• Title/Summary/Keyword: peripheral

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2 Case Study Reportings Using Hyeongbangjihwang-tang of a Soyangin Patient Diagnosed with Peripheral Facial Paralysis (형방지황탕(荊防地黃湯)으로 호전된 소양인(少陽人) 말초성 안면신경마비 환자 치험 2례)

  • Jeong, Hae-Yeon;Lee, Sung-Jin;Ham, Seong-Hun;Lim, Eun-Chul
    • Journal of Sasang Constitutional Medicine
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    • v.25 no.2
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    • pp.124-133
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    • 2013
  • Objectives We report a series of 2 treatment cases with Hyeongbangjihwang-tang which is based on Sasang Constitutional Medicine for peripheral facial paralysis in Soyangin. Methods We prescribed Hyeongbangjihwang-tang for their physical symptoms. The improvement of their peripheral facial paralysis was evaluated. Results After the Hyeongbangjihwang-tang was given, the patient's peripheral facial paralysis and physical symptoms were improved. Conclusions These case-studies showed an efficient result of using Hyeongbangjihwang-tang in the peripheral facial paralysis of Soyangin.

Permanent Peripheral Nerve Stimulation for Chronic Occipital Neuralgia -Case reports- (만성 후두통을 영구적 후두신경자극기로 치료한 경험 -증례보고-)

  • Park, Chan Hong;Huh, Billy K
    • The Korean Journal of Pain
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    • v.21 no.2
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    • pp.155-158
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    • 2008
  • This report presents the application of occipital nerve stimulation in two patients with severe and disabling bilateral occipital neuralgia. Pain persisted despite the use of several procedures and the administration of medication in the patients. The patients underwent peripheral nerve stimulation for the treatment of headache. Peripheral nerve stimulation was accomplished via implantation of a subcutaneous electrode to stimulate the peripheral nerve in the occipital area. The patients reported a 90% improvement in overall pain. These cases illustrate the possible utilization of peripheral nerve stimulation for the treatment of occipital neuralgia.

Ketamine Decreases Phagocytic Capacity of Canine Peripheral Blood Phagocytes In Vitro (In Vitro에서 개 말초혈액 탐식세포의 탐식능에 대한 케타민의 효과)

  • Kang, Ji-Houn;Kim, Min-Jun;Yang, Mhan-Pyo
    • Journal of Veterinary Clinics
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    • v.25 no.2
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    • pp.73-78
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    • 2008
  • Ketamine is a non-competitive N-methyl-D-aspartate (NMDA) receptor antagonist and a short-acting general anaesthetic agent for human and veterinary use. We previously reported that treatment with ketamine impairs oxidative burst activity of canine peripheral blood leukocytes. In this study, the effect of ketamine on phagocytic capacity of canine peripheral blood leukocytes was examined in vitro. Phagocytic capacity was analyzed by using a flow cytometry. Ketamine directly decreased the phagocytic capacity of peripheral blood polymorphonuclear cells (PMN) and monocytes but not total peripheral blood mononuclear cells (PBMC). In addition, the phagocytic capacity of PMN and monocytes was inhibited by the ketamine-treated PBMC but not PMN culture supernatant. These results suggest that ketamine has a direct inhibitory effect on the phagocytic capacity of canine peripheral blood phagocytes and involves the production of soluble factor(s) from canine PBMC, which may suppress the phagocytic capacity.

