• 제목/요약/키워드: Left frontal

검색결과 329건 처리시간 0.024초

An Unusual Case of Cerebral Penetrating Injury by a Driven Bone Fragment Secondary to Blunt Head Trauma

  • Lee, Jae-Il;Ko, Jun-Kyeung;Cha, Seung-Heon;Han, In-Ho
    • Journal of Korean Neurosurgical Society
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    • 제50권6호
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    • pp.532-534
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    • 2011
  • Temple trauma that appears initially localized to the skin might possess intracranial complications. Early diagnosis and management of such complications are important, to avoid neurologic sequelae. Non-penetrating head injuries with intracranial hemorrhage caused by a driven bone fragment are extremely rare. A 53-year-old male was referred to our hospital because of intracerebral hemorrhage. He was a mechanic and one day before admission to a local clinic, tip of metallic rod hit his right temple while cutting the rod. Initial brain computed tomography (CT) and magnetic resonance imaging demonstrated scanty subdural hematoma at right temporal lobe and left falx and intracerebral hematoma at both frontal lobes. Facial CT with 3-D reconstruction images showed a small bony defect at the right sphenoid bone's greater wing and a small bone fragment at the left frontal lobe, crossing the falx. We present the unusual case of a temple trauma patient in whom a sphenoid bone fragment migrated from its origin upward, to the contralateral frontal lobe, producing hematoma along its trajectory.

Destructive Radiologic Development of Intravascular Papillary Endothelial Hyperplasia on Skull Bone

  • Lee, Seul-Kee;Jung, Tae-Young;Baek, Hee-Jo;Kim, Seul-Kee
    • Journal of Korean Neurosurgical Society
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    • 제52권1호
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    • pp.48-51
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    • 2012
  • Intravascular papillary endothelial hyperplasia (IPEH) is a rare vascular benign lesion that rarely involves the central nervous system with or without skull invasion. We report a rare case of IPEH on the skull bone, which displayed destructive radiologic development associated with hemorrhage. A 14-year-old male presented with an incidentally detected a small enhancing, left frontal osteolytic lesion. Previously, he underwent operation and received adjuvant chemoradiation therapy for cerebellar medulloblastoma. Follow-up magnetic resonance imaging revealed a left frontal bone lesion, which expanded to an approximately 2 cm-sized well-circumscribed osteolytic lesion associated with hemorrhage for 20 months. Frontal craniectomy and cranioplasty were performed. Destructive change was detected on the inner table and diploic space of the skull. The mass had a cystic feature with hemorrhagic content without dural attachment. Pathologic examination showed the capsule consisted of parallel collagen lamellae representing a vascular wall, vascular lumen, which was pathognomonic for IPEH. Immunohistochemical staining revealed that the capsule was positive for CD34 and factor VIII, which favor the final diagnosis of IPEH. This was the first case of intracalvarial IPEH.

Giant Cavernous Malformation : A Case Report and Review of the Literature

  • Son, Dong-Wuk;Lee, Sang-Weon;Choi, Chang-Hwa
    • Journal of Korean Neurosurgical Society
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    • 제43권4호
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    • pp.198-200
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    • 2008
  • Giant cavernous malformations (GCMs) occur very rarely and little has been reported about their clinical characteristics. The authors present a case of a 20-year-old woman with a GCM. She was referred due to two episodes of generalized seizure. Computed tomography and magnetic resonance image demonstrated a heterogeneous multi-cystic lesion of $7\times5\times5$ cm size in the left frontal lobe and basal ganglia, and enhancing vascular structure abutting medial portion of the mass. These fingings suggested a diagnosis of GCM accompanying venous angioma. After left frontal craniotomy, transcortical approach was done. Total removal was accomplished and the postoperative course was uneventful. GCMs do not seem differ clinically, surgically or histopathologically from small cavernous angiomas, but imaging appearance of GCMs may be variable. The clinical, radiological feature and management of GCMs are described based on pertinent literature review.

