• Title/Summary/Keyword: left occipital

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Arteriovenous Malformation of the Scalp : Efficacy of Computed Tomography Angiography

  • Moon, Kang-Seok;Yoon, Seok-Mann;Shim, Jai-Joon;Yun, Il-Gyu
    • Journal of Korean Neurosurgical Society
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    • v.38 no.5
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    • pp.396-398
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    • 2005
  • We report a rare case of scalp arteriovenous malformation[AVM]. A 55-year-old woman presented with a pulsatile palpable mass on her left temporo-parietal scalp. She complained of insomnia because of bruit, which was audible when she lay on her left side. Computed tomography angiography[CTA] for the scalp vessel showed AVM on the left temporo-parietal region. Multiple enlarged arteries, such as the superficial temporal artery, posterior auricular artery, and occipital artery, were directly connected to the elongated dilated superficial temporal vein. Digital subtraction angiography also showed similar results. Fistulous portions were clearly delineated on both modalities. Surgical excision of the malformations, including feeding arteries and the draining vein, resulted in immediate relief of the symptoms. Usefulness of CTA in the diagnosis of vascular lesions on the scalp was emphasized.

Surgical Treatment of Extracranial Carotid Aneurysm - One case report - (두개 외 경동맥류의 외과적 치료;1례 치험)

  • 이만복
    • Journal of Chest Surgery
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    • v.24 no.1
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    • pp.106-112
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    • 1991
  • A 37-year old man was admitted due to the left subauricular mass of 6 month duration which was 3 x 4cm sized, pulsatile and slowly growing He was suffered from the intermittent left facial and auricular pain radiating to the occipital area. The carotid angiography revealed 3x4cm sized saccular aneurysm of the left internal carotid artery just above the carotid bifurcation, extending to the mandibular angle level. He was planned to be operated under the direct clamp of internal carotid artery or shunting procedure. But, the back pressure of the internal carotid was 35mmHg, which suggested adequate cerebral collateral. Thereby, aneurysmectomy and restoration of cerebral blood flow with saphenous vein graft was done under the direct clamp of internal carotid artery for 25 minutes. Although mild transient neurologic sequelae such as mydriasis, tongue deviation for 10 days, he recovered completely without any complication. The aneurysmal sac had no thrombus and pathologic finding was compatible with congenital origin.

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Three Dimensional Computed Tomography in the Assessment of Subtle Fracture in Dogs (컴퓨터단층촬영에서 3차원 재구성 영상을 통한 개의 골절 진단)

  • 이기창;권정국;송경진;최민철
    • Journal of Veterinary Clinics
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    • v.20 no.4
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    • pp.523-526
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    • 2003
  • Three dimensional computed tomographic images were obtained in two cases with trauma. The first case of a 3 year-old male Maltese, with ataxia and head tilting due to head trauma was referred to veterinary medical teaching hospital, Seoul National University. Remarkable findings were not found on survey radiographs. With the help of three-dimensional reconstruction computed tomographic imaging, parietal and occipital bone fracture was identified. The second case of 4 month-old female Yorkshire terrier with left forelimb lameness was referred right after trauma. Survey radiography showed obvious incongruity of the elbow joint. Lateral and medial condyle of the left humerus fracture and lateral displacement of the left ulna were apparent in three-dimensional computed tomographic image. It was considered that three-dimensional computed tomography could be used as an aid modality for the exact evaluation of extends and degree of fracture as well as planning of orthopedic surgery.

Effects of Origanum Majorana Essential Oil Aroma on the Electroencephalograms of Female Young Adults with Sleep Disorders (마조람 에센셜 향기요법이 수면장애 성인 여자의 뇌파에 미치는 영향)

