• Title/Summary/Keyword: Ganglion.

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Meniere's Attack after Stellate Ganglion Block -A case report- (어지럼 발작 병력환자에서 성상신경절블록 후 다시 발생한 어지럼 발작 -증례 보고-)

  • Kang, Sin Young;Kim, Dong Yeon;Chung, Rack Kyung
    • The Korean Journal of Pain
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    • v.18 no.2
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    • pp.232-234
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    • 2005
  • Stellate ganglion block (SGB) is one of the most widely used treatment modalities for a broad range of disorders, including otolaryngologic indications such as Meniere's disease and sudden hearing loss. We present a case of a vertiginous attack following SGB for the management of Meniere's disease. A 31-year-old female, suffering from Meniere's disease, underwent repeated right side SGBs with 6 ml of 1% mepivacaine after negative aspiration tests for blood. The eleventh block was performed in the usual manner. Several seconds after injection, she showed agitation, anxiety, nystagmus, and left-sided tinnitus. Two minutes later, her tinnitus and nystagmus were resolved. Fifteen minutes after injection, she experienced acute onset of severe vertigo, nausea, and vomiting. However, her symptoms were gradually alleviated within two hours.

An Ultrastructural Study on the Nerve Cell Bodies of Subesophageal Ganglion from the Cabbage Butterfly, Pieris rapae L. (배추흰나비 식도하신경절(食道下神經節)의 신경세포(神經細胞)에 관(關)한 미세구조적(微細構造的) 연구(硏究))

  • Kim, Woo-Kap;Lee, Bong-Hee
    • Applied Microscopy
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    • v.11 no.1
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    • pp.1-9
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    • 1981
  • The study on the nerve cells in the subesophageal ganglion of 5-day-old cabbage butterfly, Pieris rapae L., was performed to observe their ultrastructures and classify them on the basis of the differences in size, shape and relative distribution of cell organelles. 1. Type I neurons: These cells are neurosecretory granules ranging 100 to 300 nm in size. 2. Type II neurons: As giant neurons averaging 25 to $30{\mu}m$ in size, such as mitochondria and Golgi apparatus. 3. Type III neurons: These spindle-shaped cells range 9 to $15{\mu}m$ in width. 4. Type IV neurons: These cells have a range of diameter from 12 to $16 {\mu}m$. The cells are abundantly observed in the subesophageal ganglion. 5. Type V neurons: These cells are very small nerve cells with 4.5 to $8.0{\mu}m$ in size and have a prominent nucleus.

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The Effect of SGB in Lagophthalmos Caused by Facial Nerve Palsy -A case report- (안면 신경 마비로 인한 토안에서 성상신경절 차단의 효과 -증례보고-)

  • Kim, Soo-Young;Nam, Dae-Hee
    • The Korean Journal of Pain
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    • v.11 no.1
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    • pp.116-118
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    • 1998
  • Stellate ganglion block(SGB) is frequently performed in pain clinics. Facial palsy produces asymmetry of the face, lagophthalmos and incomplete eyelid closure. Exposure keratitis and eyeball pain can be induced by prolonged lagophthalmos. SGB was performed on a 51-year-old female patient who had exposure of keratitis and eyeball pain due to facial nerve palsy after an operation for chronic otitis media. After 31 stellate ganglion blocks, eyeball pain and keratitis nearly subsided. SGB is an effective method to treat lagophthalmos caused by facial nerve palsy.

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The Change of the Vital Sign by the Variables of Stimulated Areas in Interferential Current Treatment (간섭 전류 치료의 자극부위에 따른 활력징후의 변화)

  • Park, Young-Han
    • Journal of Korean Physical Therapy Science
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    • v.16 no.3
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    • pp.1-9
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    • 2009
  • Background: The purpose of this study is to have examined the influence on the blood circulation by comparing the differences between stimulating the sympathetic ganglion and the muscle group among the stimulation variables in interferential current stimulation. Method: The object of the study is the twenties(M=8, F=12), who are in great condition and have no pathological report for the blood circulation influence. The intensity of the inferential current stimulation is the medium degree, 100 bps constant current, which is the comfort and degree to confirm the muscle contraction. The areas stimulated are the stellate ganglion area in the seventh cervical vertebrae and the forearm muscle area. Results: We have made sure that there is no change in blood pressure and pulse and that the change in the skin temperature occurred highly. Conclusion: In considering the change of the blood circulation in case of stimulation area by the inferential current stimulation, we have seen that stimulating the sympathetic ganglion area is more effective than stimulating muscle area directly.

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A Severe Retropharyngeal Hematoma after Stellate Ganglion Block -A case report- (성상신경절차단 후 생긴 심한 후인두 혈종 -증례보고-)

  • Lee, Kang Hun;Yoon, Duck Mi
    • The Korean Journal of Pain
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    • v.21 no.1
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    • pp.62-65
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    • 2008
  • A 73-year-old man with sudden sensory neural hearing loss received a stellate ganglion block. Two hours after the block, the patient complained of newly developed neck discomfort. After an additional two hours, the neck swelled up gradually and neck pain and dyspnea developed. A plain radiograph of neck revealed narrowing of the upper airway; a tracheostomy was performed and the dyspnea was improved. On the next day, the pain site extended to the right scapula and a CT image revealed a huge retropharyngeal hematoma. Hematoma evacuation and bleeder ligation were then performed and the patient was discharged on the fourth day after admission without any complications. A practitioner should always remember to educate the patients about possible complications and undertake intensive observation when performing procedures, even in patients who do not initially present with a compromised airway.

