• Title/Summary/Keyword: Aphasia

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A Case Report of Intercranial Hemorrhage with Hemiplegia Improved by Jayumkeonbi-tang with Deer Antler and Other Korean Medicine Treatments (자음건비탕가녹용을 비롯한 한방치료로 호전된 편마비를 동반한 뇌출혈 환자 1례)

  • Jie-yoon Kang;Joo-eun Shin;Ji-soo Baek;Yoon-sik Kim;In-chan Seol;Ho-ryong Yoo
    • The Journal of Internal Korean Medicine
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    • v.44 no.4
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    • pp.791-802
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    • 2023
  • Objective: This study reports on the effectiveness of Korean medicine treatment in a patient with intracerebral hemorrhages with symptoms of hemiplegia, personality change, and aphasia. Case presentation: The patient was treated using Korean medicine, including Jayumkeonbi-tang with deer antler as herbal medicine, acupuncture, moxibustion, and a limb activation exercise. To evaluate the effect on clinical symptoms, a manual muscle test, the Modified Functional Ambulation Classification, and the Korean version of the Modified Barthel Index were used. After 84 days of treatment, the MMT grade of the right upper and lower limbs improved from Gr. 2+/2- to Gr. 4/3~4 on average, and personality change and aphasia were gone. Conclusion: A complex treatment that includes Jaeumkunbi-tang, acupuncture, moxibustion, and limb activation exercises can be effective following an intracerebral hemorrhage resulting in hemiplegia and personality change. However, more research is needed.

Korean Agrammatic Production : Testing The Tree-Pruning Hypothesis

  • Kim SuJung;Halliwell John F.
    • Proceedings of the Acoustical Society of Korea Conference
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    • autumn
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    • pp.337-340
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    • 1999
  • The most salient and discussed features of speech production in agrammatic aphasia are the omission and substitution of grammatical morphemes. Cross-linguistic studies have shown that the pattern of omission/substitution is not random but occurs in a systematic and highly constrained way. Although these descriptions are important, they do not explain why all grammatical morphemes are not equally impaired. Friedmann and Grodzinsky (1997) proposed the Tree-Pruning Hypothesis (TPH) to account for these patterns of sparing and loss. The TPH claims that in an agrammatic representation, an impaired functional node is underspecified, thus allowing inappropriate affixation to occur. Additionally, whenever a node is impaired, all nodes above it will also be impaired. Using four types of narratives collected from two Korean agrammatic patients, We test the claim that the impairment in agrammatism is based on such hierarchical representation. It was found that these patients consistently produced appropriate grammatical morphemes that are higher in a syntactic tree than the impaired morphemes. The finding that an intact node exists higher than an impaired node refutes the TPH.

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A Case of Tuberculous Meningitis Combined with Acute Cervical Epidural Abscess and Cervical Spondylitis (급성 경추 경막외 농양 및 경추척추염과 동반된 결핵성 수막염 1예)

  • Lee, Dong Kuck
    • Annals of Clinical Neurophysiology
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    • v.4 no.2
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    • pp.140-145
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    • 2002
  • Neurologic sequelae of tuberculous meningitis include hemiparesis, paraparesis, quadriparesis, aphasia, developmental delay, dementia, blindness, visual field defect, deafness, cranial nerve palsies, epilepsy, and hypothalamic and pituitary dysfunction. But cervical epidural abscess and cervical spondylitis are rare. A 64-year-old woman who was diagnosed as tuberculous meningitis presented a severe neck pain and stiffness after 3 weeks of anti-tuberculous medication. Electromyography and cervical X-ray showed a cervical spondylosis with polyradiculopathy. But cervical MRI showed an acute cervical epidural abscess and mild cervical spondylitis. After continuous anti-tuberculous medication with supportive care, she showed a slow clinical improvement. But about 1 month of anti-tuberculous therapy, she presented a more aggravation of neck pain, neck stiffness, radicular pain, and neck motion limitation. Follow-up cervical MRI showed an more advanced cervical spondylitis. Afterthen she has recovered slowly by cervical laminectomy with posterior stabilization and continuous anti-tuberculous medication.

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A Case of Nephrotic Syndrome with Cerebral Infarction (뇌경색을 동반한 신증후군 환자 치험 1례 보고)

  • Kim, Seon-Kang;Park, Chul-Soo;An, Joong-Hwan;Kim, Jong-Dae;Kim, Hyeong-Hwan
    • The Journal of Internal Korean Medicine
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    • v.22 no.1
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    • pp.103-108
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    • 2001
  • Nephrotic syndrome(NS) is characterized albuminuria, hypoalbuminemia, hyperlipidemia and edema. The thromboembolic complications of NS are reasonably common and have a broad range of clinical manifestations. The treatment of NS is empirical and symptomatic because the etiology and pathogenesis are unknown. We report treatment of patient who has been afflicted with NS for 20 years. He complained edema, dyspnea, Rt. hemiparesis, aphasia. We treated him with converting enzyme inhibitor, steroid, three kinds of herb-medicine for 45 days. The patient improved in clinical symptoms and routine chemistry, urine analysis test.

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A case report of Sikgwol treated with Gamiyukgunja-tang (가미육군자탕(加味六君子湯) 투여 후 치료된 식궐(食厥) 환자 치험 1례)

  • Kim, Jun-Hong;Kim, Tae-Yong;Shin, Hyeon-Su;Park, Jun-Beom
    • The Journal of Internal Korean Medicine
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    • v.26 no.3
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    • pp.715-719
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    • 2005
  • The chief symptoms of Sikgwol are confusion, aphasia and quadriparesis. Sikgwol is caused by overeating in instances of deficiency syndrome of the stomach. The symptoms of Sikgwol are similar to those caused by cerebral vascular injury. After medication with Gamiyukgunja-tang and acupunture therapy, the patient symptoms improved rapidly within the first week. Results support the clinical efficacy of Gamiyukgunja-tang for Sikgwol.

