• Title/Summary/Keyword: Numbness

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Clinical study on the Patients with Carpal tunnel syndrome (수근관 증후군에 대한 임상적 고찰)

  • Kim, Il-du;Oh, Hee-hong;Byun, Jae-young;Moon, Hyung-cheol;Koh, Kang-hoon;Park, So-young;Chang, Byoung-sun
    • Journal of Acupuncture Research
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    • v.19 no.6
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    • pp.61-66
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    • 2002
  • Objective : Carpal tunnel syndrome has gained increasing attention and acceptance as a significant cause of peripheral neuropathy, since it was first reported in 1836. The purpose of this study is to inspect the effect of oriental medical treatment on Carpal tunnel syndrome patients who is not come under surgical decompession. Methods : 20 patients who visited Won-Kwang University Hospital during the period from January 1998 to May 2000 were analysed for clinical manifestations. Results : 1. Among 20 patients, 3 were male and 17 were female. 2. The syndrome occurred on the right side in 5 patients, on the left side in 0 patients, and on both 15 patients 3. The most of causes were overwork. 4. Numbness was the most common symptom followed by night pain, paresthesis, morning stiffness, puffiness and resting pain 5. Among 20 patients, 12 were Tinel's sign positive, 16 were Phalen's test positive Conclusions : When the symptom is mild and duration is short, conservative treatment is effetive, but when neurological deficit is prominent and conservative treatment is not effective, surgical decompession is indicated. We treated 19 among 20 cases of the patients which Carpal Tunnel syndrome. We achieved effective results.

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A Clinical Report of Muscular Flaccidity from Damp-Heat Treated with Cheongjo-tang (청조탕(淸燥湯)을 투여(投與)한 습열위증(濕熱威證) 환자(患者) 1례(例)에 대한 임상적(臨床的) 고찰(考察))

  • Seo, Cheol-Hun;Kim, Seong-Jin;Lee, Kyung-Hwan;Kim, Bang-Oul;Choi, Chang-Won;Lee, Young-Soo;Kim, Jong-Seok;Kim, Hee-Chul;Ryu, Hyung-Cheon
    • The Journal of Internal Korean Medicine
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    • v.25 no.3
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    • pp.582-589
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    • 2004
  • This is a study of an admissional patient whose chief complaints were weakness and numbness in both legs, and lumbago. Diagnosis and treatment was based on overall analysis of symptoms from the point of view of muscular flaccidity due to damp-heat from an Oriental Medical point of view. 淸燥湯(Cheong Jo Tang) was administered against heat and dampness. Improvement was observed. For lack of objective criteria to evaluate improvement of these symptoms more case studies of this kind, done with screening tests and proper treatment through clinical application of the thinking of Oriental Medicine, will be needed.

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Three Case Reports of Glossodynia Patients Treated with Cheonggansoyo-san (청간소요산으로 호전된 설통 환자 3례)

  • Kim, Yeon-jin;Yang, Seung-bo;Kim, Jeong-hwa;Lee, Sang-hwa;Cho, Seung-yeon;Park, Seong-uk;Park, Jung-mi;Ko, Chang-nam
    • The Journal of Internal Korean Medicine
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    • v.38 no.4
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    • pp.491-500
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    • 2017
  • Objectives: This clinical study reports the effects of Cheonggansoyo-san (CSS) on three patients with glossodynia. Methods: Three patients with glossodynia were treated with CSS (i.e., an herbal medicine) and acupuncture. Numeric rating scales (NRSs) for glossodynia and dry mouth and hwa-byung questionnaire scores were evaluated, and the results from heart rate variability (HRV) evaluations were analyzed. Results: After treatment with CSS, three patients' glossodynia symptoms, such as burning sensations, tingling, and numbness of the tongue, were improved. NRS ratings for glossodynia and dry mouth and the hwa-byung questionnaire scores also improved, and HRV parameters were closer to the normal range. Conclusion: Cheonggansoyo-san could be used to treat glossodynia.

