• 제목/요약/키워드: Internal Weakness

검색결과 401건 처리시간 0.023초

Newly Developed Weakness of Lower Extremities Despite Improved Brain Metastasis of Lung Cancer after Radiotherapy

  • Yang, Jae Hyun;Jang, Young Joo;Ahn, Se Jin;Kim, Hye-Ryoun;Kim, Cheol Hyeon;Koh, Jae Soo;Choe, Du Hwan;Lee, Jae Cheol
    • Tuberculosis and Respiratory Diseases
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    • 제67권6호
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    • pp.574-576
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    • 2009
  • An intramedullary spinal cord metastasis (ISCM) rarely develops in systemic cancer but is indicative of a poor prognosis. A 56-year-old man was admitted due to weakness of the lower extremities. He had received radiotherapy 3 months prior for a brain metastasis that had developed 1 year after achieving a complete response from chemotherapy for extended stage small cell lung cancer. Although the brain lesion had improved partially, ISCM from the cervical to lumbar-sacral spinal cords, which was accompanied by a leptomeningeal dissemination, was diagnosed based on magnetic resonance imaging of the spine and cerebrospinal fluid cytology. Finally, he died of sudden cardiac arrest during treatment. This is the first case of ISCM involving the whole spinal segments. Physicians should be aware of the subsequent development of ISCM in lung cancer patients with a previously known brain metastasis who present with new neurological symptoms.

부신선종으로 인한 원발성 알도스테론증 환자 1례 (Primary Aldosteronism by Adenoma 1 Case)

  • 이경진;구본수;조기호
    • 대한한방내과학회지
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    • 제20권1호
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    • pp.280-285
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    • 1999
  • We report 1 patient with Primary aldosteronism caused by malfunction of adrenal gland. which occupies 1-2% of the whole Hypertensive disease. The patient was 35 year-old female with the history of hypertension. She was hospitalized at Department of Circulatory Internal Medicine. College of Oriental Medicine, Kyung Hee University, Seoul, because of low limb weakness, chest discomport, palpitation and dry mouth. The value of serum potassium level was o.6 and at last adenoma was diagnosed on the basis of abdomen CT scan. The Primary aldosteronism manifests myasthenia, headache, dry mouth, palpitation. In laboratory findings, it especially shows specific U -wave in EKG due to low serum potassium level resulted from excessive flow-out through urine. It could be regarded as ‘Flaccid paralysis of Limbs(?症)‘, the Oriental medical term which indicates a condition of general weakness. We report on this case with a review of literature.

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간질성 폐질환의 연구 동향 (Research Trends of Interstitial Lung Disease)

  • 손지우;이정욱;이병순;노운섭;이병주;신조영;이시형
    • 대한한의정보학회지
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    • 제13권1호
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    • pp.26-38
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    • 2007
  • Interstitial lung disease (ILD) is characterized by progressive scarring of the lung leading to restriction and diminished oxygen transfer. Clinically, the presenting symptoms of ILD are nonspecific (cough and progressive dyspnea on exertion) and are often attributed to other diseases, thus delaying diagnosis and timely therapy. In this study, I analyzed the 10 chinese papers of interstitial lung diseases(ILD). The etiology are body resistance weakness(本虛) and pathogenic factor prevailing(標實). The body resistance weakness(本虛) including deficiency of the lung(肺虛), deficiency of the kidney(腎虛), deficiency of the spleen(脾虛), deficiency of Qi and Yin(氣陰兩虛), pathogenic factor prevailing(標實) including stagnation of phlegm(痰濁), blood stasis(瘀血), noxious heat(熱毒). As an treatment aim at supplementing lung and kidney(益肺腎), resolving phlegm and blood stasis(化痰瘀).

