• Title/Summary/Keyword: Neurogenic

Search Result 320, Processing Time 0.026 seconds

Neurogenic Tumor of the Brachial Plexus -A case report - (상완신경총에서 발생한 신경원성 종양 - 1예 보고 -)

  • 김덕실
    • Journal of Chest Surgery
    • /
    • v.37 no.1
    • /
    • pp.84-87
    • /
    • 2004
  • Neurogenic tumors of brachial plexus are rare lesions. Recently 1 experienced a case of Schwannoma arising from the brachial plexus. Thirtyfour-year-old man presented with a slow-growing mass on the left supraclavicular area. Magnetic resonance imaging revealed a well demarcated solid mass on posterosuperior aspect of the left subclavian artery. During operation, a well-encapsulated mass was seen beneath the brachial plexus. 1 performed intracapsular enucleation of the tumor from the none in an effort to avoid damaging none fibers as much as possible. Post-operative neurological deficit was not found.

Malignant Schwannoma of the Esophagus: A Rare Case Report

  • Mishra, Biswajit;Madhusudhan, Kumble Seetharama;Kilambi, Ragini;Das, Prasenjit;Pal, Sujoy;Srivastava, Deep Narayan
    • Journal of Chest Surgery
    • /
    • v.49 no.1
    • /
    • pp.63-66
    • /
    • 2016
  • Neurogenic tumors are the most prevalent tumors of the mediastinum, and schwannomas are the most common type of neurogenic tumor. Primary neurogenic neoplasm of the esophagus is uncommon and malignant schwannoma of the esophagus is extremely rare. We report a case of a 27-year-old female presenting with dysphagia and palpitations who was found to have a lobulated tumor in the mediastinum that was compressing the esophageal lumen. The tumor was successfully treated surgically without recurrence. The final diagnosis, on histopathological examination of the specimen, was malignant schwannoma.

Development of Castleman Disease in the Paravertebral Space Mimicking a Neurogenic Tumor

  • Kwak, Yu Jin;Park, Samina;Kang, Chang Hyun;Kim, Young Tae;Park, In Kyu
    • Journal of Chest Surgery
    • /
    • v.52 no.1
    • /
    • pp.51-54
    • /
    • 2019
  • Castleman disease is a relatively rare disease, characterized by well-circumscribed benign lymph-node hyperplasia. The disease may develop anywhere in the lymphatic system, but is most commonly reported as unicentric Castleman disease in the mediastinum along the tracheobronchial tree. It is usually asymptomatic and detected on plain chest radiography as an incidental finding. We report an incidentally detected case of Castleman disease in the paravertebral space that was preoperatively diagnosed as a neurogenic tumor and treated by complete surgical resection.

Study on the Corelation between Iris Constitution and Primary Headache (원발성 두통과 홍채 체질과의 상관성 연구)

  • Lee, Seung-Hyun;Kim, Sung-Nam;Kim, Hong-Hoon;Kim, Dae-Joong;Gug, Yun-Jai;Cho, Nam-Geun;Kim, Sung-Chul;Hwang, Woo-Jun;Choi, Sung-Yong
    • Journal of Acupuncture Research
    • /
    • v.22 no.6
    • /
    • pp.155-164
    • /
    • 2005
  • Objectives : The purpose of this study is to compare interrelations between primary headache (including migraine) and Iris Constitution through iris constitution examination. Methods : The subjects were 50 patients who admitted to Chonju Oriental Medicine Hospital attached to Wonkwang Univ. from February.1st.2004 to March.31th.2005. The subjects were constituted of primary headache(including migraine) patients who were examined by Iris Constitution analysis. Results & Conclusion : Among 50 cases of primary headache(including migraine) the distribution of Iris Constitution were as follows. 1. There were 14 cases of neurogenic type, 9 cases of abdominal connective tissue weakness type, 8 cases of cardio-renal connective tissue weakness type, 6 cases of neurogenic + abdominal connective tissue weakness type, 5 cases of neurogenic type+ cardio-renal connective tissue weakness type, 5 cases of abdominal connective tissue weakness type + cardio-renal connective tissue weakness type, 2 cases of hydrogenic type, 1 case of abdominal connective tissue weakness type + mesenchymal pathological connective tissue weakness constitution. 2. There were 25 cases of which included neurogenic constitution, 21 cases of which included abdominal connective tissue weakness constitution, 18 cases of which included cardio-renal connective tissue. Migraine have a meaningful interrelation with Iris constitution, especially with neurogenic type, abdominal connective tissue weakness type and cardio-renal connective tissue weakness type. 3. Interrelation between Region of migraine and Iris constitution is non-specific with the exception of interrelation between pain in all over head with neurogenic type. These results suggest that the further study in connection with these results should be followed. 4. The interrelation between the period of migraine and Iris constitution is not remarkable.

