• 제목/요약/키워드: Cerebellar

검색결과 490건 처리시간 0.029초

뒷목 근육통 증상을 보인 소뇌의 해면 혈관종 1예 (Cerebellar cavernous hemangioma that presented with posterior neck myalgia)

  • 백승아;윤경림;심계식;방재승
    • Clinical and Experimental Pediatrics
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    • 제51권12호
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    • pp.1363-1367
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    • 2008
  • 해면 혈관종은 비교적 양성의 병변이며 다량의 뇌출혈을 일으키는 것은 드물어서 수술의 적응증에 대해 논란의 여지가 있다. 그러나 특히 소뇌 같은 후두와나 뇌간에서 발생한 해면 혈관종에서의 출혈은 제한된 공간으로 인해 비가역적인 뇌손상을 일으킬 수 있으며 이로 인해 사망한 경우도 보고되고 있어서 소뇌의 압박증상이 있으면 응급수술을 해야 한다. 병변으로부터 반복되는 출혈로 인해 뒷목 근육통으로 오인되었던, 소아에서는 드물게 소뇌에 생긴 해면 혈관종 1예를 보고하는 바이다.

4-Hydroxybenzaldehyde, One of Constituents from Gastrodiae Rhizoma Augments Pentobarbital-induced Sleeping Behaviors and Non-rapid Eye Movement (NREM) Sleep in Rodents

  • Choi, Jae Joon;Kim, Young-Shik;Kwon, Yeong Ok;Yoo, Jae Hyeon;Chong, Myong-Soo;Lee, Mi Kyeong;Hong, Jin Tae;Oh, Ki-Wan
    • Natural Product Sciences
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    • 제21권3호
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    • pp.219-225
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    • 2015
  • In the previous experiments, we reported that ethanol extract of Gastrodiae Rhizoma, the dried tuber of Gastrodia ElataBlume (Orchidaceae) increased pentobarbital-induced sleeping behaviors. These experiments were undertaken to know whether 4-hydroxybenzaldehyde (4-HBD), is one of the major compounds of Gastrodiae Rhizoma increases pentobarbital-induced sleeping behaviors and changes sleep architectures via activating GABAA-ergic systems in rodents. 4-HBD decreased locomotor activity in mice. 4-HBD increased total sleep time, and decreased of sleep onset by pentobarbital (28 mg/kg and 40 mg/kg). 4-HBD showed synergistic effects with muscimol (a GABAA receptor agonist), shortening sleep onset and enhancing sleep time on pentobarbital-induced sleeping behaviors. On the other hand, 4-HBD (200 mg/kg, p.o.) itself significantly inhibited the counts of sleepwake cycles, and prolonged total sleep time and non-rapid eye movement (NREM) in rats. Moreover, 4-HBD increased intracellular Cl levels in the primary cultured cerebellar cells. The protein levels of glutamic acid decarboxylase (GAD) and GABAA receptors subunits were over-expressed by 4-HBD. Consequently, these results demonstrate that 4-HBD increased NREM sleep as well as sleeping behaviors via the activation of GABAA-ergic systems in rodents.

두부외상 환자에서 HMPAO-SPECT를 이용한 국소 뇌혈류 변화의 평가 (Spect Assessment of Regional Cerebral Perfusion Abnormality in Head Injury)

  • 이경한;김철희;장하성
    • 대한핵의학회지
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    • 제26권2호
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    • pp.235-243
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    • 1992
  • Patterns of abnormality in regional cerebral perfusion and its relation to clinical severity was evaluated with 32 head injury patients using $^{99m}Tc-HMPAO$ single photon emission tomography (SPECT). The findings were compared with computed tomography (CT) done within 48 hours of each SPECT study. The initial SPECT study was done within 7 days of injury in 16 cases, between 1 week and 2 months in 12, and after over 2 months in 4. Nineteen of the patients underwent followup SPECT and CT after a mean interval of 1 to 2 months. The initial SPECT showed abnormalities in 96% (31/32) of the patients while CT showed abnormal findings in only 81% (26/32). There were a total of 54 supratentorial SPECT lesions in all. Ninity percent (49/54) of these were of regional hypoperfusion, while 5 lesions showed focal hyperperfusion. The lesions were most often localized in the frontal and temporal lobes. Fifty five percent (30/54) were areas not detected as a lesion on CT. Cerebellar diaschisis was observed in 50% (16/32) of the patients. The degree of perfusion abnormality was quantified by the product of differential activity and a size factor. Correlation between the degree of perfusion abnormality and the clinical severity (Glasgow coma scale) failed to show statistical significance (p=0.053). The amount of change in the degree of perfusion abnormality on follow up SPECT was compared to the amount of change in clinical severity. Perfusion abnormality showed a tendancy to improve in most patients, and the degree of improvement showed significant correlation with the amount of clinical improvement (p < 0.01).

