• Title/Summary/Keyword: Numbness patient

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A Case of Radial Nerve Palsy (요골신경마비(撓骨神經痲痺) 치험(治驗) 1례(例))

  • Lee, Se-yun;Lee, Kyung-min;Jung, Tae-young;Seo, Jung-chul;Han, Sang-won
    • Journal of Acupuncture Research
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    • v.20 no.1
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    • pp.236-243
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    • 2003
  • Objective : The purpose of this study is to report the patient with radial nerve palsy, who improved by oriental medical treatment. Methods : The patient was managed by bee venom aqua-acupuncture, sclp acupuncture and herbal medicine. We took picture of the patients's wrist and checked the power of muscles. Results : After 4 week treatment, the movement and power of wrist was restored of nearly normal range. also the numbness of hand was removed. Combined oriental medical treatment can treat radial nerve palsy earlier than other methods. Conclusions : The results suggest that combination of bee venom aqua-acupuncture, scalp acupuncture and herbal medicine is good method for treatment of radial nerve palsy. But further studies are required to concretely prove the effectiveness of this methods for treating radial nerve palsy.

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Non-Dural-Based Spinal Meningioma : The First Case Report of a Fibrous Subtype and a Review of the Literature

  • Lee, Ji Hye;Moon, Hong Joo;Kim, Joo Han;Park, Youn-Kwan
    • Journal of Korean Neurosurgical Society
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    • v.56 no.1
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    • pp.58-60
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    • 2014
  • Spinal meningiomas typically adhere to the dura matter. Non-dural based spinal meningiomas are rare and most are clear cell meningiomas. We report here the first case of a fibrous meningioma with non-dural attachment. The patient was a 49-year-old female, who complained of numbness in the legs and a gait disturbance. Magnetic resonance imaging revealed a $1.7{\times}1.4-cm$ mass in the C7-T1 intra-dural extramedullary space, showing peripheral gadolinium enhancement without a "dural tail sign". A complete microsurgical resection was performed. The mass was covered with a white membrane but was not adhered to the dura, and its appearance was consistent with a neurilemmoma. The histopathological diagnosis was fibrous-type meningioma. The recovery of the patient was uneventful. No surgical complications and no recurrence of the tumor had occurred at the 6-month follow-up.

Endovascular Treatment of Symptomatic High-Flow Vertebral Arteriovenous Fistula as a Complication after C1 Screw Insertion

  • Jang, Hyun Jun;Oh, Se-Yang;Shim, Yu Shik;Yoon, Seung Hwan
    • Journal of Korean Neurosurgical Society
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    • v.56 no.4
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    • pp.348-352
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    • 2014
  • High-flow vertebral arteriovenous fistulas (VAVF) are rare complications of cervical spine surgery and characterized by iatrogenic direct-communication of the extracranial vertebral artery (VA) to the surrounding venous plexuses. The authors describe two patients with VAVF presenting with ischemic presentation after C1 pedicle screw insertion for a treatment of C2 fracture and nontraumatic atlatoaxial subluxation. The first patient presented with drowsy consciousness with blurred vision. The diffusion MRI showed an acute infarction on bilateral cerebellum and occipital lobes. The second patient presented with pulsatile tinnitus, dysarthria and a subjective weakness and numbness of extremities. In both cases, digital subtraction angiography demonstrated high-flow direct VAVFs adjacent to C1 screws. The VAVF of the second case occurred near the left posterior inferior cerebellar artery originated from the persistent first intersegmental artery of the left VA. Both cases were successfully treated by complete occlusion of the fistulous portion and the involved segment of the left VA using endovascular coil embolization. The authors reviewed the VAVFs after the upper-cervical spine surgery including C1 screw insertion and the feasibility with the attention notes of its endovascular treatment.

Radiofrequency Lesion Generation of the Articular Branches of the Obturator and Femoral Nerve for Hip Joint Pain -A case report- (고관절통을 위한 폐쇄신경 및 대퇴신경 관절지의 고주파열응고술 -증례보고-)

  • Shin, Keun Man;Nam, Sung Keun;Yang, Myo Jin;Hong, Seong Joon;Lim, So Young;Choi, Young Ryong
    • The Korean Journal of Pain
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    • v.19 no.2
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    • pp.282-284
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    • 2006
  • Percutaneous radiofrequency thermocoagulation has been applied in patients with various forms of chronic pain, such as facet joint pain, cancer pain and trigeminal neuralgia. A major portion of the hip joint is innervated by the articular branches of the femoral and obturator nerves. Radiofrequency thermocoagulation of the articular branches of the obturator and femoral nerves can be a good alternative treatment for patients with hip joint pain, especially in those where surgery is not applicable. A patient suffering hip joint pain due to metastatic cancer underwent multiple radiofrequency lesioning of the femoral and obturator nerves at $80^{\circ}C$ for 120 seconds, using a Racz-Finch Kit. The patient experienced about a 50% reduction in the pain, without any numbness or other side effects.

