• Title/Summary/Keyword: peripheral disturbance

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The Literature Study of Aphasia of Children (in comparison with Aphasia of Adult) (아동실어증에 대한 문헌적 고찰 (성인 실어증과의 비교 위주로))

  • Kim, Yun-Hee;Han, Jae-Kyung
    • The Journal of Pediatrics of Korean Medicine
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    • v.17 no.2
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    • pp.115-135
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    • 2003
  • Objectives : The aim of this study was to investigate the concept of Aphasia of children in the western and oriental medicine. Methods : We surveyed the western and oriental medical books from to recent published books that have articles on Aphasia. Results and Conclusion : The concept of phonation organ in neiching is same as that of modern physiology. Sul-um is relative with verbal disturbance of central nervous disease and Hu-um is relative with verbal disturbance of peripheral nervous disease in modern medicine. The Aphasia of Children was classified two concept which is innate and acquirement Aphasia according to production cause. The Aphasia of children has the most close relation with the kidney and heart in the five zang-organ.

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The Clinical Effect of High Voltage AC Reid Therapy(HEALTHTRON) on Peripheral Circulatory Disturbance and Functional Outcome of Rehabilitation in CVA Patients (교류고압전계요법이 뇌졸중환자의 말초혈류 및 재활기능에 미치는 효과에 대한 임상연구)

  • Sung Kang Keyng;Hwang Choong Yeon;Lee Sang Kwan;Lee So Young;Cheong Sang Su;Kang Se Young;Lee Jong Deck
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.16 no.3
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    • pp.609-615
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    • 2002
  • A medical treatment of alternating current high-voltage electric field therapy is a method in which we get a healing effect, applying electric field to an organism through an artificial device. In order to estimate the clinical effects of alternating current high-voltage electric field load(HEALTHTRON) on the rehabilitation of stroke patients, improvement of a peripheral blood circulation, and psychogenic symptom, we used BEUNZEUNGHEYNG Instrument, NIHSS(the National Institutes of Health Stroke Scale), FIM(Functional Independence Measure)lnstrument to research BEUNZEUNGHEYNG and recovery of rehabilitative funation. and also we used Thermography, Pulse Meter to measure body temperature and pulse, blood elements, and neuro modulators. We have reached the following conclusions after researching the clinical effects of alternating current high-voltage electric field therapy on the recovery of rehabilitative function and peripheral blood circulation. 1. HEALTHTRON efficiently has increased the volume of peripheral blood circulation in stroke patients. 2. HEALTHTRON rapidly has treated the symptoms of sleeplessness, alertness, and dizziness of stroke patients. 3. HEALTHTRON rapidly has improved rehabilitative function of stroke patients and the adjustment to their activities.

Clinical Outcomes of the Surgical Excision of the Ganglion Cyst Causing Compressive Neuropathy - A Review of Twelve Collected Cases - (압박 신경병증을 일으킨 결절종의 수술적 절제의 임상적 결과)

  • Jung, Sung-Taek;Cho, Seong-Beom;Moon, Eun-Sun;Lee, Jae-Joon;Kim, Ki-Hyeoung;Yang, Hyun-Kee
    • The Journal of the Korean bone and joint tumor society
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    • v.12 no.1
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    • pp.63-70
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    • 2006
  • Purpose: The purpose of current study was to review the surgical treatment results in patients with a ganglion cyst involving peripheral nerves and to suggest the poor prognostic factor. Materials and Methods: Twelve patients having neurologic symptoms caused by ganglion cyst were treated operatively between 1995 and 2000. The peripheral nerves involved were the tibial nerve in three patients, suprascapular nerve, common peroneal nerve, radial nerve, and ulnar nerve in two patients each, and median nerve in one patient. Pain was present in six patients, sensory disturbance or motor weakness was seen in seven patients each; and sensory disturbance and motor weakness were concurrently present in four patients. Results: In all six patients who complained of preoperative pain, the pain was resolved after surgery. Improvements were seen in five of seven patients who had preoperative sensory disturbance and in all patients who had preoperative motor weakness. Complete sensory recovery was obtained in only two of four patients with preoperative sensory disturbance and motor weakness, indicating a poor prognosis factor. Conclusion: Early accurate diagnosis and early excision of these ganglion cysts causing compression neuropathy could produce excellent clinical results.

