• Journal of Korean Neurosurgical Society
• /
• 제54권2호
• /
• pp.139-141
• /
• 2013

Presented here is a 36-year-old male with arterial hypertension who developed brainstem edema and intracranial hemorrhage. Magnetic resonance scan revealed diffuse brainstem hyperintensity in T2-weighted and fluid-attenuated inversion-recovery images, with an increase in apparent diffusion coefficient values. After a reduction in blood pressure, rapid resolution of the brainstem edema was observed on follow-up. The patient's condition was thus interpreted as hypertensive brainstem encephalopathy. While many consider this a vasogenic phenomenon, induced by sudden, severe hypertension, the precise mechanism remains unclear. Prompt recognition and aggressive antihypertensive treatment in such patients are essential to prevent permanent or life-threatening neurologic injury.

• The Korean Journal of Pain
• /
• 제10권2호
• /
• pp.241-245
• /
• 1997

Persistent hiccup is defined as duration lasting longer than 48 hours. Reflex arc of hiccup is divided into three parts : afferent, central, efferent. Afferent portion of the neural pathway of hiccup formation is composed of vagus nerve, phrenic nerve, and sympathetic chain arising from T6 to T12. Efferent limb is phrenic nerve. Hiccup center is located in brain stem, midbrain, reticular system and hypothalamus. Persistent hiccup is very difficult to treat by conventional methods. We performed cervical epidural block of the phrenic nerve root for three patients suffering from persistent hiccup. The therapeutic effect was perfect. The mechanism of the cervical epidural block is not yet defined however it is thought to block the efferent nerve fibers and suppress the reflex arc of hiccup. We conclude cervical epidural block is relatively safe and very effective for treating persistent hiccup.

• 대한한의학회지
• /
• 제21권1호
• /
• pp.109-113
• /
• 2000

A hiccup is an involuntary, spasmodic contraction of the diaphragm accompanied by a sudden closure of the glottis, which is reported commonly in patients with brain stem disease such as ischemic stroke, dolichoectatic basilar artery, tumor, encephalitis, and multiple sclerosis. 1) Intractable hiccup is an uncommon, chronic and incapacitating disturbance defined as a hiccup bout lasting more than 48hours or recurring despite various treatments and affecting male subjects more than female. 2) Constipation and hiccup are common symptoms in stroke patients and purgation therapy has been often used. We discovered two patients who had a hiccup symptom after purgation therapy(diarrhea) and so reported course and result of treatment.

• The Korean Journal of Physiology and Pharmacology
• /
• 제5권1호
• /
• pp.9-17
• /
• 2001

It has been demonstrated that multipotent neuronal progenitor cells can be isolated from the developing or adult CNS and proliferated in vitro in response to epidermal growth factor. The present study was undertaken to investigate the differentiation of neuronal progenitor cells after transplantation into the neonatal rat forebrain striatum. Primary cultured progenitor cells were labeled with 3,3'-dioctadecycloxacarbonyl- amine perchlorate (DiO). DiO labeled progenitor cells were implanted into neonatal rat striatum. Implanted DiO labeled progenitor cells were differentiated into astrocytes and GABAergic neurons. These results suggest that implanted progenitor cells can be differentiated into neurons in host forebrain striatum. In addition, our data show that DiO labeling is a useful technique for tracing implanted progenitor cells.

• Journal of Korean Neurosurgical Society
• /
• 제65권2호
• /
• pp.325-330
• /
• 2022

Various grading systems and surgical techniques have been developed for the treatment of intraventricular hemorrhage (IVH); however, little attention has been paid to the fourth ventricle hematoma. Nonetheless, hemorrhagic dilation of the fourth ventricle may lead to catastrophic consequences for patients with massive IVH. We present two cases of massive IVH accompanied by massive fourth ventricle hematoma which was successfully removed with combination of suboccipital craniotomy for fourth ventricle hematoma and intraventricular fibrinolysis for supratentorial hematoma.

