• Investigative Magnetic Resonance Imaging
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• 제20권4호
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• pp.250-253
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• 2016

Acute Japanese encephalitis (JE) is an endemic viral infectious disease in various parts of Far East and Southeast Asian countries including Korea. Bilateral thalami are the most common involving sites in JE. Other areas including the basal ganglia, substantia nigra, red nucleus, pons, cerebral cortex and cerebellum may be also involved. We report an extremely unusual brain diffusion-weighted MR imaging (DWI) findings in a 53-year-old man with serologically proven JE involving unilateral deep gray matter and temporal lobe, which shows multifocal high signal intensities in left thalamus, left substantia nigra, left caudate nucleus and left medial temporal cortex on T2-weighted image and DWI with iso-intensity on apparent diffusion coefficient (ADC) map.

• Animal cells and systems
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• 제9권3호
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• pp.145-152
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• 2005

A retrograde tracer, WGA-apo-HRP-gold, was injected into midline thalamic nuclei and subsequently orexin-A immunostaining was performed on the tuberal region of the hypothalamus in order to investigate orexinergic projections to the midline thalamus. Injection site was targeted within one specific region, i.e., paraventricular, centromedian, rhomboid, reuniens, or intermediodorsal nucleus, but it proved to be either one or a combination of these thalamic nuclei. The distribution of WG/orexin-double-labeled neurons exhibited a general pattern in that the majority of labeled cells were observed within the ventral portion of the lateral hypothalamus as well as the perifornical nucleus (PeF). A small number of double-labeled cells were also observed at the dorsomedial nucleus, the area dorsal to the PeF, dorsal portion of the lateral hypothalamus, and the posterior hypothalamus. These orexin-immunoreactive neurons might have wake-related influences over a variety of functions related with midline thalamic nuclei, which include autonomic control, associative cortical functions, and limbic regulation.

• Journal of Korean Neurosurgical Society
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• 제38권6호
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• pp.468-470
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• 2005

The recurrent intracerebral hemorrhage[ICH] in hypertensive patients is not an unusual event, but the simultaneous occurrence of multiple ICH is rare. A 70-year-old woman presented with bilateral simultaneous hypertensive intracerebral hemorrhages in both thalami. The complaints of the patient were unconsciousness [semicomatose mental state] and quadriparesis Grade II. The patient was managed conservatively. At discharge, the patient was awake [drowsy mental state], but Grade III according to the Glasgow Outcome Score. This paper reviews the clinical relevance, possible etiology, and treatment of bilateral thalamic ICH.

• Journal of Korean Neurosurgical Society
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• 제41권6호
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• pp.421-424
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• 2007

Two patients, one with glioblastoma multiforme [GM] in the right thalamus and the other with meningioma at the right frontal convexity, had suffered bilateral cortical blindness after transtentorial herniation. On one of those patients, bilateral cortical blindness had occurred due to acute obstructive hydrocephalus caused by GM and on the other patient, cortical blindness had developed after acute hemorrhage from meningioma. Bilateral occipital lobes of those patients showed signal change on the brain magnetic resonance image [MRI]. There were no ophthalmologic abnormalities on fundoscopy and ophthalmologic examination. After recovery of consciousness, cortical blindness was detected in both patients, and during gradual recovery period, visual function was slowly recovered. The pattern of visual evoked potential [VEP] at 7 weeks and 12 weeks after herniation was normalized gradually. Cortical blindness due to herniation was reversible, even though the high signals of bilateral visual cortex still existed on MRI 16 month later in case 2.

• Journal of Medicine and Life Science
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• 제17권3호
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• pp.98-102
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• 2020

Influenza is a common disease that causes epidemics yearly due to the influenza virus. If patients with influenza present with rare symptoms, the diagnosis may be delayed and the condition is difficult to treat. A 5-year-old boy presented to the emergency room with fever and cramps. Brain computed tomography showed low attenuation in the thalamus and brain stem, which was suggestive of encephalopathy caused by influenza virus. Another 5-year-old girl visited the emergency room with mild fever and painful calf edema. She was diagnosed with myositis caused by influenza and treated accordingly.

