• 제목/요약/키워드: White matter

검색결과 504건 처리시간 0.03초

Injury of Corticostriatal Tract between the Striatum and the Premotor Area in a Patient with Traumatic Brain Injury

  • Kwon, Jung-Won;Seo, Jeong Pyo
    • The Journal of Korean Physical Therapy
    • /
    • 제32권6호
    • /
    • pp.391-393
    • /
    • 2020
  • Objectives: We investigated injury of corticostriatal (CStr) tract in patient with mild traumatic brain injury (mTBI), which was demonstrated by DTT. Method: A 44-year-old female with no previous history of neurological, physical, or psychiatric illness had suffered from head trauma resulting from a pedestrian car accident. She complained that could not quickly move the left hand with her intension. After three month's administration, her slowness movement of left hand recovered rapidly to the point that she was able to extend all fingers quickly. Results: On DTT configuration, the integrity of the left CStr tract was well-preserved, however the right CStr tract showed narrowing and partial tearing in the subcortical white matter on a DTT at 25 months after onset. Conclusion: Injury of the right CStr tract was demonstrated in a patient who developed mild motor control problems following mild TBI. We believe that the evaluation of the CStr tract from the secondary motor area for patients who showed unexplained motor control problem is necessary.

클로르페나피르 중독 후 지연성 사망 (Delayed death after chlorfenapyr poisoning)

  • 이장영
    • 대한임상독성학회지
    • /
    • 제19권1호
    • /
    • pp.51-54
    • /
    • 2021
  • Chlorfenapyr is a widely used insecticide, that is very lethal if ingested. It exhibits delayed toxicity in which there are few symptoms at first which suddenly worsen after a few days. A 66-year-old female patient ingested about 90 mL of chlorfenapyr liquid hydrating agent (Chlofenapyr 10%) and showed stable vital signs with no specific symptoms and findings other than a mild fever, vomiting, and nausea. From the 3rd day of ingestion, creatine kinase was high, and rhabdomyolysis was suspected. From the 4th day of ingestion, pancreatic enzymes began to gradually increase. A diffusion-weighted image showed a multifocal high signal intensity in the white matter and corpus callosum area. On the 8th day after ingestion, she suffered a high fever and a heart attack and died. Thus, if a patient is suspected of taking chlorfenapyr, he/she needs active treatment and monitoring even if he/she does not exhibit any symptoms.

A case of X-linked Charcot-Marie-tooth disease type 1 manifesting as recurrent alternating hemiplegia with transient cerebral white matter lesions

  • Kang, Minsung;Hwang, Sun-Jae;Shin, Jin-Hong;Kim, Dae-Seong
    • Annals of Clinical Neurophysiology
    • /
    • 제23권2호
    • /
    • pp.130-133
    • /
    • 2021
  • X-linked Charcot Marie Tooth disease type 1 (CMTX1) is a clinically heterogenous X-linked hereditary neuropathy caused by mutation of the gene encoding gap junction beta 1 protein (GJB1). Typical clinical manifestations of CMTX1 are progressive weakness or sensory disturbance due to peripheral neuropathy. However, there have been some CMTX1 cases with accompanying central nervous system (CNS) manifestations. We report the case of a genetically confirmed CMTX1 patient who presented recurrent transient CNS symptoms without any symptom or sign of peripheral nervous system involvement.

A case of mild CADASIL patient with a novel heterozygous NOTCH3 variant

  • Choi, WooChan;Hwang, Yang-Ha;Lee, Jong-Mok
    • Journal of Genetic Medicine
    • /
    • 제19권1호
    • /
    • pp.38-41
    • /
    • 2022
  • Cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL) is a single-gene disease caused by mutations in the neurogenic locus notch homolog protein 3 (NOTCH3) gene. The spectrum of clinical manifestations is broad, ranging from asymptomatic to typical ischemic stroke, and mainly depends on the location of the mutations. We describe the case of a 76-year-old female without apparent neurological deficits. However, brain magnetic resonance imaging revealed confluent lesions in the white matter. Direct sequencing of the NOTCH3 gene revealed a novel pathogenic mutation, c.811T>A, which results in a mild phenotype. Therefore, this report will expand the current knowledge in regards to the mutations that can cause CADASIL.

