• The Korean Journal of Pain
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• v.12 no.1
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• pp.140-143
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• 1999

Ramsay-Hunt syndrome is a related but more serious disorder caused by herpes zoster viral infection of the geniculate ganglion. It is characterized by unilateral painful vesicular rash of the uvula, palate, auricle, ear canal, and postauricular area, but it can extend into the facial tissues as well. Paralysis of the facial nerve is often seen, and there can be disequilibrium and hearing problems also. We experienced continuous cervical epidural block (CCEB) with intermittent stellate ganglion block is effective in Ramsay-Hunt syndrome. CCEB should be considered to the treatment of choice in Ramsay-Hunt syndrome.

• The Journal of Korean Medicine
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• v.37 no.2
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• pp.125-132
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• 2016

Objectives: The purpose of this study is to evaluate the clinical effects of Embedding Therapy for Ramsay Hunt syndrome. Methods: 5 patients with Ramsay Hunt syndrome were treated with Embedding therapy. It was performed once a day, once a week. 15~20 Embedding threads were used in each Embedding treatment. The total number of Embedding therapy treatments was 4 or 8. To evaluate the effects of Embedding therapy, we analyzed Yanagihara's score and House-Brackmann scale Results: In case 1, After treatment the Yanagihara's score was changed from 3 to 7 and the House-Brackmann scale was changed from VI to V. In case 2, After treatment the Yanagihara's score was changed from 12 to 33 and the House-Brackmann scale was changed from IV to I. In case 3, After treatment the Yanagihara's score was changed from 3 to 9 and the House-Brackmann scale was changed from VI to V. In case 4, After treatment the Yanagihara's score was changed from 22 to 32 and the House-Brackmann scale was changed from III to I. In case 5, After treatment the Yanagihara's score was changed from 23 to 37 and the House-Brackmann scale was changed from III to I. Conclusion: Embedding Therapy is effective for improve the symptoms of Ramsay Hunt syndrom. Therefore, it will be used to treat Ramsay Hunt syndrome.

• Journal of Korean Neurosurgical Society
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• v.30 no.1
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• pp.60-65
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• 2001

Objective : The popular grading systems in use, such as Hunt-Hess grade and Fisher scale score, are based primarily on the patient's clinical conditions or computerized tomography score after aneurysmal subarachnoid hemorrhage(SAH). The author investigated whether the need for ventriculoperitoneal(VP) shunt for chronic hydrocephalus and outcome can be predicted by Hunt-Hess grade and Fisher scale. Methods : A series of 146 patients admitted to our hospital from August 1991 to July 1999, who presented with SAH and underwent craniotomy for aneurysm clipping were studied retrospectively. Chronic hydrocephalus was defined as clinically and radiographically demonstrated hydrocephalus that lasted 2 weeks or longer after initial hemorrhage which required shunting. Patients were evaluated based on following factors : Hunt-Hess grade, Fisher scale, age, sex, hypertension, aneurysm location, and intervals from aneurysm rupture to operation. Results : The overall mortality rate of the study group was 8.2%. Hunt-Hess grade(p=0.001) or Fisher scale (p=0.001) at all pretreatment times was significantly correlated with outcome. In addition, there was an increased risk of poor outcome in older age(65<). However, there were statistically no significant relationship between outcome and sex, location of aneurysm, hypertension, and interval from aneurysmal rupture to operation(p>0.05). Of 134 surviving patients, 16 patients(12%) underwent VP shunt placement secondary to chronic hydrocephalus. Hunt-Hess grade(p=0.001) is more predictive of chronic hydrocephalus than Fisher scale(p=0.146). Aneurysm location was significantly correlated with development of chronic hydrocephalus (p<0.05), without significant correlations in sex, age, hypertension. IVH, and ICH. Conclusion : This study suggests that there is a high clinical correlation between outcome and Hunt-Hess grades and Fisher scales on admission, but Hunt-Hess grade is more predictive for chronic hydrocephalus than Fisher scale. In addition, age(<65 yrs) is the significant factor for prediction of outcome. There was a trend of increasing risk for chronic hydrocephalus according to aneurymal location.

