• Title/Summary/Keyword: Motor symptoms

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A Case of Herpes Zoster Myelitis -A case report- (대상포진 척수염을 동반한 대상포진 치험 1예 -증례 보고-)

  • Yang, In-Sook;Lim, Geun-Duk;Shin, Sung-Shick
    • The Korean Journal of Pain
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    • v.10 no.2
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    • pp.266-269
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    • 1997
  • Herpes zoster is a relatively common disease caused by Varicella-Zoster virus and characterized by a vesicular dermatomal rash and a variety of neurologic manifestations. These neurologic symptoms include herpes zoster neuralgia, myelitis, encephalitis, cranial arteritis, segmental and rarely polyradiculitis. This report is a case of a 57-year-old female with herpes zoster paresis affecting the arm and hand. Herpetic pain was much relieved after continuous cervical epidural blockade. However, fifty days after onset of ailment, she complained motor paralysis. EMG of muscles innervated by the left $C_8$ and $T_1$ roots revealed high frequency denervation potentials and large amplitude polyphasic motor units. We recommended physiotherapy and aggressive exercise therapy of the hand. After eighty days of therapy, denervated spontaneous activities disappeared on EMG. Clinically, strength of muscles had nearly recovered to 75% of normal strength in left hand intrinsics.

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Standardization of the Korean Child Development Inventory (K-CDI 아동발달검사 표준화 연구)

  • Kim, Jeong-Mee;Shin, Hee-Sun
    • Korean Journal of Child Studies
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    • v.27 no.4
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    • pp.39-53
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    • 2006
  • The Korean version of the Child Development Inventory (K-CDI) is a developmental screening test for children functioning in the one-six year range. Based on parent-report, the inventory assesses child developmental functioning in the areas of social, self-help, gross motor, fine motor, expressive language, language comprehension, letter and number skills, general development, and various symptoms and behavior problems. Participants were recruited from childcare centers and private groups and finally 1,143 children and their mothers from 4 locations nationwide participated in this study. Through analysis of item response rate of 270 items in 9 areas, new norm was formed. Reliability determined by internal consistency were relatively high (Cronbach ${\alpha}=.95$). Intercorrelations among sub-scales (range: .49-.96) indicated the construct validity, and the correlation between K-CDI and other screening tests supported the concurrent validity.

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A case study on Gak-gi-byung that is similar to beriberi Disease (각기병(脚氣病) 1례에 대한 증례보고)

  • Bae, Jung-Kyu;Ahn, Taek-Won
    • Journal of Haehwa Medicine
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    • v.16 no.1
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    • pp.191-197
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    • 2007
  • Gak-gi-byung in Korean Medicine have many things in common with Beriberi disease, Guillain-Barre syndrome, Transverse myelitis and Cauda equina syndrome. Dong-Ui-Bo-Gam define Gak-gi-byung as syndrome that includes sudden lower limbs weakness, pain and edema. Gak-gi-byung start from the foregoing symptoms and could progress to general digestive, neurological or respiratory symptoms is found on many medical practitioners. In this case, we described a 60-years old man diagnosed as Gak-gi-byung in Korean Medicine. He complained Rt lower limb weakness, Rt Knee Clumsiness and limitation of his Rt knee & ankle motor. And his condition was improved through Korean Medical treatment such as acupuncture and herbal medicine like 'Chung-yul-sa-seup-tang' about 15 days.