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저나트륨혈증성 탈수증으로 진단된 소아 부신백질이영양증 1례 (A Case of Adrenoleukodystrophy Diagnosed as Hyponatremic Dehydration)

  • 이상헌;김형진;권영세;김순기;이지은
    • 대한유전성대사질환학회지
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    • 제14권1호
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    • pp.66-70
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    • 2014
  • X-linked adrenoleukodystrophy (ALD) is a uncommon metabolic disorder which derived by peroxismal ${\beta}$-oxidation and elevation of serum very long chain fatty acid (VLCFA). VLCFA is mainly accumulated in the myelin of the central nervous system and adrenal cortex, by which the expressed symptoms of this disease are mainly neurologic and endocrinologic (such as adrenal insufficiency). The mutations in the ABCD1 gene causes X-linked ALD, nevertheless its phenotypes and genotypes are poorly coordinated. We report the case of a 12-year-old boy with X-linked ALD who developed vomiting, fatigue and poor oral intake. Severe dehydration and hyponatremia were found in initial physical examination and laboratory test, but his motor/sensory nerve function and mental status were completely normal. We diagnosed ALD with diffuse high-intensity signal in both parietotemporal cerebellar white matter in brain MRI and elevated serum VLCFA. Later, we confirmed a novel c.1635-1G>A (IVS6-1G>A) mutations of the ABCD1 gene. With the discrepancy between its phenotypes and genotypes, various phenotypes could be seen in X-ALD patient. Careful examination and further studies for these patients will be needed.

Anxiolytic-like Effects of Methanol Extract of Zizyphi Spinosi Semen in Mice

  • Han, Hui-Shan;Ma, Yu-An;Eun, Jae-Soon;Hong, Jin-Tae;Oh, Ki-Wan
    • Biomolecules & Therapeutics
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    • 제15권3호
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    • pp.175-181
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    • 2007
  • Zizyphi Spinosi Semen (ZSS), a traditional Chinese folk medicine, has been used for treatment of insomnia and anxiety. This experiment was performed to investigate the anxiolytic-like effect of methanol extract of ZSS (MEZSS) in mice by using the experimental paradigms of anxiety and compared with that of a known anxiolytic, diazepam. In the elevated plus-maze test, it showed that MEZSS (100 mg/kg, p.o.) and diazepam (2.0 mg/kg, p.o.) increased the percentage of time spent on the open arms and the number of open arms entries. MEZSS (50, 100 and 200 mg/kg, p.o.) and diazepam (0.5 mg/kg, p.o.) significantly increased the number of head dips compared with that of control group in the hole-board test. However, MEZSS has no effect on decreasing the locomotor activity, while diazepam (2.0 mg/kg, p.o.) significantly inhibited locomotor activity. MEZSS did not decrease the strength force in the grip strength test, either. In addition, GABAergic involvements were also investigated to understand the possible mechanisms. $GABA_{A}$ receptors subunits and glutamic acid decarboxylase (GAD) were not over expressed, compared with that of the saline group. We also found that MEZSS did not increase chloride influx in cultured cerebellar granule cells. It is concluded that MEZSS might have anxiolytic-like effects, but these effects might not be mediated by GABAergic transmission.