• Journal of Korea Water Resources Association
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• v.49 no.11
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• pp.923-930
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• 2016

This study was to evaluate the stream depletion from groundwater pumping in shallow aquifer using the Hunt's analytical solution (2009) which considers a two-layer leaky aquifer-stream system. From the total 2,187 cases of simulations with combinations of various aquifer and stream properties, the streamflow depletion rates divided by the groundwater pumping rate showed the low values when the stream depletion factor (SDF) is higher than 1,000-10,000, and was more sensitive to the aquitard hydraulic conductivity than the streambed hydraulic conductivity. The comparison of the Hunt's solution (2009) with the Hunt's solution (1999) of a single layer aquifer indicated that the maximum difference between the dimensionless stream depletions calculated by using both solutions is above 0.3, and the stream depletion is significantly affected by the hydraulic properties of the $2^{nd}$ layer as the SDF of the first layer increases. The Hunt's solution (2009) was applied to the real shallow groundwater well that is located in Chunju-Si, and the results revealed that the groundwater pumping has significant effects on streamflow in a short period of time, showing that the dimensionless stream depletion exceeds 0.8 within a few days. It was also found that the shallow groundwater pumping effects on stream depletion are highly dependent on the stream-well distance for the locations with high hydraulic diffusivity of $1^{st}$ layer and low vertical leakance between $1^{st}$ and $2^{nd}$ layers.

• Journal of Korean Neurosurgical Society
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• v.30 no.8
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• pp.1013-1018
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• 2001

Objective : About 40% of patients who admit to the hospital after subarachnoid hemorrhage are poor clinical grade(Hunt-Hess grade IV, V). The majority of these patients have been excluded from early, aggressive treatment. The current study was undertaken to evaluate the outcome of urgent surgery for Hunt-Hess grade IV aneurysmal subarachnoid hemorrhage. Materials and Methods : We reviewed hospital records and radiographic studies of 36 patients who were Hunt-Hess grade IV among 201 cases with ruptured intracranial aneurysm admitted between Sep. 1995 and Dec. 2000. Operated patients were treated with urgent angiography and surgery within 24 hours of presentation, except six patients, and medical records of these patients were reviewed for the clinical course and Glasgow outcome scale(GOS). Results : Overall management results of the 36 patients were good recovery in 13(36.1%), moderate disability in 12 (33.3%), severe disability in 1(2.8%), vegetative state in 1(2.8%) and 9(25.0%) of surgically treated patients had died. Conclusion : Although with limited number of patients, we conclude that urgent surgery for Hunt-Hess grade IV patients results in a better neurologic outcome and urgent surgery combined with aggressive postoperative management can minimize mortality.

• The Journal of Internal Korean Medicine
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• v.30 no.2
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• pp.431-437
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• 2009

Tolosa-Hunt syndrome is an idiopathic syndrome characterized by the formation of granulation tissue in the anterior cavernous sinus or superior orbital fissure, producing a painful ophthalmoplegia. We experienced a 66-year-old woman whose conditions improved through oriental medical treatment. We treated the patient with herbal medicine Liqiqufeng-san (理氣祛風散) and electro-acupuncture at Cuanzhu (瓚竹, BL2) and Yuyao (魚腰, Extra) acupuncture points with 1${\sim}$50Hz for 15min. After treatment, the patient's symptoms improved considerably. This result suggests that oriental medical treatment has good effect on Tolosa-Hunt syndrome.

• Clinical and Experimental Pediatrics
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• v.49 no.6
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• pp.696-699
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• 2006

Tolosa-Hunt syndrome is a rare disease in children characterized by dull, persistent pain around the affected eye and ophthalmoplegia caused by granulomatous inflammation in the cavernous sinus, superior orbital fissure, or orbit. Although spontaneous remission can occur, corticosteroids frequently have a dramatic response; however, recurrence can transpire after complete remission. We report an 11-year-old girl with Tolosa-Hunt syndrome who responded to corticosteroid promptly, without complications, but suffered three recurrences of headache and retro-orbital pain and required maintenance on a low dose of steroid.

