• Title/Summary/Keyword: apoplexy

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A Sedimentation Level in Pituitary Adenoma on Magnetic Resonance Imaging - Case Report - (자기공명촬영에서 침강 레벨을 나타낸 뇌하수체 선종 - 증 례 보 고 -)

  • Kim, Young-Rae;Song, Jun-Hyeok;Park, Hyang-Kwon;Kim, Sung-Hak;Shin, Kyu-Man
    • Journal of Korean Neurosurgical Society
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    • v.30 no.4
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    • pp.518-521
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    • 2001
  • We present a rare case of a pituitary adenoma revealing a sedimentation level on MRI, which has not been previously documented. This 55-year-old woman was referred with the diagnosis of craniopharyngioma. She presented with four-month history of progressive headache and visual dimness. Neurological examination revealed a bitemporal hemianopsia and decreased visual acuity. Laboratory data including endocrine examination were unremarkable. An additional three-dimensional MRI was taken for further evaluation, and demonstrated a sedimentation level within the tumor. The patient underwent transcranial removal of the tumor. About 12cc of dark-red blood was aspirated from the tumor. Histological examination revealed a pituitary adenoma with hemorrhage. Postoperatively, the patient showed gradual improvement of visual function. Considering that the pituitary adenoma is one of more common tumors that cause tumoral bleeding, a cystic sellar tumor that has a sedimentation level should be sought first for a pituitary adenoma rather than a craniopharyngioma. This may have an important impact when deciding surgical approach.

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A Large Ruptured Anterior Communicating Artery Aneurysm Presenting with Bitemporal Hemianopsia

  • Seung, Won-Bae;Kim, Dae-Yong;Park, Yong-Seok
    • Journal of Korean Neurosurgical Society
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    • v.58 no.3
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    • pp.291-293
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    • 2015
  • Anterior communicating artery (ACoA) aneurysms sometimes present with visual symptoms when they rupture or directly compress the optic nerve. Giant or large ACoA aneurysms producing bitemporal hemianopsia are extremely rare. Here we present an unusual case of bitemporal hemianopsia caused by a large intracranial aneurysm of the ACoA. A 41-year-old woman was admitted to our neurosurgical department with a sudden-onset bursting headache and visual impairment. On admission, her vision was decreased to finger counting at 30 cm in the left eye and 50 cm in the right eye, and a severe bitemporal hemianopsia was demonstrated on visual field testing. A brain computed tomography scan revealed a subarachnoid hemorrhage at the basal cistern, and conventional cerebral catheter angiography of the left internal carotid artery demonstrated an $18{\times}8mm$ dumbbell-shaped aneurysm at the ACoA. Microscopic aneurysmal clipping was performed. An ACoA aneurysm can produce visual field defects by compressing the optic chiasm or nerves. We emphasize that it is important to diagnose an aneurysm through cerebrovascular study to prevent confusing it with pituitary apoplexy.

Research of the necessity and awareness of the oriental physical therapy (한방물리치료 필요성과 인지도 연구)

  • Lee, Tae-Sik;Song, Min-Young
    • Journal of Korean Physical Therapy Science
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    • v.19 no.2
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    • pp.9-15
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    • 2012
  • Background : With its research and analysis on the actual condition of the oriental medical treatment and the oriental physical therapy and With its research on the physical therapists' awareness of the oriental physical therapy, Providing the basic information for the physical therapy development and the national heath improvement in the future. Methods : This research had performed random sampling survey of 200 physical therapists in Busan city and had excluded 4 with insincere answers or some ommission of survey contents. Result : The first most frequent disease type of the oriental medical center inpatients is paralytic sequela, the second is lumbago, the next is apoplexy in order. The first most frequent disease type of the outpatients is lumbago, the second is stiffness in the shoulder, the next is the sprain in order. And, it came out that most of frequent disease are required the physical therapy. Conclusion : This research results show high demands as well as the necessity of the oriental physical therapy. It seems physical therapy association needs very serious examination on the oriental physical therapy execution.

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Composition treatment system relationship special quality research for ache mitigation by frequency action mode form (주파수 동작 모드형태에 따른 통증 완화용 복합치료 시스템의 개발연구)

  • Park, Doo-Yul;Kim, Whi-Young
    • Journal of the Korea Computer Industry Society
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    • v.8 no.4
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    • pp.289-294
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    • 2007
  • Lately, result that the myopathy occurrence rate such as muscle disease and brain apoplexy by the tribe of momentum by aging society and information-oriented society, imbecility, Parkinson's disease, motor nerve disease is increasing rapidly and investigates the occurrence rate, was expose that increased more than man case 2 double and man and woman of mortality increases by about 50% with Parkinson's disease and motor nerve disease. <중략> Is going to apply to myopathy patient of other disease if supplement system hereafter, and this research tried to study rain standardization special quality and approach producing poetic theme width directly.

