• Title/Summary/Keyword: Lateralization

Search Result 72, Processing Time 0.034 seconds

Interictal rCBF SPECT, MRI and Surgical Outcome of Intractable Temporal Lobe Epilepsy (난치성 측두엽간질의 발작간 뇌혈류 SPECT, MRI와 수술성과 비교)

  • Zeon, Seok-Kil;Joo, Yang-Goo;Lee, Sang-Doe;Son, Eun-Ik;Lee, Young-Hwan
    • The Korean Journal of Nuclear Medicine
    • /
    • v.28 no.3
    • /
    • pp.307-312
    • /
    • 1994
  • Interictal single photon emission computed tomography of regional cerebral blood flow (rCBF SPECT) in 18 intractable temporal lobe epilepsy patients(8 male and 10 female patients: average 23.5 years old) were compared with 2.0 T magnetic resonance imaging (MRI). And surgical outcome was analysed with the findings, symptom duration and lateralization of temporal lobe. Preoperatively rCBF SPECT was done in all 18 patients with intravenous injection of 740 MBq 99mTc-HMPAO. MRI was also done preoperatively in 13 patients. Surgical outcome was classified by Engel's outcome classification(four-part classification recommended at the first Palm Desert conference). rCBF SPECT detected correctly lateralising abnormality of temporal lobe hypoperfusion in 13/18(72.2%), contralateral temporal lobe hypoperfusion in 2/18(11.1%) and showed no def-inite abnormality in 3/18(16.7%). The positive predictive value of unilateral temporal lobe hypoperfusion was 87%. MRI detected correct localising abnormality in 8/13(61.5%), such as hippocampal atrophy(7/13), asymmetric temporal horn(6/13), anterior temporal lobe atrophy(1/13), increased signal intensity from hippocampus(1/13) and calcific density(1/13), and no abnormal finding was noted in 5/13(38.5%). There was no false positive findings and the positive predictive value of MRI was 100%. Only 2 cases showed same lateralization findings in rCBF SPECT and MRI. There was no significant correlation between symptom duration and no abnormal findings on SPECT or MRI. Surgical outcome showed class I in 15/18(83.3%), and class II in 2/18(11.1%). One case of no abnormal finding in both SPECT and MRI showed class III surgical outcome. No class IV surgical outcome was noted. Surgical outcome, lateralization of epileptic focus in temporal lobe and abnormal findings in rCBR SPECT or MRI were not significantly correlated.

  • PDF

Nerve-Muscle Pedicle Reinnervation in Bilateral Vocal Cord Palsy (양측성 성대마비에서의 신경-근 이식 수술)

  • 우훈영;김영기;정현수
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
    • /
    • v.6 no.1
    • /
    • pp.5-8
    • /
    • 1995
  • Bilateral vocal cord palsy is uncommon but is serious because of airway obstruction. Treatments of bilateral vocal cord palsy are initially tracheotomy, vocal cord lateralization and vocal cord reinnervation. Recently, we experienced nerve-muscle pedicle reinnervation in 3 cases of bilateral vocal cord palsy, so reported it with a review of literature.

  • PDF

Reproducibility of Hemispheric Language Dominance by Noun, Verb, Adjective and Adverb Generation Paradigms in Functional Magnetic Resonance Imaging of Normal Volunteers (정상성인의 뇌기능적 자기공명영상에서 명사, 동사, 형용사 그리고 부사 만들기 과제들에 대한 언어영역편재화의 재현성에 관한 연구)