컴퓨터 시각(視覺)에 의거한 측정기술(測定技術) 및 측정오차(測定誤差)의 분석(分析)과 보정(補正) (Computer Vision Based Measurement, Error Analysis and Calibration)

  • 황헌;이충호
    • Journal of Biosystems Engineering
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    • 제17권1호
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    • pp.65-78
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    • 1992
  • When using a computer vision system for a measurement, the geometrically distorted input image usually restricts the site and size of the measuring window. A geometrically distorted image caused by the image sensing and processing hardware degrades the accuracy of the visual measurement and prohibits the arbitrary selection of the measuring scope. Therefore, an image calibration is inevitable to improve the measuring accuracy. A calibration process is usually done via four steps such as measurement, modeling, parameter estimation, and compensation. In this paper, the efficient error calibration technique of a geometrically distorted input image was developed using a neural network. After calibrating a unit pixel, the distorted image was compensated by training CMLAN(Cerebellar Model Linear Associator Network) without modeling the behavior of any system element. The input/output training pairs for the network was obtained by processing the image of the devised sampled pattern. The generalization property of the network successfully compensates the distortion errors of the untrained arbitrary pixel points on the image space. The error convergence of the trained network with respect to the network control parameters were also presented. The compensated image through the network was then post processed using a simple DDA(Digital Differential Analyzer) to avoid the pixel disconnectivity. The compensation effect was verified using known sized geometric primitives. A way to extract directly a real scaled geometric quantity of the object from the 8-directional chain coding was also devised and coded. Since the developed calibration algorithm does not require any knowledge of modeling system elements and estimating parameters, it can be applied simply to any image processing system. Furthermore, it efficiently enhances the measurement accuracy and allows the arbitrary sizing and locating of the measuring window. The applied and developed algorithms were coded as a menu driven way using MS-C language Ver. 6.0, PC VISION PLUS library functions, and VGA graphic functions.

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한글서명의 알콜 섭취에 의한 외형 변화율에 대한 연구 (A study on shape changes of hangul signature under the influence of alcohol)

  • 노승찬;박성우;김정호
    • 분석과학
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    • 제23권6호
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    • pp.607-614
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    • 2010
  • 필적을 감정할 경우 음주상태에서 작성된 필적들을 비교해야 하는 어려움에 자주 직면하게 된다. 알콜 섭취에 따른 소뇌 기능 장애로 인하여 가속과 감속, 떨리는 움직임 등의 동작 능력 통제에 장애가 발생하므로 개인 필적에서 상당한 차이가 관찰된다. 음주상태에서 작성된 필적이 기재된 협박메모를 확보하더라도 작성자가 검거된 후 자신이 작성한 것이 아니라고 부인하는 경우 필적감정에 의한 범인 특정이 어렵게 된다. 외국의 많은 연구에서 알콜의 필적에 대한 영향이 다루어지고 있지만 국내에서는 거의 없으며 대부분 통계적 처리 없이 약간 또는 증가와 같이 경험적인 표현에 그치고 있어 통계적인 평가 및 비교가 요구되고 있다. 본 연구에서는 음주에 의한 필적의 변화에 대하여 서명의 길이, 높이와 서명에 포함된 한글 자음 ㄱ, ㄴ을 추출하여 각각의 내각, 외각, 길이비율의 계측값을 통계적 방법을 사용하여 확인하였다.

Occupational Neurotoxic Diseases in Taiwan

  • Liu, Chi-Hung;Huang, Chu-Yun;Huang, Chin-Chang
    • Safety and Health at Work
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    • 제3권4호
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    • pp.257-267
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    • 2012
  • Occupational neurotoxic diseases have become increasingly common in Taiwan due to industrialization. Over the past 40 years, Taiwan has transformed from an agricultural society to an industrial society. The most common neurotoxic diseases also changed from organophosphate poisoning to heavy metal intoxication, and then to organic solvent and semiconductor agent poisoning. The nervous system is particularly vulnerable to toxic agents because of its high metabolic rate. Neurological manifestations may be transient or permanent, and may range from cognitive dysfunction, cerebellar ataxia, Parkinsonism, sensorimotor neuropathy and autonomic dysfunction to neuromuscular junction disorders. This study attempts to provide a review of the major outbreaks of occupational neurotoxins from 1968 to 2012. A total of 16 occupational neurotoxins, including organophosphates, toxic gases, heavy metals, organic solvents, and other toxic chemicals, were reviewed. Peer-reviewed articles related to the electrophysiology, neuroimaging, treatment and long-term follow up of these neurotoxic diseases were also obtained. The heavy metals involved consisted of lead, manganese, organic tin, mercury, arsenic, and thallium. The organic solvents included n-hexane, toluene, mixed solvents and carbon disulfide. Toxic gases such as carbon monoxide, and hydrogen sulfide were also included, along with toxic chemicals including polychlorinated biphenyls, tetramethylammonium hydroxide, organophosphates, and dimethylamine borane. In addition we attempted to correlate these events to the timeline of industrial development in Taiwan. By researching this topic, the hope is that it may help other developing countries to improve industrial hygiene and promote occupational safety and health care during the process of industrialization.

