• Title/Summary/Keyword: Bilateral

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Strategy for the Patient with Tuberculum Sellae Meningioma Combining Bilateral Internal Artery Aneurysm

  • Cha, Ki-Yong;Park, Sang-Keun;Hwang, Yong-Soon;Kim, Tae-Hong
    • Journal of Korean Neurosurgical Society
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    • v.38 no.2
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    • pp.151-154
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    • 2005
  • A 43-year-old woman was admitted with the chief complaint of progressive visual disturbance and her brain radiological studies disclosed well demarcated tumor at tuberculum sellae area and bilateral mirror image paraclinoid internal carotid artery saccular aneurysms. A larger left side aneurysm was pointing medialy and almost encased by the tumor. Although a brain tumor and intracranial aneurysm can be simultaneously treated by surgery, the high risk of intra-operative aneurysm rupture should be considered. Therefore, the author secondly performed tumor resection after the endovascular embolization of the aneurysm which was embedding the tumor using a Guglielmi detachable coil. After successful treatment of the patient with tuberculum sellae meningioma associated with bilateral mirror image paraclinoid aneurysms using endovascular and surgical techniques, the authors present the case with a review of the related literatures.

Brain Activation Associated With Verbal Fluency Tasks : A fMRI study (단어 유창성 과제 수행에 동반된 뇌활성화 양상)

  • Lee, Soo-Hwa;Lee, Kyoung-Min
    • Annual Conference on Human and Language Technology
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    • 1998.10c
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    • pp.186-190
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    • 1998
  • 정상 피험자에 있어서 수행 성적의 차이를 보이는 음소적 단어 생성과 의미적 단어생성에 관련한 대뇌 피질의 활동양상의 차이를 밝히기 위해 피험자에게 단어 생성의 과제를 주면서 기능적 자기공명 영상술(functional magnetic resonance imaging, fMRI)을 시행하였다. 모두 7명의 정상인에서 음소 단서에 의한 단어생성은 의미 범주 단어에 의한 단어생성보다 광범위한 피질 영역의 활성화를 보였는데, 특히 bilateral posteroinferior temporal cortices, left premotor cortex, right cerebellum, bilateral superior parietal lobules에서 더 높은 활성화를 보였다. 이에 반하여 의미적 단어생성은 주로 bilateral posterior cingulate gyri에서 더 높은 활성화를 보였다. 이런 결과는 음소적 생성은 가능한 자모를 조합하여 어휘를 생성한 후 작업기억에 일시 저장시켜 놓고 verbal rehearsal 과정을 사용하여 단어 여부를 판별하는 것을 시사하며, 의미적 생성은 mental imagery를 통하여 시각적 인출 단서를 찾은 후, 의미 기억으로부터 단어를 직접 인출하는 것으로 보인다.

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Bilateral Osteoarthritis of Coxofemoral Joint in a Thoroughbred Horse

  • Jeong, Hyohoon
    • Journal of Veterinary Clinics
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    • v.35 no.5
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    • pp.247-249
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    • 2018
  • A 3-year-old black Thoroughbred colt weighing 500 kg was admitted to the Equine Hospital of Korea Racing Authority (KRA) due to the chronic gait abnormality of the hindlimbs. The history revealed that the patient had run and fallen onto the fence of the farm about at the age of 1 year old and the lameness had been worsening insidiously since the accident. The degree of lameness was 2/5 in accordance with the AAEP lameness grading system in both hindlimbs at hand walking and trot. The lameness was exacerbated at lunging clockwise and counterclockwise on both hindlimbs. The definitive diagnosis of the bilateral osteoarthritis of coxofemoral joint was established using radiography under general inhalation anesthesia. The prognosis was considered to be poor with low expectancy for racing and the colt was expelled from the racecourse eventually. The clinicians are required to consider the possibility of osteoarthritis of coxofemoral joint presented with chronic hindlimb lameness although it is rare. This is the first report on the bilateral osteoarthritis coxofemoral joint in Republic of Korea.

Bilateral Spontaneous Resolution of Chronic Subdural Hematoma: A Case Report (양측성 만성 경막하출혈의 자발적 흡수: 증례보고)

  • Seon, Gyeongung;Park, Ji-Min;Eom, Ki Seong
    • Journal of Trauma and Injury
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    • v.28 no.1
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    • pp.43-46
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    • 2015
  • Although spontaneous resolution of chronic subdural hematoma (C-SDH) in the elderly has rarely been reported, spontaneous resolution of bilateral C-SDH is very rare. Here, we report the case of a 73-year-old female patient with no significant head trauma history who had a bilateral C-SDH spontaneously resolve despite receiving only conservative treatment. However, because of a lack of detailed knowledge about the mechanisms of resolution, treatment is often limited to surgical interventions that are generally successful, but invasive and prone to recurrence. We review the literature and discuss the possible relation of C-SDH's spontaneous resolution with its clinical and radiological characteristics.