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The Preliminary Clinical Application of the Tentative Korean Aphasia Test Battery Form(I) (한국어판 실어증 감별진단검사법 시안(I)의 임상적용에 대한 예비연구)

  • 박혜숙;사사누마스미꼬;선우일남;나은우;신정순
    • Proceedings of the KSLP Conference
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    • 1993.12a
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    • pp.13-13
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    • 1993
  • 실어증 감별진단검사법은 실어증환자들의 진단, 치료계획의 설정, 치료 효과 및 예후의 판정 등을 위하여 사용된다. 그러나 아직 우리나라에는 우리에게 알맞은 실어증 감별진단 검사법이 개발되지 않았으므로 본 연구에서는 정신문화 및 언어구조면에서 우리나라와 유사성이 가장 높다고 생각되는 일본에서 널리 사용되고 있는 실어증 감별진단검사법(노인총합 연구소판)을 우리나라의 정신문화 및 언어상의 특성을 고려하여 번역 보완환 다음 한국어판 실어증 감별진단검사법을 시안(I)을 실어증 환자군과 정상 대조군에 적용하여 그 가치를 평가하고자 하였다. (중략)

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A Comparison of the Performances of Confrontation Naming Test and Verbal Fluency Task in Patients with Prodromal Alzheimer's Disease and Mild Alzheimer's Disease (노인성 알츠하이머병 위험군과 초기 알츠하이머병 환자의 이름대기와 구어유창성 능력의 비교)

  • Choi, Hyun-Joo
    • Speech Sciences
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    • v.15 no.2
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    • pp.111-118
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    • 2008
  • We identified the characteristic impairmants of linguistic semantic memory in patients with prodromal Alzheimer's disease(AD) and mild AD. To elucidate the earliest changes of semantic language function in subjects with AD, performances on confrontation naming test and verbal fluency task were compared among patients with AD patients (n=20), mild AD patients (n=27) and healthy elderly controls (n=20). Tasks in this study included the confrontation naming test of Test of Lexical Processing in Aphasia(TLPA/Japanese) and one-minute verbal fluency task (semantic/ phonetic categories). The results were as follows: 1) Performances of the prodromal AD group showed the comparable to those of the control group on the confrontation naming test, 2) In the semantic/phonetic verbal fluency tasks, the performances of the control group were better than those of the prodromal AD and mild AD groups, but no significant differences were shown between the prodromal AD and the mild AD group.

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Agrammatic Comprehension of Empty Categories in English

  • Hong, Min-pyo
    • Korean Journal of Cognitive Science
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    • v.13 no.2
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    • pp.15-23
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    • 2002
  • This paper reports an experiment on Broca's aphasics' comprehension of a class of English constructions involving empty categories. Based on Grodzinsky's (1986) account of chance-level performance of agrammatic understanding of movement constructions and their thematic role assignments. I show that Grodzinsky's notion of invisible empty categories can be further extended to include pronomical anaphors (PRO's) in Chomsky's (1981) sense and that the asymmetry in their poor comprehension of subject- and object-control constructions can be explained by the heuristic mechanism of the default thematic role assignment rule. eventually supporting Grodzinsky's claim that empty categories are not visible In agrammatic's syntactic representation.

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Febrile Hashimoto's encephalopathy mimicking infectious encephalitis

  • Lee, Jung-Ju;Youn, Michelle Sojung;Park, Jong-Moo;Kwon, Ohyun;Lee, Woong-Woo;Kang, Kyusik;Kim, Byung Kun
    • Annals of Clinical Neurophysiology
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    • v.22 no.1
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    • pp.24-28
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    • 2020
  • Hashimoto's encephalopathy (HE) is a heterogeneous encephalopathy with diverse clinical presentations. Here we report on a 69-year-old woman who presented with confusion, aphasia, fever, and focal ictal discharges. Cerebrospinal fluid analysis and a workup for other fever origins revealed no abnormality and a high level of thyroperoxidase antibody was detected, which findings led to a diagnosis of HE. The symptoms subsided after treatment. This study highlights the importance of considering HE in patients presenting with fever and abnormal EEG findings.

Double Extra-anatomic Bypasses in Upper and Lower Extremities - A Report of Case - (이중성 비해부학적 우회술 치험 1례)

  • 이신영
    • Journal of Chest Surgery
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    • v.22 no.2
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    • pp.330-336
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    • 1989
  • The patient was 47-year-old male who had suffered from aphasia and hemiplegia of the right side, but mental state was alert. On physical examination, BP was 130/80 mmHg in the right arm, but not checked in the left arm. The pulses of the left common carotid, brachial, and radial arteries were not palpable. The pulses of the right femoral, popliteal, and dorsalis pedis arteries were weakly palpable. Brain CT Scan revealed cerebral infarction of the left hemisphere. Aortogram showed occlusion of the left common carotid, and the right internal carotid and common iliac arteries. Subclavian steal phenomena were observed in the delayed aortogram. Double extra-anatomic bypasses; Axillo-Axillar bypass and Femora-Femoral bypass, were performed in the local anesthesia at two stages, because of risk of major operation under general anesthesia. Postoperatively, all pulses except for pulse of the left common carotid artery were equally palpable. On discharge, the hemiplegia of the right side was improved and able to walk with assistance.

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