Intraneural Ganglion of the Digital Nerve of the Hand - A Case Report - (수부에서 수지 신경의 신경내 결절종 - 증례 보고 -)

  • Park, Do-Young;Lee, Yu-Sang;Han, Kyeong-Jin
    • Archives of Reconstructive Microsurgery
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    • v.20 no.1
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    • pp.78-81
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    • 2011
  • Intraneural ganglia in the upper extremity are rare, and the involvement of the digital nerve of hand has not been reported. The following case report demonstrates a 57-year-old woman with a symptomatic nodular mass on the thenar area of the left hand. Magnetic resonance images showed a lobulated, homogeneous mass of high signal intensity on T2-weighted images and low signal intensity with peripheral enhancement on T1-weighted images. Excisional biopsy and histopathologic examination revealed an intraneural ganglion of the digital nerve of the thumb. Her symptom disappeared immediately after the surgery, and has remained free of abnormal sensation and parestheia for the 3-year follow-up period.

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Distribution of Ion Channels in Trigeminal Ganglion Neurons of Rat.

  • Kim, A.K.;Choi, K.K.;Choi, H.Y.
    • Proceedings of the KACD Conference
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    • 2001.11a
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    • pp.581.1-581
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    • 2001
  • Trigeminal nerve functions movement and sensation on orofacial region. Therefore, it is very important in dental clinic. Neurons with their cell bodies in trigeminal ganglion of trigeminal nerve root are primary sensory neurons and playa role of tactile sense, pressure, vibration and pain of orofacial area. Transmission of these senses depends on ion channels, we know that trigeminal ganglion neuron exists many kind of ion channels. Methods of definition on ion channel are several, but in this study we use immunostaining for detection of ion channels.(omitted)

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Treatment of 43 Patients with Buerger's Disease (Buerger환자 43명의 치료 경험)

  • Cheun, Jae-Kyu;Jang, Young-Ho;Chung, Jung-Kil
    • The Korean Journal of Pain
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    • v.9 no.1
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    • pp.114-119
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    • 1996
  • Buerger's disease is a nonatherosclerogic occlusive inflammatory disease of medium and small arteries, and veins, of unknown cause. It occurs predominantly in young males who are habitual tabacco users. These patients often complain of painful ulcerations of their digits. The care of this disease is very difficult when the treatment is delayed. Consequently, early treatments are most important to patients with Buerger's disease. This disease can be treated with sympathetic block such as stellate ganglion block for upper extremities and lumbar epidural block, and lumbar sympathetic block for lower extremities. Intravascular regional sympathetic block can be another method of treatment. However, discontinuation of smoking is the most basic and essential treatment for Buerger's disease. We treated 43 Buerger's disease patients with stellate ganglion block and laser therapy. The treatment was not effective for three patients who definitely required amputation.

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The Size and Location of Human Stellate Ganglion (인체의 성상신경절의 크기와 위치)

  • Kang, Jun-Goo
    • The Korean Journal of Pain
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    • v.7 no.2
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    • pp.170-174
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    • 1994
  • Stellate Ganglion (SG) of l0 cadavers were removed during autopsy at Saga Medical College. Length, width, thickness, shape and location of SG were measured before formalin fixation. The results are as follows; 1) Length, width, thickness of SG were 22.33+5.23mm, 9.34+2.23mm and 5.03+1.19mm in right respectively, and 29.67+10.56 mm, 11.29+3.20mm and 5.51+1.09mm respectively in left. 2) Weight of right SG is 0.69+0.25 gm and weight of left SG is 1.04+0.63 gm. 3) Shape of SG is oval and snowman type. 4) Location of SG is variably located from the base of 7th cervical vertebra to first thoracic vertebra.

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Unilateral Paralysis of Lower Extremity Following Thoracic Sympathetic Ganglion Block -A case report- (흉부 교감신경절 차단 후 발생한 편측 하지마비 -증례 보고-)

  • Kim, Sung-Mo;Yang, Seung-Kon;Lee, Hyo-Keun;Lee, Hee-Jeon;Kil, Shun-Hee;Kim, Chan
    • The Korean Journal of Pain
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    • v.9 no.1
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    • pp.268-270
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    • 1996
  • We treated a patient who experienced motor weakness and sensory change on left lower extremity after thoracic sympathetic ganglion block with pure alcohol. The following factors were suspected of contributing to neurologic complication: (1) ischemia of spinal cord, (2) infection, (3) re-expression and aggravation of pre-existing neurologic disease, (4) improper position. Patient spontaneously recovered from neurologic complication with conservative therapy.

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