The Relationships of Treatment Side Effects, Family Support, and Quality of Life in Patient with Cancer (암환자의 치료 부작용, 가족지지, 삶의 질과의 관계 연구)

  • 허혜경;김대란;김대화
    • Journal of Korean Academy of Nursing
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    • v.33 no.1
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    • pp.71-78
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    • 2003
  • Purpose: The study was done to identify the relationship of treatment side effects, family support, and quality of life in patients with cancer, and factors influencing quality of life. Method: A convenience sample of 106 patients who were receiving cancer treatment at W hospital were interviewed using the Side Effects scale by Hur, Family Support scale by Kang, and QOL scale by Ro. Result: Results indicate that women experienced more severe side effects than men. There was a negative relationship between side effects and quality of life, and a positive relationship between family support and quality of life. The most bothersome side effects were changes in taste and appetite, followed by general weakness and fatigue. Side effects such as loss of hair, nausea, dizziness, numbness, pins and needles in fingers and toes, and dry mouth were also experienced. General weakness and family support were analysed as to whether they were factors influencing quality of life. Conclusion: The results revealed that relieving general weakness should be given high priority in nursing interventions for patients undergoing cancer treatment. In addition, nursing programs should be developed that can reinforce family support.

Case Study of Oriental Medicine Treatment with Acupotomy Therapy of the Carpal Tunnel Syndrome (수근관 증후군에 관한 침도 침술의 유효성에 관한 임상증례보고)

  • Lim, Na-Ra;Kim, Sung-Chul;Jang, Eun-Ha;Na, Won-Min;Lim, Seung-Il;Shin, Jin-Bong;Lee, Geon-Mok
    • Journal of Acupuncture Research
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    • v.25 no.4
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    • pp.163-170
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    • 2008
  • Purpose : In order to estimate clinical effects of Oriental Medicine Treatment with acupotomy therapy of Carpal tunnel Syndrome. Methods : From 7th May, 2008 to 10th May, 2008, 1 female patient diagnosed as carpal tunnel syndrome(clinical diagnosed) was treated with general oriental medicine therapy(acupuncture, moxibustion, cupping, physical therapy, herbal medication) and acupotomy. Results : The patient's both hand numbness, both wrist pain & puffiness were remarkably improved. Conclusions : This study demonstrates that oriental medical treatment with acuputomy therapy has notable effect in improving symptoms of carpal tunnel syndrome. as though we had not wide experience in this treatment, more research is needed.

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Extraosseous Osteochondroma of the Foot - A case report - (족저부에 발생한 골외 골연골종 - 1례 보고 -)

  • Ahn, Byung-Woo;Lee, Saeng-Guk;Jin, Jin-Woo;Kim, Kwon-Ho;Kim, Kang-Hoon
    • Journal of Korean Foot and Ankle Society
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    • v.6 no.2
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    • pp.217-220
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    • 2002
  • Although osteochondromas are common bone lesions, extraosseous osteochondromas are rare. The most common sites of involvement are the hand, knee, and foot. The authors experienced a case of soft tissue osteochondroma in the plantar aspect of the left foot. The patient complained of a palpable mass for 5 years. The mass grew slowly and had been asymptomatic until 5 months prior to admission when the patient developed slight pain on ambulation and numbness distal to the mid foot. Radiologic studies demonstrated well-circumscribed, lobulated, ossified mass in the plantar aspect of the mid foot. Histological examination confirmed a osteochondroma of soft tissue origin.