  • In Chan Song;Kee Hyun Chang;Chun Kee Chung;Sang Hyun Lee;Moon Hee Han
    • Investigative Magnetic Resonance Imaging
    • /
    • v.5 no.1
    • /
    • pp.24-32
    • /
    • 2001
  • Purpose : We investigated the reproducibility of language lateralization by 4 different word generation paradigms or the rest contents in each paradigm using functional magnetic resonance imaging in normal volunteers Materials and Methods Nine normal volunteers with left-handedness (mean age: 25 yrs) were examined on a 1.57 MR unit using a single-shot gradient echo epibold sequence. Four different word generation paradigms of noun, verb, adjective and adverb were used in each normal volunteer for investigating language system. In each paradigm, two different rest contents consisted of only seeing the " +" symbol or reading the meaningless letters. Each task consisted of 96 phases including 3 activations and 6 rests of 2 different contents. Two activation maps in one task were obtained under two different rest contents using the correlation method. We evaluated the detection rates of Broca and Wernicke areas and the differences of language lateralization among four different word generation paradigms, or between the rest contents. Results : The detection rates of Broca and Wernicke areas were over 67 % in 4 different language paradigms and there was no significant difference of them among language paradigms, or between two different rest contents. Language dominances, in all 4 different language paradigms, were shown to be consistent in 66 %, but were contrary with language paradigms in some subjects. The rest contents made no significant effect on dominant language dominance determination, but the success rates of the dominant language dominances determined from 4 language paradigms were higher in reading the meaningless letter (100%, n=9) than in only seeing "+" on screen at the rest task (78%, n=7).

  • PDF

The Effects of Eye Lateralization on Transient Evoked Otoacoustic Emissions of Auditory Function (측방 눈 주시가 유발이음향방사 청각기능에 미치는 영향)

  • Joo, Seokhee
    • Journal of The Korean Society of Integrative Medicine
    • /
    • v.7 no.4
    • /
    • pp.131-140
    • /
    • 2019
  • Purpose : The purpose of this study was to investigate the interrelationship between eye movement and auditory function through the effects of eye lateralization on transient evoked otoacoustic emissions of auditory function. Methods : 25 subjects with complete set of ears were used in this study, which composed of 12 males and 13 females with pure tone threshold of below 25 dB without otolaryngology were evaluated. Each of the patient has a visual acuity of greater than 1.0 after correction, and has no problems with eye disease, eye movement, and human parallel system. In a dark silent room, the subjects sat on a chair with their heads fixed on a headrest. The tests were performed by asking the patients to look at a fixed red light dot on a light bar in front of them. This light was directed to the front, right and left sides of the subject at an angle of 40 ° In the presence of the stimulus sound in the ipsilateral ear, the transient evoked otoacoustic emissions of the ipsilateral ear was measured at the straight, right and left fixation. In order to evaluate the transient evoked otoacoustic emissions through the efferent auditory pathway, the transient evoked otoacoustic emission values of the contralateral ear were measured at the straight, right and left fixation. These measurements were taken at frequencies of 1 kHz, 1.4 kHz, 2.0 kHz, 2.8 kHz and 4 kHz, respectively. Results : Transient evoked otoacoustic emissions caused by lateral movement of the eye showed significant changes at 1.4 KHz and 2 KHz of the afferent pathway of the ipsilateral ear. Also, significant changes were observed at 1.4 KHz and 4 KHz of the efferent pathway of the contralateral ear. Conclusion : These results indicated that there is a close relationship between eye movement and auditory cochlea. In the future, further studies considering more diverse subjects and age groups will be needed.

Mid-term outcomes of bony increased offset-reverse total shoulder arthroplasty in the Asian population

