• Journal of Korean Neurosurgical Society
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• 제30권12호
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• pp.1399-1405
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• 2001

Objectives : Gliomatosis cerebri is an uncommon primary brain tumor characterized by diffuse neoplastic proliferation of glial cells, with the preservation of the underlying cytoarchitecture. The aim of this study is to evaluate clinical features, outcome of surgical treatment and adjuvant therapy of gliomatosis cerebri. Methods : Between Jan. 1990 and Dec. 2000, 12 patients were diagnosed with gliomatosis cerebri based on characteristic radiological and histological findings. The patients' age ranged from 18 to 77(mean 44) years and the male to female ratio was 7 : 5. Nine patients underwent decompressive surgery and three, biopsy only. Postoperative radiation therapy was given in all cases except three. In addition to radiation therapy, four patients received chemotherapy. The mean duration of follow-up period was 18.8 months. Results : The most common presenting symptom were seizure and motor weakness. The mean duration of symptom was 5.9 months. There was 5 bilateral lesions and tumor involved corpus callosum in 5, basal ganglia-thalamus in 4, and brain stem in 2. There was no operative mortality but four patients died during the follow-up. The mean survival period for 11 patients was 20.5 months from the time of diagnosis. In univariate analysis, the lesion involving corpus callosum, basal ganglia-thalamus and brain stem correlated significantly with the short length of survival(p<0.05). Also, postoperative radiation as a adjuvant therapy prolonged the patient's survival(p<0.05). Conclusions : In the management of gliomatosis cerebri patients, early detection by MR imaging, active management of increased intracranial pressure, decompressive surgical removal and postoperative adjuvant therapy such as radiation is thought to be a good treatment modality.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제8권2호
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• pp.256-265
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• 1997

전반적발달장애 환자와 발달성언어장애 환자의 뇌혈류량의 분포를 조사하여 각 질환의 국소적 뇌기능의 특성을 알아보고자 한다. 14명의 전반적발달장애 환자와 13명의 발달성언어장애 환자를 대상으로 뇌 technetium-99m-EDC SPECT를 촬영하여 2명의 핵의학 전문의가 판독하고, 대뇌의 측두엽, 두정엽, 기저핵, 시상, 소뇌를 관심 영역(region of interest)으로 하여 뇌혈류량을 양적으로 측정하여 양군을 비교한다. 뇌 SPECT 소견상 전반적발달장애와 발달성언어장애에서 모두 측두엽, 두정엽, 기저핵, 시상, 소뇌의 혈류량의 감소를 보였고, 혈류량을 양적으로 측정한 결과, 상기부위의 혈류량이 전반적발달장애군과 발달성언어장애군에서 유의한 차이를 보이지 않았다. 이는 전반적발달장애와 발달성언어장애는 뇌기능의 특정 국소부위의 이상이 아니고, 대뇌피질과 피질하부위의 신경발달-신경연결(interneural connection)-상의 이상에 의한 질환이며, 두 질환이 스펙트럼장애일 가능성을 시사한다.

• 사상체질의학회지
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• 제11권2호
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• pp.283-299
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• 1999

1. 연구목적 kainic acid를 실험동물에 주입할 경우 간질발작을 일으키고 변연계 특히 해마체 부위에서 조직의 손상이 일어나게 되는데 이는 사람에 있어 측두엽성 간질에서 보이는 구조적 변화와 유사한 것이다. 본 실험은 신경독성 물질인 kainic acid로 마우스의 해마체에 손상을 유발하고 이 경우에 열다한소탕이 신경보호효과가 있는지의 여부를 알고자한 것이다. 2. 연구방법 kainic acid를 경구투여하고 열다한소탕을 3주일간 복용시키면서 각각 1, 2, 3일과 1주, 3주에 조직을 관찰하였다. 조직손상은 해마체의 CA1, CA3과 thalamus, amygdala 등에서 c-fos 와 DNA fragmentation의 출현 율로 지표를 삼았으며 광학현미경하에서 육안적 관찰을 병행하였다. 3. 결과 및 결론 kainic acid만을 투여한 대조 군에서는 실험 3주째에도 손상지표인 c-fos 와 DNA fragmentation이 발견되었으나 열다한소탕을 투여한 실험 군에서는 실험 약 3일 째부터 손상지표의 발현이 줄어 7일째에는 나타나지 않음을 알 수 있었다. 또한 현미경 하의 육안적 관찰에서도 실험초기 많은 손상을 보였던 신경세포가 2주일 후 어느 정도 회복되는 것을 볼 수 있었다. 이로써 열다한소탕이 kainic acid로 유발된 실험동물의 해마체손상에 대하여 신경세포 보호 효과 및 손상 억제 효과가 있음을 알 수 있었다.

