• 제목/요약/키워드: Paralysis

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타질환과 동반된 애성 (Uncommon Causes of Hoarseness)

  • 윤희병;김미자;정대현;박승훈;박옥경;목정민;전승하;강주원
    • 대한기관식도과학회:학술대회논문집
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    • 대한기관식도과학회 1982년도 제16차 학술대회연제순서 및 초록
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    • pp.8.2-8
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    • 1982
  • 애성이란 음성의 질적 변화를 의미하는 것으로 이는 후두의 가장 대표적인 주 증상이다. 애성의 원인으로는 현재까지 알려져 있는것만 해도 약50 여종이 있다고 하며 그중 virus에 의한 상기도 감염증이 가장 많은 비율을 차지하고 있는 것으로 알려져 있고, 후두결절 및 풀립, 후두마비, 후두암, 후두유두종, 후두결핵등의 순으로 발생하는 것으로 알려져 있다. 최근 저자들은 본원에 입원중인 환자로서 애성 때문에 본 이비인후과로 진찰의뢰된 환자중 비교적 보기드문 질환과 동반된 애성환자 4예를 경험하였기에 문헌고찰과 함께 보고하는 바이다. 증예1. 29세 남자로서 교통사고로 후두부에 외상을 입은후 1 달만에 애성이 발생. 후두경 소견상 좌측성대의 paramedian paralysis 및 arytenoid cartilage의 전위가 인정되었음. 증예2. 53세 남자로서 clonorchis sinensis로 일반외과에서 전신 삽관마취하에 choledochostomy를 시행한 6 일후에 애성이 발생. 후두경 소견상 좌측성대의 median paralysis가 인정되었음. 증예3. 56세 남자로서 Aortic Aneurysm으로 내과에 입원한 환자로 입원전 3개월부터 애성이 발생. 후두경 소견상 좌측성대의 intermediate position paralysis 및 arytenoid cartilage의 전위가 인정되었음. 증예4. 74세 남자로서 Bronchogenic Ca.로 내과에 입원중인 환자로 입원 3년전부터 애성이 발생. 후두경 소견상 우측성대의 paramedian paralysis가 인정되었음

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초기 말초성 안면신경마비에 대한 단무지 안추 신전법 병행 치료 효능의 임상적 고찰 (The Clinical Research of the Effectiveness of "Danmuji Anchu Traction technique" on Acute Peripheral Facial Paralysis)

  • 박재흥;이창환;이유환;권기순;윤현민;전대성;한민석
    • 척추신경추나의학회지
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    • 제6권1호
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    • pp.43-52
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    • 2011
  • Objectives : The aim of this study is to investigate the effectiveness of combining "Danmuji Anchu Traction technique" on acute peripheral facial paralysis. Methods : Clinical studies were done 36 patients who were treated acute peripheral facial paralysis to Dept. of Acupuncture and Moxibustion, of Oriental Medicine Hospital Dongeui University from July 10, 2009 to September 15, 2010. subjects were randomly divided into 2 groups. : Complex oriental medical treatment without "Danmuji Anchu Traction technique" treated group (Group A, n=18), Complex oriental medical treatment with "Danmuji Anchu Traction technique" treated group (Group B, n=18). All process of treatment were performed by double blinding method. To compare the effectiveness of treatment applied for two groups, we used Yanagihara's unweighed grading system at before treatment, after 1week and 2weeks of treatment. Results: The Yanagihara's Scores of Group B and Improvement Indexes of Group B were higher than those of Group A, and showed significant difference statistically. "Danmuji Anchu Traction technique" can be available for relieving symptoms related with Acute Peripheral Facial Paralysis. And there were significant differences statistically between Complex oriental medical treatment without "Danmuji Anchu Traction technique" and Complex oriental medical treatment with "Danmuji Anchu Traction technique" on Acute Peripheral Facial Paralysis. Conclusions: These results suggested that "Danmuji Anchu Traction technique" effected for Acute Peripheral Facial Paralysis.

