• Title/Summary/Keyword: Dysarthria

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A Case Report of Communication disorder associated with Post-stroke (중풍 후 나타난 언어장애 환자 증례보고)

  • Kim, Dong-Min;Kim, Hyee-Kwon;Ha, Seon-Yun;Kim, Yong-Suk;Nam, Sang-Soo
    • Korean Journal of Acupuncture
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    • v.24 no.3
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    • pp.47-54
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    • 2007
  • A Case Report of Communication disorder associated with Post-stroke Objectives : The Objective Is the Report of Improvement in Communication Disorder Associated with Post-Stroke. Methods : Acupuncture And Medicinal Treatments Were Performed from 17th March 2006 until 8th April 2006. The Medicines Bangpungtongsung-san and Chungpesagan-tang Were Used to Improve Patient Bowel Movement. The Sa-Am Acupuncture Method Was Used to Improve Patient Communication Disorders. Every 5 Days Articulation Accuracy, Vowel Accuracy, Alternation and Speed of Reading Sentences Were Evaluated. Results : After 23 Days of Treatment There was Improvement of Articulation Accuracy, Alternation and Speed of Reading Sentences.

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A Case of Granulation Tissue of the Tongue in Infant (영아의 혀에 발생한 육아조직 1례)

  • Lee, Hee-Jung;Yun, Eun-Sil;Choi, Joon-Hyuk;Choi, Kwang-Hae
    • Journal of Yeungnam Medical Science
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    • v.22 no.2
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    • pp.247-252
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    • 2005
  • Tongue tumors of pediatric patients are the most common soft tissue tumor of pediatric oral and maxillofacial tumors. There are many kind of pediatric tongue lesions such as hemangioma, lymphangioma, papilloma, and cyst. Most of these lesions are benign, but malignant tumors of tongue may be occurred. Therefore, malignancy should be ruled out. Sometimes, tongue lesions are present with dyspnea, dysphagia, dysarthria, bleeding, or cosmetic problem. We experienced a case of chronic inflammatory mass on posterior 1/3 of the tongue in 4 month old female patient. Swallowing difficulty and respiratory distress symptom occurred because of tongue mass effect. The tongue mass was confirmed as granulation tissue by microscopic examination. After excision of tongue mass, she had no problem with swallowing and breathing.

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Bilateral Medial Medullary Infarction Demonstrated by Diffusion-Weighted Imaging : Case Report

  • Jang, Han-Won;Byun, Woo-Mok
    • Journal of Yeungnam Medical Science
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    • v.26 no.1
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    • pp.70-73
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    • 2009
  • A 78-year-old woman presented with weakness of the extremities, dysarthria, dizziness, and sensory impairment. Magnetic resonance imaging showed acute bilateral medial medullary infarction. Contrast enhanced magnetic resonance angiography demonstrated stenosis or occlusion of both intracranial vertebral arteries. We present a rare case of bilateral medullary infarction seen on diffusion-weighted imaging.

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Reduction glossectomy of congenital macroglossia due to lymphangioma

  • Kim, Jun Hyeok;Kwon, Hyo Jeong;Rhie, Jong Won
    • Archives of Craniofacial Surgery
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    • v.20 no.5
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    • pp.314-318
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    • 2019
  • Macroglossia is a rare clinical condition defined as an enlarged tongue. Macroglossia can cause structural deformities like diastema and disproportionate mandibular growth and present functional disorders such as dysarthria, dysphonia, and respiratory problems. A 7-year-old boy who had lymphangiomatous macroglossia was treated with a reduction glossectomy by anchor-shaped combination of a U-shape and modified key-hole resection. Postoperatively, the reduced tongue was contained completely within the oral cavity, but open bite remained due to prognathism. Sensory and motor nerves to the tongue appeared to be intact, and circulation was adequate. This patient will be monitored for recurrence of tongue enlargement.