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Cervical Disc Herniation as a Cause of Brown-S$\acute{e}$quard Syndrome

  • Choi, Kyeong-Bo;Lee, Choon-Dae;Chung, Dai-Jin;Lee, Sang-Ho
    • Journal of Korean Neurosurgical Society
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    • v.46 no.5
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    • pp.505-510
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    • 2009
  • The possible causes of Brown-S$\acute{e}$quard Syndrome (BSS) have been frequently observed with spinal trauma and extramedullary spinal tumors, but the cervical disc herniation to cause BSS is rare. The authors present five cases of patients who were diagnosed with BSS resulting from cervical disc herniation, and the results of the literature in view of their distinctive symptoms and clinical outcomes. Postoperatively, the patients showed complete or almost complete recovery from their motor and sensory deficits. On the basis of our cases, it is important to diagnose it early by cervical magnetic resonance imaging, especially in the absence of the typical symptoms of cervical disc herniation or other obvious etiology of extremity numbness. Immediate surgical treatment is also essential for a favorable functional neurological recovery.

Spontaneous Spinal Epidural Hematoma in an Infant : A Case Report and Review of the Literature

  • Lim, Jae-Joon;Yoon, Soo-Han;Cho, Ki-Hong;Kim, Sang-Hyun
    • Journal of Korean Neurosurgical Society
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    • v.44 no.2
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    • pp.84-87
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    • 2008
  • Spontaneous spinal epidural hematoma (SSEH) is rare in children. especially in infants, in whom only 12 cases have been reported. Because of the nonspecificity of presenting symptoms in children, the diagnosis may be delayed. We report herein a case of SSEH in a 20-month-old girl who initially presented with neck pain, and developed lower extremity motor weakness and symptoms of neurogenic bladder 2 weeks prior to admission. The magnetic resonance imaging showed an epidural mass lesion extending from C7 to T4, and the spinal cord was severely compressed by the mass. After emergency decompressive surgery the neurologic function was improved immediately. Two months after surgery, the neurological status was normal with achievement of spontaneous voiding. We suggest that surgical intervention can provide excellent prognosis in case of SSEH in infants, even if surgery delayed.

Development of Neuro-Fuzzy-Based Fault Diagnostic System for Closed-Loop Control system (페푸프 제어 시스템을 위한 퍼지-신경망 기방 고장 진단 시스템의 개발)

  • Kim, Seong-Ho;Lee, Seong-Ryong;Gang, Jeong-Gyu
    • Journal of Institute of Control, Robotics and Systems
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    • v.7 no.6
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    • pp.494-501
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    • 2001
  • In this paper an ANFIS(Adativo Neuro-Fuzzy Inference System)- based fault detection and diagnosis for a closed loop control system is proposed. The proposed diagnostic system contains two ANFIS. One is run as a parallel model within the model in closed loop control(MCL) and the other is run as a series-parallel model within the process in closed loop(PCL) for the generation of relevant symptoms for fault diagnosis. These symptoms are further processed by another classification logic with simple rules and neural network for process and controller fault diagnosis. Experimental results for a DC shunt motor control system illustrate the effectiveness of the proposed diagnostic scheme.

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The Effects of Mokdanpisaback-san on Stroke: A Retrospective Medical Chart Review (뇌졸중에 대한 목단피사백산의 치료 효과 연구 : 후향적 의무기록 분석)

  • Choi, Yu-jin;Kim, Ki-tae
    • The Journal of Internal Korean Medicine
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    • v.41 no.1
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    • pp.69-80
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    • 2020
  • Objective: The aim of this study was to report the improvement of stroke symptoms in patients using Mokdanpisaback-san. Methods: This study was carried out on patients hospitalized at the Department of Korean Internal Medicine of Jecheon Korean Medicine Hospital of Semyung University from October 2014 to September 2019. A retrospective study was performed on 43 patients who were diagnosed with stroke and Soyangin and treated with Mokdanpisaback-san. Results & Conclusion: 1. Mokdanpisaback-san is effective in improving various symptoms of stroke, including dysarthria, dysphagia, movement disorder, paresthesia, quadriplegia, and dizziness. 2. Mokdanpisaback-san significantly improves the motor disorders of stroke, including lower extremity muscle strength, standing, and walking disorders. 3. Mokdanpisaback-san does not affect the liver or kidney function.

