• Title/Summary/Keyword: Aphasia

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A Closed Right Atrial Septal Aneurysm Suspected as a Tumor -1 case report- (우심방 종양으로 의심된 폐쇄성 심방중격류 - 1예 보고 -)

  • 김재욱;조욱현;박경석;김용인
    • Journal of Chest Surgery
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    • v.36 no.8
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    • pp.606-609
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    • 2003
  • A 70-year-old man with aphasia due to ischemic cerebral events by thromboemboli was admitted. The cause of thromboemboli was investigated, and transesophageal echocardiography and chest MRI revealed an encapsulated cystic mass in the right atrium, not circulating. It was a homogeneous cystic mass suggesting a tumor (Myxoma) rather than thrombus. Right atrial mass was resected together with partial atrial septum under the normgthermic cardiopulmonary bypass. Histologically it was an atrial septal aneurysm, closed on itself, filled with blood. We re-port this rarely seen case with a review of the literatures.

Case report of The liver transplant patient's cerebral infarction treated with Korean Medicine (간이식 환자의 뇌경색에 대한 한의학적 치료 증례보고)

  • Park, Sang Eun
    • Herbal Formula Science
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    • v.24 no.3
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    • pp.225-231
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    • 2016
  • Objectives : Liver cancer usually appears in the setting of underlying liver disease. Liver transplantation has potentials to improve survival for patients with liver cancer. This case report was designed to assess the clinical effect of Korean medicine on liver transplant patient's cerebral infarction.Methods : We provided Chiganpung Granule(Chodeungsan) to a patient who was 58 year old man complained of cognitive impairment and dysarthria. We checked the change of symptoms(K-MMSE, Aphasia Rapid Test) and liver function test and kidney function test.Results : We observed that Chiganpung Granule(Chodeungsan) decreased cognitive impairment and dysarthria. Liver function test and Kidney function test was improved.Conclusions : From the above results, it is considered that Korean medicine treatments is effective on liver transplant patient's cerebral infarction.

A Clinical study of Neurologic Disorders (수족소력(手足少力).강직(强直).마비(痲痺)를 주소(主訴)로 입원(入院)한 환자(患者) 49명(名)에 대(對)한 임상적(臨床的) 고찰(考察))

  • Lee Jin-Yong;Kim Deok-Gon
    • The Journal of Pediatrics of Korean Medicine
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    • v.13 no.1
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    • pp.227-238
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    • 1999
  • The author studied 49 cases having neurologic disorders grossly, who admitted to the Oriental Medicine Hospital in Kyunghee university from May 1995 to March 1999. We have got the following results: 1. Age and sex distribution of children: from 4 to 6 was 34.7%, over 7 was 32.7%, 2 to 3 was 28.6%, below 1 was 4.0%, Male to female ratio was 1.33:1. 2. Distribution of chief complain as follows : Hemiplegia 59.2%, Quadriplegia 30.6%, Aphasia 42.9%, Facial palsy 18.4%, Convulsion 16.3%, Aphagia 12.2%. 3. Distribution of diagnosis as follows : Cerebral infarction 32.7%, Cerebral hemorrhage 12.2%, Hypoxic brain damage 10.2%, Brain tumor 6.1%, Guillian-Barre syndrom 6.1%, Moya-Moya disease 4.1% etc. 4. Improvement ratio as follows : Poor 14.3%, Fair 59.2%, Good 26.5%.

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A Case of Idiopathic Basal Ganglia Calcification with Dementia (치매가 동반된 특발성 기저핵 석회화 1례)

  • Shin, Hee-Young;Shin, Il-Seon
    • Korean Journal of Biological Psychiatry
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    • v.13 no.1
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    • pp.38-42
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    • 2006
  • The case of a 66- year-old woman with coexisting idiopathic basal ganglia calcification(IBGC) and dementia was presented. The calcification was detected in bilateral basal ganglia, dentate nucleus, and thalamus by brain imaging. Serum calcium and phosphorus levels were normal. The underlying diseases of calcification of basal ganglia such as parathyroid dysfunction and other infectious, toxic, or metabolic illness were excluded. The patient had memory impairment and frontal executive dysfunction without aphasia, agnosia, apraxia, and visuospatial impairment in neuropsychological test. It suggested that the cognitive impairment might be due to the dysfunction of frontal-subcortical circuit.

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A Comparison of Generative Naming Characteristics in Fluent and Non-fluent Aphasics (유창성 실어증과 비유창성 실어증 환자의 생성 이름대기 특성 연구)

  • Kim, Ae-Rie;Sim, Hyun-Sub;Kim, Young-Tae
    • Speech Sciences
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    • v.11 no.4
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    • pp.151-161
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    • 2004
  • The characteristics of generative naming ability between fluent aphasiacs and non-fluent aphasics were investigated for 10 fluent aphasics (6 Wernicke's and 4 conduction type) and 10 non-fluent aphasics (6 Broca's and 4 transcortical motor type). Subjects were given 2 types of generative naming task and asked to generate lists of words to categorical ('animal', 'things at a supermarket') and phonetic ('ㄱ', 'ㅇ', 'ㅅ') cues. The total numbers of correct and incorrect response and error type ratios were calculated. The results of the present study were as follows: (1) Fluent aphasics had higher generative naming scores than non-fluent aphasics. (2) A remarkable dissociation between performance on categorical and phonetic cue in both aphasic groups was observed. Both aphasic groups produced a large number of responses in the categorical cue. (3) There was no significant group-difference in the error type. (4) Any correlation between generative naming and confrontation naming in K - WAB was not found.

