• Title/Summary/Keyword: HFS+

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Hemifacial Spasm Developed after Contralateral Vertebral Artery Ligation

  • Choi, Hyuk-Jai;Lee, Sung-Ho;Choi, Seok-Keun;Rhee, Bong-Arm
    • Journal of Korean Neurosurgical Society
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    • v.51 no.1
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    • pp.59-61
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    • 2012
  • Although the mechanism of hemifacial spasm (HFS) is not yet well established, vascular compression of the facial nerve root exit zone and hyperexcitability of the facial nucleus have been suggested. We report a case of HFS in the setting of coinciding intracranial hemorrhage (ICH) of the pons and proximal ligation of the contralateral vertebral artery (VA) for the treatment of a fusiform aneurysm of the distal VA and discuss the possible etiologies of HFS in this patient. A 51-year-old male with an ICH of the pons was admitted to our hospital. Neuroimaging studies revealed an incidental fusiform aneurysm of the right VA distal to the origin of the posterior inferior cerebellar artery. Eight months after proximal ligation of the VA the patient presented with intermittent spasm of the left side of his face. Pre- and post-ligation magnetic resonance angiography revealed an enlarged diameter of the VA. The spasm completely disappeared after microvascular decompression.

Combined Hyperactive Dysfunction Syndrome of the Cranial Nerves

  • Yang, Kyung-Hoon;Na, Joon-Ho;Kong, Doo-Sik;Park, Kwan
    • Journal of Korean Neurosurgical Society
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    • v.46 no.4
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    • pp.351-354
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    • 2009
  • Objective : Combined hyperative dysfunction syndrome (HDS) defined as the combination of HDSs such as trigeminal neuralgia (TN). hemifacial spasm (HFS) and glossopharyngeal neuralgia (GPN), which mayor may not occur simultaneously on one or both sides. We reviewed patients with combined HDS and demonstrated their demographic characteristics by comparing them with those of patients with a single HDS. Methods : Between October 1994 and February 2006, we retrospectively studied a series of 1,720 patients who suffered from HDS and found 51 patients with combined HDSs. We analyzed several independent variables in order to evaluate the prevalence and etiologic factors of combined HDS. Results : The combined HDS group accounted for 51 of 1,720 (2.97%) patients with HDS; 27 cases of bilateral HFS, 10 cases of bilateral TN and 14 cases of HFS with TN. Their mean age was 52.1 years (range, 26-79 years). There were 5 men and 46 women. Seven patients had synchronous and 44 patients metachronous onset of HDSs. By comparison of combined and single HDS groups, we found that age and hypertension were closely associated with the prevalence of combined HDS (p<0.05). Conclusion : This study revealed that combined HDS was very rare. Hypertension and age might be the most important causative factors to evoke combined HDS.

Effects of Sunsik Following Steaming and Drying Nine Times on Antioxidative Activity in Obese Rats Fed a High-Fat Diet (구증구포로 제조한 선식이 고지방 식이를 섭취한 비만 쥐의 생체 내 항산화력에 미치는 영향)

  • Hwang, Kyung-Hee
    • The Korean Journal of Food And Nutrition
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    • v.33 no.5
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    • pp.551-560
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    • 2020
  • The purpose of this study was to investigate the effects of nine times repetitive steaming and drying process Sunsik diets on antioxidant activity in obese mice fed high fat diets to prevent oxidative stress, using drying materials comprising 23 kinds of cereals (61.5%), beans (30.0%), sweet potato and potato (3.0%), fruits (2.0%), vegetables (3.0%), and stevioside, a natural sweetener (0.5%). We produced three samples: the experimental group was classified into the normal diet group (control), the high fat diet group (HF), and the high fat diet group + the Sunsik group (3HFS, 7HFS, 9HFS) fed to the mice for eight weeks. As a result, the serum, liver lipid peroxide, and nitric oxide levels were significantly higher in the HF group than in the C group at p<0.05 level, and the NO level was lower in the Sunsik supplemented groups. The antioxidant enzyme catalase activity significantly decreased in the HF group at the p<0.05 level compared to the C group. The total antioxidant activity of the C group was significantly higher in serum, liver, and kidney tissues than the HF group (p<0.05). The anthocyanin level in liver and spleen tissue was significantly higher in the group fed Sunsik than in the HF group.