  • Jung, Han-Na;Choi, Hyun-Ju
    • Journal of Life Science
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    • v.22 no.8
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    • pp.1077-1084
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    • 2012
  • This study investigated the effects of Origanum majorana essential aroma therapy on electrical activity in the brain as evaluated by an electroencephalogram (EEG). The subjects were 29 healthy female young adults, and their sleep quality was assessed by using the Pittsburgh Sleep Quality Index. EEG electrodes were attached at the frontal, temporal, occipital, and parietal lobes according to the international 10-20 system. Subjects were exposed to organic Origanum majorana essential aroma (50 ${\mu}l$) for a period of 3 minutes each before, during, and after aromatherapy. Subjects with good sleep quality showed that Origanum majorana essential aroma increased the theta power at the frontal and temporal lobes of both cerebral hemispheres, the left parietal lobe, and the right occipital lobe. Furthermore, Origanum majorana essential aroma decreased the alpha power at the left occipital lobe and the beta power at the right temporal lobe. On the other hand, subjects with poor sleep quality showed an increase in the theta power at the temporal lobe of both cerebral hemispheres and a decrease in the alpha power at the left parietal lobe by Origanum majorana essential aroma therapy. It is concluded that Origanum majorana essential aroma therapy diminishes the state of wakefulness in the brain; alpha and beta powers were both decreased in the subjects with good sleep quality, but only alpha power was decreased in the subjects with poor sleep quality. Moreover, Origanum majorana essential aroma therapy has a sleep-inducing effect in both subjects with good sleep quality and poor sleep quality.

Temporomandibular joint disorder from skull-base osteomyelitis: a case report

  • Lee, Suck-Chul;Kim, Jae-Hyung;Kim, Chul-Hoon;Kim, Bok-Joo
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.37
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    • pp.39.1-39.6
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    • 2015
  • Skull-base osteomyelitis is a rare disease affecting the medulla of the temporal, sphenoid, and occipital bones. In general, it occurs due to external ear canal infections caused by malignant external otitis. Skull-base osteomyelitis usually affects elderly diabetic patients. The patient, a 58-year-old man, was referred for evaluation and management of the left jaw. Clinical examination of the patient revealed pain in the left jaw and mouth-opening deflection to the left. The maximum active mouth opening was measured to about 27 mm. Panoramic, CT, and CBCT revealed bone resorption patterns in the left condyle. Through control of diabetes, continued pharmacological treatment, arthrocentesis, and occlusal stabilization appliance therapy were carried out. The extent of active mouth opening was increased to 45 mm, and pain in the left jaw joint was alleviated. This was a case wherein complications caused by failure to control diabetes induced skull-base osteomyelitis. There is a need for continued discussion about the advantages and disadvantages of arthrocentesis with lavage for patients with skull-base osteomyelitis and other treatment options.

Emotional experiences of baseball fans at winning and losing games: An fMRI approach (경기 승패에 따른 야구팬들의 정서경험: fMRI연구)

  • Park, Hye-Ju;Yoo, Ho-Sang
    • Korean Journal of Cognitive Science
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    • v.21 no.3
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    • pp.429-446
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    • 2010
  • This study is to examine if emotional valance depending upon the result of baseball game(losing or winning) of subjects' favorite team yields hemispheric asymmetry measured by fMRI. Subjects were twelve fans of the Samsung Lions baseball team. The brain activations have been observed while they watched winning and losing scenes of their favorite team. As a results of the experiment, those who watched winning scenes showed the activation of the left and right cuneus, right inferior occipital gyrus, right inferior frontal gyrus, left amygdala, right parahippocampal gyrus, left uncus, left cingulate gyrus, left inferior temporal gyrus, right middle temporal gyrus, left declive, left culmen. On the contrary, those who watched losing scenes showed the activation in the right middle frontal gyrus, left anterior cingulate, left sub-gyral, left lentifomrm nucleus, left thalamus, left claustrum, left insula. The evidence of hemispheric asymmetry from this study has not been demonstrated and activation in amygdala observed during watching winning scene has not been observed in losing scene. Therefore more in-dept research is required about defeat stimuli induction.

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Inflammatory Pseudotumor in the Lateral Ventricle with Repeated Bleeding-Case Report-

  • Park, Jong-Hwa;Nam, Taek-Kyun;Hwang, Sung-Nam;Park, Seung-Won
    • Journal of Korean Neurosurgical Society
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    • v.45 no.2
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    • pp.99-102
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    • 2009
  • Inflammatory pseudotumor is an uncommon lesion with unknown etiology characterized by sclerosing inflammation which clinically and radiographically mimics a neoplastic lesion. A 47-year-old man presented with sudden headache and dysarthria. Brain CT scan revealed a $2.6{\times}2.2\;cm$ sized, round, and hyperdense mass in the anterolateral wall of the left lateral ventricular trigone. On MR imaging studies, the mass showed low signal intensity in the wall of the trigone on T2-weighted image, central mixed (iso- and high-) signal intensity with peripheral low-signal intensity on T1-weighted image. Subtle staining of left choroid plexus with irregular shaped distal branch of anterior choroidal artery was found on the cerebral angiography. These findings suggested a small tumorous lesion originated from the left choroid plexus. During the hospital days, the mass manifested as repeated hemorrhages. The mass was successfully removed via left occipital transcortical approach. The histopathological report of the specimen was hemorrhage and fibrosis, with dense lymphoplasma cell infiltration, suggestive of an inflammatory pseudotumor.