• 대한중풍순환신경학회지
• /
• 제10권1호
• /
• pp.62-67
• /
• 2009

Wallenberg's syndrome is a neurological condition caused by a stroke in the vertebral or posterior inferior cerebellar artery of the brain stem. Wallenberg's syndrome is also called Lateral Medullary Syndrome. In this case report, we are going to describe the clinical menifestation and progress of one case of Wallenberg's syndrome and review previously published case reports about it and compare them to our case. In conclusion, significant improvements were observed in some symptoms but there were some symptoms not improved such as paresthesia. So further researches are needed for more effective treatment.

• 한국의학물리학회지:의학물리
• /
• 제27권1호
• /
• pp.14-24
• /
• 2016

두 경부 내부에는 많은 결정장기(organ at risk, OAR)들이 밀집 되어있어 방사선 치료 시 정상조직에 전달되는 선량을 최소화 하는 것은 매우 중요하다. 복잡한 해부학적 구조를 가진 두 경부 종양(Brain tumor)환자 10명을 대상으로 head angle을 기울여 치료계획을 수립 후 해마를 비롯한 정상장기를 보호하기 위한 최적의 두 경부 거상각도(head elevation angle)를 찾고 각도 별 선량특성을 비교 분석하였다. 또한 거상각도에 의한 3차원 입체조형치료(3D-CRT), 세기조절방사선치료(IMRT), 그리고 토모테라피(TomoTherapy)기술을 이용한 장비 별 선량 특성을 비교하였다. 각 치료 계획은 종양체적의 95%에 40 Gy를 10회 분할 조사되도록 하였으며 세기조절방사선치료(IMRT)에서는 step-and-shoot 기법을 이용하여 총 9개의 빔을 사용하여 방사선을 조사하였고, 입체조형치료계획과 토모테라피 치료계획에서는 동일한 처방선량이 종양체적에 전달되도록 하였다. 두 경부 각도/장비별 선량특성을 비교하기 위해 종양체적의 균질성지수(homogeneity index), 균일성지수(conformity index), 정상조직의 흡수선량 및 정상조직합병증확률(NTCP)을 계산하였다. 두 경부각도 $0^{\circ}$와 비교하여 두 경부 각도를 $30^{\circ}$거상 시 종양표적과 iso-dose curve의 일치성은 각 modality의 CI 평균값이 53%, 8%, 그리고 5.4% 향상됨을 확인할 수 있었으며, 3차원 입체조형치료(3D CRT)에서 뇌간(Brain stem)의 경우 $0^{\circ}$와 비교하여 $15^{\circ}$, $30^{\circ}$, 그리고 $40^{\circ}$에서 결정장기에 전달되는 선량이 감소되는 것을 확인할 수 있었다. NTCP의 경우 해마(Hippocampus)에서 각 Modality를 비교 한 결과, 일반적으로 임상에서 사용하는 두 경부 각도 $0^{\circ}$의 NTCP 값이 가장 높았고 $30^{\circ}$거상 시 부작용 발병률이 가장 낮은 결과를 확인할 수 있었다. 본 연구에서는 두 경부 각도를 거상하여 종양의 선량분포곡선(isodose curve)의 일치성과 종양제어율을 향상시켜 선량의 균일성을 확보할 수 있었으며 정상조직 측면에서도 두 경부 각도를 거상한 경우 종양 체적과 인접한 정상조직이 분리되어 OAR과 hippocampus의 흡수선량을 줄여주고, 정상조직 부작용 발병률(NTCP)이 낮아지는 효과를 확인 할 수 있었다.