  • Tankshali, Kirtan;Suh, Dong-Whan;Ji, Jong-Hun;Kim, Chang-Yeon
    • Clinics in Shoulder and Elbow
    • /
    • v.24 no.3
    • /
    • pp.125-134
    • /
    • 2021
  • Background: To evaluate clinical and radiological outcomes of bony increased offset-reverse total shoulder arthroplasty (BIO-RSA) in the Asian population at mid-term follow-up. Methods: From June 2012 to August 2017 at a single center, 43 patients underwent BIO-RSA, and 38 patients with minimum 2 years follow-up were enrolled. We evaluated the clinical and radiological outcomes, and complications at the last follow-up. In addition, we divided these patients into notching and no-notching groups and compared the demographics, preoperative, and postoperative characteristics of patients. Results: Visual analogue scale, American Shoulder and Elbow Surgeons, University of California-Los Angeles Shoulder Scale, and Simple Shoulder Test scores improved significantly from preoperative (5.00, 3.93, 1.72, 3.94) to postoperative (1.72, 78.91, 28.34, 7.66) (p<0.05) outcomes. All range of motion except internal rotation improved significantly at the final follow-up (p<0.05), and the bone graft was well-incorporated with the native glenoid in all patients (100%). However, scapular notching was observed in 20 of 38 patients (53%). In the comparison between notching and no-notching groups (18 vs. 20 patients), there were no significant differences in demographics, radiological parameters, and clinical outcomes except acromion-greater tuberosity (AT) distance (p=0.003). Intraoperative complications included three metaphyseal fractures and one inferior screw malposition. Postoperative complications included ectopic ossification, scapular neck stress fracture, humeral stem relaxation, and late infection in one case each. Conclusions: BIO-RSA showed improved clinical outcomes at mid-term follow-up in Asian population. However, we observed higher scapular notching compared to the previous studies. In addition, adequate glenoid lateralization with appropriate humeral lengthening (AT distance) might reduce scapular notching.

Comparative clinical and radiologic evaluation between patients undergoing standard reversed shoulder arthroplasty or bony increased offset

  • Tiago Amorim-Barbosa;Ana Ribau;Helder Fonte;Luis Henrique Barros;Rui Claro
    • Clinics in Shoulder and Elbow
    • /
    • v.26 no.1
    • /
    • pp.3-9
    • /
    • 2023
  • Background: Modifications of the medialized design of Grammont-type reverse shoulder arthroplasty (RSA) using a bony increased offset (BIO-RSA) has shown better clinical results and fewer complications. The aim of this study is to compare the clinical results, complications, and radiological outcomes between patients undergoing standard RSA and BIO-RSA. Methods: A retrospective review was performed of 42 RSA procedures (22 standard RSA and 20 BIO-RSA). With a minimum of 1 year of follow-up, range of motion (ROM), Constant shoulder score (CSS), visual analog scale (VAS), and subjective shoulder score (SSS) were compared. Radiographs and computed tomography (CT) scan were examined for scapular notching, glenoid and humeral fixation, and graft healing. Results: At a mean follow-up of 27.6 months (range, 12-48 months), a significant difference was found for active-internal rotation (P=0.038) and for passive-external rotation (P=0.013), with better results in BIO-RSA. No other differences were found in ROM, CSS (P=0.884), VAS score, and SSS. Graft healing and viability were verified in all patients with CT scan (n=34). The notching rate was 28% in the standard RSA group and 33% in the BIO-RSA group, but the standard RSA had more severe notching (grade 2) than BIO-RSA (P=0.039). No other significative differences were found in glenoid and humeral fixation. Conclusions: Bone-graft lateralization is associated with better internal and external rotation and with less severe scapular notching compared to the standard RSA. Integration of the bone graft occurs effectively, with no relevant changes observed on radiographic evaluation. Level of evidence: III.

Magnetic Resonance Imaging Assessment of Paraspinal Muscles in Dogs with Intervertebral Disc Herniation

  • Ye-Jin Kim;Ju-Yeong Kim;Ah-Won Sung;Hyun-Ju Cho;I-Se O;Ho-Jung Choi;Young-Won Lee
    • Journal of Veterinary Clinics
    • /
    • v.39 no.6
    • /
    • pp.334-341
    • /
    • 2022
  • A decrease in the paraspinal muscle cross-sectional area (CSA) and functional cross-sectional area (FCSA) are associated with low back pain and disc herniation in humans. This study examined whether chronicity or lateralization of disc herniation affects the CSA and FCSA of the paraspinal muscles. The CSA and FCSA of the paraspinal muscles between the 12th and 13th thoracic vertebrae were measured in 31 dogs with intervertebral disc herniation (IVDH). The muscle CSA and FCSA were evaluated by dividing the values of the body weight, spinal disc CSA, and spinal canal CSA to offset the differences in body type between subjects. In the chronic IVDH group, the ratio of the paraspinal muscle CSA divided by the body weight was significantly lower, and fat infiltration in the paraspinal muscle was significantly higher than in the acute group. The lateralization of the disc herniation was significantly related to the changes in the paraspinal muscle CSA. In the right-sided disc herniation group, right epaxial muscle CSA was significantly reduced compared to the left-sided disc herniation group. The change in the paraspinal muscle might be a helpful indicator to localize less obvious disc pathologies and target the search for the pathology responsible for disc-related symptoms in dogs.