Hypertension and cognitive dysfunction: a narrative review

  • Eun-Jin Cheon
    • Journal of Yeungnam Medical Science
    • /
    • 제40권3호
    • /
    • pp.225-232
    • /
    • 2023
  • Cognitive dysfunction is relatively less considered a complication of hypertension. However, there is sufficient evidence to show that high blood pressure in middle age increases the risk of cognitive decline and dementia in old age. The greatest impact on cognitive function in those with hypertension is on executive or frontal lobe function, similar to the area most damaged in vascular dementia. Possible cognitive disorders associated with hypertension are vascular dementia, Alzheimer disease, and Lewy body dementia, listed in decreasing strength of association. The pathophysiology of cognitive dysfunction in individuals with hypertension includes brain atrophy, microinfarcts, microbleeds, neuronal loss, white matter lesions, network disruption, neurovascular unit damage, reduced cerebral blood flow, blood-brain barrier damage, enlarged perivascular damage, and proteinopathy. Antihypertensive drugs may reduce the risk of cognitive decline and dementia. Given the high prevalence of dementia and its impact on quality of life, treatment of hypertension to reduce cognitive decline may be a clinically relevant intervention.

Perspectives : Understanding the Pathophysiology of Intraventricular Hemorrhage in Preterm Infants and Considering of the Future Direction for Treatment

  • Young Soo Park
    • Journal of Korean Neurosurgical Society
    • /
    • 제66권3호
    • /
    • pp.298-307
    • /
    • 2023
  • Remarkable advances in neonatal care have significantly improved the survival of extremely low birth weight infants in recent years. However, intraventricular hemorrhage (IVH) continues to be a major complication in preterm infants, leading to a high incidence of cerebral palsy and cognitive impairment. IVH is primarily caused by disruption of the fragile vascular network of the subependymal germinal matrix, and subsequent ventricular dilatation adversely affects the developing infant brain. Based on recent research, periventricular white matter injury is caused not only by ischemia and morphological distortion due to ventricular dilatation but also by free iron and inflammatory cytokines derived from hematoma and its lysates. The current guidelines for the treatment of posthemorrhagic hydrocephalus (PHH) in preterm infants do not provide strong recommendations, but initiating treatment intervention based on ultrasound measurement values before the appearance of clinical symptoms of PHH has been proposed. Moreover, in the past decade, therapeutic interventions that actively remove hematomas and lysates have been introduced. The era is moving beyond cerebrospinal fluid shunt toward therapeutic goals aimed at improving neurodevelopmental outcomes.

Rapid progression of large intracranial cerebral artery involvement in a patient with myeloperoxidase antineutrophil cytoplasmic antibody-associated vasculitis

  • Jihee Ko;Jay Chol Choi
    • Journal of Medicine and Life Science
    • /
    • 제21권1호
    • /
    • pp.15-19
    • /
    • 2024
  • Antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis (AAV) is a systemic necrotizing vasculitis that predominantly affects small vessels of the body. The two most common ANCAs are myeloperoxidase ANCA and proteinase 3 ANCA. Neurological manifestations are frequent in patients with AAV, including peripheral neuropathy, meningitis, and stroke. AAV-associated ischemic stroke usually affects small vessels supplying the white matter or brainstem. This case report details the presentation and treatment course of a 70-year-old man with rapidly progressive multiple intracranial large artery involvement attributed to myeloperoxidase ANCA-associated vasculitis. Despite treatment with high-dose steroids and a rituximab infusion, the patient developed new speech difficulties and respiratory distress, and brain imaging confirmed new stroke lesions with progressive multiple intracranial large cerebral artery involvement. The patient died from SARS-CoV-2 infection 4 months after the diagnosis. This case emphasized the rare presentation of rapidly progressive large vessel involvement in a patient with myeloperoxidase ANCA-associated vasculitis despite active immunotherapy.