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A rare case of Ewing sarcoma metastasis to the oral cavity

  • Schulz, Rieli Elis;de Lima, Matheus Henrique Alves;Lopes, Rodrigo Nascimento;Pinto, Clovis Antonio Lopes;Nicolau, Ulisses Ribaldo;Araujo, Juliane Piragine
    • Imaging Science in Dentistry
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    • v.51 no.2
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    • pp.217-222
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    • 2021
  • Ewing sarcoma in the head and neck is rare, and metastasis from other bones to the mandible accounts for 0.7% of cases. This report presents a case of oral metastasis in a 24-year-old male patient diagnosed with Ewing sarcoma of the femur (p53 gene mutation and EWSR1-ERG fusion). The chief complaint was numbness in the mandible and pain for 1 month and a hardened, ulcerated exophytic lesion in the right retromolar region. Imaging exams revealed an unspecified thinning of the cortical bone of the inferior alveolar canal in the right mandibular ramus, associated with erosion of the alveolar bone. Histopathological analysis confirmed metastasis of Ewing sarcoma. The patient presented an aggressive disease progression and died 1 month after the oral diagnosis. It is important to recognize the signs and symptoms compatible with rare clinical outcomes, leading to an early diagnosis that can improve patients' quality of life and survival.

Ultrasonography-Combined with Nerve Stimulator Technique for Injection of the Genitofemoral Nerve in a Patient with Chronic Postoperative Inguinal Pain (수술 후 서혜부 만성 통증에서 신경 자극기를 이용한 초음파 유도하 음부대퇴신경 차단술)

  • Oh, Young-Bin;Shin, Hyun Baek;Ko, Myoung-Hwan;Seo, Jeong-Hwan;Kim, Gi-Wook
    • Clinical Pain
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    • v.18 no.1
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    • pp.36-39
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    • 2019
  • Chronic postoperative inguinal pain (CPIP) is a major complication after inguinal herniorrhaphy. We report the treatment of CPIP using ultrasonography-combined with nerve stimulator for injection of the genitofemoral nerve (GFN). A 59-year-old man underwent laparoscopic herniorrhaphy and presented with numbness from the inguinal region to the scrotum after operation. In the pain clinic, ultrasonography-guided GFN block and pharmacological treatments had little effect. Six month after operation, patient was referred to the Department of Physical Medicine and Rehabilitation, and ultrasonography-combined with nerve stimulator for GFN injection underwent to enhance the accuracy of neural approach. The induction of scrotal contraction and paresthesia on the GFN distribution was monitored by nerve stimulator and local anesthetic was injected. After the block, pain relief lasted for 6 months without analgesic use. Ultrasonography-combined with nerve stimulator is an effective approach to treat CPIP as it enhances precise localization and injection of small peripheral nerve like GFN.

Analgesic Effect of a Traditional Korean Medicine Yang Eui Gongjin-dan on Severe Pain: A Retrospective Study (兩義供辰丹을 倂用한 한방치료가 重症度의 통증 환자에 미치는 진통 효과 : 후향적 연구)

  • Lee, Dong-hyuk;Lee, Young-eun;Lee, Bo-yun;Kim, Yeon-jin;Cho, Seung-yeon;Park, Seong-uk;Jung, Woo-sang;Moon, Sang-kwan;Ko, Chang-nam;Cho, Ki-ho;Park, Jung-mi
    • The Journal of Internal Korean Medicine
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    • v.36 no.3
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    • pp.265-275
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    • 2015
  • Objectives: The aim of this study was to investigate the analgesic effect of Yang Eui Gongjin-dan (YEGJD), a traditional Korean medicine, on severe pain or numbness, including acute and chronic non-cancer pain. Methods: Records of patients visiting the Department of Traditional Korean Internal Medicine, Stroke and Neurological Disorders Center, from March 2011 to January 2015, were searched. Their chief complaint was severe numbness or pain (NRS≥7). We compared the NRS of pain pre- and post-YEGJD treatment in 34 patients; and analyzed changes in pain severity pre- and post-YEGJD treatment in 17 chronic non-cancer pain patients. We also investigated other accompanying symptoms, such as insomnia, anorexia, dyspepsia, fatigue, coldness, and excessive sweating, related to the deficiency state (虛症) in traditional Korean medicine. Results: The average pain NRS for the 34 patients significantly decreased from 8.04±1.08 to 3.75±2.54 after YEGJD treatment. The average pain NRS score in chronic non-cancer pain patients also significantly declined from 7.91±0.97 to 3.29±2.29. Conclusions: The traditional Korean medicine Yang Eui Gongjin-dan has an analgesic effect and is useful for treating severe pain or numbness. We recommend a randomized controlled trial using objective assessment scales and a large patient sample to further test the effects of Yang Eui Gongjin-dan.