Implementation of a T-DMB Single Element Cavity Filter Using HFSS (HFSS를 이용한 T-DMB용 단일소자 공동여파기 구현)

  • Go, Nam-Gyu;Son, Tae-Ho;Lee, Yong-Chang
    • The Journal of The Korea Institute of Intelligent Transport Systems
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    • v.10 no.6
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    • pp.91-97
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    • 2011
  • In this study, we design and implement a cavity filter for the Korea T-DMB broadcasting transmitter station and repeater system. HFSS 3 dimensional field simulation tool is used for this study. T-DMB filter has to be high quality factor Q, and cavity filter is applying in T-DMB system due to high handling power. We use HFSS simulation tool for design to obtain exact resonant frequency with easy design. A cavity filter is implemented based on the simulated results, and test results are compared with simulations. Measured resonant frequency and bandwidth are 211.8MHz and 0.1MHz, and correspond with design values.

Research Trend in Korean Medicine Treatment for Hemifacial Spasm

  • Hyang Gi Lim;Eun Sil Heo;Sang Ha Woo;Jung Hee Lee;Jae Soo Kim;Seong Hun Choi;Hyun-Jong Lee
    • Journal of Acupuncture Research
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    • v.40 no.3
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    • pp.201-213
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    • 2023
  • This study reviewed clinical papers reported on hemifacial spasm (HFS). Six online databases were searched for clinical papers published between January 2000 and December 2022. This study reviewed 14 studies, including 13 case reports and 1 combination of case reports and randomized controlled trials (RCTs). The most frequently used acupoints were ST7 and TE17, and the stomach meridian was the most frequently selected. Herbal medicine, pharmacopuncture, thread embedding acupuncture, cupping, moxibustion, and physical therapy were combined with acupuncture. The most frequently used evaluation method is Scott's scale. Out of 95 cases, 82 reported improved HFS symptoms after treatment. Our findings indicated the effectiveness of Korean Medicine treatment in treating HFS. However, evidence of efficacy and safety remains insufficient. Large-scale and well-designed investigations will be required in the future to corroborate these results. We believe that this paper will serve as the foundation for future RCTs.

Microvascular Decompression for Hemifacial Spasm Associated with Vertebrobasilar Artery

  • Kim, Joo-Pyung;Park, Bong-Jin;Choi, Seok-Keun;Rhee, Bong-Arm;Lim, Young-Jin
    • Journal of Korean Neurosurgical Society
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    • v.44 no.3
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    • pp.131-135
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    • 2008
  • Objective : Hemifacial spasm (HFS) is considered as a reversible pathophysiological condition mainly induced by continuous vascular compression of the facial nerve root exit zone (REZ) at the cerebellopontine angle. As an offending vessel, vertebrobasilar artery tends to compress much more heavily than others. The authors analyzed HFS caused by vertebrobasilar artery and described the relationships between microsurgical findings and clinical courses. Methods : Out of 1,798 cases treated with microvascular decompression (MVD) from Jan. 1980 to Dec. 2004. the causative vessels were either vertebral artery or basilar artery in 87 patients. Seventy-nine patients were enrolled in this study. Preoperatively, computed tomography (CT) or brain magnetic resonance (MR) imaging with 3-dimentional short range MR technique was performed and CT was checked immediately or 2-3 days after anesthetic recovery. The authors retrospectively analyzed the clinical features. the compression patterns of the vessels at the time of surgery and treatment outcomes. Results : There were 47 were male and 32 female patients. HFS developed on the left side in 52 cases and on the right side in 27. The mean age of onset was 52.3 years (range 19-60) and the mean duration of symptoms was 10.7 years. Many patients (39 cases; 49.1%) had past history of hypertension. HFS caused only by the vertebral artery was 8 cases although most of the other cases were caused by vertebral artery (VA) in combination with its branching arteries. Most frequently, the VA and the posterior inferior cerebellar artery (PICA) were the simultaneous causative blood vessels comprising 32 cases (40.5%). and in 27 cases (34.2 %) the VA and the anterior inferior cerebellar artery (AICA) were the offenders. Facial symptoms disappeared in 61 cases (77.2%) immediately after the operation and 68 cases (86.1%) showed good outcome after 6 months. Surgical outcome just after the operation was poor in whom the perforators arose from the offending vessels concurrently (p<0.05). Conclusion : In case where the vertebral artery is a cause of HFS, commonly branching arteries associated with main arterial compression on facial REZ requires more definite treatment for proper decompression because of its relatively poor results compared to the condition caused by other vascular compressive origins.