Audio-visual Spatial Coherence Judgments in the Peripheral Visual Fields

  • Lee, Chai-Bong;Kang, Dae-Gee
    • Journal of the Institute of Convergence Signal Processing
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    • v.16 no.2
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    • pp.35-39
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    • 2015
  • Auditory and visual stimuli presented in the peripheral visual field were perceived as spatially coincident when the auditory stimulus was presented five to seven degrees outwards from the direction of the visual stimulus. Furthermore, judgments of the perceived distance between auditory and visual stimuli presented in the periphery did not increase when an auditory stimulus was presented in the peripheral side of the visual stimulus. As to the origin of this phenomenon, there would seem to be two possibilities. One is that the participants could not perceptually distinguish the distance on the peripheral side because of the limitation of accuracy perception. The other is that the participants could distinguish the distances, but could not evaluate them because of the insufficient experimental setup of auditory stimuli. In order to confirm which of these two alternative explanations is valid, we conducted an experiment similar to that of our previous study using a sufficient number of loudspeakers for the presentation of auditory stimuli. Results revealed that judgments of perceived distance increased on the peripheral side. This indicates that we can perceive discrimination between audio and visual stimuli on the peripheral side.

Malignant Peripheral Nerve Sheath Tumor of Abdomen (복부에 발생한 악성 말초신경초종양)

  • So, Kyu-Sub;Lim, Yeung-Kook;Hong, Yong-Taek;Kim, Hoon-Nam
    • Archives of Plastic Surgery
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    • v.38 no.6
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    • pp.886-889
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    • 2011
  • Purpose: Malignant peripheral nerve sheath tumor without neurofibromatosis type 1 is very rare neoplasm. Development in the superficial soft tissue is exremely rare. Authors experienced one rare case of primary malignant peripheral nerve sheath tumor developed on abdomen. The clinical and histologic findings were described. Methods: An 83-year-old man visited hospital with an $11{\times}6.5{\times}4.5$ cm sized ulcerated and hemorrhagic mass on abdomen. The tumor was localized in abdominal skin and started growing 3 years ago. Results: Wide excision with safety margin of 2 cm and limberg flap was done. The postoperative biopsy revealed a malignant peripheral nerve sheath tumor. There was no evidence of recurrence of tumor for 16 months. Conclusion: Malignant peripheral nerve sheath tumor is an aggressive malignant tumor. An abrupt enlargement of size, ulceration and bleeding are suggestive of malignant chnages of the tumor. We recommand early wide excision with enough safety margin as treatment of malignant peripheral nerve sheath tumor.

A Large Malignant Peripheral Nerve Sheath Tumor in the Neurofibromatosis Patient: A Case Report (신경섬유종증 환자에 발생한 거대 악성말초신경초종의 치험례)

  • Choi, Dong Il;Seo, Dong Kuk;Jo, Woo Sung;Chung, Chul Hoon;Cho, Seong Jin
    • Archives of Plastic Surgery
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    • v.33 no.6
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    • pp.761-763
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    • 2006
  • Purpose: Malignant peripheral nerve sheath tumors most often arise from the anatomically discernible peripheral nerve or neurofibroma. Methods: A 55-year-old man had a rapidly growing pedunculated large mass on the sacrolumbar junction for 2 years. He has congenital neurofibromatosis type I. He had multiple caf-au-lait spots and multiple neurofibromas on the entire body. The mass developed from a subcutaneous nodule on the sacrolumbar junction and grew rapidly. The preoperative punch biopsy revealed a malignant peripheral nerve tumor. The mass was completely excised with 1 cm free margin above the deep fascial plane. Results: There was no evidence of recurrence of tumor for 19 months of follow-up examination. Conclusion: Malignant peripheral nerve sheath tumor is very rare and has unique feature. We report a successful case of malignant peripheral nerve sheath tumor with the review of the literatures.

Riboflavin deficiency occurred in the broiler chicks (육용계 병아리에서 발생한 리보플라빈 결핍증)

  • Kim, Gye-Yeop
    • Korean Journal of Veterinary Research
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    • v.41 no.4
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    • pp.591-596
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    • 2001
  • The chicks from 6 field broiler farms revealed peripheral neuropathy including leg weakness, curled toes and drooped wings. Grossly distinctive enlargements of sciatic nerve, branchial nerve and lumbar nerve were observed in the chicks. Histologically nerve lesions consisted of demyelination of myelin sheaths, Schwann cell proliferation and swelling, and interstitial edema in the peripheral nerves of all birds examined. Axonal swelling and infiltration of small lymphocytes were observed, but not a primary lesion. After treatment of riboflavin, neurological disorder was markedly recovered. From these results, it is suggested that the peripheral nerve lesions in these cases were caused by dietary riboflavin deficiency.