Effects of photoperiod on nutrient digestibility, hair follicle activity and cashmere quality in Inner Mongolia white cashmere goats

  • Zhang, Chong Zhi;Sun, Hai Zhou;Li, Sheng Li;Sang, Dan;Zhang, Chun Hua;Jin, Lu;Antonini, Marco;Zhao, Cun Fa
    • Asian-Australasian Journal of Animal Sciences
    • /
    • 제32권4호
    • /
    • pp.541-547
    • /
    • 2019
  • Objective: This study investigated the effects of photoperiod on nutrient digestibility, hair follicle (HF) activity and cashmere quality in Inner Mongolia white cashmere goats. Methods: Twenty-four female (non-pregnant) Inner Mongolia white cashmere goats aged 1 to 1.5 years old with similar live weights (mean, $20.36{\pm}2.63kg$) were randomly allocated into two groups: a natural daily photoperiod group (NDPP group:10 to 16 h light, n = 12) and a short daily photoperiod group (SDPP group: 7 h light:17 h dark, n = 12). All the goats were housed in individual pens and fed the same diets from May 15 to October 15, 2015. The digestibility of crude protein (CP), dry matter (DM), and neutral detergent fiber (NDF) were measured in different months, along with secondary hair follicle (SHF) activity, concentration of melatonin (MEL), and cashmere quality. Results: Although there was no significant difference in the live weights of goats between the SDPP and NDPP groups (p>0.05), the CP digestibility of goats in the SDPP group was significantly increased compared to the NDPP group in July, September, and October (p<0.05). For the DM and NDF digestibility of goats, a significant increase (p<0.05) was found during in September in the SDPP group. Furthermore, compared to the NDPP group, the SHF activity in July, the MEL concentration in July, and the cashmere fiber length and fiber weight in October were significantly increased in the SDPP group (p<0.05). Conclusion: The cashmere production of Inner Mongolia white cashmere goats was increased without obvious deleterious effects on the cashmere fibers in the SDPP group (metabolizable energy, 8.34 MJ/kg; CP, 11.16%; short daily photoperiod, 7 h light:17 h dark).

Effect of Soluble-silicate or Chitosan Foliar Spray on Ginseng Cultivated in Blue-white Plastic Film House

  • Seo, Sang Young;Cho, Jong hyeon;Kim, Chang Su;Kim, Hyo Jin;Kim, Dong Won;An, Min Sil;Jang, In Bae
    • 한국자원식물학회:학술대회논문집
    • /
    • 한국자원식물학회 2019년도 추계학술대회
    • /
    • pp.46-46
    • /
    • 2019
  • The experiments were performed in the Jinan (elevation: 300 meters above sea level), Jeollabuk-do. Seedlings (n = 63 per $3.3m^2$) of ginseng cultivar (Cheonpung, Yeonpung) were planted on April 10, 2015. Shading material of plastic film house was blue-white film. Before the Planting seedling, silicate (3 kg/10 a) or chitosan (40 kg/10 a) was fertilized and foliar sprayed on the leaves 1000 times dilution solution once a month from May to September every year. The growth results of 5-year old ginseng surveyed in 2018 are as follows. The average air temperature in the plastic film house was the highest at $26.6^{\circ}C$ and $26.5^{\circ}C$ in July and August, respectively, and the highest temperature was $40.5^{\circ}C$ in July. The maximum daily temperature of $35^{\circ}C$ or more was 30 days, with the average soil temperature being $24.9^{\circ}C$ in August. The chemical properties of the test soil are as follows. pH was 6.4~6.9 level and EC was 0.35~0.46 dS/m. The organic matter content was 33.5~41.4 g/kg, and available-P content was 251.9~306.8 mg/kg. Exchangeable cations contents, such as K, Ca and Mg were all the appropriate ranges. The soil microbial density surveyed by the dilution plate method was 10~50 times higher than that of control (Non-treatment) and actinomycete density was 3~6 times higher. Pathogens of the genus Fusarium by Metagenome analysis decreased 91.3% and 68.2% respectively in the foliar sprayed of chitosan and soluble-silicate. The light intensity (PAR) in the blue-white film plastic film house gradually increased until July and then decereased, with the average of light intensity in March-October was $120.3umol/m^2/s$. The growth of aerial parts such as plant height and stem length was better than non-sprayed group in silicate or chitosan treatments and Yeonpung cultivar was superior to the Cheonpung cultivar. The SPAD value was higher in Yeonpung cultivar foliar sprayed with soluble-silicate. The growth of underground parts such as root length and taproot length were better in chitosan and soluble-silicate treatment than control, especially in Yeonpung cultivar foliar sprayed with chitosan was good in taproot length and taproot diameter, and fresh weight of root was 60.1 g. Ginsenoside contents were 24.9 mg/g and 22.4 mg/g, in the Cheonpung cultivar foliar sprayed with soluble-silicate or chitosan respectively, 28% and 15% higher than control (19.5 mg/g). The incidence of disease by Alteraria panax and Botrytis cinerea was 3~9% and 4~9%, respectively. High temperature damage rate was 3~5%.

