• 제목/요약/키워드: Conduction block

검색결과 99건 처리시간 0.024초

A case of acute motor sensory axonal neuropathy presenting reversible conduction block

  • Lee, Dongah;Kim, Hyung Chan;Park, Kang Min;Park, Jinse;Ha, Sam Yeol;Kim, Sung Eun;Lee, Byung In;Kim, Jong Kuk;Yoon, Byeola;Shin, Kyong Jin
    • Annals of Clinical Neurophysiology
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    • 제20권1호
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    • pp.49-52
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    • 2018
  • Reversible conduction block (RCB) was rare in patients with acute motor sensory axonal neuropathy (AMSAN). A-46-year-old man presented with paresthesia, weakness, diplopia, and dysarthria. Nerve conduction study (NCS) exhibited axonal changes with conduction block in motor and sensory nerves. His symptoms were rapidly progressed and recovered. Conduction block was disappeared in the follow-up NCS performed after 2 weeks. The AMSAN case with RCB showed rapid progress and rapid recovery of clinical symptoms as acute motor axonal neuropathy patients with RCB.

Conduction Block of the Primary Afferent Fibers by Topically Applied Allyl Isotheocyanate

  • Shin, Hong-Kee;Kim, Kee-Soon
    • The Korean Journal of Physiology
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    • 제28권2호
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    • pp.123-132
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    • 1994
  • The present study was undertaken to elucidate the desensitization of cutaneous receptors and the conduction block of the afferent nerves induced by direct application of allyl isotheocyanate (mustard oil) to the receptive field (RF) or onto the afferent nerve, respectively. Dorsal horn cell responses to mechanical stimulations of RF were completely suppressed when mustard oil was applied to either the afferent nerve or the whole area of RF. C-fiber responses of dorsal horn cells were more susceptive to mustard oil than A-fiber activities. This was confirmed by the experiment in which the compound action potentials recorded from rat tibial nerve before and after topical application of mustard oil were compared. The higher the concentration of mustard oil and the longer the application time, the more powerful desensitization or conduction block was induced. From the results of the present study, it is suggested that the desensitization of the afferent fiber and sensory receptors induced by mustard oil results mainly from the conduction block of C-fiber in the primary afferent nerve.

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GM1 항체와 연관된 급성 운동 전도차단 신경병증 1예 (A Case of Acute Motor Conduction Block Neuropathy Associated with Anti-GM1 Antibody)

  • 박강민;배종석;김상진;이정녀;김종국
    • Annals of Clinical Neurophysiology
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    • 제9권2호
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    • pp.89-92
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    • 2007
  • A 33-year-old women developed weakness in all limbs 3 days prior to admission. Motor examination showed decreased strength in all limbs, but sensory examination was normal. Deep tendon reflexes were areflexia. Electrophysiological examination showed conduction blocks with nearly normal conduction velocities and terminal latencies in motor nerves and normal amplitudes and velocities in sensory nerves. Her serum was positive for IgG antibodies to gangliosides GM1, GD1b, and galactocerebroside. Acute motor conduction block neuropathy may be another variant of Guillain-Barre syndrome.

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Recovery of complete left bundle branch block in dilated cardiomyopathy after optimal heart failure treatment: a case report

  • Geum Ko;Jae-Geun Lee
    • Journal of Medicine and Life Science
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    • 제21권3호
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    • pp.112-116
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    • 2024
  • Complete left bundle branch block (CLBBB) is a significant cardiac conduction abnormality often associated with dilated cardiomyopathy (DCM). This case report highlights the improvement in CLBBB and symptom relief through reverse cardiac remodeling in a patient diagnosed with DCM following an optimized heart failure treatment regimen consisting of an angiotensin-converting enzyme inhibitor, beta-blocker, and mineralocorticoid receptor antagonist. This case highlights the potential of electrical remodeling and conduction system improvement in patients with DCM receiving optimized medical therapy.

경구 스테로이드 치료로 호전된 Lewis-Sumner 증후군 1예 (A Case of Lewis-Sumner Syndrome Improved by Oral Steroid Therapy)

  • 김종국;김민정;유봉구;김광수;임권일
    • Annals of Clinical Neurophysiology
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    • 제8권1호
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    • pp.102-105
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    • 2006
  • We present a case with stepwise weakness and sensory involvement of both hands for more than 2 months. His nerve conduction study findings revealed prolonged terminal latencies, decreased motor and sensory conduction velocities and conduction blocks of both ulnar nerves, more severely on left side. And there were other abnormalities manifested with mononeuropathy multiplex. Increased cerebrospinal fluid protein was found. We diagnosed him as Lewis-Sumner syndrome and tried high dose oral steroid therapy for 2 months. He showed improvement of motor functioning with persistent conduction block.

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경계요소법에 의한 터보과급 가솔린기관 실린더블럭의 열전도 해석 (Analysis of heat conduction of cylinder block of turbocharged gasoline engine by boundary element method)

  • 김은태;최영돈;홍진관
    • 오토저널
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    • 제11권2호
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    • pp.41-54
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    • 1989
  • In this study, steady state heat conduction problems of the cylinder block of turbocharged gasoline engine were solved by the boundary element method. Surface of the cylinder block was divided by the triangular cells with constant potential. Temperature distribution, effective heat transfer coefficient of the cylinder block were investigated with variation of equivalence ratio, engine speed and boost pressure. The results show that maximum temperature of cylinder block increase rapidly with increasing engine speed and boost pressure. The monolithic structure of cylinder block results in sever inhomogeneity of inner wall temperature at the high engine speed and boost pressure.

