• The Korean Journal of Pain
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• 제18권2호
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• pp.151-155
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• 2005

Background: A significant number of patients complain of persistent pain or neurologic symptoms after lower back surgery. It is reported that facet joint pain plays a role in failed back surgery syndrome. To the best of our knowledge, there are few studies that have investigated the outcome of radiofrequency neurotomy in the patients with failed back surgery syndrome. Methods: The study group was composed of thirteen patients who were operated on due to their low back pain, and they displayed no postoperative improvement. All the patients underwent double diagnostic block of the lumbar medial branch of the dorsal rami with using 0.5% bupivacaine. The patients who revealed a positive response to the double diagnostic block were then treated with percutaneous radiofrequency neurotomy. The effect on their pain was evaluated with using a 4 point Likert scale. Results: Eleven patients revealed a positive response to the double diagnostic block. Ten patients were given percutaneous radiofrequency neurotomy. Nine patients showed sustained pain relief for 3 months after the percutaneous radiofrequency neurotomy. Conclusions: We found lumbar facet joint syndrome in the patients with failed back surgery syndrome by performing double diagnostic block and achieving pain relief during the short term follow-up after percutaneous radiofrequency neurotomy of the lumbar zygapophysial joints. This suggested that facet joint pain should be included in failed back surgery syndrome.

• Journal of Korean Neurosurgical Society
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• 제40권3호
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• pp.169-174
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• 2006

Objective : This study was conducted to examine the correlation between clinical outcomes and the size of the syrinx in post-operative magnetic resonance imaging[MRI] and symptom duration. Methods : The authors investigated twelve patients who underwent various operations for syringomyelia from January 1995 to December 2003. The authors retrospectively analyzed medical records. pre- and post-operative MRI findings, features and durations of symptoms, and the method of surgical treatments. The clinical outcomes were assessed on Prolo scale at 6 months of post-operative period. Results : Neurologic symptoms did not promptly disappear after the shrinkage of syrinx, but post-operative MRI demonstrated most patients showed reductions in the size of the syrinx. There is no statistical relationship between clinical improvements and decrements of the syrinx size. However, patients who underwent surgical treatment within 2 years from the symptom onset had more favorable outcome than those who had operations after 2 years from the onset of symptoms. Conclusion : Change in the size of the syrinx in post-operative MRI is not directly proportional to favorable clinical outcomes. However, symptom duration before surgical treatment has considerable impact on the clinical outcomes.

• Journal of Korean Neurosurgical Society
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• 제29권9호
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• pp.1184-1187
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• 2000

Spontaneous spinal epidural hematoma is rare disease and usually presents with a progressive neurological syndrome for which surgical decompression is usually indicated. The cause of bleeding in epidural hematoma remains unknown in most of the cases. The most frequently identified risk factor is coagulopathy or treatment with anticoagulants. Recently, authors experienced a case of spontaneous spinal epidural hematoma with intraoperative profuse bleeding at the cervicothoracic location. Laboratory examination showed no evidence of coagulopathy or hepatic disease. On neurologic examination, left hemiparesis(Grade : II) and left side sensory change were noted. On MRI scan, there was a mass of high signal intensity in T2WI and isosignal intensity in T1WI compressing the cord to left side. The patients had good surgical outcome after decompressive laminectomy and hematoma removal.

• Journal of Korean Neurosurgical Society
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• 제50권3호
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• pp.209-215
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• 2011

Objective : The authors investigated the changes of cortical sensorimotor activity in functional MRI (fMRI) and functional recovery in spinal cord injury (SCI) patients who had been treated by bone marrow cell transplantation. Methods : Nineteen patients with SCI were included in this study; ten patients with clinical improvement and nine without. The cortical sensorimotor activations were studied using the proprioceptive stimulation during the fMRI. Results : Diagnostic accuracy of fMRI with neurological improvement was 70.0% and 44.4% for sensitivity and specificity, respectively. Signal activation in the ipsilateral motor cortex in fMRI was commonly observed in the clinically neurological improved group (p-value=0.002). Signal activation in the contralateral temporal lobe and basal ganglia was more commonly found in the neurological unimproved group (p-value<0.001). Signal activation in other locations was not statistically different. Conclusion : In patients with SCI, activation patterns of fMRI between patients with neurologic recovery and those without varied. Such plasticity should be considered in evaluating SCI interventions based on behavioral and neurological measurements.