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Consideration of the Son-Bal Jeorim in oriental and western medicine (손발저림의 원인(原因)에 대(對)한 동서의학적(東西醫學的) 고찰(考察))

  • Park, Chi Young;Lim, Lark cheol;Kim, Young Il;Hong, Kwon Eui
    • Journal of Haehwa Medicine
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    • v.13 no.1
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    • pp.47-59
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    • 2004
  • Objectives & Methods: We investigated 28 books to study etiology and pathology of Son-Bal Jeorim. Result and Conclusion 1. The eiology of Son-Bal Jeorim is same as it of Bee Jeung(痺症). 2. Generally speaking, the cause of Bee Jeung was distributed Wind(風), Coldness(寒), Wetness (濕) of meridian. Bee Jeung can be devided into SilBi(實痺) and HeoBi(虛痺). In SilBi(實痺) there are PungHanSeupBi(風寒濕痺) and YeolBi(熱痺). In HeoBi(虛痺), there are GiHyeolHeoBi(氣血虛痺), EumheoBi(陰虛痺) and YangHeoBi(陽虛痺). 3. Son-Bal Jeorim belong to peripheral neuropathy in western medicine. 4. Syndrome of acute motor paralysis with variable disturbance of sensory and autonomic function, subacute sensorymotor paralysis, syndrome of chronic sensorimotor polyneuropathy, neuropathy with mitochondrial disease, syndrome of mononeuropathy or nerve plexusopathy. 5. Peripheral neuropathy is caused by carpal tunnel syndrome, diabetic neuropathy, uremic neuropathy, hepatic neuropathy, hypothyroid neuropathy, hyperthyroid neuropathy, neuropathy due to malnutrition, neuropathy due to toxic material, neuropathy due to drug, paraneoplastic neuropathy, hereditary neuropathy, etc. 6. Cerebral apoplexy, myelopathy, peripheral circulatory disturbance, anxiety syndrome cause symptoms of peripheral neuropathy

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A study on Intractable disease in the sight of Lee Je Ma (이제마(李濟馬)의 난치병(難治病)에 대(對)한 시각(視角)에 관(關)한 연구(硏究))

  • Jang, Hyun Jin
    • Journal of Sasang Constitutional Medicine
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    • v.7 no.2
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    • pp.129-134
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    • 1995
  • Lee Je Ma (1837~1900) wrote the DongEuSuSeBoWon in 1894. Constitutional Medicine what is called Sasang Medicine has originated from him. In this book he refers to mild, serious, intractable, incurable and fatal disease. In the sight of his Medical theory each state of disease deserves to be researched. 1. In the case of Soumin exhaustion of Yang, Taeyang-Kwolum, noxious Yin, Yang is kept in the exterior by excessive Yin in the interior, middle diabetes and swelling belong to intractable disease and solid mass in the right epigastric zone belongs to fatal disease. 2. In the case of Soyangin exhaustion of Yin, lower diabetes, afternoon fever due to deficiency of Yin, spitting blood and swelling belong to intractable disease and distention of abdomen with gas or fluid belongs to fatal disease. 3. In the case of Taeumin syncope due to chills, dryness-heat, diabetes, pain of chest and abdomen and swelling belong to intractable disease and apoplexy with dosed eyes belongs to fatal disease. 4. In the case of Taeyangin vertebral disease makes flaccidity of lower limbs and dysphagia with vomiting of frothy fluid belongs to fatal disease.

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The Effect of Long-term Administration of Excessive Amount of Garlic on Hematology in HK Phenotype Jindo-Dog (장기간 과량의 마늘투여가 HK phenotype 진도견의 혈액상에 미치는 영향)

  • 진태원;김홍태;장우석;오태호;송재찬;정규식;박승춘;이근우
    • Journal of Veterinary Clinics
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    • v.18 no.3
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    • pp.237-242
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    • 2001
  • The garlic has been eaten widely regardless of easten and westen countries to cure the various disease like cancer, tuberculosis, dentalgia, toxemia and leprosy from ancient times. Even now it is reported that they lower the level of triglycerides and cholesterol in blood and that they also affect on the cohesive power of the platelets. In addition, it is also known that it lowers the glucose level in blood. Especially, the sulfur containing amine acid and the derivatives of the garlic has the counteracting effect to heavy metals. Nowadays, the garlic is known for its efficiency for the various kinds of cancer, neoplasms, hypertension, arteriosclerosis and apoplexy. However, it is reported that the intake of the excessive amount of garlic causes hemolytic anemia recently. The hemolytic anemia is more severe especially in HK phenotype dogs which has Na-K-ATPase activity. Therefore, this study was performed to examine the effect on the blood of the HK phenotype Jindo dogs when administered the excessive amount of garlic. HK phenotype group showed the significant decrease on RBC, WBC, PCV, Hb, MCV, MCHC, GSH, Met-Hb but LK phenotype group didn's show the significant decrease. AST, ALT, BUN, creatinine, CPK, glucose, and total protein values were within normal ranges during the period.

