• Title/Summary/Keyword: Cerebral Hemorrhage

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Quantitative Analysis of Regional Cerebral Blood Flow Using $^{99m}Tc-HMPAO$ SPECT in Cerebrovascular Disease (뇌혈관질환에서 $^{99m}Tc-HMPAO$ SPECT를 이용한 국소뇌혈류의 정량적 분석)

  • Lee, Myung-Chul;Lee, Myung-Hae;Koh, Chang-Soon;Roh, Jae-Kyu;Myung, Ho-Jin;Lee, Sun-Ho;Han, Dae-Hee
    • The Korean Journal of Nuclear Medicine
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    • v.22 no.1
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    • pp.15-19
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    • 1988
  • SPECT of regional cerebral blood flow was performed using $^{99m}Tc-HMPAO$ in 28 patients with cerebrovascular disease and quantitative analysis was done. Cerebral asymmetry index and percent index of asymmetry of cerebellar hemisphere of patients with cerebral infarction or ischemia were $0.764{\pm}0.576$ and $-5.6{\pm}7.1%$ and those of intracranial hemorrhage was $0.416{\pm}0.251$ and $-2.5{\pm}4.1%$ respectively. According to PIA of cerebellar hemisphere, 12 patients showed crossed cerebellar diaschisis. $^{99m}Tc-HMPAO$ SPECT seemed to be a useful tool for the evaluation of regional cerebral blood flow.

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Ruptured Saccular Aneurysm Arising from Fenestrated Proximal Anterior Cerebral Artery : Case Report and Literature Review

  • Kwon, Woo-Keun;Park, Kyung-Jae;Park, Dong-Hyuk;Kang, Shin-Hyuk
    • Journal of Korean Neurosurgical Society
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    • v.53 no.5
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    • pp.293-296
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    • 2013
  • The aneurysm arising from fenestrated proximal anterior cerebral artery (ACA) is considered to be unique. The authors report a case of a 59-year-old woman who presented with a subarachnoid hemorrhage (SAH) secondary to a ruptured aneurysm originating from the fenestrated A1 segment of right ACA. The patient had another unruptured aneurysm which was located at the right middle cerebral artery bifurcation. She was successfully treated with surgical clipping for both aneurysms. From the previously existing literatures, we found 18 more cases (1983-2011) of aneurysms associated with fenestrated A1 segment. All cases represented saccular type of aneurysms, and 79% of the patients had SAH. There were three subtypes of the fenestrated A1 aneurysms depending on the anatomical location, relative to the fenestrated segment. The most common type was the aneurysms located on the proximal end of fenestrated artery (82%). Azygos ACA and hypoplastic A1 were frequently accompanied by the aneurysm (33% and 31%, respectively), and multiple aneurysms were shown in three cases (16%). Considering that fenestrated A1 segment is likely to develop an aneurysm, which has high risk of rupture, early management may benefit patients with aneurysms accompanied by fenestrated proximal ACA.

Studies on the Efficacy of Combined Preparation of Crude Drug (XXV) -Effects of Soeuminsowhapwon on Anticonvulsion, Analgesic, Antipyretic, Sedative, Isolated Ileum, Blood Vessels and Blood Pressure- (생약(生藥) 복합제제(複合製劑)의 약효(藥效) 연구(硏究)(제25보)(第25報) -소음인소합원(小陰人蘇合元)이 항경련(抗痙攣), 진통(鎭痛), 해열(解熱), 진정(鎭靜), 적출장관(摘出腸管), 혈관(血管) 및 혈압(血壓)에 미치는 영향(影響)-)

  • Jun, Jin-Sang;Kim, Nam-Jae;Won, Do-Hee;Song, Il-Byung;Hong, Nam-Doo
    • Korean Journal of Pharmacognosy
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    • v.16 no.4
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    • pp.199-205
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    • 1985
  • In order to investigate experimentally the clinical effects of Soeuminsohapwon that was prescribed to cure cerebral hemorrhage, palpitation etc, the author tested various activities of extract from the Soeuminsohapwhangwon by the method prescribed in the experimental part. The results of the studies were summarized as follows: Suppressive action was not shown on the convulsion induced by strychnine, but significant effect was noted on the convulsion induced by picrotoxin and caffeine. In acetic acid method, analgesic effect was noted. A prolongation of anesthetic time by pentobarbital sodium and antipyretic effect was observed. Relaxing action was noted on the ileum of mice, also same effect was recognized on contraction of the ileum due to acetylcholine, barium chloride and histamine. The expansion of blood vessels by relaxation of smooth muscle and hypotensive action were noted. According to the above results, effects based on oriental medical references were approximate to the actual experimental results.

