• 제목/요약/키워드: Dysarthria

검색결과 196건 처리시간 0.023초

이완성 구음마비환자의 운율적 특성 연구 (Prosodic Characteristics of Flaccid Dysarthria)

  • 김수정
    • 한국음향학회:학술대회논문집
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    • 한국음향학회 1998년도 제15회 음성통신 및 신호처리 워크샵(KSCSP 98 15권1호)
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    • pp.201-208
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    • 1998
  • 구음마비환자의 특징적 문제로는 조음 명료성의 저하오 kdns율의 장애등이 논의되어왔다. 지금까지 조음 명료성을 진단하고 치료하기 위한 연구는 활발히 진행되어 왔으나 운율 장애를 측정, 치료하기 위한 연구는 극히 소수이며 특히, 우리나라의 경우는 전무한 상태이다. 이에 본 연구자는 정상군과 이완성 구음마비환자군의 운율적 차이를 음폭, 음도차, 지속시간, 강도의 측면에서 기술하여 진단과 치료를 위한 기초 자료를 제시하고자 한다. 실험 대상은 이완성 구음마비환자군 6명과 정상군 6명이다. 정상군은 환자군과 성별, 나이, 학력, 방언을 맞추어 선정한다. 본 연구는 억양 대비가 분명히 나타나는 의문형 어미와 서술형 어미를 선택한다. 예문은 억양 곡선을 잘 나타내기 위해 유성 자음과 모음으로 구성된 것으로 한다. 종결형 어미가 분석 목표이나 예문의 길이가 너무 짧은 경우 경도환자의 특징이 잘 나타나지 않을 수 있으므로, 주어+목적어+서술어로 구성된 3어절로 구성된 예문을 사용한다.

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다발성 신경병증에 대한 한방 치험 1례 (A Clinical Report of Polyneuropathy Treated with Korean Medical Treatment)

  • 손변우;정해룡;황원덕
    • 대한한방내과학회지
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    • 제37권5호
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    • pp.698-703
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    • 2016
  • Objective: To describe the effects of Korean medical treatment on a 51-year-old male patient with polyneuropathy and chief complaints of lower limb paralysis and dysarthria. Methods: The Toronto Clinical Neuropathy Scoring System (TCNSS) was used to evaluate the function of the lower limb and the symptoms of the patient were observed daily. We applied herbal medication and acupuncture daily, depending on the patient’s symptoms. Results: After the treatment, the TCNSS score was improved. Conclusions: In this case, Korean medical therapy was effective in improving lower limb function.

뇌졸중에 대한 목단피사백산의 치료 효과 연구 : 후향적 의무기록 분석 (The Effects of Mokdanpisaback-san on Stroke: A Retrospective Medical Chart Review)

  • 최유진;김기태
    • 대한한방내과학회지
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    • 제41권1호
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    • pp.69-80
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    • 2020
  • Objective: The aim of this study was to report the improvement of stroke symptoms in patients using Mokdanpisaback-san. Methods: This study was carried out on patients hospitalized at the Department of Korean Internal Medicine of Jecheon Korean Medicine Hospital of Semyung University from October 2014 to September 2019. A retrospective study was performed on 43 patients who were diagnosed with stroke and Soyangin and treated with Mokdanpisaback-san. Results & Conclusion: 1. Mokdanpisaback-san is effective in improving various symptoms of stroke, including dysarthria, dysphagia, movement disorder, paresthesia, quadriplegia, and dizziness. 2. Mokdanpisaback-san significantly improves the motor disorders of stroke, including lower extremity muscle strength, standing, and walking disorders. 3. Mokdanpisaback-san does not affect the liver or kidney function.

Minamata Disease and the Mercury Pollution of the Globe

  • Harada Masazumi
    • 한국환경보건학회지
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    • 제31권6호
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    • pp.451-456
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    • 2005
  • Minamata disease made its first appearance in the world at Minamata City, Kumamoto Prefecture, in May 1956. In 1962 methyl mercury poisoning through the placenta was found for the first time in the world. This was called congenital Minamata disease. In all cases the clinical symptoms were consistent with those of cerebral palsy. The time and place of outbreak were the same as those for Minamata disease. Their mothers had eaten fish and shellfish during pregnancy. The principal symptoms of congenital Minamata disease are mentalretardation ($100\%$); primitive reflexes ($100\%$); disturbance of coordination ($100\%$); dysarthria ($100\%$); limb deformation (100%); growth disorders ($100\%$); nutritional disorders ($100\%$); chorea-athetose ($95\%$); and hypersalivation ($95\%$). However, today, when the world is polluted by mercury in various places and at various levels, the data we need is not represented by those severe cases, but rather by the chronic milder type. Even in Minamata, the issue of Minamata disease has not been resolved. And likewise, on a global scale the problem of Minamata disease is not yet over.

스코폴라민부착포에 의해 발생한 중추성항콜린 증후군 1예 (A Case of Scopolamine-Induced Central Anticholinergic Syndrome)

  • 신동성;이호선;이세진
    • Journal of Yeungnam Medical Science
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    • 제29권1호
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    • pp.58-60
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    • 2012
  • Central anticholinergic syndrome occurs when an anticholinergic substance works in vivo or as a result of the insufficient release of acetylcholine. Its symptoms include confusion, agitation, behavioral change, hallucination, blurred vision, and dysarthria. Occasionally, these symptoms occur with the use of a scopolamine patch. A 54-year-old female complained of behavioral change and confused mentality. She attached a scopolamine patch at the postauricular area in the morning of the day before her hospital visit. Neurological examination revealed bilateral symmetric mydriasis without light reflex. The brain MRI was normal, and electroencephalography showed nonspecific abnormalities. The patient recovered completely after the removal of the scopolamine patch.