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A beginner's guide to peripheral nerve ultrasound

  • Seok, Jung Im
    • Annals of Clinical Neurophysiology
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    • v.24 no.2
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    • pp.46-52
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    • 2022
  • Ultrasonography is currently being developed as a tool for evaluating peripheral neuropathy. It is one of the painless and least-invasive methods of medical diagnostic testing that yields anatomic views of the nerves and their surrounding structures. Here I first describe the equipment settings and technique for nerve ultrasound along with typical sonographic findings for normal nerves. I then address frequently used parameters for nerve measurements that facilitate diagnoses of focal and generalized neuropathies.

Genetics of Hereditary Peripheral Neuropathies (유전성 말초신경병의 유전학)

  • Cho, Sun-Young;Choi, Byung-Ok
    • Journal of Genetic Medicine
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    • v.6 no.1
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    • pp.25-37
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    • 2009
  • Hereditary peripheral neuropathies can be categorized as hereditary motor and sensory neuropathies (HMSN), hereditary motor neuropathies (HMN), and hereditary sensory neuropathies (HSN). HMSN, HMN, and HSN are further subdivided into several subtypes. Here, we review the most recent findings in the molecular diagnosis and therapeutic strategy for hereditary peripheral neuropathies. The products of genes associated with hereditary peripheral neuropathy phenotypes are important for neuronal structure maintenance, axonal transport, nerve signal transduction, and functions related to the cellular integrity. Identifying the molecular basis of hereditary peripheral neuropathy and studying the relevant genes and their functions is important to understand the pathophysiological mechanisms of these neurodegenerative disorders, as well as the processes involved in the normal development and function of the peripheral nervous system. These advances and the better understanding of the pathogenesis of peripheral neuropathies represent a challenge for the diagnoses and managements of hereditary peripheral neuropathy patients in developing future supportive and curative therapies.

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The Value of MRI in Diagnosis of Peripheral Nerve Disorders (말초신경질환에서 자기공명영상의 진단적 가치)

  • Lee, Han Young;Lee, Jang Chull;Kim, Il-Man;Lee, Chang-Young;Ikm, Eun;Kim, Dong Won;Yim, Man Bin
    • Journal of Korean Neurosurgical Society
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    • v.30 no.9
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    • pp.1120-1126
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    • 2001
  • Objective : The development of magnetic resonance neurography(MRN) has made it possible to produce highresolution images of peripheral nerves themselves, as well as associated intraneural and extraneural lesions. We evaluated the clinical application and utility of high-resolution MRN techniques for the diagnosis and treatment of a variety of peripheral nerve disorder(PND)s. Material and Method : MRN images were obtained using T1-weighted spin echo, T2-weighted fast spin echo with fat suppression, and short tau inversion recovery(STIR) fast spin-echo pulse sequences. Fifteen patients were studied, three with brachial plexus tumors, five with chronic entrapment syndromes, and seven with traumatic peripheral lesions. Ten patients underwent surgery. Results : In MRN with STIR sequences of axial and coronal imagings, signals of the peripheral nerves with various lesions were detected as fairly bright signals and were discerned from signals of the uninvolved nerves. Increased signal with proximal swelling and distal flattening of the median nerve were seen in all patients of carpal tunnel syndrome. Among the eight patients with brachial plexus injury or tumors, T2-weighted MRN showed increased signal intensity in involved roots in five, enhanced mass lesions in three, and traumatic pseudomeningocele in three. Other associated MRI findings were adjacent bony signal change, neuroma, root adhesion and denervated muscle atophy with signal change. Conclusion : MRN with high-resolution imaging can be useful in the preoperative evaluation and surgical planning in patients with peripheral nerve lesions.

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