• Title/Summary/Keyword: 신경 해부학

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Insight Into the Potential Role of the Spine in Relation to the Immune System (면역체계와 연관된 척추의 잠재적 역할에 대한 통찰)

  • Il-Young, Cho;Hyun-Seok, Choi
    • Journal of Industrial Convergence
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    • v.21 no.2
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    • pp.85-92
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    • 2023
  • Abnormal spinal disease and function, in addition to simple musculoskeletal problems, can disrupt homeostasis and cause direct and indirect physiological side effects. Part or all of the immune function can be compromised, exposing you to more disease, especially if the nerves running through your spine do not deliver the proper signals to the organs that regulate your immune system. This study focuses on basic anatomic and physiological knowledge and seeks to consider potential mechanisms by which spinal function may potentially help maintain or improve immune function. To this end, we examine the roles of the spine in relation to hematopoiesis, stress, respiration, spine-nerve relationships, and the immune system, and confirm that these roles may influence immune function.

Long-Term Follow-Up after the Sural Nerve Graft on the Injured Temporal Branch of the Facial Nerve: A Case Report (안면신경의 측두지 손상에서 비복 신경을 이용한 지연 신경 이식술 후 장기 추적 예후: 증례보고)

  • Cheon, Jeong-Hyun;Chung, Jae-Ho;Yoon, Eul-Sik;Lee, Byung-Il;Park, Seung-Ha
    • Archives of Hand and Microsurgery
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    • v.23 no.4
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    • pp.306-312
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    • 2018
  • The temporal branch of the facial nerve is particularly vulnerable to traumatic injuries due to its anatomic location, which often causes severe aesthetic and functional loss in the patient. Moreover, a chronic injury with nerve defect is more difficult to treat compared to acute injury, because it usually needs an additional procedure such as a nerve graft surgical procedure. This case shows a male patient who had a divided temporal branch of the facial nerve one month after an injury. We successfully grafted the split sural nerve and showed a good aesthetic, functional recovery for the patient.

Microsurgical Anatomy in Transoral Odontoidectomy (경구강 치상돌기제거술의 수술해부학)

  • Park, Kwan;Lee, Sang Koo;Cho, Tae Goo;Nam, Do-Hyun;Lee, Jung-Il;Kim, Jong-Soo;Hong, Seung-Chyul;Shin, Hyung-Jin;Eoh, Whan;Kim, Jong-Hyun
    • Journal of Korean Neurosurgical Society
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    • v.29 no.3
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    • pp.309-316
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    • 2000
  • Objective :The transoral approach allows direct view of the ventral craniovertebral junction and provides useful management of the various lesions of this area. We present a step by step guide to the performance of the transoral excision of the odontoid process in the cadaveric model. Methods : Ten cadaver heads were used in fixed or unfixed state. We describe the relevant surgical anatomy in the cadaveric dissection and surgical technique of transoral transpharyngeal odontoidectomy. Results : The surgical procedure of transoral odontoidectomy was categorized by six steps;soft palate, posterior pharyngeal wall, muscular structures, osseous structures, odontoid process and ligaments, cruciate ligament and dura. Conclusion : With anatomical knowledge of these regions neurosurgeons can deal with wide variety of lesions in the ventral craniovertebral junction.

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Reoporation of Essential Hyperhidrosis (다한증 환자의 재수술 치험)

  • Jo, Hyeon-Min;Lee, Du-Yeon;Kim, Hae-Gyun;Mun, Dong-Seok
    • Journal of Chest Surgery
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    • v.30 no.10
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    • pp.1001-1004
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    • 1997
  • Thoracic sympathectomy is the radical and definite treatment of palmar hyperhidrosis. From January 1992 to March 1997, 4 patients with recurrent hyperhidrosis underwent resympathectomy via VATS at the Department of General Thoracic and Cardiovacular Surgery, Young Dong Severance Hospital. There were 2 men and 2 women and mean age was 20.0 years. There were moderate to severe adhesions at previous resection site but no thoracotomies were performed. There was no sweating on palms in all cases and all patients were greatly 5,Btisfied with those results postoperatively. In conclusion, recurrent hyperhidrosis was successfully treated with resympathectomy via VATS. In order to prevent recurrence and minimize the postoperative complication, the proper localization of the 2nd sympathetic ganglion and the radical excision of anatomical variation including Kuntz fiber are needed.

