• Journal of Korean Neurosurgical Society
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• 제48권3호
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• pp.291-293
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• 2010

We report a case of pseudoaneurysm of the parietal division of the superficial temporal artery (STA) secondary to iatrogenic head injury due to Gardner traction. A 54-year-old man presented with a pulsatile, cystic, and painless mass in the right anterior temporal region which developed three weeks after head fixation via Gardner traction. At the time of discovery, the mass was 10 mm in diameter, compressible and disappeared after manual compression of the proximal STA. A bruit was audible over the mass, which was thought to be a pseudoaneurysm. A computed tomography angiogram (CTA) showed a pseudoaneurysm of the parietal division of the right ST A. The tip of the pseudoaneurysm was thrombosed and was both red and tender. The pseudoaneurysm was thought to be filled with infected thrombus, and the mass was resected with ligation of the proximal and distal ends of the STA. A pseudoaneurysm of the STA should be suspected when there is a history of possible vessel injury, such as a history of head-pin fixation, and when a patient presents with a pulsatile, cystic mass near the temple. Pseudoaneurysms can be successfully treated by excision.

• Journal of Korean Neurosurgical Society
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• 제46권3호
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• pp.252-256
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• 2009

Meningioangiomatosis (MA) is a rare congenital tumor that occurs mostly in 5-15 year old children. There have been only 5 cases previously reported that described the cystic nature within these tumors. We present a case of a MA accompanied by a separate macrocyst. A normally developed 2 year-old female patient presented with partial and generalized seizures. The brain computerized tomogram and magnetic resonance imaging revealed the presence of a calcified mass accompanied by a cyst in the right parietal area, surrounded by low density and high attenuation edema and hemorrhage. Upon right parietal craniotomy, a $1.6cm{\times}1.2cm{\times}0.5cm$ sized plate-like, gray-white, slightly hard mass was seen and it was completely excised. Approximately 1 cm from the mass in the anterior lateral direction, a cyst was found and subsequent biopsy of the cyst wall revealed no tumor tissue, and therefore the cyst was not removed. Pathologic report demonstrated the meningioangiomatosis. Follow up examination 2 years later showed no recurrence of the tumor, and there was no evidence of neurological deficits. Authors suggest that cysts that arise in the surrounding tissues of tumors may not be tumor cysts, and do not require surgical removal.

• The Journal of Korean Physical Therapy
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• 제31권3호
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• pp.157-160
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• 2019

Purpose: We compared the activation pattern of the mirror neurons (MN) between two types of hand movement according to action observation using functional MRI. Methods: Twelve right-handed healthy subjects (5 male and 7 female, mean age $21.92{\pm}2.02years$) participated in the experiment. During fMRI scanning, subjects underwent two different stimuli on the screen: 1) video clips showing repeated grasping and releasing of the ball via simple hand movement (SHM), and (2) video clips showing an actor performing a Purdue Pegboard test via complex hand movement (CHM). paired t-test in statistical parametric mapping (SPM) was used to compare the activation differences between the two types of hand movement. Results: CHM as compared with the SHM produced a higher blood oxygen level dependent (BOLD) signal response in the right superior frontal gyrus, left inferior and superior parietal lobules, and lingual gyrus. However, no greater BOLD signal response was found by SHM compared with CHM (FWE corrected, p<0.05). Conclusion: Our findings provided that the activation patterns for observation of SHM and CHM are different. CHM also elicited boarder or stronger activations in the brain, including inferior parietal lobule called the MN region.

• Journal of Korean Neurosurgical Society
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• 제50권3호
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• pp.260-263
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• 2011

Intracranial dural arteriovenous fistulas (DAVFs) are abnormal arteriovenous connections that lie within the dura. Intraosseous DAVFs involving diploic venous system are extremely rare. A 46-year-old woman presented with headache and right pulsatile tinnitus for three weeks. The tinnitus started after yelling. Digital subtraction angiography revealed DAVF within the basal portion of right parietal bone along the middle meningeal artery (MMA) groove. The fistula was fed by frontal branch of right MMA and drained into right transverse sigmoid sinus junction through dilated middle meningeal vein. The intraosseous DAVF involving diploic vein was successfully obliterated with Onyx embolization via transarterial route.

• 한국패류학회지
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• 제16권1_2호
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• pp.1-9
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• 2000

아프리카왕달팽이 Achatina fulica의 내장신경 절과 우체벽신경절은 좌, 우 양반구로 구성된 나비모습을 하고 있으며, 이들 신경절의 피질부와 수질부의 표피부위에는 신경세포가 밀집되어 있는 반면 중앙부위에는 신경섬유가 망상형으로 신경망을 구성하고 있었다. 두 신경절의 피질부 및 수질부에 위치한 신경세포들은 초대형신경세포(200 $\mu\textrm{m}$ 이상)와 대형신경세포(직경 60-70 $\mu\textrm{m}$ 이상), 중형신경세포(직경 30-40 $\mu\textrm{m}$) 그리고 소형신경세포(직경 10-15 $\mu\textrm{m}$) 등 4종류로 구분할 수 있었다. 초대형 및 대형신경세포는 20-22개 정도로 매우 소수가 관찰된 반면, 중형신경세포(약 400-500개)와 소형신경세포(약 700-800개)는 다수가 관찰되었다. AB/AY 이중염색반응에서 초대형 신경세포는 light Yellow cell(LYC)로, 대형 및 중형신경세포는 yellow green cell (YGC)과 dark green cell(DGC) 등 두 종류로 그리고 소형신경세포는 yellow cell(YC)과 blue cell(BC) 등으로 각각 확인되었다. Somatostatin 면역염색반응에서 양성반응을 나타낸 DGC는 성장조절물질 분비의 억제에 관여하는 것으로 확인되었으며, 초대형 및 대형신경세포는 신경분비기능 이외 포식작용을 수행하는 것으로 각각 확인되었다.