에탄을 공급이 흰쥐 조직중의 Glutathione 및 지질산화 수준에 미치는 영향 (Effects of Ethanol Administration on Glutathione and Lipid Peroxide Levels in Rat Liver and Cerebellum)

  • 이정원
    • 한국식품영양과학회지
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    • 제20권4호
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    • pp.285-292
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    • 1991
  • 에탄올의 급성적 및 만성적 투여가 흰쥐의 간 및 소뇌 중의 glutathione(GSH) 양상과 지질과산화물 수준에 미치는 영향을 알아 본 결과는 다음과 같다. 간조직에서는, 만성적 에탄을 투여 (6~9g/kg, per day, 10% 음료수로서, 4주간)에 의해 총 GSH 농도가 14. 5% 저하되었고, 산화형 GSH(GSSG)는 변화가 없었으며, 따라서 GSSG/총 GSH 비율은 증가하였다. 그러나 지질과산화 수준은 변함이 없었다. 급성적 에탄올 투여에 의해 간 조직 중 지질과산화 수준이 상승되고 총 GSH 농도가 감소함은 이미 보고되고 있다. 본 실험에서는 이와 관련시켜 급성적 에탄을 투여 (50mmole/kg, i.p.)후 post-hepatic 혈장 중의 총 GSH 수준을 측정한 결과 현저히 상승하였다. 이러한 GSH의 간에서 혈액으로의 유출은, GSH의 항산화적 소모 이외에도, 급성적 그리고 아마도 만성적인 에탄을 투여에 의한 간 조직 중의 총 GSH의 감소의 한 가능한 원인으로서 간접적으로나마 추정될 수 있겠다. 소뇌에서 는 급성적 에탄을 투여는 지질과산화 수준을 증가시켰으나 GSH 양상은 변화시키지 않았으면, 만성적인 경우엔 모두 변동시키지 못하였다.

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족삼리(足三里) 전침자극(電針刺戟)이 뇌혈류(腦血流)에 미치는 영향(影響)에 관한 핵의학적(核醫學的) 고찰(考察) (The Nuclear Medical Study on the Effect of ST36 Electroacupuncture on Cerebral Blood Flow)

  • 김일두;오희홍;송호천;범희승;변재영;안수기
    • Journal of Acupuncture Research
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    • 제18권2호
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    • pp.18-26
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    • 2001
  • Purpose : To evaluate the effects of electroacupuncture on regional cerebral blood flow (rCBF) at acupoints suggested by oriental medicine to be related to the treatment of cerebrovascuiar diseases. Materials and Methods : Rest/electroaeupuncture-stimulation Tc-99m ECD brain SPECT using a same-dose subtraction method was performed on 5 normal male volunteers (age range from 27 to 30 years) using electroacupuncture at acupoint, ST 36. In the control study, needle location was chosen on a non-meridian focus 1cm posterior to the right fibular head. All images were spatially normalized and the differences between rest and acupuncture stimulation were statistically analyzed using SPM$^{(R)}$ for Windows$^{(R)}$. Results : Electroacupuncture applied at ST36 increased rCBF in the left hemisphere, that is, the left parietal lobe(angular gyrus), the left temporal lobe, the left inferior frontal lobe around rectus gyrus and the left cerebellar hemisphere, a part of the left inferior frontal lobe. In the control stimulation, no significant rCBF increase was observed. Conclusion : The results demonstrate that electroacupuncture increases rCBF in the contralateral cerebral hemisphere.

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