Removal of Microfat Graft in Lower Eyelid with Transconjunctival Approach (결막절개를 제거통한 아래 눈꺼풀 부위의 미세자가지방이식편의)

  • Shin, Jong-In;Chang, Jung-Woo;Kim, Chang-Yeon;Kim, Youn-Hwan
    • Archives of Plastic Surgery
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    • v.38 no.1
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    • pp.48-52
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    • 2011
  • Purpose: Microfat graft is a common procedure for correcting tear trough deformity and dark circle. Because the tissue in this area is very thin, the grafted fat, sometimes, induces palpable lumps and uneven skin contour. When it happens, the surgical removal of the grafted fat is often needed. The authors made attempt of transconjunctival approach for removal, and this made infraorbital fat repositioning possible at the same time. Methods: 15 female patients with history of microfat graft on lower eyelid, got operation for the grafted fat removal with transconjunctival approach from April of 2009 to July of 2010. The dissection was performed in accordance with infraorbital fat repositioning surgery. Through the transconjunctival incision, knotted fat on orbital septum and orbicularis oculi muscle was removed without damage on skin. After grafted fat removal, subperiosteal space was made 1~2 mm below the inferior orbital rim by elevating periosteum. With preserving orbital septum, infraorbital fat was repositioned and anchored to subperiosteal space. Finally, transconjunctival incision was closed with absorbable suture material. Results: 14 patients in the study showed satisfactory results. The problems like uneven skin contour and knotted fat mass, were all solved. In only one patient, incomplete correction was observed, as bulging on her right lower eyelid still remained. One patient complained of transient numbness on lower eyelid, but there was no specific complication other than this. Conclusion: The authors attempted the method of transconjunctival approach to remove former grafted fat in lower eyelid and reposition infraorbital fat simultaneously. Since the study brought great results, the method would be helpful to patients and surgeons.

Physical Discomforts and Sexual Life Pattern of Women with Hysterectomy (자궁절제술 후 신체적 불편감과 성생활 양상)

  • Ahn, Young-Lan;Park, Young-Sook
    • Women's Health Nursing
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    • v.6 no.2
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    • pp.218-233
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    • 2000
  • The purposes of this study were to investigate the physical discomforts and sexual life pattern and to identify the relation between the physical discomforts and the satisfaction of sexual life in women with hysterectomy. The subject were 301 women who lived with their spouses from 3 months to 2 years after hysterectomy in S. University Hospital. The data were collected using a self-reported questionnaire by mail, which composed of 25 items of physical discomforts, restarting time and frequency of sexual intercourse, and 10 items of sexual satisfaction, The results were as follows: 1) The mean score of physical discomforts was 13.22 and range of score was 0-45. 1.7% of 301 women had no physical discomforts and 12.0% of them complained of severe physical discomforts such as fatigue, lumbago and pain of extremities. 2) The women with hysterectomy complained of fatigue(76.1%), lumbago(68.8%), pain of extremities(63.5%), weight gain(55.5%), vaginal dryness(50.8%) and symptom of estrogen deficiency such as perspiration (47.5%), flush(41.2%) and palpitation (38.5%). As unusual symptom, numbness of thigh (20.3%) and acne(16.3%) were identified. 3) There was no significant difference between the degree of physical discomforts and the laps of time after hysterectomy. But the score of physical discomforts was lower in women with vaginal hysterectomy than in women with abdominal hysterectomy. 4) The mean score of sexual satisfaction was 33.11 and range of score was 10-50. There was no significant difference between the degree of sexual satisfaction and the lapse of time after hysterectomy. 83.8% of women had not change of sexual life satisfaction after hysterectomy. The women restarted sexual intercourse in average 2.57 months after hysterectomy. 5) There was a negative correlation between the physical discomforts and the sexual satisfaction. In conclusion, nurses should make the discharge educational program of the physical discomforts and the sexual pattern for women with hysterectomy in hospital.

