• Title/Summary/Keyword: Left Brain

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The Dizziness Caused by a Vestibular Schwannoma was Misinterpreted as a Side Effect of an Anticonvulsants Drug -A case report- (항경련제의 부작용으로 오인된 청신경초종에 의한 어지럼증 -증례 보고-)

  • Kim, Dong Hee;Hwang, Dong Sup;Park, Sang Wook
    • The Korean Journal of Pain
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    • v.18 no.2
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    • pp.218-221
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    • 2005
  • This report describes a case of dizziness in a patient with trigeminal neuralgia that was caused by a vestibular schwannoma. A 60-year-old man with a history of pain on his left cheek, chin, molar and tongue for 5 months was diagnosed as suffering with trigeminal neuralgia of the left mandibular nerve, and this was caused by a left vestibular schwannoma. The diagnosis of the tumor was confirmed with magnetic resonance imaging (MRI), and so gamma knife surgery was performed 1 month later. At that time, the patient had been referred to the pain clinic due to allodynia on the tongue and gingival, and hypesthesia was also present on the left half of the face. Trigeminal nerve block with dehydrogenated alcohol and stellate ganglion block with 1% mepivacaine were performed and oral medication with diphenylhydantoin was started. The symptoms were alleviated after nerve block and oral medication. Dizziness, blurred vision and ataxia then developed from the 13th hospital day. We considered the symptoms as a side effect of diphenylhydantoin and we reduced the dose of diphenylhydantoin. However, the symptoms grew worse. Another brain MRI showed a slight increase of the tumor size and a mass effect with displacement of the adjacent organs, and hydrocephalus was also noted. This case shows the importance of considering the secondary symptoms that are due to brain tumor while treating trigeminal neuralgia. The changes of the brain tumors should also be considered along with the presence of new side effects.

Preliminary Study for Changes in Brain Perfusion in the Drug-Naive Patients with Panic Disorder with SPECT Following Cognitive-Behavioral Therapy (약물에 노출되지 않은 공황장애 환자들에서 인지행동치료 후 뇌혈류 변화에 대한 예비연구)

  • Kim, Jung-Bum;Shin, Young-Ah;Chae, Jeong-Ho;Chang, Eun-Jin;Ryu, Seol-Young;Won, Kyoung-Sook;Zeon, Seok-Kil;Chung, Yong-An
    • Anxiety and mood
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    • v.4 no.2
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    • pp.148-156
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    • 2008
  • Objective : Although cognitive-behavior therapy (CBT) is effective in patients with panic disorder, its the-rapeutic mechanism of action in the brain remains unclear. This study was performed to investigate regional blood flow changes associated with successful completion of CBT in drug-naive patients with panic disorder. Method : The regional blood flow in 4 patients with panic disorder was compared to that in 11 healthy controls before and after a 12-week group CBT using $^{99m}Tc$-ECD SPECT imaging. Psychopathology was assessed using Panic Disorder Severity Scale. Data were analyzed using software for statistical parametric mapping (SPM2). Results : Before CBT, significantly decreased blood flow was found in the parietal and occipital area in panic patients than normal volunteers. In all the patients who showed remission after CBT, increased blood flow was detected in the right cingulate gyrus, left lingual gyrus, and left superior parietal lobule, whereas decreased blood flow was seen in the left inferior temporal gyrus. Conclusion : These results suggested that CBT is effective for panic disorder and change the activity of cingulate gyrus and left temporal gyrus, a part of the brain areas associated with fear in panic disorder.

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Secondary Intracranial Tumor Associated with Nasal Adenocarcinoma in a Dog: Clinical, Computed Tomography, Magnetic Resonance Imaging, Histopathologic Findings (개에서 발생한 비강샘암종으로부터 유래한 이차성 두개 내 종양 증례)

  • Lee, Jung-Ha;Yoon, Hun-Young;Im, Keum-Soon;Sur, Jung-Hyang;Jeong, Soon-Wuk
    • Journal of Veterinary Clinics
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    • v.30 no.3
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    • pp.206-209
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    • 2013
  • A 12-year-old castrated male Miniature Schnauzer dog was presented with an acute seizure. On computed tomography, a mass was observed in the left nasal cavity and the lysis of the left cribriform plate was identified. Post-contrast magnetic resonance imaging showed a hyperintense mass in the left frontal lobe and hyperintense lesions in the left frontal sinus. The mass was tentatively diagnosed with a brain tumor secondary to a nasal tumor. Histopathology revealed that the mass was a nasal adenocarcinoma with invasion into the brain. This case report describes clinical, computed tomography, magnetic resonance imaging and histopathological findings of secondary intracranial tumor caused by extension of nasal adenocarcinoma in a dog. These findings may contribute to enhance the knowledge on secondary intracranial tumors in dogs.