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The Literatural study of Bangpungtongsungsan (방풍통성산(防風通聖散)에 대한 문헌적(文獻的) 고찰(考察))

  • Lee, Woo-Yeol;Yoon, Il-Ji;Oh, Min-Suck
    • Journal of Haehwa Medicine
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    • v.14 no.1
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    • pp.155-165
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    • 2005
  • I have come to conclusion as follows about Bangpungtongsungsan after literatural study. 1. Bangpungtongsungsan is the medical treatment of heat, wind and dryness. 2. Bangpungtongsungsan is used in head-wind, dizziness, both eye disease, tinnitus, both ear deafness, nasal polyp, uriticaria, sajuabi, beard and hair falling, apoplexy, paralysis of hands and feet, dull mentality, tetanus, epidemic disease characterized by swelling and redness of face, carbuncle, daepungchang, pustule, syphilis, tinea capitis and so on. 3. Bangpungtongsungsan is used in the disease of cerebral hemorrhage, hypertension, arteriosclerosis, constipation, rosacea, hemorrhoids, cutaneous disease, empyema, eye disease, diabetes, asthma, obesity, beriberi, erysipelas, baldhead, fatty heart, chronic nephritis and so on. 4. Bangpungtongsungsan fits in Taeumin who has much wetness-heat and those who have much heat or have much heat but don't give off well. And it doesn't fit in the disease of intolerance to cold and fever in the form of weakness headache, asthenia of the spleen and stomach, cold by internal disorder and so on.

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Exterimental Effects of Acupuncture on the Regional Cerebral Blood Flow and Mean Arterial Blood Pressure in Rats (혈위자침(穴位刺鍼)이 백서(白鼠)의 국소뇌혈류량(局所腦血流量)과 혈압(血壓)에 미치는 실험적(實驗的) 효과(效果))

  • Ahn, Yung-Sun;Park, Chun-Ha;Cho, Myung-Rae;Yoon, Yeo-Choong
    • Journal of Acupuncture Research
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    • v.18 no.5
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    • pp.147-154
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    • 2001
  • Amun(GV15), Habkook(LI4) and Shinsu(B23) have been used as a meridian point for apoplexy, hypertention, vertigo etc. The effects of GV 15, LI4 and B23 on the vascular system is not known. The purpose of this Study was to investigate the effect of several meridian points on the regional cerebral bloof flow(rCBF), mean arterial blood pressure(BP) in rats. The changes of BP and rCBF were tested Laser-Doppler Flowmetry(LDF). Results : The results of this Study were obtained as follows ; 1. GV15 and LI4 were increased significantly rCBF. 2. GV15, LI4 and B23 were increased BP, but have not significance. Conclusion : This results suggest that GV15 was increased rCBF by increasing pial arterial diameter, and LI4 was increased rCBF by increasing BP.

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USING THE SPEECH AID FOR TREATMENT OF VELOPHARYNGEAL INCOMPETENCY IN INCOMPLETE CLEFT PALATE - A CASE REPORT - (음성 폐쇄상을 이용한 구개열 환자의 언어치료의 증례 보고 - 장착 후 제거까지의 경과 -)

  • Leem, Dae-Ho;Yoon, Bo-Keun;Baik, Jin-A;Shin, Hyo-Keun
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.28 no.5
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    • pp.483-488
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    • 2006
  • Velopharyngeal function refers to the combined activity of the soft palate and pharynx in closing and opening the velopharyngeal port to the required degree. In normal speech, various muscles of palate & pharynx function as sphincter and occlude the oropharynx from the nasopharynx during the production of oral consonant sounds. Inadequate velopharyngeal function caused by neurologic disorder - cerebral apoplexy, regressive diseases - disseminated sclerosis, Parkinson's disease, congenital deformity - cleft palate, cerebral palsy and etc. may result in abnormal speech characterized by hypernasality, nasal emission and decreased intelligibility of speech due to weak consonant production. In our study, we constructed speech aids prosthesis - Speech bulb in the incomplete cleft palate VPI patient with hypernasality and assessed velopharyngeal function with nasometer which can evaluate the speech characteristics objectively.