Multi-Attribute Decision-Making Method Applying a Novel Correlation Coefficient of Interval-Valued Neutrosophic Hesitant Fuzzy Sets

  • Liu, Chunfang
    • Journal of Information Processing Systems
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    • v.14 no.5
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    • pp.1215-1224
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    • 2018
  • Interval-valued neutrosophic hesitant fuzzy set (IVNHFS) is an extension of neutrosophic set (NS) and hesitant fuzzy set (HFS), each element of which has truth membership hesitant function, indeterminacy membership hesitant function and falsity membership hesitant function and the values of these functions lie in several possible closed intervals in the real unit interval [0,1]. In contrast with NS and HFS, IVNHFS can be more flexibly used to deal with uncertain, incomplete, indeterminate, inconsistent and hesitant information. In this study, I propose the novel correlation coefficient of IVNHFSs and my paper discusses its properties. Then, based on the novel correlation coefficient, I develop an approach to deal with multi-attribute decision-making problems within the framework of IVNHFS. In the end, a practical example is used to show that the approach is reasonable and effective in dealing with decision-making problems.

Efficacy of the Disappearance of Lateral Spread Response before and after Microvascular Decompression for Predicting the Long-Term Results of Hemifacial Spasm Over Two Years

  • Kang, Min-Cheol;Choi, Yu-Seok;Choi, Hak-Ki;Lee, Sang-Hoon;Ghang, Chang-Gu;Kim, Chang-Hyun
    • Journal of Korean Neurosurgical Society
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    • v.52 no.4
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    • pp.372-376
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    • 2012
  • Objective : The purpose of this large prospective study is to assess the association between the disappearance of the lateral spread response (LSR) before and after microvascular decompression (MVD) and clinical long term results over two years following hemifacial spasm (HFS) treatment. Methods : Continuous intra-operative monitoring during MVD was performed in 244 consecutive patients with HFS. Patients with persistent LSR after decompression (n=22, 9.0%), without LSR from the start of the surgery (n=4, 1.7%), and with re-operation (n=15, 6.1%) and follow-up loss (n=4, 1.7%) were excluded. For the statistical analysis, patients were categorized into two groups according to the disappearance of their LSR before or after MVD. Results : Intra-operatively, the LSR was checked during facial electromyogram monitoring in 199 (81.5%) of the 244 patients. The mean follow-up duration was $40.9{\pm}6.9$ months (range 25-51 months) in all the patients. Among them, the LSR disappeared after the decompression (Group A) in 128 (64.3%) patients; but in the remaining 71 (35.6%) patients, the LSR disappeared before the decompression (Group B). In the post-operative follow-up visits over more than one year, there were significant differences between the clinical outcomes of the two groups (p<0.05). Conclusion : It was observed that the long-term clinical outcomes of the intra-operative LSR disappearance before and after MVD were correlated. Thus, this factor may be considered a prognostic factor of HFS after MVD.