Prosthetic Correction for Coarctation of the Aorta: Report of A Case (대동맥 Coarctation 수술 1예)

  • 이광숙
    • Journal of Chest Surgery
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    • v.11 no.1
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    • pp.69-74
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    • 1978
  • Coarctation of the aorta is rare condition among the congenital cardiovascular defects in Korea. We experienced one case of coarctation of the aorta [postductal type], which was successfully corrected with Dacron graft. This 20 year old man was admitted to our hospital for evaluation of hypertension in the upper extremities and frequent occipital headache of 2 month duration. On physical examination, grade II systolic murmur was heard over the apex and mid back, but thrill was not palpable. Blood pressures were measured at both extremities, its values were 190/70mmHg. in the arms and 120/60mmHg in the legs. Routine chest roentgenogram showed the dilated left subclavian artery high on the left mediastinal border and associated with left ventricular prominence, but notchings of lower border of rib was not seen. Electrocardiogram also showed left ventricular hypertrophy. Final Pre-operative diagnosis was made by the aortic catheterization and aortography, which showed the typical configuration of postductal type of coarctation with poststenotic dilatation of aorta. Under the moderate hypothermia by surface cooling, coarcation was resected 3.5cm in length and then Dacron graft was inserted. After prosthetic correction, blood pressures were recorded 120/60mmHg in arms and 160/120mmHg in legs. The post-operative course was uneventful.

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EEG responses in highschool students during visual attention task (정신집중시 고교생의 EEG 반응)

  • 강인형;민병찬;진승현;김철중
    • Proceedings of the Korean Society for Emotion and Sensibility Conference
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    • 2003.05a
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    • pp.107-110
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    • 2003
  • 본 연구에서는 EEG를 이용하여 정신집중 시, 뇌 기능의 변화를 알아보았다. 실험은 건강한 남녀 고교생 9명을 대상으로 EEG는 Fp1. Fp2, F3, F4, P3, P4, T5, T6, O1, O2의 10위치에 대하여 정신집중 작업 진의 3분과 작업 시 30분간을 측정하였다. 작업은 PC를 이용하였으며 모니터 상의 움직임에 집중하고 목표자극을 탐지하였을 때 신속하게 적절한 반응키를 누르도록 하였다. 각 주파수 대역은 theta2와 (6.0-8.0Hz), alpha1파 (8.0-10.0Hz), alpha2파(10.0-12.0Hz)로 구분하였으며 비대칭지수를 이용하여 분석하였다. 그 결과, 정신집중 작업 시 theta1, theta2, alpha1대역에서 두정엽의 우반구과 측두엽 및 후두엽의 좌반구영역이 우세하였다. 이들 영역은 시갈, 지각, 움직임 기능을 수행하며 theta2파가 주의, alpha1파가 각성 관련이다. 이상의 결과에서 두정엽의 우반구와 측두엽 및 후두엽의 좌반구영역의 theta1파, theta2파, alpha1파가 정신집중 작업 시 중요한 역할을 담당하는 것으로 나타났다.

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The Aneurysmal Subarachnoid Hemorrhage following Stellate Ganglion Block -A case report- (성상신경절 차단후 발생한 동맥류성 지주막하출혈 -증례 보고-)

  • Choi, In-Joo;Chang, Won-Young;Yoon, So-Young;Kim, Kyung-Bae
    • The Korean Journal of Pain
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    • v.10 no.1
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    • pp.121-123
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    • 1997
  • Stellate ganglion block(SGB) is frequently performed to relieve a patient from headache of various. We experienced a rare case of subarachnoid hemorrhage by aneurysmal rupture after SGB. A 46-year-old female patient diagnosed with tension headache, and normal MRI finding consulted our pain clinic. We performed right SGB in combination with greater occipital nerve block. The next day, we performed left SGB with 6 ml of 0.25% bupivacaine. She had no evidence of subarachnoid block or intravascular injection. 15 minutes after injection, she abruptly developed convulsion and loss of consciousness. She was given artificial respiration with oxygen. The diagnosis of ruptured left posterior communicating aneurysm was confirmed by 4-vessels angiography.

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