• Title/Summary/Keyword: peripheral nerve

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Improved Axonal Regeneration Responses in the Injured Sciatic Nerve of Rats by Danggui Treatment (당귀가 rat의 손상된 좌골신경 재생에 미치는 영향)

  • Hong, Soon-Sung;Oh, Min-Seok
    • The Journal of Korean Medicine
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    • v.29 no.2
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    • pp.133-150
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    • 2008
  • Objective: This study was performed to examine Danggui (DG, Angelica gigas Nakai)'s potential activity for promoting axonal regeneration in the injured peripheral nerve. Methods: Using the sciatic nerve in the rats, DG extract 5 ${\mu}l$(10 mg/ml in 0.5% saline) was dripped into the injury site of the nerve. Results: DG treatment facilitated axonal elongation responses in the distal portion to the injury site. GAP-43 protein levels were upregulated by DG treatment in the injured nerve and also in the DRG, suggesting the induction of GAP-43 expression at gene expression level after nerve injury. Phospho-Erk1/2 protein levels were upregulated in the injured nerve area and also in the DRG, suggesting retrograde transport of phospho-Erk1/2 protein from the injury area to the cell body. Cdc2 protein levels were slightly upregulated by DG treatment. DG treatment increased the number of non-neuronal cells in the distal portion to the injury site. Conclusions: The present data suggest that DG is effective for enhanced axonal regrowth after sciatic nerve injury.

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Peripheral Nerve Injuries Related to Local Dental Clinic Anesthesia in the Dental Clinic (치과에서 발생하는 국소마취에 의한 신경손상)

  • Kim, Hyun Jeong
    • Journal of The Korean Dental Society of Anesthesiology
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    • v.14 no.2
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    • pp.89-94
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    • 2014
  • Local anesthesia known as the safe and essential procedure to control pain in dentistry may cause sensory changes such as paresthesia or altered taste at the affected sites after even successful local anesthesia. Although the prognosis of the nerve injuries after local anesthesia is favorable, it might cause prolonged problems such as dysesthesia. The lingual nerve is a single fascicle at the level of the lingual among 1/3 of patients and more movable during regeneration compared to the inferior alveolar nerve after the injury. As a result, the lingual nerve is more vulnerable and has poorer outcomes. More vigilant clinical considerations are required to the lingual nerve injury after local anesthesia. Generally, more than 80% of cases are spontaneously resolved within 2 weeks after the local anesthesia even without any specific treatment. However, the patient having long lasting abnormal sensations more than 2 weeks needs specialists' care for further assessment. In case of dysesthesia which is a symptom of neuropathic pain, immediate referral to specialists is mandatory. The exact mechanism, how to prevent its occurrence, or specific treatments of the nerve injury related to the local anesthesia have not been elucidated. To prepare clinical or medicolegal problems, many cautious considerations are given to the patients who complain sensory changes after local anesthesia.

Ultrasound Guided both Obturator Nerve Block for Patient with Adductor Thigh Muscle Spasm -A case report- (경추 신경 손상에 의한 하지 강직 치료 시 초음파를 이용한 양측폐쇄신경차단술 -증례보고-)

  • Kwon, Tae Myoung;Kim, Hyun Joo;Moon, Ji Yeon;Suh, Jeong Hun;Lee, Pyung Bok
    • The Korean Journal of Pain
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    • v.22 no.1
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    • pp.78-82
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    • 2009
  • Obturator nerve block has been used for analgesia of hip pain, relaxation of adductor muscle spasm related to cerebral palsy or paraplegia and in urologic surgery to prevent inadvertent obturator activity during lateral wall cystoscopy. Recently, ultrasound guidance has gained popularity in the field of peripheral nerve block and have been reported in some benefits. We describe here successfully performed both obturator nerve block under ultrasound guidance.

Two Cases of Radial Nerve Palsy with Chuna Treatment on Cervical Vertebrae (경추 추나치료를 적용한 압박성 요골신경마비 환자 치험 2례)

  • Heo, Su-Young
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.6 no.1
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    • pp.89-96
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    • 2011
  • Objective : The purpose of this study is to evaluate the korean medical treatment for compressive neuropathy of radial nerve, especially chuna treatment of cervical vertebrae. Methods : Two patients were treated with acupuncture and moxibustion, herbal medication, chuna treatment on cervical vertebrae. To evaluate the wrist drop and numbness of hand, Coding Result of arbitrary values and manual muscle test(MMT), visual analogue scale(VAS) were used. Results : After 2 weeks-treatment(in case 1) & 5 weeks-treatment(in case 2), the movement and power of wrist were restored to nearly normal range, also the numbness of hands was removed. All cases show the improvement in the movement of wrist and the numbness of hands. Conclusions : Korean medical treatment including cervical manual therapy as chuna treatment is remarkably effective for radial nerve palsy. But further studies are required to concretely prove the effectiveness of chuna treatment on central vertebrae for peripheral neuropathy.

