• Tuberculosis and Respiratory Diseases
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• v.68 no.5
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• pp.298-300
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• 2010

Diaphragmatic paralysis can be demonstrated through diaphragmatic elevation on chest X-ray after thoracic lung surgery or the placement of chest tubing. Additional causes of diaphragmatic paralysis are iatrogenic, mass, atelectasis, etc. For the diagnosis of diaphragmatic paralysis, it required some studies (fluoroscopy, computed tomography [CT], magnetic resonance imaging). Diaphragmatic hernia of the liver is a rare clinical entity, usually found after trauma in adults. Congenital diaphragmatic hernia in neonates requires surgery. Non-traumatic diaphragmatic hernia of the liver in an adult is a rare right-sided diaphragmatic hernia. On developing any symptoms, surgery must be performed. When diaphragmatic hernia is incidentally found in adults without trauma, it is placed under observation for a time period. We diagnosed the diaphragmatic herniation of a right hepatic lobe by 16-slice CT scan without surgery.

• Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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• v.11 no.1
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• pp.20-27
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• 2000

To determine what is the change of pre and postoperative voice and image analysis parameters and correlations between them, videostroboscopy was analyzed in each 18 patients with unilateral vocal cord paralyses or vocal polyps before and after the surgery from November, 1996 to April, 1999. The correlation between acoustic and aerodynamic parameters was investigated. The software-Videolink and $\pi$-View(Mediface Co, Seoul, Korea)-was used in a quantitative analysis. In unilateral vocal cord paralysis, the glottic angle is well correlated with maximum phonation time, jitter and shimmer preoperatively. The postoperative glottic angle is also correlated with preoperative maximum phonation time. In patients with the vocal polyp, the chink is postoperatively decreased, but the size of the chink and the polyp is not correlated with pre and postoperative voice analysis parameters. These findings reveal that glottic an and vocal fold angle are good indicators of e postoperative glottic configuration in unilateral vocal cord paralysis. Vocal fold ratio is also a useful indicator that represents the length of vocal folds. We consider that the computerized analysis through videostroboscopy is one of objective diagnostic methods in many voice disorders if we can measure a distance between the telelaryngoscope and vocal folds.

• Childhood Kidney Diseases
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• v.8 no.1
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• pp.63-67
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• 2004

A 5-year-old girl was admitted because of an acute onset of weakness in her extremities. She had experienced a similar episode before but had recovered spontaneously. She had previously been diagnosed with distal renal tubular acidosis(RTA) at the age of 2 months. During the period of acute paralysis, her serum potassium level was 1.8 mmol/L and the muscle enzymes were markedly raised suggesting massive rhabdomyolysis. Although hypokalemia is common in renal tubular acidosis, acute paralytic presentation is uncommon and is rarely described in children. We report a case of distal RTA complicated with hypokalemic paralysis with a brief review of related literatures.

• Phonetics and Speech Sciences
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• v.4 no.2
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• pp.89-94
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• 2012

The aim of this study is to investigate the usefulness of the parameter CPP (cepstral peak prominence) and LTAS (long term average spectrum) band energy for an analysis of breathy voice with vocal fold paralysis. Thirty-four female subjects who have vocal paralysis after thyroidectomy participated in this study. According to the perceptual judgements by three speech pathologists and one phonetic scholar, subjects were divided into two groups: breathy voice group (n = 21) and non-breathy voice group (n = 13). Maximum sustained phonation task was measured for acoustic analysis. CPP-related (i.e. mean F0, mean CPP, and mean CPPs) and LTAS-related (i.e. minimum, maximum, and mean) parameters were used. Independent samples t-test was conducted. Regarding CPP, there are significant differences in mean CPP and mean CPPs between groups. The values of mean CPP and CPPs in the non-breathy voice group are higher than those in the breathy voice group. The CPP could be regarded as the useful parameter for breathy voice analysis in the clinic. When it comes to LTAS, energy from 0 to 2 kHz are significantly different between groups. The minimum value of non-breathy group is lower than that of breathy group, whereas the maximum value of non-breathy group is higher. The frequency band below 2 kHz seems to be related to breathy voice.

• Tuberculosis and Respiratory Diseases
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• v.61 no.1
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• pp.80-82
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• 2006

Herpes zoster is well-known viral disease in immune compromised that produces inflammatory lesions in the posterior root ganglia and is characterized clinically by pain and skin eruptions along the distribution of the affected ganglia. However, motor involvement after a herpes zoster is an uncommon complication. We report a case of diaphragmatic paralysis that occurred after a herpes zoster in 63-year-old woman. The diaphragmatic paralysis occurred one month after the typical herpes zoster eruptions affecting the C3 and C4 dermatomes in the right neck, shoulder and back area.

• Journal of Veterinary Clinics
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• v.25 no.6
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• pp.526-528
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• 2008

A 4-year-old male Maltese dog was referred with chief complaint of facial nerve paralysis and hyperthermia. These clinical signs were occurred after tooth extraction. Leukocytosis and swelling of left side of gums were detected. He was medicated with antibiotics for 9 days, however, inability of blinking in left eye, lacrimation and hyperthermia were not improved. The patient was administrated with Oyaksungisan (50 mg/kg, PO, BID) for 14 days and was treated by injection-acupuncture (AP) with bee venom ($200\;{\mu}g/head$, two times/week, total three times). The patient was treated by injection-AP with dexamethasone (1 mg/kg, two times/week, total two times). As a result, Left blepharon was slightly blinked at session 4. Blinking of left blepharon became normal after session 5. The present patient was a case with canine facial nerve paralysis which showed favorable therapeutic response by alternative treatment.