  • PDF

한국산림토양의 형태학적 및 이화학적성질과 낙엽송, 잣나무의 성장(成長)에 관한 연구(硏究) (Studies on the Morphological, Physical and Chemical Properties of the Korean Forest soil in Relation to the Growth of Korean White Pine and Japanese Larch)

  • 정인구
    • 한국토양비료학회지
    • /
    • 제12권4호
    • /
    • pp.189-213
    • /
    • 1980
  • 1. 본(本) 연구(硏究)는 우리나라의 산림토양(山林土壤)의 형태학적(形態學的) 이학적(理學的) 화학적성질(化學的性質)이 임목생장(林木生長)에 미치는 영향(影響)을 조사(調査)하여 수종별(樹種別)로 토양조건(土壤條件)의 요구(要求) 경향(傾向)을 파악(把握)하므로서 적지적수(適地適樹) 및 비배관리(肥培管理)의 기초자료(基礎資料)를 얻고자 10여년간(余年間)에 걸쳐서 자료(資料)를 수집(蒐集)하여 수량화방법(數量化方法)의 이론(理論)을 적용(適用)하여 다변량해석(多變量解析)으로 분석(分析)한 것이다. 2. 공시수종(供試樹種)인 낙엽송(落葉松)과 잣나무는 온대중부(溫帶中部)에서 온대북부(溫帶北部) 지방(地方)에 이르기까지 조림적지(造林適地)가 광대(廣大)하게 분포(分布)되고 있고 한국(韓國)의 이대(二大) 조림수종(造林樹種)으로 되고 있으나, 적지특성(適地特性)이 밝혀지고 있지않아 조림시(造林時)에 혼동(混同)하여 조림(造林)하거나 동일지위급(同一地位級)으로 취급(取級)되어 왔으며 낙엽송(落葉松) 적지(適地)에는 잣나무를 조림(造林)하여도 비교적(比較的) 생장(生長)이 양호(良好)하나 반면(反面) 잣나무 적지(適地)에 냑엽송(落葉松)을 조림(造林)할 경우(境遇) 생장(生長)은 양호(良好)하다고는 할 수 없다. 이러한 차이(差異)에 대(對)하여 토양형태학적요인(土壤形態學的因子), 토양(土壤)의 이화학적인자(理化字的因子)가 임목생장(林木生長)에 어떻게 영향(影響)하는 것인가를 Computer를 이용(利用)하여 토양인자(土壤因子)를 추적(追敵)하여 보았다. 3. 조사(調査)된 임분(林分)은 인공조림지(人工造林地)의 성림지(成林地)로서 낙엽송(落葉松) 294plot 잣나무 259plot에서 우세목(優勢木)의 표준목(標準木)을 벌채(伐採)하여 수간석해(樹幹析解)에 의(依)하여 지위지수(地位指數)를 결정(決定)하고 당해임지(當該林地)에서 토양단면조사(土壤斷面調査)를 실시(實施)하고 층위별(層位別)로 토양시료(土壤試料)를 채취(採取)하여 토양(土壞)의 이화학적성질(理化學的性質)을 분석(分析)하여 수종별(樹種別)로 임지생산력(林地生産力) 구분표(區分表)를 만들어 토양(土壤)의 물리성(物理性) 화학성(化學性) 및 이화학성(理化學性)과 임목생장(林木生長) 관계(開係)를 구명(究明)하였다. 4. 