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Guillain-Barre Syndrome으로 진단받은 환자의 비증(痺證) 치험 2례 (Two Cases Reports of Korean Traditional Medical Therapy for Patients with Bi-symptom Diagnosed Guillain-Barre Syndrome)

  • 남효익;김회영;김지원;최은영
    • 대한한방내과학회지
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    • 제27권3호
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    • pp.737-744
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    • 2006
  • Guillain-Barre Syndrome is a disorder caused by nerve inflammation. The inflammation damages portions of the nerve cells, resulting in pain, numbness, muscle weakness or paralysis and sensory loss. The damage can also leads to denervation (killing the axon part of the nerve cell), which stops nerve function entirely. Without the axon, messages cannot be transferred from one nerve cell to another, but the causes and mechanism of this syndrome are unknown. This is a clinical report about two patients diagnosed with Guillain-Barre Syndrome. The patients, a 54-year-old woman and a 37-years-old man, had pain, and weakness in both legs and arms. After about 4 weeks of Korean medicine and acupuncture treatment, most of their symptoms improved. Therefore, Korean traditional therapy has potential for treatment of Guillain-Barre Syndrome.

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사지마비를 주소로 하는 길랑바레 증후군 환자에 대한 증례보고 1례 (A Case Report of a Patient with Guillain-Barre Syndrome Who Complained of Quadriplegia)

  • 허기윤;이찬;조임학;강희경;김민화;김소연;박성하;윤영주;이인;최준용;한창우;홍진우;권정남
    • 대한한방내과학회지
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    • 제42권5호
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    • pp.1009-1019
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    • 2021
  • Purpose: The aim of this study was to report the improvement of Guillain-Barre syndrome after long-term combination treatment with Korean medicine. Methods: A patient was diagnosed with Guillain-Barre syndrome and treated with herbal medicine, acupuncture, pharmacopuncture, moxibustion, and exercise, including quadruped walking after three hospital admissions. To evaluate muscle strength and weakness, we measured manual muscle function, gait pattern, and the speed of quadruped walking. Results: The patient's muscle weakness in the extremities and gait stance were improved. The speed of quadruped walking was increased. Conclusion: We consider that combined treatment with Korean medicine might be effective for the muscle weakness of Guillain-Barre syndrome with a poor prognostic factor. To verify the effectiveness of this treatment, further research is needed.

해면상혈관종 의증(疑症) 환자 경과 1례 보고 (One Case of Patient Diagnosed as the Carvenous Angioma)

  • 윤현덕;신유정;이소연;박치상;신오철
    • 동의생리병리학회지
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    • 제20권5호
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    • pp.1355-1358
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    • 2006
  • The carvenous angioma is the secondary common disease which occupies about 8-15% of most central nervous systemic disorders following to the arterio-venous malformation. According to the damaged functional area, the patients experience some sort of motor weakness, seizure or hemorrhage. Nevertheless, general operations and radiologic methods are not considerable in those clinical cases mostly. Typicaliy, the conservative treatments are mainly recommendable choice as the other clinical options have variable side effects like post operative complications. in this case, a 73 year-old male diagnosed as the carvenous angioma, his motor weakness resulted from carvenous angioma has improved with oriental medical treatments. So, the authors report this case with a brief review of related lieratures.

시츄 견에서 발생한 급성 전격 중증 근육무력증 (Acute Fulminating Myasthenia Gravis in a Shih-tzu Dog)

  • 강병택;유종현;박효진;정동인;박철;곽수현;전효원;김주원;김하정;임채영;조수경;이소영;허라영
    • 한국임상수의학회지
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    • 제23권4권
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    • pp.465-468
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    • 2006
  • 3년령의 중성화된 암컷 시츄 견이 급성의 구토, 설사 및 전신 쇠약으로 인하여 내원하였다. 환자는 전신 쇠약, 호흡수 증가 및 노력성 호흡을 나타냈으며 신경 검사 상에서는 사지 근육 쇠약과 항문 조임근의 긴장도가 감소하였다. 방사선 검사를 통하여 거대식도가 확인되었다. 좌측 뒷다리 근육의 생검에 대한 조직병리 검사 상에서는 2형섬유 위축을 제외하고는 특이적인 이상 소견이 발견되지 않았다. 혈청의 아세틸콜린 수용체 항체가가 상승되어 있어 (0.78 nmol/L; 정상 범위, 0.6 nmol/L 이하) 급성 전격 중증 근육무력증으로 확진되어졌다. 환자는 pyridostigmine bromide에 대하여 극적으로 반응하여, 근육 강도, 거대식도, 그리고 호흡 기능이 현저하게 호전되었으며 현재 7개월 동안 환경은 성공적으로 관리되어져 오고 있다.