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A Study on the Wearing Conditions and Factors of Discomfort with Shoes for Male College Students (남자 대학생의 신발 착용실태와 장해요인)

  • Kweon Soo Ae;Choi Jongmyoung;Kim Jung Sook
    • Journal of the Korean Society of Clothing and Textiles
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    • v.29 no.1 s.139
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    • pp.79-90
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    • 2005
  • The purpose of this study is to find out the wearing conditions and cause of discomfort with shoes for male college students which will provide useful information fur the shoes manufacturer. The questionnaire survey was conducted on 346 male college students on purchasing practices, wearing conditions, and overall satisfaction with shoes. The results were as follows: Male college students have a tendency to have longer buying cycles and buy more expensive shoes compare to high school students. The order of criteria considered fer purchasing was shape, price, style coordination with clothing. The order of criteria considered for purchasing differed according to their major, economic status and purchasing place. Most of them have two pairs of white or black sports shoes and one pair of either black or brown dress shoes. The most popular material was man made leather but college students have more leather shoes than high school students. There were differences between high school students and college students in wearing conditions, how many they have, material and color. The varieties of shoes differed by season. They were satisfied with their shoes' design and color but unsatisfied with qualify or the material and durability of the shoes. Due to the pressure of the shoes, they experienced discomfort such as numbness, blisters on the feet and red skin. They experienced discomfort on the soles of the feet. The causes of discomfort were shape, width, hight of the heel, material and length in order. Dress shoes cause more discomfort than sport shoes due to the hardness of material, and flexibility of the sole. Since the material differed by the price, the degree of discomfort significantly differed by price too.

Tardy Ulnar Nerve Palsy due to Cubitus Varus Deformity (내반주 변형에 의한 지연성 척골 신경 마비)

  • Jeon, In-Ho;Kim, Poong-Taek;Park, Byung-Chul;Ihn, Joo-Chul
    • Clinics in Shoulder and Elbow
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    • v.5 no.1
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    • pp.29-36
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    • 2002
  • Purpose : Cubitus varus deformity has been reported to cause ulnar neuropathy. We present five cases of tardy ulnar nerve palsy due to cubitus vus and analyzed the factors related to the nerve plasy caused by the deformity. Materials and Methods : Three men and two women were reviewed retrospectively and the mean age of the patients were 26 (range, 14-38). The average interval from initial fracture to nerve palsy was 19 years (8-32 years). The severity of symptoms, according to McGowan's classification, was grade I of 2 patients, grade Ⅱ of 3 patients. Carrying angle was an average of 18。 (30° -45° ). Internal rotation angle measured by Yamamoto's method was an average of 33° (30° -45° ). Results ㆍ The mean follow-up period was 53 months (35-70 months). Elbow pain and numbness of the fingers were relieved shortly after surgery. It revealed that anterior subluxation of the nerve due to internal rotation deformity and compression of the nerve between the medially shifted medial head of triceps and the medial epicondyle. Conclusion : The major entrapment point of the nerve is the fibrous band between the two heads of the flexor carpi ulnaris. The severe internal rotation deformity may contribute the cause of tardy ulnar nerve palsy in cubitus varus deformity.

Clinical Evaluation and The Diagnositic Significances of Disital Infrared Thermal Image(D.I.T.I.) on the Patients of Dam Hun(痰暈) (담훈(痰暈)환자의 임상적 고찰과 복부 적외선 체열촬영의 의의)

  • Park, Mee-Yeon;Choi, Hae-Yun;Kim, Jong-Dae;Song, Kwang-Kyu
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.20 no.2
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    • pp.488-493
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    • 2006
  • To make a objective diagnosis of Dam Hun(痰暈), we investigated the 63 patients with Dam Hun(痰暈) and 34 normal people as control group. we compared the thermal difference between Chon-jung(CV17 ) and Chung-wan(CV12 中脘), Chon-jung(CV17 ) and Gwan-won(CV4 關元) and we compared the thermal difference of Yang-mun(ST21 梁門), Chun_chu(ST25 天樞), Su-do(ST28 水道), too. All 63 patients had dizziness and GI trouble. They had the symptom - fatigue, nausea vomitting, head heaviness, indigestion, cold limbs, headache, heart burn, constipation, diarrhea, anorexia. And some had edema, numbness, insomnia, palpitation, facial flushing, dysuria, ringing. Considering the average temparature of Chon-jung(CV17 ), Chung-wan(CV12 中脘), Gwan-won(CV4 關元), Yang-mun(ST21 梁門), Chun-chu(ST25 天樞), Su-do(ST28 水道) between the patients group and the control group, the patients group were lower than the control group except for Chon-jung(CV17 ), Gwan-won(CV4 關元), but the statistical significance was not. Considering the thermal difference of Chon-jung(CV17 ) and Chung-wan(CV12 中脘), Gwan-won(CV4 關元), Yang-mun(ST21 梁門), Chun-chu(ST25 天樞), Su-do(ST28 氷道) between the patients group and the control group, the temparature deviation of Chon-jung(CV17 ) and Chung-wan(CV12 中脘), Chon-jung(CV17 ) and Yang-mun(ST21 梁門) was significant. We suggest that coldness of upper abdomen is significant in diagnosis of Dam Hun(痰暈).