Motor Weakness after Caudal Epidural Injection Using the Air-acceptance Test

  • Lee, Mi Hyeon;Han, Cheol Sig;Lee, Sang Hoon;Lee, Jeong Hyun;Choi, Eun Mi;Choi, Young Ryong;Chung, Mi Hwa
    • The Korean Journal of Pain
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    • v.26 no.3
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    • pp.286-290
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    • 2013
  • Air injected into the epidural space may spread along the nerves of the paravertebral space. Depending on the location of the air, neurologic complications such as multiradicular syndrome, lumbar root compression, and even paraplegia may occur. However, cases of motor weakness caused by air bubbles after caudal epidural injection are rare. A 44-year-old female patient received a caudal epidural injection after an air-acceptance test. Four hours later, she complained of motor weakness in the right lower extremity and numbness of the S1 dermatome. Magnetic resonance imaging showed no anomalies other than an air bubble measuring 13 mm in length and 0.337 ml in volume positioned near the right S1 root. Her symptoms completely regressed within 48 hours.

A Case Report on Underlying Edema and Weakness by Deep Vein Thrombosis(DVT) Diagnosed with Taeumin Wiwanhanbyeong (태음인(太陰人) 위완한병(胃脘寒病)으로 진단한 하지 부종 및 위약감을 호소하는 심부정맥혈전증 여환 1례)

  • Oh, Ji-Won;Kang, Min-Su;Yang, Sung-Pil;Kim, Jin-Young;Lee, Eui-Ju
    • Journal of Sasang Constitutional Medicine
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    • v.29 no.2
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    • pp.202-209
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    • 2017
  • Objectives The purpose of this study is to investigate the effect of Choweseuncheng-tang on Underlying Edema and weakness by Deep Vein Thrombosis(DVT) in a 74-year-old female patient. Methods Patient was treated with Jowiseungcheong-tang. Patient's symptom was assessed NRS, Tape measurement, Motor grade. The treatment was executed three times everyday from May 19th to May 23th, 2017. Patient was observed from May, 18th to May, 23th. Results After 5 days of using Jowiseungcheng-tang, patient's edema symptoms and weakness were evaluated by NRS, Tape measurement, Motor grade. After the treatment, Tape measurement score decreased. The score of Motor grade increased. However, the score of NRS was nonsignificant. Conclusions The results suggest that Jowiseungcheng-tang can be a valuable option in treating Underlying Edema and weakness by DVT.

Oxaliplatin-Induced Peripheral Neuropathy and Quality of Life in Patients with Digestive System Cancer

  • Kim, Hye Young
    • Korean Journal of Adult Nursing
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    • v.28 no.3
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    • pp.343-353
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    • 2016
  • Purpose: This study aimed to identify the levels of oxaliplatin-induced peripheral neuropathy (OXLIPN) and the quality of life (QOL) related to OXLIPN in patients with digestive system cancer. Methods: A total of 83 patients with chemotherapy-induced peripheral neuropathy (CIPN)-related symptoms participated in this study. Data were collected through self-reported questionnaire which were constructed to include general and clinical characteristics, EORTC QLQ-C30, Patient Neurotoxicity Questionnaire (PNQ), and EORTC QLQ-CIPN20. Results: The average scores of OXLIPN upper and lower extremity scale were 30.01 and 29.16, respectively. The average scores of PNQ sensory and motor scale were 2.11 and 1.70, respectively. The mean score of the QLQ-C30 global health status was 54.85, and the range of mean score of the functional and symptom subdomains was 34.85~73.29 and 17.67~53.54, respectively. The CIPN-related symptoms positively correlated with the global health status scale and all subdomains of functional scale, respectively and negatively correlated with fatigue, pain, dyspnea, insomnia, and financial problem subdomains of the symptom scale, respectively. Conclusion: Oncology nurses should pay attention and provide remedies for CIPN symptoms reported by their patients. Nursing interventions should be developed for patients with digestive system cancer to alleviate CIPN and enhance their QOL.