New record of three oxytrichid ciliates (Ciliophora: Oxytrichidae) from South Korea

  • Kyu-Seok, Chae;Gi-Sik, Min
    • Journal of Species Research
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    • 제11권4호
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    • pp.287-295
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    • 2022
  • Three oxytrichid ciliates, Oxytricha lithofera Foissner, 2016, Pleurotricha curdsi (Shi et al., 2002) Gupta et al., 2003 and Sterkiella tetracirrata Kumar et al., 2015, were isolated from soils and confirmed as new to South Korea. Oxytricha lithofera was identified based on lithosomes, cortical granules, 21-33 adoral zone membranelles, one left (14-21 cirri) and one right (15-18) marginal rows and 5 transverse cirri. Pleurotricha curdsi was identified based on the possession of 2 macronuclear nodules, 2-3 micronuclei, 46-53 adoral zone membranelles, 3 frontal cirri, 5 frontoventral cirri, 5-7 postoral ventral cirri, 2-3 right marginal rows and 5 transverse cirri. Sterkiella tetracirrata was identified with respect 4 macronuclear nodules, 3-6 micronuclei, 25-40 adoral zone membranelles, 3 frontal cirri, 3 postoral ventral cirri, 2 pretransverse cirri, one left (21-30 cirri) and one right (24-30) marginal row and 4 transverse cirri. On the basis of 18S rDNA sequence analyses, we describe the phylogenetic positions of the three species.

이중과제 수행시의 간섭효과에 수반되는 신경기반: 산술연산과 기억인출간의 상호작용 (Neural Basis Involved in the Interference Effects During Dual Task: Interaction Between Calculation and Memory Retrieval)

  • 이병택;이경민
    • 인지과학
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    • 제18권2호
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    • pp.159-178
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    • 2007
  • Lee와 Kang (2002)은 이중과제 수행동안 음운회로의 시연이 곱셈 수행을 유의하게 지연시키지만 뺄셈의 수행을 지연시키지는 못함을 보여주었다. 반면 심상을 유지하는 것은 뺄셈 수행을 지연시키지만 곱셈의 수행에는 영향을 미치지 않았다. 이 결과는 산술연산이 작업기억의 하부체계 특정적인 방식으로 관련있음을 보여준다. 본 연구의 목적은 기능자기공명영상기법을 이용하여 Lee와 Kang이 얻은 결과의 신경기반을 검토하는 것이었다. 이 목적을 위해 억제를 요구하는 이중과제 조건과 억제를 요구하지 않는 이중과제 조건에서의 뇌활성화 양상을 비교하였다. 두 조건이 모두 이중과제 조건이었음에도 불구하고 간섭조건이 비간섭조건에 비해 더 활성화되는 영역들이 관찰되었다. 더 중요한 사실은 음운억제조건에서 우측 하전회(inferior frontal gyrus), 좌측 각회(angular gyrus), 그리고 하정소엽(inferior parietal lobule) 등의 영역이 활성화 된 것에 비해, 시각억제조건에서 활성화된 영역은 우측 상측두회(superior temporal gyrus)와 전대상회 (anterior cingulate gyrus)였다 억제조건에서의 결과와 달리 음운 비억제 조건에서 활성화된 영역은 우내측 전두회 (medial frontal gyrus), 좌측 중전두회 (niddle frontal gyrus)와 양측의 내측전두회 (medial frontal gyrus)였으며, 시각 비억제 조건에서는 전대상회, 그리고 해마이랑(parahippocampal gyrus)의 영역이 활성화되었다. 이러한 결과는 처리 부호를 공유할 때 야기되는 간섭을 억제하는 것의 신경기반이 과제의 양상에 의존적임을 보여준다.