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다초점성 운동신경병증 (Multifocal Motor Neuropathy)

  • 이동국
    • Annals of Clinical Neurophysiology
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    • 제4권2호
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    • pp.98-107
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    • 2002
  • Multifocal motor neuropathy (MMN) is a chronic immune-mediated peripheral myelinopathy. The major clinical features include slowly progressive, painless, and asymmetric weakness, usually of distal limb muscle. Early in the course of the disease, weakness is not necessarily associated with muscle atrophy, owing to the initial primary involvement of peripheral myelin. Chronic progressive weakness is often associated with some degree of concurrent axonal loss and subsequent muscle atrophy. Sensory symptoms are usually mild or absent, and involvement of cranial and respiratory muscles is rare. The findings of multifocal motor conduction block, abnormal temporal dispersion, and focal conduction slowing at segments not at risk for common entrapment or compression injury, associated with normal sensory conduction studies along the same segments, are the hallmark electrophysiologic features of MMN. The slow progression and absence of upper motor neuron signs are the major clinical points that separate MMN from amyotrophic lateral sclerosis. The role of GM1 antibodies, found in high titers in 22~84% of MMN patients, remains uncertain. The contention that MMN is an autoimmune disorder is largely based on the often dramatic improvement in symptoms following the administration of intravenuos immunoglobulin or cyclophosphamide.

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경차용 가솔린 기관 실린더 블럭의 열응력 분포 특성에 대한 연구 (Study on the Thermal Stress Distribution Characteristivs of the Cylinder Block of a Light Gasoline Engine)

  • 김병탁
    • Journal of Advanced Marine Engineering and Technology
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    • 제22권6호
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    • pp.800-808
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    • 1998
  • In this study the thermal stress distribution and deformantion characteristics resulting from the nonuniform temperature fields of the cylinder block of a light 3-cylinder 4-stroke gasoline engine were analyzed using the 3-dimensional finite element method. The temperature distributions req-uisite for the thermoelastic behavior alalysis were obtained from the steady-state heat conduction analysis performed on the basis of experimental data. in order to examine the effect of a ceramic material the cylinder liner was replaced by the silicon nitride($Si_{3}N_{4}$) and its thermal behaviors were compared with those of the original block.

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돌출된 열원이 부착된 수직 채널내 복합열전달 (Conjugate Heat Transfer in a Vertical Channel with Protrunding Heat Source)

  • 김의광;백병준;조병수
    • 대한기계학회논문집B
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    • 제20권2호
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    • pp.741-751
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    • 1996
  • The coupled conduction and convection heat transfer from the protruding heat source in a vertical channel is numerically investigated. Conjugate solution of the two-dimensional energy equation is obtained for the incompressible air flow over the rectangular block with local heat source. It was found that several recirculation zones and separation bubble near the block were related to Re and Gr. And the results show that fractions of the heat transfer through each of the block face, maximum temperature of the block and the relative effect of each parameter on the maximum temperature and heat transfer.

당뇨병성다발신경병증의 전기생리학적 특징: 운동신경전도검사 (Electrophysiological Features of Diabetic Polyneuropathy: Motor Nerve Conduction Studies)

  • 강지혁;이윤섭
    • 한국콘텐츠학회논문지
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    • 제10권10호
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    • pp.237-245
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    • 2010
  • 신경전도검사는 당뇨병성다발신경병증 및 당뇨병의 불현성 신경병증환자를 진단하기위한 중요한 검사이며 신경의 기능을 정량적으로 측정할 수 있는 검사기법이다. 본 연구에서는 당뇨병성다발신경병증 환자에서 보이는 전기생리학적 특징을 평가하기위하여 당뇨병성다발신경병증으로 진단된 120명과 정상대조군 77명의 운동신경전도검사의 결과를 비교?분석하였다. 상지와 하지의 각 운동신경에서 정상기준치에 대해 비정상 값을 보인 비율의 특징을 신경전도속도, 말단잠복기, 복합근육활동전위의 진폭, No potential의 빈도, 전도차단의 항목으로 나누어 분석하였다. 당뇨병성다발신경병증은 상지에 비해 하지를 더욱 침범하는 전신성 탈수초성 말초다발신경병증의 전기생리학적 특징이 관찰되었고, 특히 비골신경에서 비정상의 정도가 심한 것으로 분석되었다. 하지만 전도차단의 특징은 대조군에 비하여 유의한 차이가 없는 것으로 나타났다. 운동신경전도검사의 결과를 분석하여 당뇨병성다발신경병증의 전기생리학적 특징을 분석한 본 연구의 결과 하지의 비골신경이 중요한 지표가 될 수 있음이 확인되었고, 이는 당뇨병성다발신경병증의 중요한 전기생리학적 소견으로 사료된다.