  • PDF

Neurolaryngology (신경후두학)

  • Woo, Jeong-Soo
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
    • /
    • v.23 no.1
    • /
    • pp.18-20
    • /
    • 2012
  • Over the last 30 years or so, it has been recognized that neurologic disorders could impair laryngeal function, and that neurogenic etiology could be discerned frequently. This has led collaborations between laryngologists and neurologists and focus on the management of neurogenic dysfunction of the larynx and pharynx, including central and peripheral disorder. The author introduced anatomical structure, nerve distribution and neurophysiology of the larynx for understanding its basic functions. The symptoms, diseases from laryngeal dysfunction and the development of diagnosis and management were also discussed.

  • PDF

Atypical Radiologic Manifestation of NARP Mimicking MELAS: a Case Report

  • Lee, Youdae;Lee, Donghoon;Hwang, Hokyeong
    • Investigative Magnetic Resonance Imaging
    • /
    • v.22 no.2
    • /
    • pp.119-122
    • /
    • 2018
  • Neurogenic weakness, ataxia and retinitis pigmentosa (NARP) syndrome is a rare maternally inherited mitochondrial disorder. Radiologic findings in NARP syndrome are varied; they include cerebral and cerebellar atrophy, basal ganglia abnormalities, and on rare occasions, leukoencephalopathy. This article describes an extremely rare case of NARP syndrome mimicking mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes (MELAS).

Two Cases of Voiding Problem Treated with Oriental Medicine (한방 치료로 호전된 배뇨(排尿) 장애(障碍) 환자 치험 2례)

  • Jang, Myung-Woong;Kwon, Young-Ju;Jo, Woo-Keun;Jung, Seung-Hyun;Bae, Hyo-Sang;Lim, Seong-Woo;Lee, Won-Chul
    • Journal of Physiology & Pathology in Korean Medicine
    • /
    • v.26 no.2
    • /
    • pp.241-247
    • /
    • 2012
  • The purpose of this case study is to report the effect of electroacupuncture at acupoints Baliao (BL31 Shangliao, BL32 Ciliao, BL33 Zhongliao, BL34 Xialiao) on patients with voiding problem. Neurogenic Bladder can be classified according to whether impairment of urinary reservoir or emptying. The first case was a patient with urinary emptying impairment. He was diagnosed with areflexic neurogenic bladder, and was managed with suprapubic cystostomy. After starting of electroacupuncture on Baliao, residual urine volume was gradually decreased, at last cystostomy could be removed. The second case was a patient with urinary reservoir impairment. She complained symptoms of urinary frequency, nocturia due to overactive bladder. After starting of electroacupuncture on Baliao, urination frequency was significantly decreased. We consider electroacupuncture on Baliao may have a useful effect on voiding problem, both urinary reservoir and emptying impairment.