• 생명과학회지
• /
• 제27권6호
• /
• pp.623-631
• /
• 2017

뇌실하 영역과 subgranular zone은 뇌에서 평생 새로운 신경 세포를 만들어 내는 곳이다. 이 부위에 있는 신경줄기세포는 세포 분열을 통해서 줄기 세포군을 계속 유지할 뿐만 아니라, 신경 세포와 신경 교세포로 분화한다. 세포 분열을 측정하기 위해 thymidine 유사체인 5-ethynyl-2'-deoxyuridine (EdU)가 사용되어 왔다. 몇몇의 경우에서는 새롭게 만들어지는 신경 세포를 표지하려는 목적으로 사용되었다. 이번 연구에서는, EdU가 쥐의 뇌실 하영역에서 분리해낸 신경줄기세포의 분열과 분화에 어떠한 영향을 미치는 지를 보여주었다. 첫째, 신경줄기세포가 EdU를 포함하는 세포 증식 배양액에서 24시간 동안 배양되었을 때, 추후에 분화를 유도하여도 신경세포로 분화가 전혀 일어나지 않았다. EdU를 1시간 동안 처리했을 때도 신경세포로의 분화가 상당부분 저해되었다. 둘째, EdU는 농도가 높을수록, 처리시간이 많을수록 신경줄기세포의 증식을 더욱 많이 저해하였다. 끝으로, EdU는 신경 교세포 중에서 oligodendrocyte으로의 분화는 억제하였지만, astrocyte로의 분화는 오히려 증가시켰다. 본 연구결과는 뇌실하 영역 신경줄기세포의 분화에 EdU가 어떠한 영향을 미치는 지를 처음으로 보여주었고, 이러한 결과들은 신경 세포와 oligodendrocyte로의 분화에 세포 분열이 반드시 필요하다는 것을 제안하고 있다.

• Journal of Ginseng Research
• /
• 제28권1호
• /
• pp.39-44
• /
• 2004

홍삼추출액의 신경성체줄기세포 성장과 생존에 미치는 영향을 분석하고자 human neuronal stem cell line인 F3 cell을 배양한 후 홍삼추출액을 여러 농도로 희석하여 MTT assay로 cell viability를 측정하였고 FACS analysis로 cell Cycle변화를 측정하였다. 특정한 농도에서는 세포가 증식되는 경향을 보였으며 농도가 증가되면서 viability가 감소되는 현상을 확인할 수 있었다. Cell cycle 분석상 세포증식시에는 5 phase 및 G2/M phase가 증가되는 경향을 보였고, viability가 감소되면서 S phase가 감소되고 G0/G1 phase 가 증가 되었다. 한편 DNA fragmentation이 cell viability감소에 따라 증가되었으나, Caspase 3 activation 또는 Bax expression과는 관련성이 적었다.

• Molecules and Cells
• /
• 제42권6호
• /
• pp.480-494
• /
• 2019

Aggregates of disease-causing proteins dysregulate cellular functions, thereby causing neuronal cell loss in diverse neurodegenerative diseases. Although many in vitro or in vivo studies of protein aggregate inhibitors have been performed, a therapeutic strategy to control aggregate toxicity has not been earnestly pursued, partly due to the limitations of available aggregate models. In this study, we established a tetracycline (Tet)-inducible nuclear aggregate (${\beta}23$) expression model to screen potential lead compounds inhibiting ${\beta}23$-induced toxicity. High-throughput screening identified several natural compounds as nuclear ${\beta}23$ inhibitors, including peucedanocoumarin III (PCIII). Interestingly, PCIII accelerates disaggregation and proteasomal clearance of both nuclear and cytosolic ${\beta}23$ aggregates and protects SH-SY5Y cells from toxicity induced by ${\beta}23$ expression. Of translational relevance, PCIII disassembled fibrils and enhanced clearance of cytosolic and nuclear protein aggregates in cellular models of huntingtin and ${\alpha}$-synuclein aggregation. Moreover, cellular toxicity was diminished with PCIII treatment for polyglutamine (PolyQ)-huntingtin expression and ${\alpha}$-synuclein expression in conjunction with 6-hydroxydopamine (6-OHDA) treatment. Importantly, PCIII not only inhibited ${\alpha}$-synuclein aggregation but also disaggregated preformed ${\alpha}$-synuclein fibrils in vitro. Taken together, our results suggest that a Tet-Off ${\beta}23$ cell model could serve as a robust platform for screening effective lead compounds inhibiting nuclear or cytosolic protein aggregates. Brain-permeable PCIII or its derivatives could be beneficial for eliminating established protein aggregates.