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A Case Report of Communication disorder associated with Post-stroke (중풍 후 나타난 언어장애 환자 증례보고)

  • Kim, Dong-Min;Kim, Hyee-Kwon;Ha, Seon-Yun;Kim, Yong-Suk;Nam, Sang-Soo
    • Korean Journal of Acupuncture
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    • v.24 no.3
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    • pp.47-54
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    • 2007
  • A Case Report of Communication disorder associated with Post-stroke Objectives : The Objective Is the Report of Improvement in Communication Disorder Associated with Post-Stroke. Methods : Acupuncture And Medicinal Treatments Were Performed from 17th March 2006 until 8th April 2006. The Medicines Bangpungtongsung-san and Chungpesagan-tang Were Used to Improve Patient Bowel Movement. The Sa-Am Acupuncture Method Was Used to Improve Patient Communication Disorders. Every 5 Days Articulation Accuracy, Vowel Accuracy, Alternation and Speed of Reading Sentences Were Evaluated. Results : After 23 Days of Treatment There was Improvement of Articulation Accuracy, Alternation and Speed of Reading Sentences.

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A Case of paralytic ileus and Urinary Tract Infection with cerebral infarction (뇌경색환자에게 병발한 마비성 장폐색과 요로감염의 치험례)

  • Park, Ji-Yoon;Jun, Chan-Yong;Han, Yang-Hee;Ko, Jae-Chul
    • The Journal of Internal Korean Medicine
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    • v.22 no.3
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    • pp.471-476
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    • 2001
  • paralytic ileus and urinary tract infection(UTI) are common complications in stroke patient. A 78-year-old women was admitted because of right hemiparesis, motor aphasia due to 2nd cerebrovascular accident this patient had problem of paralytic ileus and UTI. without Western medical treatment, patient's symptom, sign and laborotory findings were improved through Korean medical treatment. so, we report it for the better treatment.

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Fibromuscular Dysplasia of the Distal Internal Carotid and Middle Cerebral Artery (원위 속목동맥과 중간대뇌동맥에 발생한 섬유근육형성이상)

  • Kim, Ju-Hyun;Lee, Jun
    • Journal of Yeungnam Medical Science
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    • v.26 no.1
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    • pp.78-83
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    • 2009
  • Fibromuscular dysplasiais an uncommon condition of idiopathic, non-inflammatory and non-atherosclerotic disease of the musculature of arterial walls. The disease is rare, but it commonly affects young and middle aged women. Isolated intracranial cerebral fibromuscular dysplasia is extremely rare because cerebral fibromuscular dysplasia usually affects extracranial vessels. A 20-year-old woman was admitted with light hemiplegia and global aphasia. Brain MRI and MRA demonstrated acute left middle cerebral artery territory infarction with a multifocal stenosis and dilatation of the left middle cerebra artery and left internal carotid. The characteristic conventional cerebral angiographic findings demonstrated a typical string-of-beads appearance in the left distal internal carotid artery and proxiaml portion of the left middle cerebral artery, which suggested a medial type fibromuscular dysplasia. We report a case of isolated intracranial fibromuscular dysplasia with left middle cerebral artery territory infarction. Fibromuscular dysplasia should he considered as a stroke risk factors in children and young adults, especially in patients with no known cardiovascular risk factors.

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Pheochromocytoma with Brain Metastasis: A Extremely Rare Case in Worldwide

  • Cho, Yun Seong;Ryu, Hyang Joo;Kim, Se Hoon;Kang, Seok-Gu
    • Brain Tumor Research and Treatment
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    • v.6 no.2
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    • pp.101-104
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    • 2018
  • Pheochromocytoma (PCC) is a neuroendocrine tumor that mainly arises from the medulla of the adrenal gland. Some PCCs become malignant and metastasize to other organs. For example, it typically involves skeletal system, liver, lung, and regional lymph nodes. However, only a few cases of PCC with brain metastasis have been reported worldwide. We report a case of metastatic brain tumor from PCC in South Korea in 2016. A 52-year-old man presented with headache, dizziness and motor aphasia. He had a medical history of PCC with multi-organ metastasis, previously underwent several operations, and was treated with chemotherapy and radiotherapy. Brain MRIs showed a brain tumor on the left parietal lobe. Postoperative pathology confirmed that the metastatic brain tumor derived from malignant PCC. This is the first report PCC with brain metastasis in South Korea.

Acute Ischemic Stroke in Moyamoya Syndrome Associated with Thyrotoxicosis

  • Kang, Donggook;Seong, Gi-Hun;Bae, Jong Seok;Lee, Ju-Hun;Song, Hong-Ki;Kim, Yerim
    • Journal of Neurocritical Care
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    • v.11 no.2
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    • pp.129-133
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    • 2018
  • Background: A few cases of moyamoya syndrome associated with thyrotoxicosis have been reported. However, studies on the association of hyperthyroidism with moyamoya syndrome are insufficient. Case Report: Here we report a case of hyperthyroidism associated with moyamoya syndrome in a 41-year-old woman with aphasia and right side weakness. Brain imaging revealed acute cerebral infarction of left middle cerebral artery territory and occlusion of bilateral distal internal carotid arteries. Conclusion: Antithyroid medication stabilized the patient's neurologic deterioration, suggesting that thyrotoxicosis could aggravate acute cerebral infarction caused by moyamoya syndrome.