토양(土壤)의 물리적(物理的) 요인(要因)과 임목생장(林木生長) 관계(開係)의 순위(順位)는 낙엽송(落葉松)에서는 퇴적양식(堆積樣式), 토심(土深), 토양수분(土壤水分), 표고(標高), 지형(地形) 토양형(土壤型) A층(層)의 두께, 견밀도(堅密度), 유기물함량(有機物含量), 토성(土性), 기암(基岩) 석력함량(石礫含量), 방위(方位), 경사(傾斜) 등(等)의 순위(順位)이며 잣나무는 토양형(土壤型), 견밀도(堅密度), 기암(基岩), 방위(方位) A층(層)의 두께 토양수분(土壞水分) 표고(標高) 지형(地形) 퇴직양식(堆積樣式) 토심(土深) 토성(土性) 석력함량(石礫含量) 경사등(傾斜等)의 순(順)이였다. 5. 토양(土壞)의 화학적요인(化學的要因)과 임목생장(林木生長) 관계(開係)의 순위(順位)는 낙엽송(落葉松)에서는 염기포화도(鹽基飽和度) 토양유기물(土壤有機物) 석회(石灰), C/N율(率) 유효인산(有效燐酸) pH 치환성가리(置換性加里) 전질소(全窒素) 고토(苦土) 양(陽)ion치환능력(置換能力) 염기총량(나토륨 등(等)의 순위(順位)이며 잣나무는 유효인산(有效燐酸) 염기총량(전질소(全窒素) 나토륨 C/N율(率) pH, 석회(石灰) 염기포화도(鹽基飽和度) 토양유기물(土壤有機物) 치환성가리(置換性加里) 양(陽)ion 치환능력(置換能力) 고토(苦土) 등(等)의 순(順)이였다. 6. 토양(土壤)의 이화학성(理化學性)과 임목생장(林木生長) 관계순위(關係順位)는 낙엽송(落葉松)에서는 토심(土深) 퇴적양식(堆積樣式) 토양수분(土壞水分) pH 지형(地形) 토양형(土壤型) 표고(標高) 전질소(全窒素) 견밀도(堅密度) 유효인산(有效燐酸) 토성(土性) A층(層)의 두께 염기총량(치환성가리(置換性加里) 염기포화도(鹽基飽和度) 등(等)의 순위(順位)이며 잣나무는 토양형(土壤型) 토양견밀도(土壤堅密度) 방위(方位) 유효인산(有效燐酸) A층(層)의 두께 치환성가리(置換性加里) 토양수분(土壞水分) 염기총량 표고(標高), 토심(土深) 염기포화도(鹽基飽和度) 지형(地形) 전질소(全窒素) C/N율(率) 최적양식(堆積樣式) 등(等)의 순위(順位)이였다. 7. 산림토양(山林土壤)의 물리적성질(物理的性質)과의 중상관관계(重相關關係)에서는 낙엽송(落葉松) 0.9272 잣나무 0.8996이며 토양(土壤)의 화학적성질(化學的性質)은 낙엽송(落葉松) 0.7474 잣나무 0.7365이였다. 이상(以上)과 같이 토양(土壤)의 물리적성질(物理的性質)과 임목생장관계(林木生長關係)는 토양(土壤)의 화학적성질(化學的性質) 보다는 상관성(相關性)이 높은 것으로 나타났으나 토양(土壤)의 화학적(化學的) 제인자(諸因子)에 처한 표시방법(表示方法)이 미흡(未洽)한 것이라고 사료(思料)되며 토양(土壤)의 화학적성질(化學的性質)이 물리적성질(物理的性質) 못지않게 중요(重要)한 것이라는 것을 입정하기에 이르렀다. 