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Chronic Subdural Hematoma after Spontaneous Intracranial Hypotension : A Case Treated with Epidural Blood Patch on C1-2

  • Kim, Byung-Won;Jung, Young-Jin;Kim, Min-Su;Choi, Byung-Yon
    • Journal of Korean Neurosurgical Society
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    • v.50 no.3
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    • pp.274-276
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    • 2011
  • Spontaneous cerebrospinal fluid (CSF) leak is a recognized cause of spontaneous intracranial hypotension (SIH). Subdural hematoma (SDH) is a serious but rare complication of SIH. An autologous epidural blood patch at the CSF-leak site can effectively relieve SIH. We report a case of bilateral SDH with SIH caused by a CSF leak originating at the C1-2 level. A 55-year-old male complained of orthostatic headache without neurological signs. His symptoms did not respond to conservative treatments including bed rest, hydration and analgesics. Magnetic resonance imaging showed a subdural hematoma in the bilateral fronto-parietal region, and computed tomography (CT) myelography showed a CSF leak originating at the C1-2 level. The patient underwent successful treatment with a CT-guided epidural blood patch at the CSF-leak site after trephination for bilateral SDH.

Design of the robust bilateral controller for teleoperators with modeling uncertainties (모델링 불확실성이 존재하는 원격조작기에서 강인 안정을 보장하는 양방향 제어기 설계)

  • 이형기;정명진
    • 제어로봇시스템학회:학술대회논문집
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    • 1996.10b
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    • pp.976-979
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    • 1996
  • Teleoperation is the extension of a person's sensing and manipulation capability to a remote location. Teleoperators generally can be modeled as linear transfer function indecently including modeling uncertainty. Modeling uncertainties can make the system unstable and its performance poor. Thus I'm studying about a design framework for a bilateral controller of teleoperator systems with modeling uncertainties. In this paper, a method based on the H$_{\infty}$-optimal control and .mu.-synthesis frameworks are introduced to design a controller for the teleoperator that achieves stability and performance in the presence of the modeling uncertainties..ties.inties.

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Bilateral Control with Time Domain Passivity Approach under Time-varying Communication Delay: Resetting Scheme (시간영역 수동성 기법을 이용하여 시변 시간지연 하에서 안정성을 보장하는 양방향 원격제어기: 리셋 방법)

  • Ryu, Jee-Hwan
    • Journal of Institute of Control, Robotics and Systems
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    • v.14 no.11
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    • pp.1124-1129
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    • 2008
  • Recently, two-port time-domain passivity approach was modified for time-varying communication delay. The newly proposed approach could achieve stable teleoperation even under the serious time-varying delay and packet loss communication condition. However, after some operation hour, the accumulated energy difference between the input energy from one port and the output energy at the other port caused unstable behavior until the passivity controller is activated. Resetting scheme is introduced for solving this problem, and stable bilateral teleoperation can be guaranteed without worrying about the accumulated energy difference.

Performance of a Time-delayed Bilateral Teleoperation: Peg-in-hole and Surface Tracking (양방향 원격 제어 성능 시험: Peg-in-hole 및 표면 추적)

  • Park, Sungjun;Park, Sangsoo;Baek, Sang-Yun;Ryu, Jeha
    • Journal of Institute of Control, Robotics and Systems
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    • v.20 no.8
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    • pp.789-794
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    • 2014
  • This paper presents some real performance of two typical bilateral teleoperation benchmark tasks: peg-in-hole and surface tracking tasks. The tasks are performed by an energy-bounding algorithm in the master control and position-based impedance algorithm in the slave control. Performance is analyzed for the position-force tracking capabilities from free space motion to surface contacting motion. In addition, preliminary user performance is evaluated by measuring the completion time and maximum/average contact forces. The quality of the measured performance is also compared with that of other existing approaches.

Severe trismus due to bilateral coronoid process hyperplasia in growth hormone therapy patient: a case report

  • Lee, Sung-Tak;Chung, In-Kyo
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.38 no.4
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    • pp.249-254
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    • 2012
  • Bilateral coronoid process hyperplasia is a rare condition characterized by an enlarged mandibular coronoid process. The painless progressive reduction of a mouth opening is caused by coronoid process impingement on the posterior aspect of the zygomatic bone. Hyperplasia of the bilateral coronoid process leads to the restriction of a mandibular opening consequent to the impingement of the enlarged coronoid process on the temporal surface of the zygomatic bone or with the medial surface of the zygomatic arch. The process has been diagnosed as developmental hyperplasia. Otherwise, the development of the coronoid process may be associated with growth hormone. This paper describes a case of trismus caused by coronoid hyperplasia in an idiopathic short-stature patient who received growth hormone therapy by somatropin injections.

Treatment of the infant with bilateral cleft lip and palate (양측성 구순구개열 신생아의 치료)

  • Kim Su Jung;Kang Seung Goo;Lee Young Jun;Park Young Guk
    • Korean Journal of Cleft Lip And Palate
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    • v.6 no.2
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    • pp.107-115
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    • 2003
  • The case unveils an early orthodontic intervention on 3-week old infant innately with bilateral cleft lip and palate. Presurgical Nasoalveolar Molding(PNAM) procedures were carried out for 2 months for the sake to diminish the anticipated strain of postsurgical scar by means of the retraction of protruded premaxilla and the extension of collapsed columella. The gap on the alveolar cleft decreased by 2,5 mm, and the columella manifested 1. 5 mm increase of its length, which yielded the consequent downward and backward movement of premaxilla, and expected to bring down the technical complexity of primary lip surgery. PNAM with sophisticated technical procedures at an optimal timing disclosed the passive molding of the alveolar segments and the formation of nasolabial soft tissue integuments and permitted one-time primary lip surgery.

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