• Title/Summary/Keyword: Sensation disorders

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A Review of Burning Mouth Disorders (구강작열감질환에 관한 고찰 및 의료분쟁 증례보고)

  • Hur, Yun-Kyung;Jung, Jae-Kwang;Choi, Jae-Kap
    • The Journal of the Korean dental association
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    • v.48 no.9
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    • pp.688-695
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    • 2010
  • Burning mouth disorders (sometimes referred to as burning mouth syndrome) are characterized by a burning sensation in the tongue or other oral sites, usually in the absence of clinical and laboratory findings. Affected patients often present with multiple oral complaints, including burning, dryness and taste alterations. Burning mouth complaints are reported more often in women, especially after menopause. Typically, patients awaken without pain, but report increasing symptoms through the day and into the evening. Conditions that have been reported in association with burning mouth syndrome include chronic anxiety or depression, various nutritional deficiencies, diabetes and changes in salivary function. However, these conditions have not been consistently linked with the syndrome, and their treatment has had little impact on burning mouth symptoms. Recent studies have pointed to dysfunction of several cranial nerves associated with taste sensation as a possible cause of burning mouth disorders. The most common central mechanism that likely explains burning mouth disorders is a centrally mediated continuous neuropathic pain. Given in low dosages, benzodiazepine, tricyclic antidepressants or anticonvulsants may be effective in patients with burning mouth disorders.

Esophageal Manometry Finding in Globus Patients (Globus환자의 식도 내압 소견)

  • 이봉희;이주홍;최창용;이강대;유태현
    • Korean Journal of Bronchoesophagology
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    • v.1 no.1
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    • pp.146-150
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    • 1995
  • Esophageal manometry and Bernstein acid perfusion test were performed in 39 patients with globus sensation and 30 controls without experiencing a lump sensation in the throat. Globus patients also underwent physical examination, paranasal sinus x-ray, laryngoscopy and esophagogram. Nine of 39 patients were excluded from the study because local reasons for a lump sensation in the throat were found. Globus group showed significant elevation in upper esophageal sphinter pressure(P=0.0001) and six patients(20%) had evidence of nonspecific esophageal motility disorders, which suggested that hypertonicity of the upper esophageal sphinter and esophageal motility disorders could be the cause of globus syndrome.

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A Case Report of Severe Keratinized Prurigo Nodularis (중증 각화성 결절성 양진 한방치료 1례)

  • Byun, Jung-Ah;An, Jae-Hyun;Choi, Yoon-Young;Kim, Su-Yeong;Jung, Hyun-A;Hwang, Mi-Lee
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.34 no.2
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    • pp.70-79
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    • 2021
  • Objectives : The purpose of this study is to report the effect of korean medical treatments on prurigo nodularis. Methods : We treated a 37-year-old female prurigo nodularis patient who has failed to respond to conventional therapies such as steroids and anti-histamines for 8 years. The patient was admitted to Daejeon University korean medical hospital for 21 days to get korean medical treatments including acupuncture, herbal-medicine, vapor treatment, venesection, pharmacopuncture and herbal-med aerosol therapy. The degree of improvement in prurigo nodularis was determined by the patient's subjective opinions on pruritus, febrile sensation, pain, and sleep disorders. Results : The results of this patient showed distinct improvements on pruritus, febrile sensation, pain, and sleep disorders. Pruritus decreased from 10 to 1, febrile sensation from 10 to 0, pain from 10 to 2, and sleeping hours increased 2 hours to 8 hours according to the patient's subjective opinions. Conclusions : This study shows the possibility that such korean medical treatments can improve prurigo nodularis.

Suggested Clinical Reasoning Strategies Using a Mnemonic Device for Patients with Neurological Disorders (연상법을 이용한 신경계 환자의 임상적 추론 전략 제안)

  • Woo, Young-Keun
    • PNF and Movement
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    • v.17 no.1
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    • pp.145-156
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    • 2019
  • Purpose: This study suggests clinical reasoning strategies for therapists with little experience in clinical reasoning for the evaluation and treatment of patients with neurological disorders. Methods: The suggested method was the mnemonic PT STRESS whose initials represent the body structure and functions that can affect the activity limits and the items that can cause problems at the functional level in patients with neurological disorders. Results: PT STRESS stands for pain (P), ability of the trunk (T), sensation (S), tone (T), range of motion (R), emotion and endurance (E), muscular strength (strength), and stability (S). It tests and measures problems in the body structure and functions. Conclusion: This study suggests easy clinical reasoning strategies that can be used by therapists who have insufficient experience in the evaluation or treatment of patients with neurological disorders. However, more factors need to be considered in the future with regard to clinical reasoning of the diverse problems of patients with neurological disorders.