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Overlapping Guillain-Barr$\acute{e}$ syndrome and Bickerstaff's brainstem encephalitis associated with Epstein Barr virus

  • Rho, Young Il
    • Clinical and Experimental Pediatrics
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    • v.57 no.10
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    • pp.457-460
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    • 2014
  • A flaccid tetraparesis in Bickerstaff's brainstem encephalitis (BBE) is presumed to be a sign of overlapping Guillain-Barr$\acute{e}$ syndrome (GBS). In addition, BBE and Fisher syndrome, which are clinically similar and are both associated with the presence of the immunoglobulin G anti-GQ1b antibody, represent a specific autoimmune disease with a wide spectrum of symptoms that include ophthalmoplegia and ataxia. A 2-year-old boy presented with rapidly progressive ophthalmoplegia, ataxia, hyporeflexia, weakness of the lower extremities, and, subsequently, disturbance of consciousness. He experienced bronchitis with watery diarrhea and had laboratory evidence of recent infection with Epstein-Barr virus (EBV). He was diagnosed as having overlapping GBS and BBE associated with EBV and received treatment with a combination of immunoglobulin and methylprednisolone, as well as acyclovir, and had recovered completely after 3 months. In addition, he has not experienced any relapse over the past year. We suggest that combinations of symptoms and signs of central lesions (disturbance of consciousness) and peripheral lesions (ophthalmoplegia, facial weakness, limb weakness, and areflexia) are supportive of a diagnosis of overlapping GBS and BBE and can be helpful in achieving an early diagnosis, as well as for the administration of appropriate treatments.

A Case Report of Treatment of a Patient with Pontine Hemorrhage and Respiratory Disturbance Using Korean Medicine (수천을 동반한 뇌교출혈 환자의 한의학적 치료 증례보고 1례)

  • Cho, Jae-hyun;Bae, Go-eun;Choi, Jin-yong;Seo, Hee-jeong;Shim, So-hyun;Han, Chang-woo;Kim, So-yeon;Choi, Jun-yong;Park, Seong-ha;Yun, Young-ju;Lee, In;Hong, Jin-woo;Kwon, Jung-nam
    • The Journal of Internal Korean Medicine
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    • v.38 no.5
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    • pp.789-796
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    • 2017
  • Objectives: We examined the effects of Sinbi-tang on a patient with pontine hemorrhage and respiratory disturbance. Methods: A patient diagnosed with pontine hemorrhage and respiratory disturbance was treated with herbal medicine and acupuncture. We checked the peripheral oxygen saturation ($SpO^2$) by oximetry three times a day, and obtained an average value. We evaluated the improvement of symptoms by changes in the average applied $O^2$ and average $SpO^2$. Results: After taking Sinbi-tang and treatment with acupuncture therapy, the patient showed improvement in respiratory disturbance. Applied $O^2$ was gradually decreased from 4 L/min to 0 L/min and $SpO^2$ was stabilized. Conclusions: Korean medicine may provide effective treatment for respiratory disturbance in patients with pontine hemorrhage, but further study is needed.

The clinical study on 2 cases of patients of carpal tunnel syndrome (수근관 증후군 환자 2례에 대한 증례보고)

  • Shin, Dong-Soo;Lee, Hyun
    • Journal of Haehwa Medicine
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    • v.15 no.1
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    • pp.79-85
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    • 2006
  • Carpal tunnel syndrome is a common peripheral nerve entrapment syndrome that is characterized by pain, numbness, sensory disturbance along the distribution of the median nerve in hand. Diagnosis mainly depends upon careful examination and symptomatology. Treatments have included wrist immobilization, anti-inflammatory drug, local injection of steroid, nerve block and surgical decompression. This is a clinical report about 2 cases of carpal tunnel syndrome patients who undergo oriental medical treatment. Both of two cases, Symptoms were disappeared and physical examinations were improved. The results of this study demonstrate that oriental medicine treatment that including acupuncture and herbal medicine therapy can have noticeable effects in treating the carpal tunnel syndrome.

