• Title/Summary/Keyword: Temporal lobe

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Expertise-Related EEG Alpha Deactivation of the Left Temporal Lobe during Creative Writing Improvisation (창의적 글쓰기 발상 시 전문 영역의 지식이 좌측 측두엽의 EEG 알파파 억제에 미치는 영향)

  • Kim, Soon-Hwa;Song, Ki-Sang
    • Korean Journal of Cognitive Science
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    • v.21 no.3
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    • pp.409-427
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    • 2010
  • Psychological research on the relationships between creativity and knowledge can be divided into two main streams, called tension view and foundation view. However most of the studies in this area have been too much focused on creative products which had a limit in investigating creative processes. In this study, to identify the relationships, we employed neuro-scientific approaches to investigating EEG (electroencephalogram) activity from professional computer programmers(n=10). Also the EEG alpha TRP (task related power) was compared with each other. The procedures including resting conditions with eye closed were followed by ordinary thinking process, creative thinking processes in a professional domain and a nonprofessional domain. As a result of EEG activity analysis, alpha deactivation was observed mainly in temporal lobe, especially in left-temporal lobe during creative thinking process of professional domain. The findings suggest that neuro-scientific approach supports the tension view, suggesting that the knowledge could hinder creativity.

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The effects of QEEG based on neurofeedback training for anxiety disorder (불안장애의 정량화 뇌파 기반 뉴로피드백 훈련 효과)

  • Cho, Sang hee;Cho, che hyung;Park, Pyong Woon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.9
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    • pp.387-393
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    • 2016
  • The aim of this study is to analyze the effectiveness of QEEG-based neurofeedback clinical tests on patients diagnosed with anxiety disorder. Researchers tested six patients with anxiety disorder using 32-channel QEEG(Quantitative electroencephalograpy) and neurofeedback training equipment. The study measured anxiety levels of patients using QEEG and BAI physiological psychology tests. Test results found hyperactive beta waves present in all six patients' temporal lobe. The intensity of the wave of the right hemisphere temporal lobe T4(M=31.07) was the higher than that of the left hemisphere temporal lobe 3(M=29.11). Following Neurofeedback training, the beta wave of the right hemisphere lobe was reduced significantly in all patients. The average anxiety level decreased from 23.57 to 12.14 after the neurofeedback training. In addition, among the two patients who were taking medication, one patient reduced his dosage while the other patient discontinued taking medication. This result implies that the QEEG neurofeedback training technique can be effectively applied to patients with anxiety disorder.

Intraparenchymal Sylvian Fissure Meningioma

  • Ko, Byung-Su;Jung, Shin;Jung, Tae-Young;Kim, In-Young
    • Journal of Korean Neurosurgical Society
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    • v.41 no.2
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    • pp.120-122
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    • 2007
  • Meningiomas arise from meningothelial cells that line the arachnoid membrane. So most meningiomas are dural-based lesion. But meningiomas without dural-attachment do occur and are less common. We report our experience of intraparenchymal sylvian fissure menigioma. A 21-year-old female presented with a one-month history of headache that was associated with long-term intermittent partial seizure. CT revealed about $4.5{\times}4.3{\times}5.5cm$ sized calcified mass with enhancement in right temporal lobe. On MR imaging, the lesion was observed in the right temporal lobe that was low-signal intensity on T2WI and iso-signal intensity on T1WI with well enhancement. Operation was performed via right orbitocranial approach. The internal surface of dura was intact. Tumor was totally removed except the capsule of tumor adhered to main trunk of middle cerebral artery. The histopathology showed meningioma, psammomatous type. Intraparenchymal meningioma should be considered in the differential diagnosis of intraaxial lesions in patients of any age group.

Rotational Vertigo and Unsteady Gait Associated with Vestibular Cortical Infarction (전정피질경색과 연관된 회전성 현훈과 불안정보행)

  • Park, Kang Min;Kim, Sung Eun;Shin, Kyong Jin;Park, Jin Se;Kim, Si Eun;Kim, Hyung Chan;Ha, Sam Yeol
    • Annals of Clinical Neurophysiology
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    • v.16 no.1
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    • pp.32-34
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    • 2014
  • A 77-year-old man developed acute vertigo and unsteady gait. Neurological examination revealed spontaneous left-beating nystagmus in the primary position. He fell to the left when walking without support. Magnetic resonance imaging showed an acute infarction involving the right parieto-temporal lobe. Although the vertigo and unsteady gait are most often associated with vestibular disorders involving the infratentorial structures, those may occur in cerebral infarction of the parieto-temporal lobe.

