• 인지과학
• /
• 제7권3호
• /
• pp.7-36
• /
• 1996

본 논문에서는 인간을 대상으로 한 신경심리학적 연구결과들을 중심으로 기억의 뇌생리적 기초에 관하여 지금까지 알려진 바를 개관하고자 하였다. 현재 인지심리학자들은 기억이 하나의 단일한 체계가 아니라 여러가지 독자적인 하위체계들로 구분된다고 생각한다. 이러한 다중기억체계의 관점을 따라 본 논문에서는 뇌의 어느부위가 손상될때 어떤 종류의 기억에 장애가 생기는가,그리고 뇌영상 기법을 사용하요 특정 기억과제를 수행하는 도중에 뇌의 어느 부위가 그 제시방식에 따라 약간씩 다르지만 대개 후두염,두정엽,그리고 측두엽의 경계선을 중심으로 한 비교적 넓은 부위가 중요한 것으로 보인다. 장기기억의 경우,그 한 하위체계인 암묵기억은 하나의 단일한 기억체계가 아니어서 어떤 학습과제가 사용되는가에 다라 관련되는 부위가 많이 달라진다. 반면에 외현기억의 형성(즉,응고화)에는 내측측두엽이 결정적인 역할을 한다는 사실을 잘 알려져 있다. 일화기억과 의미기억의 저장 그리고/또는 인출에는 측두피질과 전두전피질이 중요한 역할을 하는것으로 보인다. 끝으로,장기기억의 저장장소에 관한 최근의 견해가 소개되었다.

• The Journal of Korean Physical Therapy
• /
• 제33권2호
• /
• pp.106-113
• /
• 2021

Purpose: This study examined the effectiveness of action observation training (AOT) and mirror therapy in improving the electroencephalograms (EEG) of stroke patients. Methods: Patients were allocated randomly to three groups: an action observation training with activity (AOTA) group (n=12), a mirror therapy with activity (MTA) group (n=11), and an AOT-only group (n=12). All groups received conventional physiotherapy in five 60-minute sessions over six weeks. The AOTA, MTA, and AOT groups practiced AOTA, MTA, and AOT, respectively, in three 30-minute sessions over six weeks. The differences between the pre- and post-treatment EEGs were assessed using a paired t-test. Comparisons between the groups were performed using one-way ANOVA. Results: The participants in the AOTA and MTA groups showed significant improvement in the EEG. AOTA improved the alpha waves of the prefrontal, temporal, and parietal lobes significantly (p<0.05). MTA improved the alpha waves of the temporal lobe significantly (p<0.05). AOT did not result in significant improvement Conclusion: AOTA and MTA improve stroke patients' EEGs. Mirror neuron activation combined with conventional stroke physiotherapy promotes motor recovery and functioning. The effect is enhanced when the actions are executed after observation. Further research into mirror neuron activation will be needed to develop methods to improve the EEGs of stroke patients.

• 한국의학물리학회:학술대회논문집
• /
• 한국의학물리학회 2004년도 제29회 추계학술대회 발표논문집
• /
• pp.91-95
• /
• 2004

알츠하이머병에서는 전산화 단층촬영영상이나 자기공명영상을 이용하여 구조적, 비특이적 뇌 위축등의 병변을 진단할 수는 있으나 뇌 당대사 및 혈류 분포에 의한 이상 유무를 진단하기 위해서는 단일광자방출 단층촬영술 (single photon emission computed tomography, SPECT) 이나 양전자 방출 단층촬영술 (positron emission tomography, PET)을 이용한 국소 뇌혈류나 뇌 당대사 변화를 관찰한 진단이 필수적이다. 따라서 SEPCT나 PET영상 위에 직접 관심영역(region of interest, ROI)를 그려서 ROI를 관찰하여 해부학적 뇌위축과 국소 뇌혈류나 뇌 당대사 변화를 분석하였으나 ROI 방법은 주관적인 영향과 많은 분석 시간을 요하는 단점이 있다. 따라서 통계적 분석 방법을 이용한 맵핑방법으로 voxel based morphometry 방법을 수행하였고 MMSE 값을 분산분석변수로 하여 영상분석하여 $^{18}$F-labeled 2-deoxyglucose ($^{18}$F-FDG) positron emission tomography(PET)-CT 영상을 분석하였다. MMSE 값을 변수로 분석한 voxel based morphemetry 방법에서는 MMSE 값에 의한 대사저하의 변화는 무의미하였다. 알츠하이머병에서는 측두두정엽(temporoparietal cortex)의 cerebral blood flow, oxygen utilization, glucose metabolism은 줄어들고, 일차시각피질, 일차감각피질, 기저핵, 시상, 소뇌는 유지되며 voxel based morphometry 방법은 알츠하이머병을 분석하는데 유용한 분석방법이다.