• 대한약학회:학술대회논문집
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• 대한약학회 2003년도 Proceedings of the Convention of the Pharmaceutical Society of Korea Vol.2-2
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• pp.83.1-83.1
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• 2003

The heterotrimeric G protein subunits (G ) are region-specifically expressed in brain such as hypothalamus and pituitary gland in abundant, suggesting that is may be associated with “stress-axis”. This study was designed to examine the effect of stress on the region-specific expression of various G subunits in rat brain. The localization of mRNAs encoding seven of G and striking region-specific patterns of expression were observed in 12 different regions of both non-stressed and stressed rat brain; (1) frontal cortex area, (2) cerebral cortex area, (3) striatum, (4) hippocampus area, (5) thalamus, (6) brain stem, (7) cerebellum area, (8) hypothalamus, (9) septum, (10) amygdala, (11) preoptic area, and (12) pituitary gland. (omitted)

• Biomolecules & Therapeutics
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• 제30권4호
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• pp.328-333
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• 2022

Repeated morphine administration induces tolerance to its analgesic effects. A previous study reported that repeated morphine treatment activates transient receptor potential vanilloid type 1 (TRPV1) expression in the sciatic nerve, dorsal root ganglion, and spinal cord, contributing to morphine tolerance. In the present study, we analyzed TRPV1 expression and binding sites in supraspinal pain pathways in morphine-tolerant mice. The TRPV1 mRNA levels and binding sites were remarkably increased in the cortex and thalamus of these animals. Our data provide additional insights into the effects of morphine on TRPV1 in the brain and suggest that changes in the expression of, and binding to TRPV1 in the brain are involved in morphine tolerance.

• 한국의학물리학회지:의학물리
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• 제21권1호
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• pp.35-41
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• 2010

본 연구는 생체 외 $^1H$ 고분해능 매직앵글스핀닝($^1H$ High-Resolution Magic Angle Spinning; $^1H$ HR MAS) 기술을 이용하여 정상군 adult mice의 뇌에서의 부위별 뇌 신경화학 대사물질(brain neurochemical metabolites)을 정량적으로 분석하고, 이를 이용하여 정상군의 뇌 대사물질의 표준 data base를 정립하기 위함이다. 실험에 사용된 adult mice는 C57BL/6J 모델의 체중 25~28 g, 40주령 수컷 10마리를 사용하였으며, 연령과 성별을 일치시켰다. 또한 뇌의 전두엽(frontal cortex), 측두엽(temporal cortex), 해마(hippocampus), 시상(thalamus) 총 4개의 부위를 채취하여 생체 외 $^1H$ 고분해능 매직앵글 스핀닝 실험을 진행 하였다. 생체 조직의 뇌 대사물질의 절대농도를 획득하기 위하여 대표적인 대사물질(Ace, NAA, NAAG, tCr, Cr, tCho, Cho, mIns, GPC+PC, Lac, GABA, Glu, Gln, tau, Ala)을 각 피크의 면적과 대사물질의 프로톤 개수를 계산하였다. 결과적으로 정상 군에서의 mice 뇌의 신경화학 대사물질들을 Acet, NAA, NAAG, Cho, mIns가 부위별로 절대농도차의 유의성을 나타내었으며, 이 외의 대사물질에서는 유의성이 없는 것으로 나타났다. 본 연구 결과를 토대로 $^1H$ HR-MAS을 이용한 생체조직 실험은 뇌조직 내 대사물질의 절대농도를 측정하고 기본적인 지표를 확보하는데 매우 정확하고 정량적인 방법이 될 수 있을 것으로 사료되며, 더 나아가 mice를 이용한 인간질병 모델의 실험동물에서의 뇌 신경화학 대사물질의 표준 자료화 하는데 도움이 될 수 있을 것으로 판단된다.