Functional Neuroimaging in Epilepsy: FDG-PET and SPECT (간질에서의 기능적 뇌영상:양전자방출단층촬영과 단일광전자방출 단층촬영)

  • Lee, Sang-Kun;Lee, Dong-Soo
    • The Korean Journal of Nuclear Medicine
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    • v.37 no.1
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    • pp.24-33
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    • 2003
  • Finding epileptogenic zone is the most important step for the successful epilepsy surgery. F-18 fluorodeoxyglucose positron emission tomography (FDG-PET) and single photon emission computed tomography (SPECT) can be used in the localization of epileptogenic foci. In medial temporal lobe epilepsy, the diagnostic sensitivity of FDG-PET and ictal SPECT is excellent. However, detection of hippocampal sclerosis by MRI is so certain that use of FDG-PET and ictal SPECT in medial temporal lobe epilepsy is limited for some occasions. In neocortical epilepsy, the sensitivities of FDG-PET or ictal SPECT are fair. However, FDG-PET and ictal SPECT can have a crucial role in the localization of epileptogenic foci for non-lesional neocortical epilepsy. Interpretation of FDG-PET has been recently advanced by voxel-based analysis and automatic volume of interest analysis based on a population template. Both analytical methods can aid the objective diagnosis of epileptogenic foci. Ictal SPECT was analyzed using subtraction methods and voxel-based analysis. Rapidity of injection of tracers, ictal EEG findings during injection of tracer, and repeated ictal SPECT were important technical issues of ictal SPECT. SPECT can also be used in the evaluation of validity of Wada test.

Unusual Acute Encephalitis Involving the Thalamus: Imaging Features

  • Sam Soo Kim;Kee-Hyun Chang;Kyung Won Kim;Moon Hee Han;Sung Ho Park;Hyun Woo Nam;Kyu Ho Choi;Woo Ho Cho
    • Korean Journal of Radiology
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    • v.2 no.2
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    • pp.68-74
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    • 2001
  • Objective: To describe the brain CT and MR imaging findings of unusual acute encephalitis involving the thalamus. Materials and Methods: We retrospectively reviewed the medical records and CT and/or MR imaging findings of six patients with acute encephalitis involving the thalamus. CT (n=6) and MR imaging (n=6) were performed during the acute and/or convalescent stage of the illness. Results: Brain CT showed brain swelling (n=2), low attenuation of both thalami (n=1) or normal findings (n=3). Initial MR imaging indicated that in all patients the thalamus was involved either bilaterally (n=5) or unilaterally (n=1). Lesions were also present in the midbrain (n=5), medial temporal lobe (n=4), pons (n=3), both hippocampi (n=3) the insular cortex (n=2), medulla (n=2), lateral temporal lobe cortex (n=1), both cingulate gyri (n=1), both basal ganglia (n=1), and the left hemispheric cortex (n=1). Conclusion: These CT or MR imaging findings of acute encephalitis of unknown etiology were similar to a combination of those of Japanese encephalitis and herpes simplex encephalitis. In order to document the specific causative agents which lead to the appearance of these imaging features, further investigation is required.

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Giant cell tumor of temporomandibular joint masquerading as temporomandibular joint pain dysfunction syndrome: a rare case report

  • Sam, Jo Ee;Rachmat, Rullyandrianto Pan Nuriman;Melano, Cri Saiful Jordan;Wahab, Nasser Abdul
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.43 no.2
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    • pp.134-137
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    • 2017
  • Giant cell tumor (GCT) of the craniofacial bones has been reported but they are not common. This tumor occurs more often in women than in men and predominantly affects patients around the third to fifth decade of life. GCTs are generally benign but can be locally aggressive as well. We report a case of GCT involving the temporomandibular joint (TMJ), which was initially thought to be temporomandibular disorder (TMD). A 22-year-old female presented with swelling and pain over the right temporal region for 18 months associated with jaw locking and clicking sounds. On examination, her jaw deviated to the right during opening and there was a $2{\times}2$ cm swelling over the right temporal region. Despite routine treatment for TMD, the swelling increased in size. Computed tomography and magnetic resonance imaging of the brain and TMJ revealed an erosive tumor of the temporal bone involving the TMJ which was displacing the temporal lobe. Surgical excision was done and the tumor removed completely. Histopathological examination was consistent with a GCT. No clinical or radiological recurrence was detected 10 months post-surgery.