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1 Case of Iron Deficiency Anemia treated with Gwibitang(歸脾湯) plus(合) Samultang(四物湯) in the Patient of Cerebral Hemorrhage (뇌출혈(腦出血) 환자의 철결핍성(鐵缺乏性) 빈혈(貧血)을 귀비탕합사물탕(歸脾湯合四物湯)으로 치료한 임상(臨床) 1례(例))

  • Ko, Hyun;An, Hyo-Myug;Hwang, Kyu-Dong;Lee, Eun-Suk
    • The Journal of Internal Korean Medicine
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    • v.21 no.5
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    • pp.877-881
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    • 2000
  • Anemia is present in adult if the hematocrit is less than 41%(hemoglobin <13.5g/dL) in males or 37%(hemoglobin <12g/dL) in females. In taking the history, congenital anemia may be suggested by the patient's personal and family history. Poor diet results in folic acid deficiency and may contribute to iron deficiency. Bleeding should always be considered in iron deficiency. Object : The symptoms of this patient are easy fatigability, dizziness, anorexia and paleness of the face. This women is the patient of iron deficiency anemia, cerebral hemorrhage and hypertension. Medication : Gwibitang(歸脾湯) plus(合) Samultang(四物湯) and feroba are dispensed for 30 days. Result : After 30 days, HCT Hb Iron of the laboratory findings are increased and TIBC of the laboratory findings is decreased.

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Ruptured Aneurysm Arising from the Distal End of a Proximal A1 Fenestration : Case Report and Review of the Literature

  • Koh, Jun-Seok;Kim, Eui-Jong;Lee, Seung-Hwan;Bang, Jae-Seung
    • Journal of Korean Neurosurgical Society
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    • v.45 no.1
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    • pp.43-45
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    • 2009
  • A 75-year-old female presented with subarachnoid hemorrhage. Angiography revealed a partial duplication (fenestration) in the proximal $A_1$ segment and a ruptured aneurysm at the distal end of $A_1$ fenestration. This congenital anomaly accompanying an aneurysm was associated with duplicated ipsilateral middle cerebral artery (MCA). Congenital defect of the arterial wall and hemodynamic factors at the fenestrated $A_1$ are considered to play a significant role in the development of this aneurysm. The present case is peculiar because not only the ruptured $A_1$ aneurysm was related with the anterior and middle cerebral artery duplication but also the location of $A_1$ fenestration and the origin of $A_1$ aneurysm in a fenestration are quite unusual.

Study on Application of Lindera Radix Main Blended Prescription in Donguibogam (오약(烏藥)이 주약(主藥)으로 배오(配伍)된 방제(方齊)의 활용(活用)에 대한 고찰(考察) (동의보감을 중심으로))

  • Kim, Chang-Min;Lee, Jang-Cheon
    • Herbal Formula Science
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    • v.13 no.2
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    • pp.153-168
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    • 2005
  • This study was investigated to make sure the range of Lindera Radix' treatment, the nature of disease, the chief virtue of medicine, the pathology and the usage quantity of it in Donguibogam The results were as follows; 1. The Lindera Radix is used in 15 fields which contain the Cerebrovascular Accident chapter. 2. The Lindera Radix is used in 31 pathologies of the cerebral infarction, intracranial hemorrhage, etc. 3. The Lindera Radix is used in a range of the pathology of the C.V.A, eliminating phlegm, stagnated blood, etc. 4. The Lindera Radix is used in a range of $2.4g{\sim}40g$ in herbal-prescription. The main using dosage is 4g. 5. The Lindera Radix is used with various crude herbs in accordance with the pathogeny. The Lindera Radix has been used to reduce the C.V.A, eliminate phlegm and any blocking substances with dampness, to promote sober by sending qi and reduce pain, etc. According to the results, I suggest to use the Lindera Radix in a various pathogenic fields. The Lindera Radix is able to remove not only pathogenic cerebral infarction or intracranial hemorrhage, but also pathogenic phlegm and sputm, etc.