• 대한약리학회지
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• 제31권2호
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• pp.153-164
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• 1995

Sympathomimetic amines, especially ephedrine, are a major ingredient in proprietary medications for symptomatic treatment of upper respiratory infections. Their frequent uses can lead to occasional instances of abuse and habituation. The clinical symptoms of ephedrine abuse are similar to that of amphetamine psychosis and resemble closely that of schizophrenia. Because both amphetamine psychosis and schizophrenia are thought to be mediated primarily through the action on catecholamines, ephedrine-induced changes of the biogenic amines can be suspected. However, there were few studies about the central effects of ephedrine because of the milder central action than peripheral. Therefore, the present investigation was undertaken to elucidate the relations between the effects of single or repeated administration of ephedrine on the regional levels of biogenic amines in rat brain and ephedrine-induced CNS stimulation. The male Sprague-Dawley rats weighing $100{\sim}200\;g$ were used. After single or repeated administrations of ephedrine, blocks of tissue were obtained from frontal cortex, corpus striatum, hippocampus, thalamus, hypothalamus, substantia nigra and cerebellum. The concentration of biogenic amines(norepinephrine, epinephrine, dopamine, 5-hydroxytryptamine(5-HT)) and their metabolites (3,4-dihydroxyphenylacetic acid (DOPAC), homovanillic acid(HVA), 5-hydroxyindoleacetic acid(5-HIAA)) were measured by means of high performance liquid chromatography-electrochemical detector(HPLC-ECD). The results obtained were as follows: 1) In the normal rat, the concentration of norepinephrine was the highest in hypothalamus. Dopamine, DOPAC and HVA were highest in corpus striatum, and 5-HT and 5-HIAA were highest in substantia nigra. Epinephrine was not detectable in any part of the brain tissue. 2) In a single administration of ephedrine, the concentration of DOPAC was decreased in corpus striatum. However, the other biogenic amines and their metabolites were not changed. 3) In repeated administration of ephedrine, the concentration of norepinephrine was decreased in all brain region checked. Dopamine was decreased in corpus striatum and substantia nigra and, increased in hypothalamus, and HVA was decreased in corpus striatum. 5-HT was decreased in all brain region except cerebellum and, 5-HIAA was decreased only in frontal cortex. The ratio of 5-HIAA/5-HT was increased in corpus striatum, thalamus, hypothalamus and substantia nigra. These data indicated that, although a single administration of ephedrine did not change the central neurotransmitters, repeated administration of ephedrine caused the decreases of norepinephrine and 5-HT in the most regions of brain, which may be responsible for the emergence of abnormal behavioral effect after ephedrine abuse.

• Journal of Korean Neurosurgical Society
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• 제30권7호
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• pp.831-841
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• 2001

Objective : Somatosensory evoked potentials(SSEPs) have been used widely both experimentally and clinically to monitor the function of central nervous system and peripheral nervous system. Studies of SSEPs have reported the various recording techniques and patterns of SSEP. The previous SSEP studies used scalp recording electrodes, showed mean vector potentials which included relatively constant brainstem potentials(far-field potentials) and unstable thalamocortical pathway potentials(near-field potentials). Even in invasive SSEP recording methods, thalamocortical potentials were variable according to the kinds, depths, and distance of two electrodes. So they were regarded improper method for monitoring of upper level of brainstem. The present study was conducted to investigate the characteristics of somatosensory evoked field potentials(SSEFPs) of the cerebral cortex that evoked by hindlimb stimulation using ball electrode and the pathways of SSEFP by recording the potentials simultaneously in the cortex, VPL nucleus of thalamus, and nucleus gracilis. Methods : In the first experiment, a specially designed recording electrode was inserted into the cerebral cortex perpendicular to the cortical surface in order to recording the constant cortical field potentials and SSEFPs mapped from different areas of somatosensory cortex were analyzed. In the second experiment, SSEPs were recorded in the ipsilateral nucleus gracilis, the contralateral ventroposterolateral thalamic nucleus(VPL), and the cerebral cortex along the conduction pathway of somatosensory information. Results : In the first experiment, we could constantly obtain the SSEFPs in cerebral cortex following the transcutaneous electrical stimulation of the hind limb, and it revealed that the first large positive and following negative waves were largest at the 2mm posterior and 2mm lateral to the bregma in the contralateral somatosensory cortex. The second experiment showed that the SSEPs were conducted by way of posterior column somatosensory pathway and thalamocortical pathway and that specific patterns of the SSEPs were recorded from the nucleus gracilis, VPL, and cerebral cortex. Conclusion : The specially designed recording electrode was found to be very useful in recording the localized SSEFPs and the transcutaneous electrical stimulation using ball electrode was effective in evoking SSEPs. The characteristic shapes, latencies, and conduction velocities of each potentials are expected to be used the fundamental data for the future study of brain functions, including the hydrocephalus model, middle cerebral artery ischemia model, and so forth.