기관지확장증과 폐렴이 병발한 고령의 환자를 폐옹(肺癰)으로 변증(辨證)한 치험 1례(例) (Bronchiectasis and Pneumonia in an Elderly Patient Treated through Paeong(肺癰))

  • 한승혜;김진원;김병철;우성호;손지형;이지영;황규동;서호석;김용호;정병주
    • 대한한방내과학회지
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    • 제26권3호
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    • pp.626-633
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    • 2005
  • As age distributions of developed countries grow increasingly top-heavy with elderly, instances of bronchiectasis and pneumonia increase. An elderly patient was diagnosed with pneumonia by radiational examination, which showed pound glass opacity in the right middle lobe. Also, he was diagnosed with bronchiectasis in the honeycomb-like recticular area of the right lower lobe. He said that he was suffering from a cough, phlegm and general weakness. He was treated by oriental medicine treatment exclusively, through herbal medicine and acupuncture therapy. Yukmijihwabg-Tang(六味地黃湯), Gamijinhae-Tang(加味鎭咳湯), and Samchulbobi-Tang(參朮補脾湯) As a result, symptoms of cough phlegm and general weakness improved considerably. These results suggest that oriental medicine treatment is effective in improving quality of life fer chronic respiratory patients.

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심부전(心不全)에의한 흉막삼출증(胸膜渗出症)으로 의심되는 환자(患者) 1례(例)에 대(對)한 임상적(臨床的) 고찰(考察) (A case of Pleural effusion)

  • 김희철;이강녕;이동준;이영수;임진훈;이용운;김일렬;최창원
    • 대한한방내과학회지
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    • 제21권4호
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    • pp.671-676
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    • 2000
  • Pleural effusion is a state, retention of a mount of liquid in pleural cavity. Main causes of pleural effusion is Congestive Heart Failure that is caused by left ventricular heart failure. And that of Congestive heart failure is caused by increase of pleural capillary pressure or remain of effusion in pleural cavity. Bilateral venous pressure of pleura make worse pleural effusion and one way of venous pressure of that bring out pleural effusion. The purpose of this study is to examine the efficacy of oriental treatment for pleural effusion is caused by heart failure. One woman of 86 years old complained the symptom of general weakness, dyspnea, flank pain, anorexia, insomnia, coughing, secretion mixed blood. The symptom is caused by effusion that is brought out acute pneumonia, heart failure. At the time of Admission, in the diagnosis of Admission, in the diagnosis of Hyuneum(懸飮) she had taken Kungha-tang hap pleurisy-bang,(芎夏湯合助膜炎方), so improved dyspnea, flank pain, insomnia, coughing. In views of examination, decrease of heart failure' s symptom and pleural effusion. After 13days of admission, she had taken palmul-tang.(八物湯). As a conseguence of that, the symptom of general weakness. anorexia is improved and she was discharged.

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귤피전원(橘皮煎元)을 처방한 만성신부전 환자 1례에 대한 보고 (One Case Report of Chronic Renal Failure Patient Prescribed Gyulpyjeonwon)

  • 정기훈;장선규;조충식;김철중
    • 혜화의학회지
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    • 제16권2호
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    • pp.229-234
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    • 2007
  • Objectives : Chronic renal failure(CRF) is a pathophysiologic process with multiple etiologies, resulting in the inexorable attrition of nephron number and function and frequently leading to end-stage renal disease. It causes various symptoms(edema, general body weakness, nausea, anorexia, uremia, osteodystrophy and so on) which impair quality of life and long term complications. The purpose of this case is to report the improvement of a patient with chronic renal failure. Methods : We treated the patient with herbal medication(Gyulpyjeonwon) and measured the creatinine, BUN, albumin, hemoglobin in the serum. Results : Gyulpyjeonwon decreased serum creatinine and BUN level and increased serum albumin and hemoglobin level. And the symptoms of CRF(edema, general body weakness, anorexia) was improved significantly. Conclusions : This case suggests the efficacy of herbal medication(Gyulpyjeonwon) to patient who was involved CRF.

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