• 척추신경추나의학회지
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• 제1권1호
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• pp.73-81
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• 2006

Objectives : This report was performed to evaluated the treatment of Bee venom acupuncture Therapy, acupuncture Therapy, Herbal medicaion and Moxibustion in herniation of inter-vertebral disc. Methods : We treated 1 case of herniation of inter-vertebral disc with Bee venom acupuncture Therapy, acupuncture Therapy, Herbal medicaion and Moxibustion. Results : After 12 days of Bee venom acupuncture Therapy, acupuncture Therapy, Herbal medicaion and Moxibustion, a remarkable improvement was made for herniation of inter-vertebral disc. The patient couldn't feel pain on walking. Conclusion : Bee venom acupuncture Therapy, acupuncture Therapy, Herbal medicaion and Moxibustion were effective in reducing the symptoms.

• 척추신경추나의학회지
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• 제1권1호
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• pp.83-89
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• 2006

Objectives : The objective of this study is to evaluate the treatment effect of Taping therapy in Herniation of Inter-Vertebral Disc. Methods : Taping therapy were performed for 31 days ambulatory care in a patient who had Herniation of Inter-Vertebral Disc. Results : Physical examination of Lumbar Spine has improved, VAS were also decreased. Conclusion: Taping therapy were effective in reducing the symptoms. We think that it need the further study and clinical trial for Herniation of Inter- Vertebral Disc.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제38권
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• pp.10.1-10.5
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• 2016

Herniation after harvesting of deep circumflex iliac artery (DCIA) flap is a known but not a common complication. It occurs about 2.8 to 9 % according to the literatures and can proceed to a more severe complication such as bowel obstruction. There are several factors that exacerbate the risk: surgical factors, operator factor, and patient factors. Surgical factors include large anatomical defect and denervation of related muscles. Operator factor stands for unpunctual suture technique. Patient factors represent obesity, diabetes, pulmonary disease, smoking habits, and so on. Thus, herniation might occur regardless of meticulous suture. Herein, we would like to report two cases of herniation after DCIA flap harvesting and repaired by Lichtenstein tension-free hernioplasty with literature review.

• Journal of Korean Neurosurgical Society
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• 제30권1호
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• pp.114-117
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• 2001

Generally, the posterolateral approach had been recommended in case of extraforaminal disc herniation or lateral stenosis but it has been speculated that this procedure may be feasible to posterolateral disc herniation at the high lumbar levels of the L1-L2 interspace. Topographically, a posterolateral approach should be able to access anteromedial side of the spinal canal without the risk of the bony instability and damage to the neural structures. During the past one year period, three patients with high lumbar discs at the L1-L2 level were treated by the modified posterolateral approach. This article describeds the details of this approach with pertinent literature review.

• Journal of Korean Neurosurgical Society
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• 제40권1호
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• pp.51-53
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• 2006

Decompressive craniectomy is usually performed to relieve raised intracranial pressure[ICP] caused by various intracranial lesions. A 67-year-old man presented with acute subdural hematoma and traumatic intracerebral hematoma. The patient underwent a decompressive craniectomy. Four weeks later, the patient presented with acute neurological deterioration. Brain computed tomographic[CT] scans revealed the marked concavity of the brain at the site of the craniectomy and associated with midline shift which was reversed by cranioplasty. We report an unusual case of cerebral herniation from intracranial hypotension after decompressive craniectomy for a traumatic subdural hematoma. The cranioplasty may be helpful to prevent paradoxial cerebral herniation.

• 척추신경추나의학회지
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• 제3권1호
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• pp.65-72
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• 2008

Objects : This study was to report a clinical effect of Chuna Treatment for Cervical Myelopathy due to disc herniation. Methods : The patient was diagnosed as Cervical Myelopathy due to disc herniation through Cervical spine MRI and treated by cervical traction technique of Chuna Treatment with conservative management. JOA score(Japanese Orthopedic Association score), Recovery rate of Hirabayashi, VAS(Visual Analogue Scale), Dynamometer score, ROM(Range of Motion) and Motor weakness Grade were used. Results and Conclusion : JOA score, VAS, Dynamometer score, ROM and Motor weakness Grade were improved and Recovery rate was 100%.