• 대한불안의학회지
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• 제18권2호
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• pp.39-47
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• 2022

Objective : This study investigated brain functional connectivity in male firefighters who showed subclinical post-traumatic stress disorder (PTSD) symptoms. Methods : We compared the data of 17 firefighters who were not diagnosed with PTSD and 18 healthy controls who had no trauma exposure. The following instruments were applied to assess psychiatric symptoms: Korean version of the Post-traumatic stress disorder Checklist for DSM-5 (PCL-5-K), Beck Depression Inventory-II (BDI-II), Beck Anxiety Inventory (BAI). For all subjects, functional magnetic resonance imaging was performed, and functional connectivity was compared between the two groups (family-wise error-corrected p<0.05). Additionally, correlations between psychiatric symptoms and functional connectivity were explored. Results : The following connectivity was higher than that of healthy controls: 1) the central opercular cortex-superior temporal gyrus, 2) planum polare-parahippocampal gyrus, 3) angular gyrus-amygdala, and 4) temporal fusiform cortex-parahippocampal gyrus. The functional connectivity of 1) the lateral occipital cortex-inferior temporal gyrus, 2) superior parietal lobule-caudate, and 3) middle temporal gyrus-thalamus were lower in firefighters. In firefighters, the connectivity of the planum polare-parahippocampal gyrus showed a negative correlation with the severity of arousal symptoms (rho=-0.586, p=0.013). The connectivity of the middle temporal gyrus-thalamus showed a positive correlation with the severity of intrusion (rho=0.552, p=0.022) and arousal symptoms (rho=0.619, p=0.008). The connectivity of the temporal fusiform cortex-parahippocampal gyrus was negatively correlated with intrusion (rho=-0.491, p=0.045) and arousal (rho=-0.579, p=0.015). Conclusion : Our results indicate that the brain functional connectivity is associated with occupational trauma exposure in firefighters without PTSD. Therefore, this study provides evidence that close monitoring and early intervention are important for firefighters with traumatic experience even at a subthreshold level.

• 대한영상의학회지
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• 제85권3호
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• pp.682-690
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• 2024

급성 괴사성 뇌병증은 바이러스 감염의 드문 면역 매개 합병증이다. 일반적으로 양쪽 시상을 침범하며, 주로 어린이에서 보고된다. 저자들은 소아에서 발생한 코로나바이러스감염증과 관련된 급성 괴사성 뇌병증 2건을 보고하고자 한다. 7세 여아는 발열과 의식변화, 6세 여아는 발열과 전신성 간질로 내원하였다. 뇌 MRI에서 두 환자 모두 양쪽 시상에 중심부 출혈을 동반한 대칭적인 액체감쇠역전회 고신호강도 병변이 보였고, 한 환자에서는 겉보기확산계수에서 시상에 층상 병변이 보였다. 저자들은 이 보고를 통해 급성 괴사성 뇌병증의 특징적인 뇌 MRI 영상 소견을 인지함으로써 심각한 신경학적 증상을 나타내는 코로나바이러스감염증 환자의 경우 특히 소아에서 영상 소견을 바탕으로 한 빠른 진단이 필요함을 강조하고자 한다. 또한, 급성 괴사성 뇌병증을 시사하는 양측 시상의 출혈성 괴사로 나타났던 코로나바이러스 감염 증례에 대한 문헌을 검토하고자 한다.