The Performance of Ictal Brain SPECT Localizing for Epileptogenic Zone in Neocortical Epilepsy (신피질성 간질에서 발작기 $^{99m}Tc$-HMPAO 뇌혈류 SPECT의 간질병소 국소화 성능)

  • Kim, Eun-Sil;Lee, Dong-Soo;Hyun, In-Young;Chung, June-Key;Lee, Myung-Chul;Koh, Chang-Soon;Lee, Sang-Kun;Chang, Kee-Hyun
    • The Korean Journal of Nuclear Medicine
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    • v.29 no.4
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    • pp.445-450
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    • 1995
  • The epileptogenic zones should be localized precisely before surgical resection of these zones in intractable epilepsy. The localization is more difficult in patients with neocortical epilepsy than in patients with temporal lobe epilepsy. This study aimed at evaluation of the usefulness of ictal brain perfusion SPECT for the localization of epileptogenic zones in neocortical epilepsy. We compared the performance of ictal SPECT with MRI referring to ictal scalp electroencephalography(sEEG). Ictal $^{99m}Tc$-HMPAO SPECT were done in twenty-one patients. Ictal EEG were also obtained during video monitoring. MRI were reviewd. According to the ictal sEEG and semiology, 8 patients were frontal lobe epilepsy, 7 patients were lateral temporal lobe epilepsy, 2 patients were parietal lobe epilepsy, and 4 patients were occipital lobe epilepsy. Ictal SPECT showed hyperperfusion in 14 patients(67%) in the zones which were suspected to be epileptogenic according to ictal EEG and semiology. MRI found morphologic abnormalities in 9 patients(43%). Among the 12 patients, in whom no epileptogenic zones were revealed by MRI, ictal SPECT found zones of hyperperfusion concordant with ictal SEEG in 9 patients(75%). However, no zones of hyperperfusion were found in 4 among 9 patients who were found to have cerebromalacia, abnormal calcification and migration anomaly in MRI. We thought that ictal SPECT was useful for localization of epileptogenic zones in neocortical epilepsy and especially in patients with negative findings in MRI.

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Middle Cerebral Artery Duplication : Classification and Clinical Implications

  • Chang, Hoe-Young;Kim, Myoung-Soo
    • Journal of Korean Neurosurgical Society
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    • v.49 no.2
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    • pp.102-106
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    • 2011
  • Objective : Although there are several explanations for a duplicated middle cerebral artery (DMCA), its embryological origin is still an open question. We reviewed these anomalous vessels to postulate a theory of their different origins, sizes, and courses. Methods : A retrospective review of 1,250 cerebral angiographies, 1,452 computed tomography (CT)-angiographies, and 2,527 magnetic resonance (MR)-angiographies was performed to identify patients with DMCA. Results : Twenty-five patients had 25 DMCAs. Conventional angiography detected nine patients with DMCA (9/1250, 0.72%), MR-angiography detected seven patients with DMCA 0.28%), and CT-angiography detected nine patients with DMCA (9/1452, 0.62%). The DMCAs originated near the internal carotid artery terminal in eight patients (type A), and between the origin of the anterior choroidal artery and the terminal internal carotid artery in 17 patients (type B). The diameters of the eight type A DMCAs were the same or slightly smaller than those of the other branch of the DMCA. All type A DMCAs showed a course parallel to that of the other branch of the DMCA. The diameters of the 17 type B DMCAs were the same, slightly smaller, or very much smaller than that of the other branch of the DMCA. Nine type B DMCAs showed parallel courses, and the other eight curved toward the temporal lobe. Conclusion : The two branches of the type A DMCAs can be regarded as early bifurcations of the MCA. The branches of the type B DMCAs had parallel courses or a course that curved toward the temporal lobe. The type B DMCA can be regarded as direct bifurcations of the MCA trunk or the early ramification of the temporal branch of the MCA.