산림토양(山林土壞)의 형태학적(形態學的) 및 물리적(物理的) 중요인자(重要因子)와 토양(土壤) 화학적(化學的) 중요인자(重要因子)를 발췌(拔萃)한 산림토양(山林土壤)의 이화학적성질(理化學的性質)과 임목생장(林木生長)과의 중상관관계(重相關關係)는 낙엽송(落葉松) 0.9434이고 잣나무 0.9103으로서 가장높은 상관성(相關性)을 나타냈다. 8. 편상관계수(偏相關係數)에서 나타난 것과 같이 낙엽송(落葉松)은 잣나무보다 토심(土深)이 깊어야하며 퇴적양식(堆積樣式)에 있어서도 붕적토(崩積土) 포행토(匍行土)이어야하며 토양건습도(土壤乾混度)에서도 적윤지(適潤地) 내지(乃至) 습윤지(混潤地)를 요구(要求)하고 있으며 pH5.5~6.1을 요구(要求)하며 전질소(全窒素)(T-N) 토성(土性) 및 토양양료(土壞養料)도 낙엽송(落葉松)이 잣나무보다 훨씬 많은 토양조건(土壤條件)을 요구(要求)하고 있다. 즉(卽) 토심(土深) 퇴적양식(堆積樣式) 지형(地形)의 기복(起伏) 토양건습도(土壤乾混度) pH N 표고(標高) 토성등(土性等)이 낙엽송(落葉松)과 잣나무 적지(適地) 구분(區分)의 유효(有效)한 지표(指標)가 되며 토양형(土壤型) 토양견밀도(土壤堅密度)는 식재환경(植載環境)의 변이폭(變異幅)이 넓으므로 지표성(指標性)은 있으나 낮다고 할 수 있다. 적지판별(適地判]別)은 낙엽송(落葉松)은 토심(土深) 퇴적양식(堆積樣式) 지형(地形) 토양(土壤) 수분(水分) pH 토양형(土壤型) N 토성등(土性等)이 생장(生長)을 도모(圖謀)하는 지표인자(指標因子)인데 반(反)하여 잣나무는 토양형(土壤型) 토양견밀도(土壤堅密度) 유효인산(有效燐酸) 치환성가리(置換性加里) 등(等)이 생장(生長)을 도모(圖謀)하는 유효(有效)한 요인(要因)이였다. 토양양료(土壤養料)에 대(對)하여도 일반적(一般的)으로 잣나무 보다 낙엽송(落葉松)이 요구도(要求度)가 크게 나타나고 있으나 $K_2O$에 대(對)하여서만 잣나무가 낙엽송(落葉松)보다 많이 요구(要求)하고 있다. 9. 지금(只今)까지 임목생장(林木生長)에 크게 영향(影響)을 미치는 것은 산림(山林) 토양(土壤)의 물리적성질(物理的性質)이라고 하였으나 본(本) 연구결과(硏究結果) 토양(土壤)의 화학적성질(化學的性質)도 물리적성질(物理的性質) 못지 않게 매우 중요(重要)한 임목생장(林木生長) 요인(要因)이 된다는 것을 Computer를 이용(利用) 추적(追跳)하여 입정하였으며 아울러 도래(徒來) 낙엽송(落葉松)과 잣나무 적지(適地) 특성(特性)을 구명(究明)하였다.

  • PDF