• Pediatric Infection and Vaccine
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• v.4 no.2
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• pp.298-302
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• 1997

Ramsay Hunt syndrome is a viral associated disease with severe otalgia, vertigo, fever, herpetic eruptions on either side of the external auditory meatus and cavum concha, ipsilateral facial nerve palsy and cochleovestibular dysfunction. This syndrome may be the most common cause of unilateral facial paralysis and involvement of both the vestibular and cochlear branch of 8th cranial nerve. And loss of taste sensation may be developed in same involement site. This syndrome affects adults in most cases, and a samll number of children with herpes zoster oticus have been reported. And concomittantly CNS invlovement of this snydrome is very rare. We experienced a 7 years old aged patient of Ramsay Hunt syndrome who had evidence of aseptic meningitis, and this patient showed well reponses with Acyclovir and symptomatic therapy. So, we report this case with brief review of related literatures.

• Proceedings of the Korea Water Resources Association Conference
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• 2016.05a
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• pp.327-327
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• 2016

하천 인근에서 지하수를 채수할 경우 지하수위 저하로 인해 하천으로의 지하수 유출이 감소하거나 하천수가 역으로 지하수계로 유입되어 하천수 감소(stream depletion) 현상이 발생한다. 이러한 지하수 양수로 인한 하천수 감소량을 산정하기 위한 방법으로 현지 계측, 수치해석 모델링, 해석해 적용 등이 있으며, 이 중에서 해석해를 이용하는 방법은 실제 하천수-지하수 연계시스템을 단순화한 조건에서 유도되었다는 단점이 있지만 비용이나 시간적 측면에서는 가장 유리하다. 본 연구에서는 Hunt(1999)가 개발한 해석해를 전산프로그램화하고 이를 하천변에 위치한 실제 지하수 관정 109개에 적용하여 양수로 인한 지하수위 강하 및 하천수 감소량을 산정하여 대수층 및 하천의 수리특성, 하천과 관정간의 이격거리에 따른 변동 특성을 분석하였다. Hunt 해석해로 양수 시간에 따른 하천수 감소량을 계산한 결과, 양수후 5년 뒤에는 지하수 양수량 대비 하천수 감소량의 비율이 80%를 초과하는 관정이 대부분인 것으로 나타났으며, 특히 수리확산계수가 $1,000m^2/d$를 넘고 하천고갈인자(Stream Depletion Factor, SDF)값이 100 보다 작은 범위에서는 양수의 영향이 크게 발생하는 것으로 분석되었다.

• Journal of Acupuncture Research
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• v.36 no.3
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• pp.161-165
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• 2019

This study was conducted to investigate whether treatment with Korean medicine might help to improve symptoms of patients diagnosed with Ramsay Hunt Syndrome. A patient diagnosed with Ramsay Hunt Syndrome was hospitalized for 15 days from October 4, 2018 to October 18, 2018 and treated using Korean medicine (Sinbaro3 pharmacopuncture, acupuncture, electroacupuncture, and herbal medicine). Therapeutic effects were evaluated using the Numerical Rating Scale (NRS), House-Brackmann grade, Yanagihara's score survey, and Digital Infrared Thermographic Imaging (DITI). After treatment, the Numerical Rating Scale score (6 at admission down to 2 points at discharge), House-Brackmann grade (Grade V down to Grade II), Yanagihara's score (6.0 up to 22.0), and Digital Infrared Thermographic Imaging showed improvement from admission to discharge. Treatment with traditional Korean medicine, may help improve symptoms of Ramsay Hunt Syndrome such as facial nerve paralysis, neuralgia after paraplegia, hearing difficulties, and dizziness.