• Journal of Korean Neurosurgical Society
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• 제29권8호
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• pp.1001-1007
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• 2000

Objective : We analysed diverse clinical features of the cavernous angioma. Also, we report the experience in differ-ent methods of the management and their results. Method : Data from 80 patients who were confirmed pathologically or diagnosed radiologically between Jan. 1990 and Sept. 1998 at our hospital were analysed. Variable factors that were examined were : clinical features, effects of treatment, and complications. Results : There were 47 male and 33 female patients. The age at the first presentation was from 3 to 57(mean 34.1) years old. Clinical features were seizure in 28 cases(38%), bleeding in 24 cases(32%), neurologic deficits in 12 cases(16%), headache in 10 cases(14%), and six incidental cases. The locations of lesion were cerebral and cerebellar hemisphere in 45 cases(56.2%), brainstem, basal ganglia, and thalamus in 32 cases(40%), multiple in 3 cases (3.8%). Seizure was common at the third decade and occurred frequently with the cavernous angioma in temporal (43%) or frontal lobe(39%). Bleeding was frequent after the third decade with peak at the fourth decade and had high incidence in brainstem or thalamus. The gamma-knife radiosurgery was done in 47 cases. Rebleeding occurred in 3 cases, but it was within postradiosurgery 1 year. Symptomatic radiation change occurred in 2 cases of 8 radiation change on MRI. On follow-up MRI, no evidence of rebleeding was found in 30 cases. Also, The lesion size was decreased in 3 cases. Resection was performed in 23 cases ; total 20, subtotal 2, partial 1. Postoperative complication occurred in 6 cases(26.1%). After surgery, 7(63.6%) of 11 seizure patients had outcome of seizure-free. Subclinical rebleeding occurred in one of two subtotal resected cases. In 11 patients, conservative management was done. There was neither rebleeding nor symptom aggravation during follow-up period of mean 17.2 months. Conclusion : The solution for prevention of rebleeding is complete removal of the lesion located at noneloquent area or accessible region, especially for the patients who presented symptoms or intractable seizure. However, the Gamma knife radiosurgery is considered when the lesions are located at eloquent area or when severe postoperative morbidity is expected.

• 감성과학
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• 제21권3호
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• pp.49-60
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• 2018

특성 분노는 분노 경험과 관련된 개인의 심리 특성 중 하나로, 특성 분노가 높은 이들은 낮은 이들에 비해 더 자주, 더 강하게, 더 길게 분노를 경험한다. 본 연구의 목적은 분노를 경험하는 동안에 활성화되는 뇌 영역을 관찰하고, 활성화된 뇌 영역 중 특성 분노와 연관이 있는 영역을 확인하는 것이다. 본 연구에서는 실험 참가자 35명을 대상으로 과거에 분노했던 기억을 회상하여 분노를 유발하는 과제를 수행하는 동안의 뇌 기능을 측정하였다. 정서적 중립 사건을 회상하는 조건에 비해 분노 사건을 회상하는 조건에서 더 활성화된 뇌 영역은 우측 superior temporal gyrus (BA38), 좌측 inferior frontal gyrus (BA45), 우측 thalamus, 우측 insula (BA13), 양측 cuneus (BA17), 그리고 우측 cerebellum anterior lobe으로 나타났다. 분노 회상 시 뇌 활성화 정도와 특성 분노 점수 간 상관 분석 결과, 특성 분노 점수가 높을수록 분노 회상시 우측 insula의 활성화가 높았다. Insula가 정서 경험과 신체 내부감각수용기에서 오는 정보를 통합하여 자극에 대한 주관적인 느낌을 표상하는 영역으로 알려져 있으므로, 특성 분노가 높은 사람일수록 분노 자극에 대한 주관적인 느낌을 더 강하게 표상한다고 해석할 수 있다. 이 연구 결과는 분노의 개인차에 대한 뇌 기제를 규명한 것으로, 분노 및 분노 조절 관련 문제들에 대한 신경과학적 이해를 향상시키는데 기여할 것으로 기대된다.