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새로운 충돌 판별 알고리즘과 가속도 센서의 위치 (New Crash Discrimination Algorithm and Accelerometer Locations)

  • 정현용;김영학
    • 한국자동차공학회논문집
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    • 제8권6호
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    • pp.182-193
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    • 2000
  • Several metrics have been used in crash discrimination algorithms in order to have timely air bag deployment during all frontal crash modes. However, it is still challengine to have timely air bag deployment especially during the oblique, the pole and the underride crash mode. Therefore, in this paper a new crash discrimination algorithm was proposed, using the absolute value of the deceleration change multiplied by the velocity change as a metric, and processing the metric as a function of the velocity change. The new algorithm was applied for all frontal crash modes of a minivan and a sports utility vehicle, and it resulted in timely air bag deployment for all frontal crash modes including the oblique, the pole and the underride crash mode. Moreover, it was proposed that an accelerometer be installed at each side of the rails, rockers or pillars to assess the crash severity of each side and to deploy the frontal air bags at different time especially during an asymmetric crash such as an oblique and an offset crash. As an example, the deceleration pulses measured at the left and right B-pillar·rocker locations were processed through the new algorithm, and faster time-to-fires were obtained for the air bag at the struck side for the air bag at the other side.

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족삼리(足三里) 전침자극(電針刺戟)이 뇌혈류(腦血流)에 미치는 영향(影響)에 관한 핵의학적(核醫學的) 고찰(考察) (The Nuclear Medical Study on the Effect of ST36 Electroacupuncture on Cerebral Blood Flow)

  • 김일두;오희홍;송호천;범희승;변재영;안수기
    • Journal of Acupuncture Research
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    • 제18권2호
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    • pp.18-26
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    • 2001
  • Purpose : To evaluate the effects of electroacupuncture on regional cerebral blood flow (rCBF) at acupoints suggested by oriental medicine to be related to the treatment of cerebrovascuiar diseases. Materials and Methods : Rest/electroaeupuncture-stimulation Tc-99m ECD brain SPECT using a same-dose subtraction method was performed on 5 normal male volunteers (age range from 27 to 30 years) using electroacupuncture at acupoint, ST 36. In the control study, needle location was chosen on a non-meridian focus 1cm posterior to the right fibular head. All images were spatially normalized and the differences between rest and acupuncture stimulation were statistically analyzed using SPM$^{(R)}$ for Windows$^{(R)}$. Results : Electroacupuncture applied at ST36 increased rCBF in the left hemisphere, that is, the left parietal lobe(angular gyrus), the left temporal lobe, the left inferior frontal lobe around rectus gyrus and the left cerebellar hemisphere, a part of the left inferior frontal lobe. In the control stimulation, no significant rCBF increase was observed. Conclusion : The results demonstrate that electroacupuncture increases rCBF in the contralateral cerebral hemisphere.

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Acupuncture for Attenuating Frontal Lobe α Band Asymmetry Induced by Anger: a pilot study

  • Sung-A Kim;Yujin Choi;Seung-Hun Cho
    • 대한약침학회지
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    • 제26권3호
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    • pp.276-284
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    • 2023
  • Objectives: Previous studies have shown that anger can lead to frontal lobe α (8-13 Hz) band asymmetry (FAA) in electroencephalogram (EEG), in accordance with motivational direction. This pilot study aimed to investigate the impact of acupuncture on FAA elicited by anger. Methods: Thirty-four right-handed participants scoring above 75 points on the Novaco Anger Scale were included. Baseline EEG signals were recorded for eight minutes using a 32-channel cap under comfortable conditions. Anger was induced through a nine-minute sequence of Articulated Thoughts in Simulated Situations (ATSS) task. Following that, participants received acupuncture at GB20 and GB21 for 10 minutes. Fast Fourier transform was employed for frequency analysis, and repeated measure ANOVA was conducted for statistical analysis. Results: The results revealed that participants exhibited significantly higher FAA (p = 0.026), particularly in the left hemisphere, after the ATSS task sequence compared to the baseline. During acupuncture treatment, the greater left-sided FAA was significantly reduced (p = 0.027) and reversed. Upon the cessation of acupuncture, FAA returned to a value between the baseline and the anger-evoked stage (p = 0.046). Conclusion: The EEG results of this study revealed that anger stimulation induced an increase in left-sided FAA, which was effectively alleviated by acupuncture. This led to an immediate restoration of FAA asymmetry induced by anger. These findings suggest the potential of acupuncture as a treatment option for reducing FAA associated with anger.