• 대한핵의학회지
• /
• 제23권1호
• /
• pp.85-87
• /
• 1989

Herpes simplex encephalitis (HSE) is one of the fulminant necrotizing, often fatal sporadic form of the encephalitis caused by herpes simplex type I virus. Characteristically, there is early and almost constant involvement of one or both temporal lobes, although there are common additional areas of involvement. Appropriate early treatment following correct diagnosis by clinical findings, CSF study, EEG and several radiological studies including angiography, redionuclide studies, CT or MRI can reduce its mortality and severity of the sequelae. We report a case of HSE diagnosed by adjuvant study of $^{99m}Tc-HMPAO$ regional cerebral blood flow SPECT, which showed a marked increase in bitemporal cerebral blood flow in a 24-year-old man.

• 한국감성과학회:학술대회논문집
• /
• 한국감성과학회 2003년도 추계학술대회 논문집
• /
• pp.81-83
• /
• 2003

The present study attempted to observe what changes the supply of highly concentrated(30％) oxygen cause to people's ability and cerebrum lateralization of verbal cognition, compared to air of normal oxygen concentration(21％). The experiment consisted of two runs, one for verbal cognition test with normal air(21％ of oxygen) and for verbal cognition test with more oxygen in the air(30％ of oxygen). Functional brain images were taken form 3T MRI using the single-shot EPI method. There were more activations observed at the occipital, parietal, temporal, and frontal lobes, but there were no changes in cerebrum lateralization with 30％ oxygen administration. The result of task performance showed the accuracy increased at 30％'s concentration of oxygen rather than 21％'s. It is concluded that the positive effect on the verbal cognitive performance level by the highly concentrated oxygen administration was due to changeless increase of left and right cerebrum activation.

• Journal of Korean Neurosurgical Society
• /
• 제47권6호
• /
• pp.461-463
• /
• 2010

We report a case of an acute spontaneous epidural hematoma (EDH) due to skull base metastasis in a 46-year-old male patient with hepatocellular carcinoma (HCC). The patient presented with the acute onset of severe headache followed by unconsciousness, and computed tomography showed a large EDH in the right temporal and parietal lobes with midline shift. Emergency evacuation of the EDH was performed, and the hemorrhage was determined to be secondary to skull base metastasis of HCC.

• Annals of Clinical Neurophysiology
• /
• 제9권2호
• /
• pp.97-101
• /
• 2007

We report a 31-year-old man with cerebral adrenomyeloneuronopathy variant, who presented as progressive gait disturbance. He had spastic paraparesis, hyperreflexia without Babinski's sign and sensory symptom. No adrenal insufficiency was noted. Brain MRI showed extensive high signal intensities in bilateral temporal lobes and posterior periventricular white matter in T2 weighed imaging without cerebrospinal fluid abnormality. His nerve conduction study showed sensorimotor demyelinating polyneuropathy and the level of saturated very-long-chain fatty acids was high in his plasma, although neuropsychological test was normal.

• 국제물리치료학회지
• /
• 제10권1호
• /
• pp.1700-1705
• /
• 2019

Background: Mild cognitive impairment (MCI) is also called as aging related memory damage. Decreased cognitive function due to aging is known to be associated with the frontal lobe. Alpha wave is generated in the dominance in the frontal lobe or a wide range of regions in the brain, it should be doubted that the brain function might be degraded. Objective: To determine the effect of sensory stimulation type on learning and brain activity pattern of elderly persons with MCI. Design: Randomized Controlled Trial (single blind) Methods: Twenty elderly persons aged more than 65 with MCI were randonmized to simultaneous visual/auditory stimulation group (SVASG) and or auditory stimulation group (ASG). Ten peoples were assigned to each group and lectroencephalogram test was performed to individuals. In the electroencephalogram test, electroencephalography of prior to sensory stimulation, and during sensory stimulation were measured to compare brain activity pattern according to the study groups and measurement period. Results: The relative alpha power due to a sensory stimulation type showed that the SVASG significantly decreased in the left frontal lobe and the left parietal lobe statistically compared to those of the ASG while sensory stimulation was given (p<.05). The relative beta power due to a sensory stimulation type showed that the SVASG significantly increased in the left and right frontal lobes, the left and right parietal lobes, and the left temporal lobe statistically compared to those of the ASG while sensory stimulation was given (p<.05). Conclusions: Electroencephalographic analysis showed that the type of sensory stimulation can affect the brain activity pattern. However, the effects were not studied that which brain activity pattern help to improved cognitive function of elderly persons with mild cognitive impairment.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
• /
• 제29권3호
• /
• pp.29-36
• /
• 2023