Diagnostic Imaging of Congenital Meningoencephalocele in a Holstein Calf

  • Kwon, Kyunghun;Lee, Byungho;Choi, Sooyoung;Cho, Jongki;Lee, Youngwon;Choi, Hojung
    • Journal of Embryo Transfer
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    • v.32 no.1
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    • pp.33-38
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    • 2017
  • A 10-day-old, Holstein calf with facial mass of 10 cm in diameter at the forehead region referred to Veterinary Medical Teaching Hospital in Chungnam National University. The mass was soft and fluctuating swelling. It had normal skin and hair hanging forward from frontal region and was thought to contain cerebrospinal fluid. On the skull radiography, cauliflower like-irregular marginated, soft tissue opacity mass was identified craniodorsal to the frontal bone. The mass appeared as a cyst filled with anechoic fluid on ultrasonography. Soft tissue structures considered brain tissues were observed in the deep area of the mass. On the computed tomography, a large skull defect of left side frontal bone was found, and heterogeneous materials were exposed through the defect but exposure of cerebral meninges and brain tissue were not confirmative. On magnetic resonance imaging, herniated left brain parenchyma showed heterogenous T2 and T1 hyperinsensity. In the intracranium, T2 hyperinstense and T1 hypointense fluid was identified on the left side, instead of left cerebral parenchyma. Also leftward shift of right hemisphere and midline structure, including thalamus and midbrain, were observed. The definitive diagnosis was confirmed as a meningoencephalocele based on computed tomography and magnetic resonance imaging. The calf was euthanized and necropsy was performed. On necropsy, both hemisphere were developed unequally with different size. One side hemisphere was grown in the outside through 10 cm hole on the median plane.

Surgical Intervention of Undifferentiated Cardiac Sarcoma with Metastases (원격전이된 미분화성 심장육종의 수술치험)

  • 신재승;김학제;최영호;김현구;백만종
    • Journal of Chest Surgery
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    • v.33 no.5
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    • pp.432-435
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    • 2000
  • We report a case of primary undifferentiated cardiac sarcoma. The tumor originated from the left atrial free wall with multi-organ metastases, e.g., lung, and adrenal gland. The patient gradually grew worse with dyspnea and hemoptysis because of the obstructed left atrial outflow. Surgical resection of the left atrial sarcoma was undertaken to save the patient's life, followed by chemotherapy and brain irradiation as adjuvant therapy. The prognosis of cardiac sarcoma with metastases is very poor. However, in patients with hemodynamic instability, surgical intervention could be a therapeutic modality as palliation.

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Homogeneity Analysis for the SMR Brainwave by the Functional Lateralization of the Brain Based on the Science Learning Methods

  • Kwon, Hyung-Kyu;Cho, Jang-Sik
    • Journal of the Korean Data and Information Science Society
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    • v.18 no.3
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    • pp.721-733
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    • 2007
  • The purpose of this research was to determine the effects of the functional lateralization of the brain variables related to the sex, the scientific attitude and the scientific exploration skills. The science instruction is divided in each type of the lecturing class with the experiment class. As for the degree of SMR brainwave activation in each stage are presented while accumulating the brain waves from the right, left and the whole brain waves are analyzed during the science learning activities. It is therefore reasonable to consider the science instruction types and brain lateralization to enhance the science learning effectiveness. Sensorimotor rhythm brainwave as the low Beta is represented well to show the thought process. Category quantification scores and objective scores are calculated to show the visual positioning map for the relationships of the categories by homogeneity analysis.

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Brain Abscess Showing a Lack of Restricted Diffusion and Successfully Treated with Linezolid

  • Kim, Joo-hyun;Park, Sang-phil;Moon, Byung-gwan;Kim, Deok-ryeong
    • Brain Tumor Research and Treatment
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    • v.6 no.2
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    • pp.92-96
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    • 2018
  • A 59-year-old patient with a history of hepatocellular carcinoma presented with decreased consciousness and left hemiparesis. A rim-enhanced mass lesion without diffusion restriction was observed in contrast-enhanced MRI including diffusion-weighted imaging. Based on these findings, metastatic brain tumor was suspected. However, brain abscess (BA) was diagnosed after multiple bacterial colonies were observed in aspiration biopsy. Initial conventional antibiotic treatment including vancomycin had failed, so linezolid was used as second-line therapy. As a result, infection signs and clinical symptoms were resolved. We report a case with atypical imaging features and antibiotic susceptibility of a BA in an immunocompromised patient undergoing chemotherapy.