• Journal of Acupuncture Research
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• v.31 no.2
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• pp.135-144
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• 2014

Objectives : This study was designed to compare the effects of Jungsongouhyul pharmacopuncture treatment with bee venom pharmacopuncture treatment in hospitalized patients with peripheral facial paralysis. Methods : This study was done on a total of 41 patients with peripheral facial paralysis who were admitted into the Korean Medicine Hospital from February 1st, 2013 to April 30th, 2014. Wedivided patients into two groups. The Jungsongouhyul group was treated by Jungsongouhyul pharmacopuncture once a day and the bee venom group was treated by bee venom pharmacopuncture once a day. To compare the therapeutical effects of the two treatments, we used Yanagihara's unweighted grading system, House-Brachmann grading system, lip-length & snout indices and facial disablity index twice - before initial treatment and after final treatment. Results : Both Yanagihara's score and House-Brachmann grading system score improved in each group. However, there were no significant differences in improvement between the bee venom group and the Jungsongouhyul group. Conclusions : Jungsongouhyul pharmacopuncture treatment appears to be as effective as bee venom pharmacopuncture treatment to improve symptoms of peripheral facial paralysis.

• Journal of Acupuncture Research
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• v.26 no.6
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• pp.179-186
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• 2009

Objectives : This study was to compare the effect of acupuncture on peripheral facial nerve paralysis between affected part, and unaffected part in the incipient stage. Methods : We investigated 32 cases of patient with peripheral facial nerve paralysis, and divided into two groups. One group was treated by acupuncture on the affected part, and the other was treated by acupuncture on the unaffected part. Both groups were evaluated by Yanagihara's unweighted grading system and House-Backmann grade before treatment, and in every one week and after treatment. Results & Conclusion : 1. The number of female was more than that of male and the number of left side was more than that of right side in distribution of lesion. Post ear pain was the highest related symptom at onset, Unknown was a major cause of peripheral facial nerve paralysis in distribution of cause. 2. Yanagihara's unweighted grading system and House-Backmann grade score between two groups were not statistically significant in every one week. 3. Yanagihara's unweighted grading system and House-Backmann grade score between two groups were not statistically significant in before treatment and final.

• Journal of Acupuncture Research
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• v.26 no.5
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• pp.95-103
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• 2009

Objectives : This study was designed to evaluate the effect of treatment Acute peripheral facial paralysis patient with postauricular pain by Bee Venom Pharmacopuncture Methods : This report have been observed among thirty patients with peripheral facial paralysis patient with postauricular pain who admitted to oriental medicine hospital with Daejeon university During 11-01-2008 to 08-31-2009. These patients were diveided into two groups; One was control group that was treated general oriental medical treatment(Group I) and The other was treated Bee Venom Pharmacopuncture in the posterior ear with general oriental medical treatment. (Group II) Results : 1. Group II was more effective than Group I in the VAS score after 1st, 2nd, 3rd Bee Venom Pharmacopuncture treatmenton posterior ear about postauricular pain. 2. In Group II compared with Group I, postauricular pain duration was reduced. 3. As a result of evaluation by using Yanagihara score, they were not significant score within two groups after final treament. Conclusions : Bee Venom Phannacopuncture on peripheral facial paralysis patient with postauricular pain in the posterior ear was more effective in reducing the pain.

• Journal of Acupuncture Research
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• v.26 no.4
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• pp.29-37
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• 2009

Objectives : This study was to investigate the effectiveness of Bee Venom Pharmacopuncture complex therapy on peripheral facial paralysis. Methods : We investigated 30 cases of patients with Peripheral Facial Paralysis, and devided patients into two groups : We treated one group by complex oriental medical treatment with Bee Venom Pharmacopuncture therapy, and did the other group by complex oriental medical treatment without Bee Venom pharmacopuncture therapy. To investigate the effectiveness of treatment applied for two groups, we used Gross Grading System of House-Brackmann, Yanagihara's Unweighed Grading System at baseline, 3 weeks and final. Results : 1. Male, Female is same ratio in distribution of sex, the number of left side is more than that of right side in distribution of lesion, the average age is 49.33. 2. Pain back of the ear showed the highest frequency among Bell's palsy related symptoms at onset, the overwork was a major cause of Bell's palsy in distribution of cause. 3. As a result of evaluation by using Gross Grading System of House-Brackmann, Yanagihara's Unweighed Grading System, treatment score after 3weeks was marked higher than that before treatment and treatment score after final treatment was also marked higher than that after 3weeks within each group. 4. After final treatment, Bee Venom Pharmacopuncture therapy group showed signficant difference on Gross Grading System of House-Brackmann, Yanagihara's Unweighed Grading System compared with Acupuncture therapy group. Conclusions : Bee Venom Pharmacopuncture therapy can be available for relieving symptoms related with peripheral facial paralysis.