Purpose: The purpose of this study is to find out whether the color change of the LED light source has a significant effect on the beta wave activity of EEG in the learning state. Methods: The subjects of the experiment were 20 male and female college students between the ages of 19 and 25 who routinely perform their studies. In the created learning environment, the EEG change according to the change in the lighting color was measured while solving the Mensa thinking ability problem while sitting on a desk with LED lights installed on the top and a chair with a footrest to stabilize the legs. The light source consisted of 3 ready-made colors and 6 newly created colors. A total of 9 color light stimuli were given for 2 minutes each, and the EEG change of the subject was observed. After the experiment, the correlation was analyzed based on the mid-beta wave data recorded on the QEEG according to the color change of light and the Mensa problem score. Results: It was found that the activation of mid-beta waves was stimulated in the temporal lobes (T5, T3, T6, T4) and occipital lobes (O1, O2) of all subjects who focused on solving Mensa thinking problems. As a result of comparing the top 20% and the bottom 20% of problem solving scores, the upper group had no effect of lighting, while the lower group showed increased beta wave activity in response to color light stimulation in the order of T4, T6, and T5. Implications: It was confirmed that the color of light that activates the middle beta wave varies greatly depending on the subject's attention and learning ability, and it is judged that the color of light including the green wavelength is helpful in activating the middle beta wave in the group with low learning ability.

• Nuclear Medicine and Molecular Imaging
• /
• 제40권6호
• /
• pp.302-308
• /
• 2006

목적: 공황장애에 대한 다양한 신경해부학적 모델들이 제안되었으나, 인지행동치료와 관련된 뇌 신경학적 기전에 대한 해석은 불명확하다. 본 연구에서는 공황장애 환자에서 CBT 전과 후에 뇌관류 변화를 평가하고 이에 따른 신경해부학적 연관성을 평가하고자 한다. 대상 및 방법: DSM-IV 기준으로 진단된 공황장애 환자 7명(남자 5명, 여자 2명, 평균연령 $45{\pm}11.0$세)을 대상으로 8주 동안 인지행동치료를 했으며, 건강한 정상인 12명(남자6명, 여자 6명, 평균연령 $42{\pm}9.5$세)을 대조군으로 사용하였다. 모든 환자들에게 인지행동치료 전과후에 $^{99m}Tc-ECD$ 뇌관류 SPECT, PDSS-SR과 ACQ점수를 각각 평가하였다. 인지행동치료 도중에는 약물치료를 실시하지 않았다. 모든 영상은 공간적으로 평준화와 편평화를 하여 SPM2를 이용하여 통계적으로 분석하였다. 결과: 공황장애 환자에서 인지행동치료 후 자각적인 증상들이 개선되고, 인지행동 평가 척도와 인지적 불안점수가 유의미하게 감소하였다(p<0.05). CBT치료 전에 띠이랑, 시상, 중간뇌와 전두엽과 측두엽에서 뇌관류가 증가하고, 우측 아래 전두엽에서 뇌관류가 감소함을 관찰하였다. 그리고 8주간의 CBT후 임상 소견의 호전과 함께 좌반구의 해마이랑, 우반구의 띠이랑와 도, 그리고 좌우 전두엽과 측두엽에서 뇌관류가 감소를 하였고 후두엽, 두정엽과 전두엽 일부에서 뇌관류가 증가한 소견을 관찰할 수 있었다. 결론: 공황장애 환자에서 약물치료 없이 인지행동치료만으로도 그 증상을 감소시키는 효과를 보였고, 이는 공포와 관련된 뇌영역에서 뇌활성도의 완화 및 안정화로 인해 치료 효과가 나타남을 알 수 있었다.