• The Korean Journal of Physiology and Pharmacology
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• 제17권6호
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• pp.553-558
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• 2013

Spinal dorsal horn nociceptive neurons have been shown to undergo long-term synaptic plasticity, including long-term potentiation (LTP) and long-term depression (LTD). Here, we focused on the spinothalamic tract (STT) neurons that are the main nociceptive neurons projecting from the spinal cord to the thalamus. Optical technique using fluorescent dye has made it possible to identify the STT neurons in the spinal cord. Evoked fast mono-synaptic, excitatory postsynaptic currents (eEPSCs) were measured in the STT neurons. Time-based tetanic stimulation (TBS) was employed to induce long-term potentiation (LTP) in the STT neurons. Coincident stimulation of both pre- and postsynaptic neurons using TBS showed immediate and persistent increase in AMPA receptor-mediated EPSCs. LTP can also be induced by postsynaptic spiking together with pharmacological stimulation using chemical NMDA. TBS-induced LTP observed in STT neurons was blocked by internal BAPTA, or $Ni^{2+}$, a T-type VOCC blocker. However, LTP was intact in the presence of L-type VOCC blocker. These results suggest that long-term plastic change of STT neurons requires NMDA receptor activation and postsynaptic calcium but is differentially sensitive to T-type VOCCs.

• Annals of Clinical Neurophysiology
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• 제2권2호
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• pp.114-118
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• 2000

Purpose : The pathophysiology of essential tremor(ET) remains unknown. PET studies of ET showed some conflicting data. One study reported significant glucose hypermetabolism of the medulla and thalami, but other studies reported abnormal bilateral overactivity of cerebellar and red nuclear connections. The previous experimental studies suggested that each PET finding reflects a part of neural circuit which is responsible for ET. So it can be imagined that olivocerebellar oscillation may be transmitted by the way of cerebellar projections to the thalamus in ET. It has been reported that the cerebellar dentate nucleus neurons are involved in the generation and/or guidance of movement based on visual cues. The purpose of this study is to clarify the role of dentato-thalamic tract in ET. Methods : Tremor amplitudes were recorded as each patient perform two kinds of task, one involving sensory-guided movement and the other involving memory-guided movement. Each patient was asked to move his/her index finger following a smoothly moving target. He/She also was asked to perform the same movements with his/her eyes closed ET. Results : The results showed that average amplitudes of tremor were significantly higer during visually guided task than during memory guided task in ET patients. Conclusions : Our results led us to conclude that dentato-thalamic tract might be related to the control of tremor in ET.

• 한국감성과학회:학술대회논문집
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• 한국감성과학회 2001년도 춘계학술대회 논문집
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• pp.175-181
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• 2001

본 연구의 목적은 사람들이 언어과제와 공간지각과제을 수행하는 동안 활성화되는 뇌 영역의 차이를 규명하는 것이다. 428명의 대학생을 대상으로 집단 심리실험을 수행하여, fMRI 연구를 위한 실험참여자로 17명의 오른손잡이 여대생을 선정하였다. 17명 중 8명은 언어능력은 뛰어나지만 공간지각능력이 떨어지고, 나머지 9명은 언어능력은 빈약하지만, 공간지각능력이 우수한 사람들이었다. fMRI 실험에 사용된 패러다임에는 언어과제와 공간지각과제가 각각 8block으로 구성되었으며, 각 block은 동일한 과제 3문항을 포함하였다. fMRI 이미징은 1.5T Siemens Vision Scanner로 수집되었으며, Single-shot EPI 기법으로 (TR/TE : 3840/40ms, flip angle : 90, FOV : 220, 64x64 matrix) 이미지를 스캔하였다. 자료분석은 SPM-99 소프트웨어를 사용하였다. 감산(subtraction)분석결과, 언어능력이 뛰어난 집단에서는 양측 대상회(bilateral cingulate gyri)와 좌측 상두정엽 (left superior parietal lobe)이 더 많이 활성화되었고, 언어능력이 떨어지는 집단에서는 양측 전두엽 (both frontal lobes)이 더 많이 활성화되었다. 공간지각능력이 떨어지는 집단에서는 우측 시상 (right thalamus)과 좌측 측-후두엽 (left temporooccipital)이 더 많이 활성화되었다. 언어능력이나 공간지각능력이 우수한 집단에서는 공통적으로 대상회 (cingulate gyri)가 활성화되었다.