• 대한물리치료과학회지
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• 제15권3호
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• pp.9-17
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• 2008

Background : The conventional electroencephalography(EEG) is commonly used as aid in the diagnosis of dementia. Recently developed quantitative electroencephalography(qEEG) provides data that are not achievable by conventional EEG. The aim of this study was to find out the usefulness of quantified-EEG in dementia. Method : Twenty elderly women(10 normal elderly, 10 demented elderly) were participated in this study. EEG power and coherence was computed over 21 channels; right and left frontal, central, parietal, temporal and occipital areas. Result : The activity of ${\alpha}$ wave was more higher than others significantly at frontal and parietal areas in normal elderly, but the activity of ${\theta}$ wave was higher in demented elderly. And the activity of ${\theta}$ wave in demented elderly women was more higher than normal elderly women significantly. Conclusion : In conclusion, we discovered that quantitative EEG was used to diagnose dementia.

• 인지과학
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• 제17권1호
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• pp.1-13
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• 2006

본 연구에서는 지향성을 탐지하는 과제를 하는 동안 활성화되는 뇌 영역을 검토하기 위하여 기능적 자기공명영상 기법을 이용하였다. 마음이론의 기본적 기제로 알려진 지향성 탐지에 관여하는 뇌의 활성화 영역이 사전 지시가 주어지는가에 따라 다른지를 알아보는 것이 연구의 주된 목적이었다. 과제에 대한 사전 지시가 주어진 경우에는 좌반구에서는 구부와 상측두회가 활성화되었고 우반구에서는 하후두회, 변연상회, 하두정소엽, 시상의 내배측핵, 설전소엽이 활성화되었다. 사전 지시가 주어지지 않았던 경우에는 우반구의 하두정소엽과 상두정소엽만이 활성화되었다. 두 경우에 공통적인 영역으로 하두정소엽이 관찰되었다. 이런 결과는 사전 지시가 지향성 탐지 관련 뇌 영역들을 더 분명하게 활성화시켰음을 시사한다. 지향성 탐지 기제의 자발적 작동과 참가자의 특성에 대한 추후 연구의 필요성을 논의하였다.

• 인지과학
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• 제19권4호
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• pp.397-417
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• 2008

본 연구에서는 기능적 자기공명영상 기법을 이용하여, 정상 성인이 한국어 틀린 믿음 과제를 수행하는 동안 활성화되는 뇌 영역을 알아보고자 하였다. 실험 1에서 일차 틀린 믿음 과제를 수행하는 동안 양측 설전소엽과 측두-두정 인접부, 좌반구의 하두정소엽, 후측 대상회, 중전두회 등의 뇌 활성화가 관찰되었다. 실험 2에서 이차 틀린 믿음 과제를 수행하는 동안에는 좌반구의 중전두회와 내전두회와 우반구의 설전소엽, 중전두회, 측두-두정 인접부 영역이 활성화되었다. 이런 결과는 성인이 마음이론 이야기를 이해하는 방식은 보편적임을 시사하는 것이다.

• Journal of Chest Surgery
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• 제36권3호
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• pp.215-218
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• 2003

65세 남자 환자가 우측 흉늑쇄골부위의 동통성 부종을 주소로 내원하였다. 환자는 과거력과 외상을 비롯한 특이 소견은 없었다. 입원 후 시행한 컴퓨터 단층촬영에서 우측경부의 농양과 우측 농흉소견이 나타났다. 개흉술로 우측 농흉제거술을 실시하였으며 우측 벽측 흉막과 우측 흉늑쇄골부위에 루가 발견되었다. 이어 경부절개를 통해 경부농양을 제거하였고 우측 흉늑쇄골부위에 골수염의 소견이 있어 우측쇄골일부, 제1번 늑연골, 흉골병 일부를 같이 제거하였다. 우측 흉늑쇄골부위의 골수염이 농흉으로 확대된 예는 드문 경우로서 저자들은 이를 치험 하였기에 보고하는 바이다.

• Journal of Chest Surgery
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• 제29권3호
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• pp.355-359
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• 1996

Rupture of the main bronchus due to blunt chest trauma is very rare, especially In childhood although the incidence is increasing. Early diagnosis and primary repair not. only restore normal lung function but also avoid the difficulties and complications associated with delayed diagnosis and repair. We experienced 2 cases of right main bronchial rupture caused by traffic accidents. Patients suffered from progressively developing dyspnea and subcutaneous emphysema on the neck, anteriorchest,andanteriorabdominalwall. Emergency operations were performed through right posterolateral thoracotomy incision at the 4th intercostal space. Intraoperatively, the right main bronchus completely transsected and separated. Corrective bronchoplasty was performed with end-to-end anastomosis using interrupted suture with 3-0 Vicryle and the suture line was reinforced with azygos vein and parietal pleural flap. Postoperative courses were uneventful and patients discharged without any specific pro lems.