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파킨슨증으로 인한 마비말장애에 대한 청지각적 평가척도 (An Auditory-perceptual Rating Scale of Dysarthric Speech of Patients with Parkinsonism)

  • 김향희;이미숙;김선우;최성희;이원용
    • 음성과학
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    • 제11권2호
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    • pp.39-49
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    • 2004
  • An auditory-perceptual rating scale has long been utilized in an evaluation procedure of Parkinsonian speech. This study attempted to investigate various variables and appropriate equal-interval rating scale for each variable. We collected speech samples from 27 patients with Parkinsonian speech disorders. A total of 25 variables and descriptions for each variable across phonatory, resonatory, and articulatory dimensions were included in the rating scale. The descriptive parts of each variable could increase the objectivity of the rating scale.

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요독증 환자의 양측 기저핵 병변에 의해 발생된 급성 파킨슨증 1예 (Acute Parkinsonism with Bilateral Basal Ganglia Lesions in A Patient with Uremia)

  • 박강민;김상진
    • Annals of Clinical Neurophysiology
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    • 제8권1호
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    • pp.91-93
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    • 2006
  • A 47-year-old male who had hypertension and diabetes mellitus for 7 years suddenly developed bradykinesia, generalized limb muscular rigidity, dysarthria and dysphagia. Uremia developed 5 months prior to this and he had been on hemodialysis. A T2-weighted brain MRI showed extensive hyperintensity over the bilateral basal ganglia, extending to the adjacent periventricular white matter. In T1-weighted images the lesions were hypointense. Supportive treatments were given and his symptoms improved. Exacerbation of glucose utilization failure or vasogenic edema is suggested as the etiology of basal ganglia lesions, but the exact underlying pathophysiology is unknown.

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반복 설하신경 자극검사로 진단한 중증근무력증 1예 (A Case of Myasthenia Gravis Diagnosed by Repetitive Hypoglossal Nerve Stimulation Test)

  • 장일미;이경복;노학재;안무영;양광익;성기범
    • Annals of Clinical Neurophysiology
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    • 제8권1호
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    • pp.74-77
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    • 2006
  • Repetitive nerve stimulation is a simple and widely used technique to demonstrate neuromuscular transmission defect. A significant decremental response for repetitive hypoglossal nerve stimulation was obtained from the surface recordings in the tongue of a patient with dysarthria and dysphagia. Repetitive hypoglossal nerve stimulation test may be useful in diagnosis of myasthenia gravis with bulbar symptoms only. We utilized repetitive hypoglossal nerve stimulation with tongue recordings and diagnosed a case of myasthenia gravis.

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Resolution of Isolated Unilateral Hypoglossal Nerve Palsy Following Microvascular Decompression of the Intracranial Vertebral Artery

  • Cheong, Jin-Hwan;Kim, Jae-Min;Yang, Moon-Sul;Kim, Choong-Hyun
    • Journal of Korean Neurosurgical Society
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    • 제49권3호
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    • pp.167-170
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    • 2011
  • Isolated hypoglossal nerve paresis due to mechanical compression from a vascular lesion is very rare. We present a case of a 32-year-old man who presented with spontaneous abrupt-onset dysarthria, swallowing difficulty and left-sided tongue atrophy. Brain computed tomographic angiography and magnetic resonance imaging of the brainstem demonstrated an abnormal course of the left vertebral artery compressing the medulla oblongata at the exit zone of the hypoglossal rootlets that was relieved by microvascular decompression of the offending intracranial vertebral artery. This case supports the hypothesis that hypoglossal nerve palsy can be due to nerve stretching and compression by a pulsating normal vertebral artery. Microvascular decompression of the intracranial nerve and careful evaluation of the imaging studies can resolve unexpected isolated hypoglossal nerve palsy.

Kennedy 병의 임상적, 전기 진단적 특징 (Clinical and Electrodiagnostic Features of Kennedy Disease)

  • 오병철;임영민;김광국
    • Annals of Clinical Neurophysiology
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    • 제5권1호
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    • pp.11-15
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    • 2003
  • Backgrounds: Kennedy disease is a X-linked recessive disease characterized by bulbar symptoms, proximal muscle weakness, and gynecomastia. Methods: We analyzed clinical symptoms and performed electrodiagnostic studies on 6 patients. Results: We found following features: 1) proximal muscle weakness 2) bulbar symptoms, as dysarthria, facial and tongue atrophy 3) hyporeflexia or areflexia 4) fasciculations, predominantly on face, and proximal upper extremities 5) decreased sensory nerve action potentials(SNAPs) 6) chronic neurogenic changes in needle EMG. Conclusions: Kennedy disease is characterized by degenerative process of anterior horn cell and dorsal root ganglion without upper motor neuron dysfunction. Increased triple nucleotide CAG repeats(>38) in androgen receptor gene of Xp21 will confirm early stage of this disease.

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