Recognition of Hangul alphabets as assessed by the Stroop and hemispheric lateralization (Stroop 및 반구 비대칭성 효과를 통해 본 한글자모 인식과정의 특성 분석)

  • Han, Kwang-Hee;Yoo, Hyung-Hyun;Chung, Chan-Sup
    • Annual Conference on Human and Language Technology
    • /
    • 1989.10a
    • /
    • pp.278-281
    • /
    • 1989
  • 한글 자모 인식과정의 특성을 알아보기 위하여 Stroop 및 반구 비대칭성 효과를 검증하였다. 피보험자들에게 두가지 색으로된 10개의 한글자모를 좌시야와 우시야에 제시하고, 그중 어떤 것이 가운데에 제시된 검사지극의 색 또는 자모형태와 같은 목표자극인가를 신속하게 판단하도록 하였다. 반구 비대칭성 및 Stroop 효과를 선택 반응시간을 측정하여 비교하였다. 자모 처리와 색깔 처리에서는 반구간 차이가 나타나지 않았다. 자모 처리에서 반구간 차이가 나타나지 않은 것은 한글 자모의 시각적 특성과 실험 절차의 특수성애 결부되어 해석되었다. Stroop 효과는 좌반구 보다는 우반구에서 의미있게 큰 것으로 나타났다. 따라서 대뇌 반구간의 비대칭성이 확인되었고 대뇌의 좌반구는 분석적 처리에, 우반구는 전체적인 처리에 전문화 되어 있다는 것을 확인하였다.

  • PDF

HRTF-field reproduction for robust virtual source imaging (머리 전달 함수장 재현을 통한 광대역 입체 음향 구현)

  • Choi, Joung-Woo
    • Proceedings of the Korean Society for Noise and Vibration Engineering Conference
    • /
    • 2007.11a
    • /
    • pp.997-1004
    • /
    • 2007
  • A hybrid technique that combines the advantages of binaural reproduction and sound field reproduction technique is proposed. The concept of HRTF-field, which is defined as the set of HRTFs corresponding to the various head dislocations, enables us to realize virtual source imaging over a wide area. Conventional $2{\times}2$ definition is redefined as a MIMO system composed of multiple control sources and multiple head locations, and HRTF variations corresponding to various head movement are quantified. Through the direct control of HRTF-field, reproduction error induced by head dislocation can be minimized in least-square-error sense, and consequential disturbances on the virtual source image can be reduced within a selected area. Simple lateralization examples are investigated, and the reproduction error of the proposed technique is compared to that of Higher-order Ambisonics.

  • PDF

Lateral Assimilation in a Feature Geometry (자질 기하학과 측음화)

  • Lee Hae-Bong
    • MALSORI
    • /
    • no.33_34
    • /
    • pp.71-89
    • /
    • 1997
  • In the framework of linear representation which allows for no internal structure within features, there is no way to represent nonlinear phonological phenomena such as complex segments. This paper shows how we carl solve some problems of the linear feature theory in relation to the hierarchical feature theory. The purpose of this paper is to explain lateral assimilation under hierarchical feature representation. Although arguments for the position of classes of distinctive features have been made the position of (lateral) remains the issue of debate. Sagey(1988) argues that the feature [lateral] is structurally dependent on the root node. In contrast Rice & Avery (1991) put the feature (lated) under the spontaneous voicing. I have discussed previous studies of feature hierarchy and I propose a revised model of feature representation. Within this model I have shown how well feature geometry describes lateralization as feature spreading.

  • PDF