• 대한한의학회지
• /
• 제21권4호
• /
• pp.264-270
• /
• 2000

The occurrence of neurologic symptoms after cervical manipulation(Chuna treatment) seems to be an uncommon event considering the large number of manipulations performed. The precise incidence is unknown, for only patients with serious complications seek medical care. We recently experienced a 3D-year-old woman who developed sudden neurologic complications after cervical Chuna treatment by a nonprofessional therapist. Whether the manipulation is the major causative factor in the subsequent stroke can be disputable and must be considered in each case. Physicians and patients, however, should be aware that cerebrovascular accidents may occur as a result of cervical manipulation.

• Journal of Chest Surgery
• /
• 제38권3호
• /
• pp.237-240
• /
• 2005

Todd 마비는 경련발작 후에 발생하는 일시적인 신경학적 결손으로 국소적 혹은 전신발작 후에 발생 할 수 있는 합병증으로, 명확한 병태생리가 밝혀지지 않았으나 경련발작 후 신경세포의 피로(ex-haustion) 혹은 소실에 의해 초래된다고 알려져 있다. 저자들은 개심술 후 우측 중대뇌동맥 뇌경색과 유사한 임상양상을 보인 Todd 마비 환자를 경험하였기에 문헌고찰과 함께 보고한다.

• 대한한의학회지
• /
• 제21권4호
• /
• pp.227-235
• /
• 2000

Background and Purpose : Medical and Neurological complications in patients with acute stroke may affect their prognosis including death rate, function and admission period. Some of these complications may be preventable. But few data exist regarding complications occurring in the first weeks. So we sought to observe the type, timing, and frequency of complications in hospitalized patients after stroke. Methods : We retrospectively examined the case notes of patients admitted in Won Kwang Oriental Medical Hospital after stroke. Two observers inspected the case notes using predifined diagnostic criteria and recorded the type, timing, and frequency of complications that occurred during the inpatient period. Results : Complications were recorded in 43 patients(82.7%). The most common medical complications were constipation(25.0%) and shoulder pain(21.2%). The most frequent serious medical problems were pulmonary infection(9.6%) and UTI(7.7%). The most common neurological complications were insomnia(34.6%) and dysphagia(23.7%). The most frequent serious medical problem was mental deterioration(7.7%). Conclusion : Complications after acute stroke are common. There were more medical complications than neurological complications. So we should compile much knowledge about medical complications and treat them actively. The differences between our study and previous studies are attributable to the different methods including patient selection and diagnostic criteria.

• Clinical and Experimental Pediatrics
• /
• 제49권5호
• /
• pp.513-518
• /
• 2006

목 적 : 본 연구에서는 로타바이러스 위장관염 환아에서 신경학적 이상이 동반된 경우와 그렇지 않은 경우를 비교하여 로타 바이러스 유전형의 분포와 빈도를 조사하고자 하였다. 방 법 : 로타바이러스 위장관염 환아에서 로타바이러스 유전형을 밝힌 82례 중 71례는 신경학적 이상이 동반되지 않았으며 11례에서 신경학적 이상이 동반되었다. 4군의 G형과 4군의 P형이 reverse transcription, multiplex polymerase chain reaction을 통해 분석되었다. 결 과 : 신경학적 이상이 동반되지 않은 군에서는 G4, G3, G2, G1형이 각각 24(35.3%), 23(33.8%), 17(25.0%), 4(5.6%)로, P6, P4, P8, P9형이 각각 26(36.1%), 23(31.9%), 22(30.6%), 1(1.4%)로 보고되었다. 또한 조합형으로 G2P4, G4P6이 가장 흔하게 관찰되었다. 신경학적 이상이 동반된 군에서는 G2, G3, G4형이 각각 9(75.0%), 2(16.7%), 1(8.3%)로, P4, P6, P8, P9형이 각각 8(66.7%), 2(16.7%), 1(8.3%), 1(8.3%)로 보고되었다. 또한 조합형으로 G2P4가 가장 흔하게 관찰되었다. 신경학적 이상이 있는 군에서 G2, P4, G2P4의 빈도는 신경학적 이상이 없는 군에 비해 그 빈도가 의미있게 높았다. 결 론 : 로타바이러스 위장관염 환아에서 신경학적 이상이 동반된 경우, 신경학적 이상이 동반되지 않은 경우에 비교하여 G1형이 관찰되지 않았으며, G2, P4, G2P4형이 더 흔하게 관찰되었다.

• Clinics in Shoulder and Elbow
• /
• 제19권2호
• /
• pp.101-104
• /
• 2016

Reverse total shoulder arthroplasty has been performed with promising results in rotator cuff tear arthropathy. However, the global complication of the reverse total shoulder arthroplasty is relatively higher than that of the conventional total shoulder arthroplasty. Neurologic complications after reverse total shoulder arthroplasty are rare but there are sometimes remaining sequelae. The cause of the neurologic complication is multifactorial, including arm traction, position and the design of the implant. Most cases of neurologic palsy following reverse total shoulder arthroplasty occur in the axillary nerve and the radial nerve. The authors report on a case of a 71-year-old man with isolated musculocutaneous nerve palsy after reveres total shoulder arthroplasty with related literature.

