• Title/Summary/Keyword: 전신 진전

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A CASE OF TRANSIENT RECURRENT LARYNGEAL NERVE PARALYSIS FOLLOWING ENDOTRACHEAL INTUBATION (기관내 삽관마취로 인한 일측반회 신경마비 1치험례)

  • 이강대;왕수건
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1987.05a
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    • pp.16.2-16
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    • 1987
  • 최근 전신마취의 발달로 외과영역에서는 괄목할만한 수술적 진전을 보여 왔으나, 이에 못지 않게 전신마취에 의한 여러 가지 합병증의 보고가 늘고 있다. 특히 이비인후과영역에서는 술후 뚜렷한 원인없이 사성 및 호흡곤란 등을 호소하는 환자들을 종종 접하게 되며, 추정할 수 있는 유인으로는 대개 후두 및 기관점막의 염증, 후두결절, 후두육아종 등이 대부분이나 때로 매우 희귀하지만 원인 불명의 성대마비로 인한 경우도 있다. 저자는 최근 술전에 전혀 후두증상이 없었던 환자로서 기관내 삽관마취하 이하선 혼합종수술후에 속발한 일측성 반회신경마비례를 경험하였기에 문헌적 고찰과 함께 보고하고자 한다.

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Steroid Responsive Tremor Syndrome in a Maltese Dog (말티즈 견에서 발생한 스테로이드 반응성 진전 증후군)

  • Kang, Byeong-Teck;Jung, Dong-In;Park, Chul;Kim, Ju-Won;Kim, Ha-Jung;Lim, Chae-Young;Ko, Ki-Jin;Cho, Sue-Kyung;Lee, So-Young;Park, Hee-Myung
    • Journal of Veterinary Clinics
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    • v.23 no.3
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    • pp.337-339
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    • 2006
  • A 4-year-old, spayed female Maltese dog was presented for evaluation of acute onset of generalized tremor, right-sided head tilt, horizontal nystagmus, and mild ataxia with 4-day duration. However, the dog was bright, alert, and responsive. The neurological examinations revealed that bilateral horizontal-, positional nystagmus, and mild ataxia. Menace responses were also absent in both eyes. Typically, moderate generalized intension tremors were noted in four limbs and the head. No abnormalities were found in hemogram, radiography, and magnetic resonance imaging(MRI). Cytologic examination of cerebrospinal fluid(CSF) revealed a mild nonsuppurative inflammation. Thus, steroid responsive tremor syndrome(SRTS) was strongly suspected because of its inflammatory and idiopathic features. The dog excellently responded to immunosuppressive doses of corticosteroid. Therefore, we definitively diagnosed the dog as SRTS based on the exclusion of other causes of the tremor, clinical signs, and response to treatment. This is a first case report of SRTS in our country and we here describe clinical and neurological features in SRTS.

A Case Report of a Essential Tremor Patient Aggravated by Hwa-byung (화병에 의해 악화된 본태성 진전증 환자 치험 1례)

  • Ko, In-Sung;Ryu, Ho-Sun;Park, Se-Jin;Ahn, Hyo-Jin
    • Journal of Oriental Neuropsychiatry
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    • v.23 no.3
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    • pp.129-142
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    • 2012
  • Objectives : The essential tremor (ET) is characterized by a tremor of the whole body, including both arms. Recent studies suggest that its psychiatric and cognitive factors are more important for treatment and management than motor symptomsymptoms. This study was performed to report the effects of Korean medicine for essential tremor aggravated by Hwa-byung. Methods : We treated a 42 year- old man with Korean medicine (acupuncture, herb-medication and moxibustion) and mental therapy. The effects of the treatment for tremor and skin symptoms were measured by VAS and Severity score (3 level). We used SCL-90-R, BDI, BAI, PSQI and instrument of oriental medical evaluation for Hwa-Byung score (IOMEHB) for a psychological condition. Results : After treatments, tremor, Hwa-byung and accompanying symptoms have improved and subsided. VAS, SCL-90-R, BDI, BAI, PSQI, and IOMEHB have decreased. Conclusions : This result suggests that Korean medical treatment and mental therapy might be effective for the essential tremor aggravated with Hwa-byung.

A clinical report of Soeumin patient with conversion disorder (소음인(少陰人) 전환장애(轉換障碍) 환자(患者) 1례(例)에 대한 증례보고(症例報告))

  • Lee, Seung-Hyun;Jeong, Seong-Min;Cha, Jae-Duck;Jung, Hyo-Chang
    • Journal of Oriental Neuropsychiatry
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    • v.13 no.2
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    • pp.233-239
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    • 2002
  • This is a case report of a patient with conversion disorder treated by Soeumin herb medicine for 7 weeks. We judged the patient to be Soeumin, and diagnosed the case as Hansilgyulhyung. so we treated the patient with Soeumin Juckbaekhaogwanjung-tang and Soeumin Insambaekhaogwanjung-tang. The symptoms of the patients were whole body paralysis(she could not walk), tremor, abdominal dropsy etc, at admission. but the paralysis was improved so the patient could walk with assistant, tremor disappeared, and abdominal dropsy decreased at discharge. We found out that Soeumin Insambaekhaogwanjung-tang is effective for the Soeumin patient with conversion disorder.

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A clinical case study of Whole Tremor in Shaoyangin patient (소양인(少陽人) 전신(全身) 진전(振顫)에 대한 증례)

  • Bae, hyo-sang;Han, Kyung-suk;Park, Eun-kyung;Park, Seong-sik
    • Journal of Sasang Constitutional Medicine
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    • v.13 no.1
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    • pp.104-108
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    • 2001
  • The tremor which has been showed most frequently in the clinic has various reasons, which is common in the dyskinesias and has rhythmic vibration involuntarily. The purpose of this study is to give an account of the effects of the Korean herbal medicine therapy which is based on the constitutional medicine for the patient who has suffered from tremor which is accompanied with diarrhea in the lacunar infarction. The subject is a 70-year-old woman who has had the symptoms caused by lacunar infarction, which are tremor, right side weakness, right facial palsy, dizziness, chest discomfort, and chronic diarrhea, dipsia, abdominal discomfort, andominal pain and so forth. We have diagnosed her as Shaoyangin(少陽人) Mangyin(亡陰證) and have prescribed Huashi Kushen Tang(滑石苦蔘湯) in accordance with the principle of Pyoeumganggi(表陰降氣). The consequence is that the accompanied tremor and diarrhea and general depressed condition have improved.

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Current Status of Imaging Physics & Instrumentation In Nuclear Medicine (핵의학 영상 물리 및 기기의 최신 동향)

  • Kim, Hee-Joung
    • Nuclear Medicine and Molecular Imaging
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    • v.42 no.2
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    • pp.83-87
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    • 2008
  • Diagnostic and functional imaging device have been developed independently. The recognition that combining of these two devices can provide better diagnostic outcomes by fusing anatomical and functional images. The representative examples of combining devices would be PET/CT and SPECT/CT. Development and their applications of animal imaging and instrumentation have been very active, as new drug development with advanced imaging device has been increased. The development of advanced imaging device resulted in researching and developing for detector technology and imaging systems. It also contributed to develop a new software, reconstruction algorithm, correction methods for physical factors, image quantitation, computer simulation, kinetic modeling, dosimetry, and correction for motion artifacts. Recently, development of MRI and PET by combining them together was reported. True integration of MRI and PET has been making the progress and their results were reported. The recent status of imaging and instrumentation in nuclear medicine is reported in this paper.