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Cerebral cortical or Cerebellar Nuclear Lesion-induced Synaptic Reorganization in the Basilar Pons of the Rat (대뇌피질 또는 소뇌핵 병변에 따른 쥐 교핵내 연접구조의 변화)

  • 이현숙
    • The Korean Journal of Zoology
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    • v.34 no.3
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    • pp.382-388
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    • 1991
  • 쥐의 교핵내에서 대뇌피질(또는 소뇌핵) 면면시 소뇌교핵계(또는 대뇌교핵계)의 연접구조의 변화에 대한 전자현미경적 관찰결과, 대뇌교핵계의 수입로 차단의 경우 소뇌교핵계의 신경섬유는 교핵세포의 원위 가지돌기쪽으로 발아하며, 소뇌핵 병변시 서뇌교핵계의 신경섬유는 근위가지돌기와 연접을 형성하거나 또는 여러개의 가지돌기 부속물들과 사구체형 연접복합체를 형성함이 밝혀졌다. 이상의 연구는 광학현미경적 관찰에서 언급된 대뇌피질(또는 소뇌핵) 병변에 따른 교핵내 신경종말의 밀도증가에 대한 보고를 뒷받침해주며, 소뇌핵 병변시 운동결핍증의 시간경과에 따른 회복에 대한 신경해부학적 근거를 제시한다.

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Compressive Neuropathy in Upper Extremity (상지의 압박 신경병증)

  • Park, Jong Woong
    • The Journal of Korean Orthopaedic Ultrasound Society
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    • v.2 no.2
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    • pp.99-106
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    • 2009
  • Compressive neuropathy in the upper extremity can be clinically diagnosed by careful history taking, physical examination of the involved nerve. Electrodiagnosis for the suspected nerve informs severity of compression of the involved nerve and indicates specific site of the lesion. In the early stage of the disease, non-operative treatment generally cures the symptom, however, if the conservative treatment fails, confirmation of the exact site of the lesion should be preceded before the operation. Recently, ultrasonography, as a supportive tool for the diagnosis of compressive neuropathy has increasing popularity for its ability to find space occupying lesion, anatomical change of the nerve, and the pathologic change in the nerve itself. For the successful treatment of the compressive neuropathy, these various diagnostic tools have to be introduced in the orthopaedic clinic.

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Usefuless of Ultrasonography Examination in Radial Nerve Palsy Associated with Humerus Fracture - Technical Report - (상완골 골절에 동반된 요골 신경 마비 환자에서 초음파 검사의 유용성 - 술기 보고 -)

  • Lee, Sang-Hyuk;Sung, Chang-Min;Park, Hyung-Bin
    • The Journal of Korean Orthopaedic Ultrasound Society
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    • v.5 no.1
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    • pp.15-21
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    • 2012
  • Primary radial nerve palsy occurs in association with approximately 10% of humerus shaft fractures. Secondary radial nerve palsy, which is iatrogenic, occurs in association with approximately 10% to 20% of humerus shaft fractures. Whether the radial nerve palsy is caused primarily by the fracture or secondarily by the surgery, it is necessary to determine whether the radial nerve is being disrupted or compressed by the surrounding structures. This evaluation will dictate whether to await natural recovery or to perform surgical exploration. The current authors report one case of primary radial nerve palsy, due to the humerus fracture, and one case of secondary radial nerve palsy, associated with the osteosynthesis procedure. In both patients, the radial nerve was assessed for anatomical integrity with ultrasonography. Nerve disruption was found in one patient, and a sural nerve graft was performed. Nerve adhesion was found in the other patient, and neurolysis was performed. In both cases, the clinical results were satisfactory. This report focuses on the usefulness of ultrasonography in radial nerve assessment in patients with radial nerve palsy.