Orbital Floor Reconstruction through Endoscopic Transnasal Approach Alone (안와하벽 파열 골절에 대한 내시경적 접근법만을 이용한 재건술)

  • Bae, Seong Hwan;Kang, Kyung Dong;Nam, Su Bong;Bae, Yong Chan;Choi, Soo Jong
    • Archives of Craniofacial Surgery
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    • v.13 no.2
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    • pp.99-103
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    • 2012
  • Purpose: Many surgical methods for reconstruction of orbital floor fracture have been reported, which include subciliary approach, transconjunctival approach, transantral and transnasal endoscopic approach, etc. The purpose of this study is to demonstrate a surgical technique and analyze the results of transnasal endoscopic approach with Foley catheter ballooning without implantation of artificial surgical material through subciliary approach. Methods: Between February 2007 and November 2010, 29 orbital floor fracture patients, who had no herniated muscles through bone fragments, were treated through transnasal endoscopic approach with Foley catheter ballooning. Under the endoscopic view, the operator identified the opening of maxillary sinus. After widening of the opening using forceps, the operator reduced the fragmented bone with curved suction tip. Thereafter, 18-Fr Foley catheter was inserted. Four weeks after the operation, the catheter was removed. Results: Preoperatively, 6 patients had diplopias, 4 patients had limitations of extraocular motions and 3 patients had enophthalmos. After removal of the Foley catheter 4 weeks after the operation, 2 patients had diplopias, 1 patient had a limitation of extraocular motion, 1 patient has an enophthalmos and 1 patient had numbness on the cheek. These symptoms were resolved about 6 months after the surgery. Conclusion: The operative technique of Foley catheter ballooning through transnasal endoscopic approach without implantation of the artificial surgical material through subciliary approach can be considered one of the appropriate techniques for orbital floor fracture.

Schwannoma of the Orbit

  • Kim, Kwang Seog;Jung, Jin Woo;Yoon, Kyung Chul;Kwon, Yu Jin;Hwang, Jae Ha;Lee, Sam Yong
    • Archives of Craniofacial Surgery
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    • v.16 no.2
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    • pp.67-72
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    • 2015
  • Background: A schwannoma is a benign, slow-growing peripheral nerve sheath tumor that originates from Schwann cells. Orbital schwannomas are rare, accounting for only 1% of all orbital neoplasms. In this study, we retrospectively review orbital schwannomas and characterize clinical, radiologic, and histologic features of this rare entity. Methods: A retrospective review was performed to identify patients with histologically confirmed orbital schwannoma, among a list of 437 patients who had visited our hospital with soft tissue masses within the orbit as the primary presentation between 2010 and 2014. Patient charts and medical records were reviewed for demographic information, relevant medical and family history, physical examination findings relating to ocular and extraocular sensorimotor function, operative details, postoperative complications, pathologic report, and recurrence. Results: Five patients (5/437, 1.1%) were identified as having histologically confirmed orbital schwannoma and underwent complete excision. Both computed tomography (CT) and magnetic resonance imaging (MRI) studies were not consistent in predicting histologic diagnosis. There were no complications, and none of the patients experienced significant scar formation. In two cases, patients exhibited a mild postoperative numbness of the forehead, but the patients demonstrated full recovery of sensation within 3 months after the operation. None of the five patients have experienced recurrence. Conclusion: Orbital schwannomas are relatively rare tumors. Preoperative diagnosis is difficult because of its variable presentation and location. Appropriate early assessment of orbital tumors by CT or MRI and prompt management is warranted to prevent the development of severe complications. Therefore, orbital schwannomas should be considered in the differential diagnosis of slow-growing orbital masses.