헛디딤 탐지의 신경 상관: 기능적 자기공명 영상 연구 (Neural Correlates of Faux Pas Detection: An fMRI Study)

  • 박민;이승복;윤효운;김혜리
    • 인지과학
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    • 제21권1호
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    • pp.77-93
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    • 2010
  • 본 연구는 마음이론 능력 측정 과제의 하나인 헛디딤 탐지를 수행하는데 관여하는 신경상관 영역을 확인하려는 것이었다. 기능적 자기공명영상 기법을 이용하여 헛디딤 이야기 문장과 헛디딤을 포함하지 않는 통제 이야기 문장을 제시하였을 때 나타나는 뇌 활성화 영역을 비교하였다. 양 반구의 상전두회(BA 6/9)와 설전소엽(BA 7), 좌반구의 내전두회(BA 9), 상측두회(BA 38), 하측두회(BA 20)와 우반구의 하두정소엽(BA 40), 중심후회(BA 1), 설회(BA 18), 횡전두회(BA 41) 등의 영역에서 활성화가 나타났다. 헛디딤 탐지를 하는 동안 안와전두피질과 편도의 활성화는 나타나지 않았다. 이런 결과는 마음이론과 관련된 뇌 활성화는 과제가 이끌어내는 마음상태의 유형에 달려있음을 시사한다.

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핵의학(SPECT)을 이용한 뇌혈류변화에 대한 침구효과 검증방법의 새로운 모델에 관한 연구 (New Model of Verifiation for Demonstration of Neuronal Basis of Acupuncture by Comparison of Two Different Methods of Acupuncture which Increase Regional Cerebral Blood Flow ( rCBF ) on SPECT)

  • 안수기;강화정;송호천;범희승
    • Journal of Acupuncture Research
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    • 제17권2호
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    • pp.247-259
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    • 2000
  • Objective : The mechanism of acupuncture to increase cerebral blood flow is still uncertain. The purpose of this study was to evaluate the neural basis of acupuncture by comparing the cerebral regions activated by the stimulation of two different methods of acupunctures at the same acupoint which was suggested by oriental medicine to increase rCBF. Materials and Methods : Thirty-nine healthy volunteers(26 males, 13 females, age $31{\pm}11$ years) were studies by rest/acupuncture Tc-99m ECD brain SPECT using a subtraction method. SPECTs using two methods(needle retention and heated needle with 90% alcohol) at two acupoints (right LI. 4 and ST. 36) were peformed at an interval of three days. For the needle retention method, acupuncture needle was inserted to a depth of about 2 cm into each acupoint 8 minutes after the lst acquisition and continued to retain, and the second injection of Tc-99m ECD was done 15 minutes after the insertion of needle. For the heated acupuncture method, heated needle was inserted in a twinkle within several msec 20 second after the second injection of Tc-99m ECD. The differences of between rest and acupuncture activation state were statistically analyzed using a statistical parametric mapping software. Result : Acupunctures of both methods reveal similar patterns of increase in rCBF. Acupuncture at ST.36 increase rGBF in left anterior temporal, right inferior frontal lobes, and left cerebellum. Acupuncture at LI. 4 increase rCBF in the left frontal cortex, right temporal pole, both inferior frontal cortices and right cerebellum. Conclusion : The effects of two different acupunctures to the same acupoints on rCBF were similar. Therefore, this result suggests Chat the mechanism of acupuncture in the increase of cerebral blood flow have a neural basis.

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