• Journal of Korean Neurosurgical Society
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• 제59권4호
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• pp.410-413
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• 2016

Lumbar radiculopathy is generally caused by such well-recognized entity as lumbar disc herniation in neurosurgical practice; however rare pathologies such as thrombosed epidural varix may mimic them by causing radicular symptoms. In this case report, we present a 26-year-old man with the complaint of back and right leg pain who was operated for right L4-5 disc herniation. The lesion interpreted as an extruded disc herniation preoperatively was found to be a thrombosed epidural varix compressing the nerve root preoperatively. The nerve root was decompressed by shrinking the lesion with bipolar thermocoagulation and excision. The patient's complaints disappeared in the postoperative period. Thrombosed lumbar epidural varices may mimic lumbar disc herniations both radiologically and clinically. Therefore, must be kept in mind in the differential diagnosis of lumbar disc herniations. Microsurgical techniques are mandatory for the treatment of these pathologies and decompression with thermocoagulation and excision is an efficient method.

• Journal of Korean Neurosurgical Society
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• 제47권1호
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• pp.48-50
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• 2010

Spontaneous intracranial hypotension is often idiopathic. We report on a patient presenting with symptomatic intracranial hypotension and pain radiating to the right leg caused by a transdurallumbar disc herniation. Magnetic resonance (MR) imaging of the brain revealed classic signs of intracranial hypotension, and an additional spinal MR confirmed a lumbar transdural herniated disc as the cause. The patient was treated with a partial hemilaminectomy and discectomy. We were able to find the source of cerebrospinal fluid leak, and packed it with epidural glue and gelfoam. Postoperatively, the patient's headache and log radiating pain resolved and there-was no neurological deficit. Thus, in this case, lumbar disc herniation may have been a cause of spontaneous intracranial hypotension.

• 대한정형외과스포츠의학회지
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• 제11권1호
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• pp.66-68
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• 2012

청소년에서 요추 추간판 탈출증은 드물게 발생하고, 임상적 증상이 성인과 달리 다양하게 나타난다. 또한, 청소년 환자의 주관적인 증상 호소를 분석하는 것이 어려워서 진단 및 치료가 늦어지는 경우가 많고, 성인에서와 달리 보존적 치료에 잘 반응하지 않는다. 슬괵근 강직 및 요추부 측만 변형등 청소년 요추 추간판 탈출증에서 특징적인 증상들은 수술로 잘 치료 되었고, 청소년의 추간판 부분절제술 수술 후의 중장기 추적검사에서 재수술 빈도는 15%로 성인과 큰 차이가 없었다. 그러므로, 보존적 치료에 잘 반응하지 않는 청소년 요추 추간판 탈출증은 수술적 치료를 적극적으로 고려해야 한다고 알려져 있다. 저자들은 축구를 하던 도중에 수상한 슬관절 손상으로 오인되어 수상 후 2년이 지나도록 진단이 지연되면서 슬괵근 강직과 보행 장애가 있었던 16세 청소년 요추 추간판 탈출증을 수술을 통해 치료하여 좋은 결과를 경험하였기에 문헌 고찰과 함께 보고하고자 한다.

• 한방재활의학과학회지
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• 제23권4호
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• pp.159-167
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• 2013

Objectives In this study, we wanted to find out the characteristics - gender, SLR test, valsalva test, duration, ESR, CRP and night pain - of lumbar disc herniation being classified as blood stasis and phlegm-retained fluid. Methods We surveyed 42 patients suffering from lumbar disc herniation using the diagnosis blood stasis syndrome, water retention syndrome of the comprehensive diagnosis of QI blood water. Blood stasis and phlegm-retained fluid are identical with blood stasis syndrome, water retention syndrome. Then we analyzed the characteristics - gender, SLR test, valsalva test, duration, ESR, CRP and night pain - of the patients suffering from lumbar disc herniation who were diagnosed as blood stasis and phlegm-retained fluid. Results Patients were sorted into two groups: 18 blood stasis patients and 30 phlegm-retained fluid patients. Gender (Woman), acute phase and night pain are related to blood stasis. Acute phase, positive of SLR test is related to phlegm-retained fluid. There was no correlation between blood stasis and SLR test, valsalva test, duration, ESR, CRP. Also no correlation between phlegm-fluid and gender, valsalva test, duration, ESR, CRP and night pain. Conclusions By Considering the characteristics - gender, SLR test, valsalva test, duration, ESR, CRP and night pain - of lumbar disc herniation patients, it can help to analyze the pattern of its symptoms.