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A Case Report of chronic urticaria with cerebral hemorrhage (腦出血을 동반한 慢性 두드러기 患者의 治驗 1例)

  • Kim, Chang-Hwan;Sun, Young-Jae;Kim, Hyun-Gi
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.15 no.1
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    • pp.285-290
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    • 2002
  • Urticaria is classified as Eunjin in Oriental Medicine. The intrinsic causes include digestive system disorder, food poison, parasite, female reproductive health problem, nervous breakdown, and disorder of endocrine hormone. The extrinsic sources include all kinds of insect bites or stings, medications, pollen, dirt, and toxic smells. Some unknown sources also produce urticaria. The urticaria that lasts for more than six weeks, is categorized as chronic urticaria which is not very different from acute urticaria that occurs rapid but for a short period. The chronic urticaria may come every day, and its symptoms can even get worse at irregular or regular intervals. The cycle is hard to predict. It could be weeks or years. In clinical treatments, the syndromes of patient's chronic urticaria with cerebral hemorrhage have been analyzed and identified as follows: The diagnosis by asking the patient's case history showed that the root cause was retention of food resulting from dysfunction of the spleen and stomach. First, Pyeongwisan was dosed. From the syndrome differentiation with four diagnostic methods, we diagnosed the symptoms as Poong yoel (wind-heat). Then, Hyeongbangpaedocksangamibang was prescribed to get very effective results.

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A Study on the Sasang Constitutional Classification of Stroke Patients by QSCC II (QSCC II를 이용한 중풍(中風)환자의 사상체질(四象體質) 분류에 대한 고찰)

  • Lee, Sung-Jin;Lee, Jae-Wook;Cho, Hye-Won;Kho, Chan-Hee;Lim, Eun-Chul
    • Journal of Sasang Constitutional Medicine
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    • v.27 no.3
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    • pp.318-325
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    • 2015
  • Objectives This study was to investigate the Sasang Constitutional classification in storke inpatients by using QSCC II and to evaluate the relevance of the results and Donguisusebowon contents. Methods QSCC II was conducted to 73 Stroke patients who were admitted from April 2014 to August 2014 in Dongseo oriental hospital. And the results were analyzed by contents of Donguisusebowon. Results The number of Soyangin and Taeumin was the most common and Soeumin was the lowest. There was no Taeyangin. The number of Soyangin and Taeumin was the most common in cerebral infarction patients, and the number of Soyangin was the most common in intracerebral hemorrhage patients. The patients who had both cerebral infarction and intracerebral hemorrhage were all Taeumin. Conclusions The incidence of stroke was higher in Soyangin and Taeumin. This results were relevant with the Sasang Constitutional Temperament of Donguisusebowon.

Coil Embolization for Distal Middle Cerebral Artery Aneurysm

  • Cho, Chun-Sung;Kim, Young-Joon;Lee, Sang-Koo;Cho, Maeng-Ki
    • Journal of Korean Neurosurgical Society
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    • v.41 no.3
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    • pp.193-195
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    • 2007
  • Middle cerebral artery [MCA] aneurysms are a common source of subarachnoid hemorrhage [SAH]. But, ruptured distal MCA aneurysm is very rare, and their clinical and radiological features are poorly understood. Microsurgical repair remains the most common method used to treat distal MCA aneurysm, even though endovascular coiling has been favored recently. We report our experience of successful coiling for ruptured distal MCA aneurysm, In selected patients, coiling may be a good treatment option for ruptured distal MCA aneurysm.

Case Analysis of Persistent Vasospasm after Cerebral Artery Aneurysm Rupture by Using Transcranial Color Coded Doppler Ultrasonography (경두개 색조 도플러 초음파검사를 이용한 대뇌동맥 파열 이후 지속적인 혈관 연축 증례 분석)

  • Ji, Myeong-Hoon;Seoung, Youl-Hun
    • Journal of radiological science and technology
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    • v.44 no.1
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    • pp.15-23
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    • 2021
  • In this case analysis, a patient was diagnosed with subarachnoid hemorrhage (SAH) in a 49-year-old female and showed persistent vasospasm after coil emboilzation in an aneurysm. The patient suffered from persistent vasospasm and performed angioplasty a total of 6 times. Transcranial color coded doppler (TCCD) was performed 12 times to monitor vasospasm. As a result, repetitive cerebral blood flow tests were low cost and safely performed without exposure to invasive radiation through the TCCD, and the repeatability and reproducibility of the test were confirmed with the capabilities of a trained professional radiological technologist.