Clinical Study of CT-diagnosed Olivopontocerebellar Atrophies (Olivopontocerebellar Atrophy의 임상상과 전산화단층뇌촬영 소견)

  • Park, Mee-Yeong;O, Khyoung-Yhun;Hah, Jung-Sang;Byun, Yeung-Ju;Park, Choong-Suh
    • Journal of Yeungnam Medical Science
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    • v.5 no.2
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    • pp.87-93
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    • 1988
  • The diagnosis of OPCA could be made clinically with important aid of brain CT scanning, although the definite and conclusive diagnosis only by postmortem pathological determination. We reviewed, clinically and with brain CT examination, 12 cases of patients with OPCA who were admitted to the Yeungnam University Hospital for a recent 5 years. The result were as following. : 1. The distribution of age is from 49 to 72, mainly 50 to 60. Man is more frequent than women at the 4.5 times. 2. The interval period from Sx. onset to diagnosis is 1 year to 6 years. 3. The usual initial Sxs. were dizziness(58%), ataxia(33%), and other less frequent Sxs. were weakness of low extremities, dysarthria, headache and urinary incontinence. The clinical manifestations at the initial diagnosis were cerebellar disturbance(100%), dysarthria(83%), and increased deep tendon reflexes(58%). 4. The results of brain CT finding are like this : ${\cdot}$ the width of cerebellar sulci is more than 1mm, other 4 cases more than 2mm. ${\cdot}$ the width of cerebellar pontine cistern of the patient if usually 3 to 4mm, other 2 cases extended to the 5mm. ${\cdot}$ the A. P and lateral lengths of 4th. ventricle is 4mm and 4 to 8mm respectively. ${\cdot}$ 6 cases of whole patients show coincidentally cerebral atrophy.

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The Clinical Study on Spinocerebellar Ataxia with Cerebellar Atrophy (Cerebellar Atrophy로 인해 유발된 Spinocerebellar Ataria 환아(患兒) 1례(例) 보고(報告))

  • Ha, Kwang-Su;Kim, Sun-Mi;Ha, Su-Yun;Song, In-Sun;Lee, Jeong-Lim
    • The Journal of Pediatrics of Korean Medicine
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    • v.19 no.2
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    • pp.41-50
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    • 2005
  • Objective : The autosomal dominent cerebellar ataxia(ADCA) is an unusal familial herediatary disorder that has been called olivopontoerebellar atrophy. Recently ADCA referred to as spinocerebellar ataxia(SCA) by molecular genetic characteristics. The purpose of this study is to focus on the improvement of clinical symptoms in SCA patient by oriental medical treatment. Materials & Methods : We experienced a case of the 6-year-old female patient with SCA and the MRI showed atrophy of cerebellum. The patient's chief symptoms come within the purview of five kinds of retardation and five kinds of flaccidity. We treated her with herb medicine (Yukmijihwang-tang gamibang), acupuncture, scalp acupuncture. After we measured the progress of general condition by MBI(Modified Bathel Index). Results : After oriental medical treatment, chief symptoms (ataxia, weakness of low extremities, dysarthria, etc.) and general condition were improved. Conclusion : We suggest that oriental medical therapy is effective to the possibility of treatment on SCA, but more clinical study and observation should be needed.

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Acoustic analysis of Korean affricates produced by dysarthric speakers with cerebral palsy (뇌성마비 마비말장애 성인의 파찰음 실현 양상 분석)

  • Mun, Jihyun;Kim, Sunhee;Chung, Minhwa
    • Phonetics and Speech Sciences
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    • v.13 no.2
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    • pp.45-55
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    • 2021
  • This study aims to analyze the acoustic characteristics of Korean affricates produced by dysarthric speakers with cerebral palsy. Korean fricatives and affricates are the consonants that are prone to errors in dysarthric speech, but previous studies have focused only on fricatives. For this study, three affricates /tɕ, tɕh, ͈tɕ/ appearing at word initial and intervocalic positions produced by six mild-moderate male speakers of spastic dysarthria are selected from a QOLT database constructed in 2014. The parameters representing the acoustic characteristics of Korean affricates were extracted by using Praat: frication duration, closure duration, center of gravity, variance, skewness, kurtosis, and central moment. The results are as follows: 1) frication duration of the intervocalic affricates produced by dysarthric speakers was significantly longer than that of the non-disordered speakers; 2) the closure duration of dysarthric speakers was significantly longer; 3) in the case of the center of gravity, there was no significant difference between the two groups; 4) the skewness of the dysarthric speakers was significantly larger; and 5) the central moment of dysarthric speakers was significantly larger. This study investigated the characteristics of the affricates produced by dysarthric speakers and differences with non-disordered speakers.

