, Chul-Ho;Woo, Sung-Gu;Cho, Yong-Won;Lee, Hyung;Han, Bong-Soo
    • Proceedings of the KSMRM Conference
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    • 2002.11a
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    • pp.84-84
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    • 2002
  • 목적: 야간성 전두협 발작 (Nocturnal frontal lobe epilepsy NFLE)은 임상적으로 특징적인 야간성 운동성 발작으로 잘 알려져 있지만 일반적인 MR 영상에서는 대부분에서는 특이한 소견을 보이지 않아 확산 텐서 영상 (DTI)에서의 이상 소견 발현 유무를 알아보고자 한다. 대상 및 방법: 임상적 소견과, EEG 소견으로 진단된 NFLE 환자 6명을 대상으로 DTI 영상을 촬영하였다. 남자 2명, 여자 4명으로 평균연령은 32세 이었다. DTI영상은 single shot spin echo EPI 펄스 열을 사용하였고 사용한 영상 변수는 b value는 0, 1000 s/$\textrm{mm}^2$, TR 10000 msec, TE 71.8/72.3 msec, matrix 128$\times$128 (256 reconstruction), FOV 23cm, 5mm thickness, 2mm interstice gap, NEX 1. 19 slices, time은 4min 21sec (25방향) 이었다. 대조군으로 정상 성인 10명 (평균연령 31세)에서 동일한 방법으로 DTI 영상을 시행하여 분할 비등방도 (fractional anisotropy) 영상을 얻고 전두엽 백질에서 분할 비등방도 값을 측정하여 NFLE 환자군과 비교하였다.

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Visualization of the Abnormal Region on Medial image by Nonlinear Registration based Template Construction (템플릿 구축을 통한 의료영상 기능이상부위 추출 가시화)

  • 김민정;최유주;김명희
    • Proceedings of the Korean Information Science Society Conference
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    • 2003.10b
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    • pp.730-732
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    • 2003
  • 의료영상정합을 통해서 이상징후 발현시점과 소멸시점의 기능영상을 비교함으로써 기능이상부위를 판별하는 것은 질환의 진단에 매우 유용하다. 본 논문에서는 기존 변화시점간 기능영상 감영법이 정확한 소멸시점에서의 영상 취득이 어려움으로 인해 정확도가 떨어질 우려가 있는 점을 개선하고자 뇌 혈류이상을 나타내는 뇌기능영상인 SPECT의 변화시점 기능이상부위 추출을 위하여 정상인집단 영상의 비선형 영상정합기법과 영상평균화를 통해 뇌기능영상 템플릿을 구축하였다. 또한 이를 기반으로 영상감영을 수행함으로써 간질환자의 발작중(ictal) SPECT 뿐만 아니라 발작간(interictal) SPECT에서도 뇌혈류의 이상을 정확히 분석할 수 있는 3차원 추출가시화 방법을 제시하였다.

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Reconstruction of the Glenoid Using Iliac Bone Graft for Recurrent Anterior Shoulder Instability with Severe Glenoid Bone Defect - A Report of Two Cases - (관절와의 심한 골결손을 동반한 견관절 전방 불안정성에서 장골 이식술을 이용한 관절와 재건술 - 2예 보고 -)

  • Lee, Seong-Man;Jung, Won-Ju;Lee, Hyun-Joo;Jeon, In-Ho
    • Clinics in Shoulder and Elbow
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    • v.13 no.1
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    • pp.117-122
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    • 2010
  • Purpose: The purpose of this report was to assess a surgical technique-using an autogenous tricortical iliac crest bone graft in patients with epilepsy-for anatomical glenoid reconstruction for recurrent anterior glenohumeral instability with severe glenoid deficiency. Materials and Methods: We studied two cases of recurrent anterior dislocation of the shoulder due to epilepsy. These cases were treated with anatomical glenoid reconstruction using an autogenous tricortical iliac crest bone graft. Results: Both cases achieved bone union in 5 months. There was no recurrence of instability and pain. Both cases had normal range of motion. Conclusion: Anatomical glenoid reconstruction for recurrent anterior glenohumeral instability with severe glenoid deficiency using an autogenous tricortical iliac crest bone graft is a successful surgical technique for achieving shoulder stability.

A Study on Correlation of Entry into Hibernation and Epileptic Fit in Hibernators (동면돌입과 전간발작의 상호관련성에 관한 연구)

  • 오영근;이서울
    • Biomedical Science Letters
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    • v.5 no.2
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    • pp.167-179
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    • 1999
  • There are considerable interests in bat biology for investigating hibernation mechanism, in special regard to a hypothesis that the entry into hibernation is closely related with epileptic fit (petit mal) accompanying falling of body temperature, which is characterized by 3 spikes and wave/sec formation in electroencephalograph (EEG). This study was designed in order to examine physiological parameters (body temperature, heart rate, electroencephalograph and brain mapping) during normal patterns of the entry into hibernation and the hibernation period, and to observe effects of epileptogenic agents such as THC, Metrazol, and ILS on the physiological parameters. Based on the experimental results the entry into some hibernation seems to be related with epileptic fit, and therefore it is deduced that north temperate bats and the hamsters might be induced into hibernation by epileptogenic factors (pentylenetetrazol, THC and ILS etc) accompanying falling of body temperature and unique EEG and brain mapping.

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