Esophageal manometry in the patients with foreign body sensation on the pharyngo-esopgageal region (인두 및 상부식도부 이물감 환자의 식도내)

  • 한승세
    • Journal of Chest Surgery
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    • v.17 no.2
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    • pp.280-285
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    • 1984
  • Although it is suspected that the foreign body sensation on the pharyngoesophageal region is caused by motility disturbance of upper esophageal sphincter, its pathophysiology is not yet clear. Esophageal manometry has become an important diagnostic tool in the evaluation of esophageal motor disorders such as dysfunction of upper esophageal sphincter. Intraluminal esophageal pressures were measured by perfusion manometry in fifteen patients with foreign body sensation on the pharyngoesophageal region and in twenty six controls. In upper esophageal sphincter, mean value of resting pressure of the patients by rapid pull-through technique was 45,9\ulcorner 15.6mmHg and 80.9\ulcorner9.7mmHg in the controls. The difference between the two groups was statistically significant. The distance from nostril to sphincter, length of sphincter, and resting pressure by station pull-through technique were not significantly different. The amplitude of esophageal peristalsis in the patients was reduced significantly at the level of the upper, mid and lower esophagus. The wave duration of the patients was reduced significantly at the level the upper and mid esophagus. The speed showed no difference between two groups. Length and resting pressure of lower esophageal sphincter revealed almost same values in two groups.

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ESOPHAGEAL DYSMOTILITY IN PATIENTS WITH GLOBUS SENSATION (인두 이물감 환자의 식도 운동성 장애)

  • Lee, Heung-Man;Oh, Seung-Cheol;Lee, U-Seob;Kim, Kyung-Hyun;Choi, Geon;Bak, Young-Tae
    • Korean Journal of Bronchoesophagology
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    • v.2 no.2
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    • pp.232-237
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    • 1996
  • Burning and lump sensation in the throat is a common disorder in middle aged woman. It is generally considered to be a neurotic origin but its pathophysiology is still remained unknown. The purpose of this study was to evaluate the prevalence of the Pharyngoesophageal structural lesions and the esophageal motility disorders among the patients with globus pharyngeus and to elucidate whether any specific manometric abnormality might have any causative role in the pathogenesis of the globus sensation, and we also wanted to know whether such tests were necessary in evaluating those patients. Structural lesions were demonstrated in 21 cases(17.5 %) among 120 patients. But among 44 controls, there were also Two cases(4.5 %) of structural lesions, and there was less significantly difference in the prevalence of the structural lesions between the patients and controls(p=0.0625) Manometric abnormalities over the lower esophageal sphincter and the lower esophageal body were demonstrated in 28 cases (23.3 %) of the patients, while only one case (2.3 %) of the controls revealed such abnormality ( p=0.0037). Various manometric parameters of the upper esophageal sphincter and pharynx showed no difference between the patients and controls except the upper esophageal sphincter pressure at lateral sides which was lower in patients than in controls (p=0.0034). Globus sensation is a kind of symptom of esophageal dysmotility, and esophageal manometry is necessary to detect such abnormality in patients with globus sensation, Careful physical examination is also necessary to detect structural lesions in the pharynx and esophagus.

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The Study on the Improvement of Function and Sensation Symptoms of Binocular Vision for Vision Training Methods (시기능 훈련방법에 의한 양안시 기능적.감각적 증상 개선 효과 연구)

  • Lee, Chang-Seon;Kim, Ki-Hong
    • Journal of Korean Ophthalmic Optics Society
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    • v.15 no.2
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    • pp.185-193
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    • 2010
  • Purpose: The purpose of this study was to investigated the effect of vision training methods on the visual function and sensation symptoms of patients with convergence insufficiency. Mehtods: The vision training observation group included 35 clients who had binocular vision disorders without opthalmic diseases or vertical phoria. They took the each vision training once a week for eight weeks and were investigated for the function and sensation symptoms changes of binocular vision. Results: According to the results, all vision training methods showed improvement of binocular vision function and sensation symptoms. For Worth 4 Dot test, Titmus test and red lenses observed the changes in fusion rate, all the training methods showed similar improvements. Conclusions: The study proved that vision training methods for patients with binocular vision was effective for the improvement of the phoria, function and sensation symptoms of these patients.