• 턱관절균형의학회지
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• 제2권1호
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• pp.20-25
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• 2012

본 증례에서는 원인불명의 전신 연축성 사경증과 강박장애를 동반한 경부 연축성 사경증의 두 증례에 대해 음양균형장치를 포함한 표준형 구강내 균형장치, 침구치료, 한약처방, 골반교정 등 복합치료를 통해 뚜렷한 치유효과를 관찰했다. 음양균형장치와 표준형구강내 균형장치 등 턱관절의 균형조절을 통한 기능적뇌척주요법의 치료가 경추와 흉추의 구조변화는 물론 전신자세에도 긍정적인 변화를 주고 있음을 관찰했다.

• 턱관절균형의학회지
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• 제9권1호
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• pp.24-34
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• 2019

울산광역시 동구 보건소 협력 사업으로 한 2014년도 한방 난임 치료 1증례를 포함한 6증례중에서 난임의 치료방법으로 4증례는 FCST의 편차수정, 음양균형장치를 포함한 PBT, 침 치료, 부항, 뜸, 한약 등의 복합치료로 전신 증상의 개선 및 감소에 현저한 치료효과가 나타남을 관찰하였다. 2증례는 음양균형장치와 PBT는 제외되었다. 또한 그 결과로 6증례 모두 자연 임신에 성공하여 출산하였고 출산한 아기들도 건강한 상태임을 확인하였다.

• 턱관절균형의학회지
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• 제5권sup호
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• pp.25-30
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• 2015

본 증례에서는 MRI상 극심한 요추 척추관 협착증 소견을 받고 요통과 하지 방사통으로 일상생활이 어려워 수술적 치료를 예정 받은 환자에게서 음양균형장치를 포함한 PBT, 침치료 등 구조적 치료를 통해서도 유의한 치료변화가 나타남을 관찰하였고 자각적 통증 및 보행 시간의 호전이 있어 이를 보고하는 바이다.

• 턱관절균형의학회지
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• 제4권1호
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• pp.21-26
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• 2014

본 증례에서는 원인 불명의 만성 재발성 악관절 탈구 및 개구 장애에 대해 CBA, TBA를 비롯한 FCST의 구조적 치료를 통해서도 유의한 치료변화가 나타남을 관찰하였다.

• 턱관절균형의학회지
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• 제6권1호
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• pp.11-18
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• 2016

울산광역시 ${\bigcirc}$구 보건소 협력 사업으로 한 2015년도 한방 난임 치료 2증례에서는 난임의 치료방법으로 FCST의 편차수정, 음양균형장치를 포함한 PBT, 침 치료, 부항, 뜸, 한약 등의 복합치료로 전신 증상의 개선 및 감소에 현저한 치료효과가 나타남을 관찰하였다. 또한 그 결과로 2증례 모두 자연 임신에 성공하여 출산하였고 출산한 아기들도 건강한 상태임을 확인하였다.

• 턱관절균형의학회지
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• 제6권1호
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• pp.5-10
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• 2016

본 증례에서는 구안와사환자에게 음양균형장치를 포함한 표준형 구강내 균형장치, 침구치료, 골반교정 등 복합치료를 통해 유효한 임상경과를 보인 결론은 다음과 같다. 1. 안면신경은 주행이 길고 측두골내에서 좁은 골관을 지나기 때문에, 좌상(bruised) 등 여러 가지 이유에 의하여 골도속의 신경 부종과 혈액순환 장애로 지연성 마비를 일으킨다. 2. 음양균형장치와 표준형구강내 균형장치 등 턱관절의 균형조절을 통한 기능적뇌척주요법의 치료가 안면신경마비의 치료에 효과적인 방법인 것을 관찰하였다. 기존의 구안와사의 경우 대부분 뚜렷한 치료방법을 선택하기가 어려웠으나, 이 증례를 통해 볼 때 수술 등의 대증요법을 하지 않고 기능적뇌척주요법 치료의 접근을 시도해 볼 수 있는 가능성이 있다고 사료된다.