• Journal of Korean Neurosurgical Society
• /
• 제48권6호
• /
• pp.544-546
• /
• 2010

Paraplegia following spinal epidural anesthesia is extremely rare. Various lesions for neurologic complications have been documented in the literature. We report a 66-year-old female who developed paraplegia after left knee surgery for osteoarthritis under spinal epidural anesthesia. In the recovery room, paraplegia and numbness below T4 vertebra was checked. A magnetic resonance image (MRI) scan showed a spinal thoracic intradural extramedullary (IDEM) tumor. After extirpation of the tumor, the motor weakness improved to the grade of 3/5. If a neurologic deficit following spinal epidural anesthesia does not resolve, a MRI should be performed without delay to accurately diagnose the cause of the deficit and optimal treatment should be rendered for the causative lesion.

• 동의생리병리학회지
• /
• 제17권1호
• /
• pp.258-262
• /
• 2003

Background and Purpose : In the acute stage of stroke, many medical and neurological problems complicate and affect the clinical course of patients. according to previous reports. Although some of them may be predicted, few data exist about them. So we were to investigate the characteristics of complications in hospitalized patients due to stroke. Methods : We retrospectively examined the clinical notes of patients admitted in Won Kwang oriental medical hospital after stroke. Two observers inspected the clinical notes using predefined diagnostic criteria and recorded the type, timing, and frequency of complications that occurred during hospitalization. Results: Total 78 subjects were included in this study. Medical complications(88%) were more frequently complicated than neurological ones(65%). The most common medical complication was constipation(29%) followed by fever(28.2%) and overflow incontinence associated with dysuria(28%). The most common neurological complication was dysphagia(23.7%) and the second was agitation or Insomnia(36%) and the third was headache(21%). Conclusion : Complications after acute stroke were commonly observed. And There were more frequent medical complications than neurological ones. So we should have much knowledge about medical complications and treat them actively. The differences between our study and previous studies are attributable to the different methods including patient selection and diagnostic criteria.

• The Korean Journal of Pain
• /
• 제10권2호
• /
• pp.301-303
• /
• 1997

A 35-year-old female patient was referred to our hospital with neurologic symptoms after continuous epidural block performed 2 days earlier. She die not have any prior no previous lumbar surgery or experience trauma, intraspinal hemorrhage, infections or other known causative factors to associate with neurologic symptoms. Continuous epidural block is widely used for postoperative pain control. Complications can occur with this block including postduralpuncture headache, epidural abscess and rare cases of arachnoiditis etc. We experienced such a case of spinal arachnoiditis after continuous epidural block. Neurologic examination revealed painful bilateral hypoesthesia below $S_2$ level dermatomes, urinary and fecal incontinence and various degrees of leg weakness. The following day, the patient was noted to have bilateral sacral radiculopathies and lesion on proximal portion of both tibial nerve. CSF study reported: protein 264 mg/dl, sugar 64 mg/dl, WBC $7/mm^3$. L-spine MyeloCTscan results were unremarkable. She was discharged after a month of hospitalization and has regular checkups but her neurologic symptoms show no signs of improvement.

• 대한한방부인과학회지
• /
• 제23권1호
• /
• pp.124-135
• /
• 2010

Purpose: To report the patient with sciatic neuropathy after gynecologic laparoscopy, who improved by Traditional Korean Medical treatment and to study Traditional Korean Medicine(TKM) management of complications of gynecologic laparoscopy. Methods: A patient with sciatic neuropathy after gynecologic laparoscopy was managed with herbal medicine, acupuncture and moxibustion treatment. Results: After about 2 months treatment, patient's symptoms and signs were improved. TKM management was effective in recovery of neurologic complication after gynecologic laparoscopy. Conclusion: We need to actively participate in management of complications of gynecologic laparoscopy as primary or adjuvant therapy. And more study is needed for developing Traditional Korean Medical indication of complications of Gynecologic Laparoscopy.

• Asian Pacific Journal of Cancer Prevention
• /
• 제16권8호
• /
• pp.3551-3557
• /
• 2015

Background: Non-Hodgkin's lymphoma (NHL) is a heterogeneous type of neoplasm of the lymphatic system. To have a more accurate and early diagnosis we need to know signs, symptoms and complications of lymphoma in early stages besides pathology and immunohistochemistry. Materials and Methods: This prospective study included 110 cases of NHL that were followed since February 2012 till November 2013. Biopsies were taken from all the patients besides bone marrow study. Signs and symptoms were categorized into "B" symptoms, general, lymphadenopathy and extranodal involvement and we compared the frequencies by stage and grade. Results: Of 110 cases, 88.9% had B-cell and 11.1% T-cell type with mean age $48.5{\pm}18.6$ years. "B" symptoms and lymphadenopathy were more common in men. Cervical lymphadenopathy was the most common sign (44.8%). and hematologic, bone marrow, bone and neurologic lesions were the most common complications. All complications were more common in males. "B" symptoms were seen mostly in stage III, general signs and symptoms in stage IV, and lymphadenopathy in stage II. Intermediate grade was also the most common in all signs and symptoms. In this study 12 (10.9%) patients had relapse, with neurologic and bone marrow as the most common sites of tumor recurrence. Conclusions: There is a meaningful relationship between male gender for NHL and anemia that can be due in part to higher incidence of bone marrow involvement and stage IV disease in male cases. We also found a strong relationship between low grade NHL and age. On the other hand extranodal involvement is more common in female groups.