Effect of Oral Water Intake to Globus Pharyngeus with Non-Organic Diseases (인후두 이물감을 호소하는 환자에서 경구 수분섭취가 증상 호전에 미치는 영향)

  • Kim, Hak Geon;Kim, A Young;Cha, Eunjoo;Lee, GilJoon
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.28 no.1
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    • pp.38-42
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    • 2017
  • Background and Objectives : Globus pharyngeus is a sensation of foreign body in the throat. There are many studies evaluate relationships between globus pharyngeus and organic diseases such as laryngopharyngeal reflux, esophageal motility disorders as well as psychotic causes. But, Also many patients without etiologic causes complain of globus sensation. The authors performed a study that evaluate association between oral water intake and symptoms of globus sensation on the basis of a belief that pharyngeal dehydration due to lack of oral water intake causes globus sensation. Materials and Methods : A survey using visual analogue scale to evaluate symptoms was performed with 73 patients with globus pharyngeus. Results : Patients who drink water less than 500 mL per day (p=0.04) and less than five times per day (p=0.02) were improved after 6 months due to education and doctor's recommendation. Conclusion : Frequent and enough water intake should be recommended to resolve symptoms of globus sensation.

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The Relationship between Risk Taking, Impulsivity and Intolerance of Uncertainty (위험감수와 충동성 및 불확실성에 대한 인내력 부족의 관련성)

  • Sohn, Sung Yun;Kang, Jee In;Namkoong, Kee;Kim, Se Joo
    • Korean Journal of Biological Psychiatry
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    • v.21 no.3
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    • pp.87-92
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    • 2014
  • Objectives Risk taking has been implicated in the development of various psychiatric disorders. Previous studies have indicated that risk taking behavior is associated with high levels of impulsiveness. Risk taking entail uncertain situation that outcome probability is unknown. This study tested impulsivity, intolerance of uncertainty and risk taking behavior. Methods A total of 73 participants completed a test battery comprised of the UPPS-P scale as a psychometric measurement of five dimensions of impulsivity, Intolerance of Uncertainty Scale, and Balloon Analog Risk Task (BART) as a behavioral measure of risk taking. The Pearson correlation analysis was used. Results The sensation seeking factor was positively correlated with BART measure (r = 0.27, p = 0.02). Specifically, the relationship between sensation seeking and BART was significant in females. Conclusions Among the five factors of UPPS-P, only the sensation seeking factor predicts risk taking propensity.

Traumatic Brain Injury-Induced Mixed Chemosensory Disorder: a Case Study on Taste and Smell Dysfunction

  • Yeong-Gwan Im;Seul Kee Kim;Chung Man Sung;Jae-Hyung Kim
    • Journal of Oral Medicine and Pain
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    • v.48 no.4
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    • pp.181-185
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    • 2023
  • We present a case report of a 52-year-old male patient who suffered head trauma in a car accident and subsequently experienced taste and smell disorders. Following the accident, the patient reported difficulty detecting salty and sour tastes and diminished olfactory perception. Neurosurgical evaluation revealed subarachnoid and subdural hemorrhages, while otolaryngology investigations revealed hyposmia-a decreased sense of smell. Upon referral to the Department of Oral Medicine, a comprehensive assessment revealed a general bilateral reduction in taste sensation, particularly ageusia for salty taste. Electric taste-detection thresholds significantly exceeded the normal ranges. Integrating our findings from neurosurgery, otolaryngology, and oral medicine resulted in a diagnosis of mixed chemosensory disorder attributed to head trauma. This case highlights the intricate interplay of alterations in taste and smell following head injury, emphasizing the significance of multidisciplinary evaluations in diagnosing mixed chemosensory disorders resulting from traumatic brain injury.