Spinal Cord Tumors : An Analysis of 654 Cases(1973-1999) (척수 종양 654예의 임상 분석(1973-1999))

  • Choe, Woo Jin;Chung, Chun-Kee;Cho, Byung-Kyu;Kim, Hyun Jib
    • Journal of Korean Neurosurgical Society
    • /
    • v.30 no.8
    • /
    • pp.1004-1012
    • /
    • 2001
  • Objective : The spinal cord tumors(including vertebral tumors) are increasingly diagnosed and operated due to development of refined diagnostic and therapeutic tools. It is necessary to re-evaluate clinical features and surgical results of spinal cord tumors with increasing cases and developing treatment modalities. The authors reviewed the spinal cord tumor cases to evaluate their clinical characteristics. Material and Methods : The retrospective review of 654 cases of spinal cord tumors between 1973 and 1999 was done. The clinical features, pathological analysis and surgical results were analyzed and compared to the literature. The results of the study are analyzed with a more detailed consideration of each of major pathologies : neurogenic tumors, meningeal tumors, neuroepithelial tumors, and metastatic tumors. Results and Conclusion : The spinal cord tumor was most common in the 5th decade of age(145 cases, 22.1%) and 78 cases(11.9%) were found in children under 15 years of age. The ratio of male to female was 1.2 : 1. The pathologic diagnosis was neurogenic tumor in 266 cases(40.7%), neuroepithelial tumor in 131(20.0%), metastatic tumor in 118(18.0%), and meningeal tumor in 94(14.4%) in the order of frequency. The tumor was located most frequently in the thoracic area(36.5%) and in the intradural extramedullary space(38.1%). The most common initial presentation was pain(40.1%) and the mean duration for presentation to operation was 14.8 months. The total or gross total removal was possible in 404 cases(61.7%) and the surgical result on the postoperative one month was recovery or improvement in 424 cases(64.8%), stationary in 188(28.7%), progression in 42(6.4%). As a surgical complication, there was a spinal deformity(12 cases), wound infection(5 cases), aspiration pneumonia(5 cases) etc. Neurogenic tumors and menigiomas showed good surgical results, whereas neuroepithelial tumors(except ependymoma) and metastatic tumors showed relatively poor prognosis.

  • PDF

Urological Evaluation of Tethered Cord Syndrome

  • Park, Kwanjin
    • Journal of Korean Neurosurgical Society
    • /
    • v.63 no.3
    • /
    • pp.358-365
    • /
    • 2020
  • To describe how to perform urological evaluation in children with tethered cord syndrome (TCS). Although a common manifestation of TCS is the development of neurogenic bladder in developing children, neurosurgeons often face difficulty in detecting urological problems in patients with TCS. From a urological perspective, diagnosis of TCS in developing children is further complicated due to the differentiation between neurogenic bladder dysfunctions and transient bladder dysfunctions owing to developmental problems. Due to the paucity of evidence regarding evaluation prior to and after untethering, I have shown the purpose and tools for evaluation in my own practice. This may be tailored to the types of neurogenic bladder, developmental status, and risks for deterioration. While the urodynamic study (UDS) is the gold standard test for understanding bladder function, it is not a panacea in revealing the nature of bladder dysfunction. In addition, clinicians should consider the influence of developmental processes on bladder function. Before untethering, UDS should reveal synergic urethral movement, which indicates an intact sacral reflex and lack of TCS. Postoperatively, the measurement of post-void residual urine volume is a key factor for the evaluation of spontaneous voiders. In case of elevation, fecal impaction, which is common in spinal dysraphism, should be addressed. In patients with clean intermittent catheterization, the frequency-volume chart should be monitored to assess the storage function of the bladder. Toilet training is an important sign of maturation, and its achievement should be monitored. Signs of bladder deterioration should be acknowledged, and follow-up schedule should be tailored to prevent upper urinary tract damage and also to determine an adequate timing for intervention. Neurosurgeons should be aware of urological problems related to TCS as well as urologists. Cooperation and regular discussion between the two disciplines could enhance the quality of patient care. Accumulation of experience will improve follow-up strategies.