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Intraneural Venous Malformations of the Median Nerve

  • Porto, Sara Alicia Gonzalez;Rodriguez, Alba Gonzalez;Miguez, Jose Midon
    • Archives of Plastic Surgery
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    • v.43 no.4
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    • pp.371-373
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    • 2016
  • Venous malformations arising from the peripheral nerve are a rare type of vascular malformation. We present the first case of an intraneural venous malformation of the median nerve to be reported in a child and review the previous two cases of median nerve compression due to a venous malformation that have been reported. These cases presented with painless masses in the volar aspect of the wrist or with symptoms suggestive of carpal tunnel syndrome. Clinical suspicion should lead to the use of Doppler ultrasonography as the first-line diagnostic tool. Magnetic resonance imaging and histopathology can confirm the diagnosis, as phleboliths are pathognomonic of venous malformations. Surgical treatment appears to be the only modality capable of successfully controlling the growth of an intraneural malformation. Sclerotherapy and radiotherapy have never been used to treat this type of malformation.

A Case of Neurilemmoma of the Larynx (후두에 발생한 신경초종 1예)

  • Lee, Sung-Su;Lee, Dong-Wook;Shim, Woo-Sub;Moon, Young-Eun
    • Korean Journal of Head & Neck Oncology
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    • v.25 no.2
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    • pp.171-173
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    • 2009
  • Neurilemmoma is a relatively rare benign tumor which may be derived from nerve sheath of the peripheral, sympathetic and cranial nerve except the optic nerve and olfactory nerve. And it is a characteristically solitary and well-encapsulated mass. About 25% of neurilemmoma occurs in the head and neck region and the acoustic nerve is most frequently involved, but neurilemmoma of the larynx is rare. Recently, we experienced a case of neurilemmoma occurred in the right aryepiglottic fold of the larynx. The tumor was successfully removed by transoral approach under direct laryngoscope. So we report this case with literature review.

Ultrasound-Guided Sciatic Nerve Block for the Treatment of Radiation Therapy Induced Sciatic Neuritis -A case report- (방사선치료 후 발생한 좌골신경염에 대한 초음파 유도하 좌골 신경차단 -증례보고-)

  • Kim, Jun Woo;Lee, Pyung Bok;Park, Chan Do;Choi, Seong Joo;Choi, Jong Beom;Moon, Ji Yun
    • The Korean Journal of Pain
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    • v.22 no.2
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    • pp.186-190
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    • 2009
  • Sciatic nerve block is frequently used for anesthesia or analgesia during lower leg surgery or chronic lower leg pain syndrome. Recently, a lot of ultrasound-guided peripheral nerve block has been reported because there are several benefits compared to blind technique. We performed ultrasound-guided right sciatic nerve block successfully to the patient who has been suffering from right buttock pain after previous radiation therapy.

A CASE REPORT OF TRAUMATIC NEUROPATHIC PAIN PATIENT (외상성 신경병증 환자의 치험례)

  • Choi, Moon-Gi
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.34 no.2
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    • pp.200-206
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    • 2008
  • A variety of mechanisms may generate pain resulting from injury to the peripheral nervous system. None of these mechanisms is disease-specific, and several different pain mechanisms may be present simultaneously in any one patient. Diagnosis of neuropathic pain is often easily made from the information gathered on neurologic examination and from patient history. Evidence of sensory disturbances elicited by examination combined with laboratory tests confirming injury to peripheral nerve establishes the diagnosis of neuropathic pain. Although treatment of neuropathic pain may be difficult, optimum treatment can be achieved if dentist has a complete understanding of the therapeutic options. Pharmacologic therapy has been the mainstay of treatment. Selection of an appropriate pharmacologic agent is by trial and error since individual response to different agents, doses, and serum level are highly variable. An adequate trial for each agent tried is key to pharmacologic treatment of neuripathic pain. If pharmacologic treatment is not effective, nerve block using lidocaine, steroid and alcohol and neurectomy must be considered for treatment option.

Korean Vowel Recognition using Peripheral Auditory Model (말초 청각 계통 모델을 이용한 한국어 모음 인식)

  • Yun, Tae-Seong;Baek, Seung-Hwa;Park, Sang-Hui
    • Journal of Biomedical Engineering Research
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    • v.9 no.1
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    • pp.1-10
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    • 1988
  • In this study, the recognition experiments for Korean vowel are performed using peripheral auditory model. In addition, for the purpose of objective comparison, the recognition experiments are performed by extracting LPC cepstrum coefficients for the same speech data. The results are as follows. 1) The time and the frequency responses of the auditory model show that important features of input signal are involved in the responses of inner ear and auditory nerve. 2) The recognition results for Korean vowel show that the recognition rate by auditory model output is higher than the recognition rate by LPC cepstrum coefficients. 3) The adaptation phenomenon of auditory nerve provides useful characteristics for the discrimination of vowel signal.

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Fabrication of Planar-type Semiconductor Microelectrode Array and Its Application to Peripheral Nerve of Invertebrates (평판형 반도체 미세전극 어레이 제작 및 이를 이용한 무척추 동물의 말초신경다발 신호기록)

  • Hwang, E.J.;Yoon, T.H.;Kim, S.J.
    • Proceedings of the KOSOMBE Conference
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    • v.1998 no.11
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    • pp.145-146
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    • 1998
  • A planar-type silicon microelectrode array has been fabricated and used successfully in obtaining simultaneous multichannel recordings from peripheral nerve of invertebrates. This paper demonstrates that planar-type semiconductor electrode arrays are useful for studying traveling wave properties of action potential.

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