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척수손상자의 일상생활적응에 관한 연구 (A Study on the Activities of Daily Living Adaptation of Spinal Cord Injured Patients)

  • 손경현;김찬규;방요순
    • 대한물리치료과학회지
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    • 제10권1호
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    • pp.47-57
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    • 2003
  • The purpose of this study was to evaluate the problem on activities of daily living ; the problem which spinal cord injured patients have when they adapt in daily living ; Subjects were 113 members who used the hospital which is located in Kwangju-city from November 20, 2001 to May 20, 2002. The evaluation of the ADL was performed according to MBI and collected data were statistically analysed by SPSS PC for paired Chi-square test T-test, One way ANOVA and Duncan's post-hoc test. The result's were as follows; 1. Modified Barthel Index average mark was $63.77{\pm}33.60$ points and MBI score distribution according to characteristics of injury is as following. 1) A patient who had long duration of injury, small injury region, incomplete paralysis in paralysis degree, paraplegia in paralysis type got high MBI score as statistical and significantly(p<0.05). 2. Society adaptation state by characteristics of spinal cord injured is an following. 1) After lapse of time of disease, a patient who is injured for a long term present surrounding environmental problem, a patient who is injured for a short term shows psychological problem. In society activity, as lapse of time of disease is long, patient did many hobby activity and same private club, on the other hand as lapse of time of diseases is short, the others appeared high and significantly as statistical(p<0.01). 2) In society activity by injury region, cervical injury and thoracic injury did more hobby activity than lumbar injury and in lumbar injury same private club or religion life appeared higher than thoracic injury of cervical injury significantly as statistical(p<0.01). 3) In walk method by paralysis degree Complete paralysis had more wheelchair life than incomplete paralysis(p<0.01). 4) In serious problem by paralysis type psychological problem in quadriplegia and surrounding environmental problem in paraplegia appeared high and significantly as statistical(p<0.01). 3. In society adaptation state by MBI score difference between variables appeared but it wasn't significantly.

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한방복합치료(韓方複合治療)가 STRESS로 유발된 말초성안면신경마비(末梢性顔面神經麻痺)에 미치는 영향 (The influence of complex traditional Korean medical treatment on the Peripheral Facial Paralysis induced stress)

  • 김경태;송호섭
    • Journal of Acupuncture Research
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    • 제21권4호
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    • pp.53-64
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    • 2004
  • Objective: This study was to evaluate the influence of stress on Peripheral Facial Paralysis during the complex traditional korean medical treatment. Methods: We investigated 41 cases of patients with Peripheral Facial Paralysis who were given the complex traditional korean medical treatment. one group had stress as main factor, the other group didn't it. we evaluated the treatment effect of each group by using Gross Grading System of House-Brackmann, Yanagihara's Unweighed Grading System. Results : 1. In age, sex, lesion, duration of disease, frequency of treatment, duration of treatment, we found that two groups have no significant differences. 2. Pain back of the ear showed the highest frequency in symptoms at onset. 3. Boyangwhanotang showed the highest frequency in oriental herb medicine treatment. 4. As a result of evaluation by using Gross Grading System of House-Brackmann, Yanagihara's Unweighed Grading System, treatment score after 2weeks was marked more higher than score before treatment and treatment score after final treatment was more higher than treatment score after 2weeks on each groups. 5. After final treatment, Non-stress group had signficant result on Gross Grading System of House-Brackmann, Yanagihara's Unweighed Grading System compared with stress group. Conclusion : These results suggested that patient with Non-stress group should be get better than stress group.

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봉독(蜂毒) 약침(藥鍼)이 구안와사에 미치는 영향에 대한 임상적 고찰 (The clinical research of the efficacy of bee venom aqua-acupuncture on peripheral facial paralysis)

  • 김민수;김현중;박영재;김이화;이은용
    • Journal of Acupuncture Research
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    • 제21권4호
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    • pp.251-262
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    • 2004
  • Objective: Ths research was to investigate the efficacy of bee venom theraphy on peripheral facial paralysis. Methods: Thirty patients were deyided into two groups with fifteen patients each. Group A and B were both treated with basic oriental medicine treatment, and also group A was treated with bee venom aqua-acupunture additionaly. The groups were evaluated by Yanagihara's unweighted grading system before treatment, and at every one week till four weeks after treatment. Results: The Yanagihara's scores of group B were higher than those of group A before treatment, after one week and two weeks, but not statistically significant. After three and four weeks, the Yanagihara's scores of group A were higher than those of group B, but not statistically significant. The improvement indexes of group A were higher than those of group B from the first week and statistically significant after three and four weeks. Conclusion: Combinding bee venom aqua-acupunture theraphy on peripheral facial paralysis was more efficacious than the only use of basic oriental medicine treatment.