EEG Signals Measurement and Analysis Method for Brain-Computer Interface (뇌와 컴퓨터의 인터페이스를 위한 뇌파 측정 및 분석 방법)

  • Sim, Kwee-Bo;Yeom, Hong-Gi;Lee, In-Yong
    • Journal of the Korean Institute of Intelligent Systems
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    • v.18 no.5
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    • pp.605-610
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    • 2008
  • There are many methods for Human-Computer Interface. Recently, many researchers are studying about Brain-Signal this is because not only the disabled can use a computer by their thought without their limbs but also it is convenient to general people. But, studies about it are early stages. This paper proposes an EEG signals measurement and analysis methods for Brain-Computer Interface. Our purpose of this research is recognition of subject's intention when they imagine moving their arms. EEG signals are recorded during imaginary movement of subject's arms at electrode positions Fp1, Fp2, C3, C4. We made an analysis ERS(Event-Related Synchronization) and ERD(Event-Related Desynchronization) which are detected when people move their limbs in the ${\mu}$ waves and ${\beta}$ waves. Results of this research showed that ${\mu}$ waves are decreased and ${\beta}$ waves are increased at left brain during the imaginary movement of right hand. In contrast, ${\mu}$ waves are decreased and ${\beta}$ waves are increased at right brain during the imaginary movement of left hand.

Brain MRI Findings for the Patient with the Late Onset Schizophrenia : Comparison among Patients with the Early Onset Schizophrenia, Progressive Schizophrenia, Senile Dementia and Controls (후기발병 정신분열병 환자에서의 뇌자기공명촬영 소견에 관한 연구 : 조기발병 정신분열병, 진행성 정신분열병, 노인성 치매 및 대조군과의 비교)

  • Park, Doo Sung;Lee, Young Ho;Choi, Young Hee;Park, Young Soo;Chung, Young Cho
    • Korean Journal of Biological Psychiatry
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    • v.4 no.1
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    • pp.74-83
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    • 1997
  • With increasing tendency of incidence and interest for the late onset schzophrenia, concerns about whether this disorder is etiologically or phenomenogically distinctive entity or not have increased also. To clarify the disease entity of the late onset schzophrenia and the role of structural brain changes in its etiology, authors tried to prove following hypothesis : Are there any evidences of structural brain changes in the lateonset schizophrenia? ; If present, are they not different from those of the early-onset schizophrenia or progressive schizophrenia? ; And are they not different from those of senile dementia? Subjects were 6 patients with the late-onset schizophrenia, 6 patients with the early-onset schizophrenia, 6 patients with progressive schizophrenia, 6 patients with Alzheimer's dementia, and 6 controls. We measured regions of interest of the magnetic resonance images by computer assisted planimetry using the AutoCad and digitizer. Our study results may suggest that the third ventricular enlargement and a reversal of normal difference between left and right temporal lobe and left-right difference in posterior lateral ventricle are common brain pathology for all types of schizophrenia including the late onset schzophrenia. And also suggest that brain structural changes of the late onset schizophrenia are related with neurodevelopmental abnormality rather than degenerative change.

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Reduced Gray Matter Density in the Posterior Cerebellum of Patients with Panic Disorder : A Voxel-Based Morphometry Study

  • Lee, Junghyun H.;Jeon, Yujin;Bae, Sujin;Jeong, Jee Hyang;Namgung, Eun;Kim, Bori R.;Ban, Soonhyun;Jeon, Saerom;Kang, Ilhyang;Lim, Soo Mee
    • Korean Journal of Biological Psychiatry
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    • v.22 no.1
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    • pp.20-27
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    • 2015
  • Objectives It is increasingly thought that the human cerebellum plays an important role in emotion and cognition. Although recent evidence suggests that the cerebellum may also be implicated in fear learning, only a limited number of studies have investigated the cerebellar abnormalities in panic disorder. The aim of this study was to evaluate the cerebellar gray matter deficits and their clinical correlations among patients with panic disorder. Methods Using a voxel-based morphometry approach with a high-resolution spatially unbiased infratentorial template, regional cerebellar gray matter density was compared between 23 patients with panic disorder and 33 healthy individuals. Results The gray matter density in the right posterior-superior (lobule Crus I) and left posterior-inferior (lobules Crus II, VIIb, VIIIa) cerebellum was significantly reduced in the panic disorder group compared to healthy individuals (p < 0.05, false discovery rate corrected, extent threshold = 100 voxels). Additionally, the gray matter reduction in the left posterior-inferior cerebellum (lobule VIIIa) was significantly associated with greater panic symptom severity (r = -0.55, p = 0.007). Conclusions Our findings suggest that the gray matter deficits in the posterior cerebellum may be involved in the pathogenesis of panic disorder. Further studies are needed to provide a comprehensive understanding of the cerebro-cerebellar network in panic disorder.