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Study of Carpal tunnel syndrome (수근관 증후군(Carpal tunnel syndrome)에 관한 고찰 - 동의보감(東醫寶鑑)을 중심으로 -)

  • Kim, Yong-Kul;Oh, Min-Seok
    • Journal of Haehwa Medicine
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    • v.17 no.1
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    • pp.129-136
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    • 2008
  • This study was performed to investigate the cause, symptom, treatment of carpal tunnel syndrome through Western medicine and Dong-Eui-Bo-Kham(東醫寶鑑). Results & conclusions 1. Carpal tunnel syndrome is a common peripheral nerve entrapment syndrome that is characterixed by pain, numbness, sensory disturbance along the dsitribution of the meridian nerve in hand 2. Treatment of carpal tunnel syndrome have included wrist immobilization, anti-inflammatory drug, local injection of steroid, nerve block and surgical decompression. 3. Carpal tunnel syndrome seems to be similar with numbness(痺證). The causes were usually pathogenic Wind, Cold, Dampness. 4.Acupuncture, herbal medicine, herbal acupuncture were used for treatment of carpal tunnel syndrome. We considered that more study to find various and effective methods oriental medicine for carpal tunnel syndrome should be made.

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Critical Illness Polyneuropathy (위험질병 다발신경병증)

  • Lee, Dong Kuck
    • Annals of Clinical Neurophysiology
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    • v.3 no.2
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    • pp.115-121
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    • 2001
  • The occurrence of muscle weakness in patients with sepsis or multiple organ failure managed in the intensive care unit has been recognized with increasing frequency in the last two decades. The difficulty in examining critically ill patients may explain why this complication has been only recently recognized. This weakness is due to an axonal polyneuropathy which is called critical illness polyneuropathy(CIP). It must be differentiated from myopathy or neuromuscular junction disturbance that can also occur in the intensive care setting. Neither the cause nor the exact mechanism of CIP has been elucidated. Electrophysiological studies demonstrated an acute axonal damage of the peripheral nerves. Before the recognition of CIP, these cases were usually misdiagnosed as Guillain-$Barr{\acute{e}}$ syndrome. Clinical recovery from the neuropathy is rapid and nearly complete in those patients who survive. Thus, neuropathy acquired during critical illness, although causing a delayed in weaning from ventilatory support and hospital discharge, does not worsen long-term prognosis.

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A Case of Vertigo with Heterophoria and Nystagmus (안구편위와 진탕을 동반한 현훈 환자 1례)

  • Sim Sung-yong;Kim Kyung-tae;Um Yu-sik;Nam Hae-jeong;Kim Kyung-jun
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.17 no.2
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    • pp.106-111
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    • 2004
  • Vertigo is a symptom, not a disease. The tenn vertigo refers to the sensation of spinning or whirling that occurs as a result of a disturbance in balance. It's sometimes referred to as a hallucination of motion. The cause of vertigo is very various and generally divided into peripheral and central. A patient presented with severe vertigo, nystagmus and heteophoria. She has taken the BanHaBaekChulChunMa-tang and treated by acupuncture. After 2 days, her symptoms become disappeared and about 1 week, all symptoms except heterophoria were disapperaed. And after 2 weeks, heterophoria was disappeared. In conclusion, we diagnosed her case as vestbular neuronitis by her clinical course, but we also considered her illness as vertebrobasilar insufficiency, TIA etc.

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Diagnosis of complex regional pain syndrome

  • Kim, Young-Do
    • Annals of Clinical Neurophysiology
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    • v.24 no.2
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    • pp.35-45
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    • 2022
  • Complex regional pain syndrome (CRPS) is a chronic regional pain disorder that most frequently affects the limbs. It is characterized by hyperalgesia, allodynia, edema, motor disturbance, and vasomotor instability, and typically occurs following surgery or trauma. In type-I CRPS there is no confirmed nerve injury, while peripheral nerve injury is present in type-II CRPS. The multifactorial pathophysiological etiology of CRPS includes inflammation, autoimmune responses, abnormal cytokine production, autonomic dysfunction, altered blood flow, psychological factors, and central cortical reorganization. There are no specific laboratory diagnostic tools for CRPS, and so it is diagnosed clinically. The Budapest criteria are currently the most-accepted diagnostic criteria.