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전신마비환자용 기능적 전기자극기 화자인식 시스템의 개발 (Development of Speaker Recognition System in FES for General Paralysis Patients)

  • 진달복;이영석;이현희;정호춘;임승관;여운진
    • 한국정보통신학회논문지
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    • 제7권4호
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    • pp.819-825
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    • 2003
  • 본 논문은 전신마비환자를 위한 FES(Functional Electrical Stimulator) 시스템 모드 변환 중의 하나를 선택할 수 있게 하는 화자 인식 시스템을 개발하고자 한다. 교통사고나 산업재해로 인한 마비환자가 늘어나고 있는 현대사회에서 환자의 운동 보조를 위해서 또는 운동 능력의 회복을 위하여 FES 시스템에 대한 연구가 늘어나고 있다. FES의 동작은 휴지, 운동, 치료 등 몇 개의 모드를 선택해야 하는데, 사지마비환자의 경우에는 키패드 조작이 불가능하므로 가장 일반적이고 자연스러운 언어로 이들 모드를 선택하고자 한다. 화자 인식 소자로는 Sensory(주)의 RSC-300을 사용하였고, FES 시스템과 RSC-300의 인터페이스는 PIC16F84마이크로 콘트롤러를 사용하였다.

Familial hyperkalemic periodic paralysis caused by a de novo mutation in the sodium channel gene SCN4A

  • Han, Ji-Yeon;Kim, June-Bum
    • Clinical and Experimental Pediatrics
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    • 제54권11호
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    • pp.470-472
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    • 2011
  • Familial hyperkalemic periodic paralysis (HYPP) is an autosomal-dominant channelopathy characterized by transient and recurrent episodes of paralysis with concomitant hyperkalemia. Mutations in the skeletal muscle voltage-gated sodium channel gene $SCN4A$ have been reported to be responsible for this disease. Here, we report the case of a 16-year-old girl with HYPP whose mutational analysis revealed a heterozygous c.2111C>T substitution in the $SCN4A$ gene leading to a Thr704Met mutation in the protein sequence. The parents were clinically unaffected and did not have a mutation in the $SCN4A$ gene. A $de$ $novo$ $SCN4A$ mutation for familial HYPP has not previously been reported. The patient did not respond to acetazolamide, but showed a marked improvement in paralytic symptoms upon treatment with hydrochlorothiazide. The findings in this case indicate that a $de$ $novo$ mutation needs to be considered when an isolated family member is found to have a HYPP phenotype.

Hypokalemic periodic paralysis: two different genes responsible for similar clinical manifestations

  • Kim, Hun-Min;Hwang, Hee;Cheong, Hae-Il;Park, Hye-Won
    • Clinical and Experimental Pediatrics
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    • 제54권11호
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    • pp.473-476
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    • 2011
  • Primary hypokalemic periodic paralysis (HOKPP) is an autosomal dominant disorder manifesting as recurrent periodic flaccid paralysis and concomitant hypokalemia. HOKPP is divided into type 1 and type 2 based on the causative gene. Although 2 different ion channels have been identified as the molecular genetic cause of HOKPP, the clinical manifestations between the 2 groups are similar. We report the cases of 2 patients with HOKPP who both presented with typical clinical manifestations, but with mutations in 2 different genes ($CACNA1S$ p.Arg528His and $SCN4A$ p.Arg672His). Despite the similar clinical manifestations, there were differences in the response to acetazolamide treatment between certain genotypes of $SCN4A$ mutations and $CACNA1S$ mutations. We identified p.Arg672His in the $SCN4A$ gene of patient 2 immediately after the first attack through a molecular genetic testing strategy. Molecular genetic diagnosis is important for genetic counseling and selecting preventive treatment.

전침치료를 통한 교통사고로 유발된 외전신경마비로 인한 사시 환자의 치험 1례 (The One Case Report of Strabismus of Traffic Accident Induced Abducence Nerve Paralysis Treated with Electro-acupuncture)

  • 한정석;원정윤;김문준;최정은
    • 한방재활의학과학회지
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    • 제25권3호
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    • pp.111-117
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    • 2015
  • Objectives The purpose of this case is to report the effect of Korean Medicine, especially Electro-acupuncture on strabismus of traffic accident induced abducens nerve paralysis. Methods Patient received Korean Medicine treatment such as acupuncture, electro-acupuncture & Herb-medicine. Patienst was treated with the electro-acupuncture at Right eye paralytic lateral rectus muscle lesions. The case was enforced 10 minutes using the PG-306 electro-acupuncture and applyed the low consequence wave of 1-8Hz. The improvement of the strabismus was observed. Results During ten weeks of treatment, patient's strabismus and diplopia were improved. Conclusions In this case, Electro-acupuncture on strabismus and diplopia of traffic accident induced abducens nerve paralysis was effective. The effectivity is depended on the time stimulation is performed.