A Clinical case study of Chronic Psoriasis in Shaoyangin patient (소양인 건선환자의 치험 1례)

  • Kim, Kyung-Sun;Lim, Eun-Chul;Moon, Sung-Hwan;Kim, Kyung-Sok;Kim, Eun-Yi
    • Journal of Sasang Constitutional Medicine
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    • v.15 no.2
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    • pp.94-100
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    • 2003
  • The purpose of this study is to give an account of the effects of the Korean herbal medicine therapy which is based on the Sasang constitutional medicine for the patient who has suffered from scale of both foot caused by chronic psoriasis. The subject is a 81-year old man who has the symptoms caused by lacunar infarction, which are both leg weakness, gait disturbance, dizziness, dysarthria, frequency voiding, and scale of both foot caused by chronic psoriasis. We have diagnosed him as Shaoyangin(少陽人), and have prescribed Yukmi jiwhangtang(六味地黃湯). The consequence is the accompanied scale of both foot, both leg weakness, gait disturbance, dizziness, frequency voiding and general condition has improved.

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Moyamoya syndrome occurred in a girl with an inactive systemic lupus erythematosus

  • Lee, Yun-Jin;Yeon, Gyu Min;Nam, Sang Ook;Kim, Su Yung
    • Clinical and Experimental Pediatrics
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    • v.56 no.12
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    • pp.545-549
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    • 2013
  • We report the case of a 17-year-old Korean girl with systemic lupus erythematosus (SLE) who presented with sudden weakness of the right-sided extremities and dysarthria. Oral prednisolone was being taken to control SLE. Results of clinical and laboratory examinations did not show any evidence of antiphospholipid syndrome or thromboembolic disease nor SLE activity. Cerebral angiography showed stenosis of the left internal carotid artery and right anterior cerebral artery with accompanying collateral circulation (moyamoya vessels). After the patient underwent bypass surgery on the left side, she recovered from the neurological problems and did not experience any additional ischemic attack during the 14-month follow-up period. This case represents an unusual association between moyamoya syndrome and inactive SLE (inactive for a relatively long interval of 2 years) in a young girl.

Relationships among Rehabilitation Motivation, Perceived Stress and Social Support in Stroke Survivors (뇌졸중 환자가 지각한 스트레스, 사회적 지지 및 재활 동기와의 관계)

  • Moon, Ji-Young;Cho, Bok-Hee
    • The Korean Journal of Rehabilitation Nursing
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    • v.14 no.1
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    • pp.24-31
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    • 2011
  • Purpose: The purpose of this study was to identify related factors of stress, social support and rehabilitation motivation of stroke survivors and analyze their relationship. Method: A sample of 106 stroke survivors completed face-to-face interviews. The levels of stress, social support and rehabilitation motivation were measured by the Neuman's stress, Multidimentional Scale Perceived Social Support and Han's Rehabilitation Motivation, respectively. The t-test, ANOVA, and Pearson correlation were conducted using the SPSS 17.0. Results: The mean scores of stress, social support and rehabilitation motivation were 3.3 (SD=0.76), 3.2 (SD=0.88), and 3.4 (SD=0.49) respectively. Compared to stroke survivors who had no spouses, those with spouses had a lower level of stress (t=9.52, p=.003), a higher level of social support (t=7.32, p=.008) and a higher level of rehabilitation motivation (t=15.39, p=.001). The rehabilitation motivation was significantly higher in stroke survivors with higher education (F=5.00, p=.001), more monthly income (F=15.39, p=.001), greater income satisfaction (F=3.80, p=.026), shorter duration of disease (F=3.64, p=.030) and absence of dysarthria (t=6.81, p=.010). Stress, social support and rehabilitation motivation are significantly related with each other. Conclusion: The findings suggest that these significant factors should be considered when caring for stroke survivors.