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An Anatomical and Ultrastructural Study on the Eye of a Land Snail, Nesiohelix samarangae (동양달팽이의 눈에 대한 해부학적 및 미세구조적 연구)

  • Jeong, Kye-Heon;Lee, Hyun
    • The Korean Journal of Malacology
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    • v.10 no.1
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    • pp.1-8
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    • 1994
  • 동양달팽이속(Nesiohelix)에 속하는 종으로 한국에서는 유일하게 서식하고 있는 종으로알려진 동양달팽이(Nesiohelix samarangae)성체의 눈에 대하여 해부학적 및 미세구조관찰을 실시한 결과 다음과 같은 결론을 얻을 수 있었다. 동양달팽이의 눈은 각막, 무세포성의 수정체, 망막및 신경망 등으로 구성되어 있는 바 가장 복잡한 구조를 보이는 부분은 망막으로서 이의상피는 2종의 원주세포로 구성되어있다. 그 하나는 광수용세포로서 세포의 상부세포질이 원추형 또는 피라미드형의 돌기를 이루었고 그 유리표면에는 긴 감간(microvilli)이 무수히 많이 존재하고 있으며, 돌기를 이룬 세포질 내에는 용해소체의 활성이 높게 나타난다. 또한 광수용세포들의 상부세포질에는 이웃해 있는 색소세포들의 세포질 돌기들이 여러개 침입해 들어와 있다. 그리고 핵 주변의 세포질에는 수많은 photic vesicle들이 군집을 이루어 존재한다. 다른 한 종류의 세포는 색소세포들로서 광수용세포들과는 달리 세포의 상부에 원추형의 세포질 돌기가 없고 다만 그 유리표면을 따라 광수용세포의 것보다는 굵고 짧은 많은 감간이 존재하는데 두 종류의 세포들에서 뻗어나온 감간들은 서로 만나 때로 파상을 이루고 있다. 망막 상피세포층의 기저막 아래에는 신경망이 컵모양의 망막을 따라 존재한다.

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Neuroanatomy in Schizophrenia (정신분열증의 신경 해부학)

  • Min, Sung-Kil
    • Korean Journal of Biological Psychiatry
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    • v.3 no.1
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    • pp.3-13
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    • 1996
  • Many studies have been conducted to search for the anatomical abnormalities in the brain which ore etiologically related with schizophrenia. Generally schizophrenia in known to be related with decreased brain tissue, hypofrontality and abnormalities in the temporal lobe including the hippocamypus, the agmygdala and the entorhinal cortex. Other areas related with the disorder ore basal ganglia, thalamus, brain stem, pons and nucleus accumbens. Abnormality in brain asymmetry is one of the new areas of interest which needs further study. The results so for ore inconsistent and it is unlikely that the abnormality in one structure is the only cause of the disorder. Rather, schizophrenia develops from the impairment of the parallel processing of integrated and reciprocal information which is distributed to the multiple structures. Histopathologic studies in the postmortem brain suggest that schizophrenia is related with neurodevelopmental abnormality rather than neurodegenerative abnormality.

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Perioperative Pain Management Using Regional Nerve Blockades in Shoulder Surgery: Ultrasound-Guided Intervention (견관절 수술 시 국소신경 차단술을 이용한 통증 관리 - 초음파 유도하 중재술 -)

  • Oh, Joo Han;Lee, Ye Hyun;Park, Hae Bong
    • The Journal of Korean Orthopaedic Ultrasound Society
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    • v.7 no.1
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    • pp.67-75
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    • 2014
  • There are several kinds of regional nerve blockades, such as interscalene brachial plexus block, C5 root block, suprascapular nerve block, and axillary nerve block, which can be applied for anesthesia and postoperative pain control after shoulder surgeries. These regional nerve blockades have shown good results, but high failure rate and serious complications, such as phrenic nerve palsy, pneumothorax, and nerve injury, still remain. Ultrasound-guided intervention can increase the success rate of nerve blockades and reduce complications. We described the method of ultrasound-guided intervention for the regional nerve blockades around shoulder.

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