• 제목/요약/키워드: transverse myelitis

검색결과 33건 처리시간 0.03초

장 가성 폐쇄 증상을 동반한 횡단성 척수염 환아 1예에 대한 고찰 (The Clinical Study on 1 Case of Patient with Interstinal Pseudoobstruction Secondary to Transverse Myelitis)

  • 한재경;김윤희
    • 대한한방소아과학회지
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    • 제16권1호
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    • pp.203-216
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    • 2002
  • Objective : There were few reports on the treatment of 'Intestinal pseudoobstruction secondary to Transverse Myelitis'. This study about the Oriental medical treatment conducted on the 'Intestinal pseudoobstruction secondary to Transverse Myelitis' shows the possibility of healing 'Intestinal pseudoobstruction secondary to Transverse Myelitis'. Methods : The acupuncture and herbal medicine therapies were applied for improving the function of stomach & spleen and harmonizing energy & blood. Results : After treatments, the symptoms (abdominal pain, vomiting, constipation, oral intake unable) of 'Intestinal pseudoobstruction secondary to Transverse Myelitis' were improved. Conclusion : The more study about the Oriental medical treatment and conception on 'Intestinal pseudoobstruction secondary to Transverse Myelitis' is needed.

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봉약침과 자하거약침 시술로 호전된 횡단성척수염 환자에 대한 임상적 고찰 (The Clinical Study on a Case of Transverse Myelitis With Bee Venom and Hominis Placenta Herbal Acupuncture)

  • 박민호;임성택;최석우
    • 대한약침학회지
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    • 제8권2호
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    • pp.17-22
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    • 2005
  • Objective : This study was performed to evaluate the treatment of acupuncture therapy including. Bee Venom and Hominis Placenta herbal acupuncture on the patient with Transverse myelitis. Methods : We treated the patient with Transverse myelitis by Bee Venom herbal acupuncture at beginning, since then we treated him adding to Hominis Placenta herbal acupuncture. Conclusions: The patient was effectively reduced symptoms with Bee Venom herbal acupuncture, since then he get more effective improvement of symptoms by adding Hominis Placenta herbal acupuncture. Therefore we are able to expect Bee Venom and Hominis Placenta herbal acupuncture will be more effective than simply acupuncture on the patient with Transverse myelitis.

한방치료만을 시행한 급성 횡단성 척수염 2례에 대한 증례보고 (A Case Report of Acute Transverse Myelitis Managed in Oriental Medical Hospital)

  • 이명종;송미영
    • 척추신경추나의학회지
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    • 제1권1호
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    • pp.15-25
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    • 2006
  • Objectives : This report is about a case of a patient who improvement in general condition, Infection and bowel after and urinary dysfunction. Methods : We diagnosed that symptoms as Wejeung(?證), and employed oriental medical treatments, herb medication, acupuncture, electro-acupuncture, moxibustion and physical therapy. Results : In the first case, neurologic impairment was aggravated despite of 15 days of treatments. In the second case, motor and defecation was improved. Conclusions : There is no specific treatment for acute transverse myelitis in the Western medicine. Several case reports revealed clinical improvement of subacute or chronic transverse myelitis in the oriental medicine. We anticipated that the researches regarding treatment for acute transverse myelitis in the oriental medicine will be encouraged in the near future.

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비증(痺證)으로 변증한 횡단성 척수염 환자에 대한 증례 보고 (Clinical Study on a Case of Transverse Myelitis)

  • 김정은;김수민;윤현민;안창범;장경전;김철홍;김재홍;김원일
    • 대한약침학회지
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    • 제11권2호
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    • pp.141-149
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    • 2008
  • Objectives This report intended to estimate effect taken by using Oriental medical method on the patient with Tranverse Myelitis. Methods From 28th April, 2006 to 19th June, 2006. The patient dignosed as a Transverse Myelitis receive acupuncture, moxibustion, cupping and physical therapy and herbal medication by estimating arthralgia syndrome(痺證). Results The patient's incipient symptoms-both lower limb paresthesia and weakness, voluntary urination and defecation-all were improved. Conclusions This study demonstrates that oriental medical treatment has respectable effect in improving as though we didn't exclude effect of western medical therapy on the patient with transverse myelitis. More research of transverse myelitis is needed.

Concurrency of Guillain-Barre syndrome and acute transverse myelitis: a case report and review of literature

  • Tolunay, Orkun;Celik, Tamer;Celik, Umit;Komur, Mustafa;Tanyeli, Zeynep;Sonmezler, Abdurrahman
    • Clinical and Experimental Pediatrics
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    • 제59권sup1호
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    • pp.161-164
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    • 2016
  • Guillain-$Barr{\acute{e}}$ syndrome and acute transverse myelitis manifest as demyelinating diseases of the peripheral and central nervous system. Concurrency of these two disorders is rarely documented in literature. A 4-year-old girl presenting with cough, fever, and an impaired walking ability was admitted to hospital. She had no previous complaints in her medical history. A physical examination revealed lack of muscle strength of the lower extremities and deep tendon reflexes. MRI could not be carried out due to technical problems; therefore, both Guillain-$Barr{\acute{e}}$ syndrome and acute transverse myelitis were considered for the diagnosis. Intravenous immunoglobulin treatment was started as first line therapy. Because this treatment did not relieve the patient's symptoms, spinal MRI was carried out on the fourth day of admission and demyelinating areas were identified. Based on the new findings, the patient was diagnosed with acute transverse myelitis, and high dose intravenous methylprednisolone therapy was started. Electromyography findings were consistent with acute polyneuropathy affecting both motor and sensory fibers. Therefore, the patient was diagnosed with concurrency of Guillain-$Barr{\acute{e}}$ syndrome and acute transverse myelitis. Interestingly, while concurrency of these 2 disorders is rare, this association has been demonstrated in various recent publications. Progress in diagnostic tests (magnetic resonance imaging and electrophysiological examination studies) has enabled clinicians to establish the right diagnosis. The possibility of concurrent Guillain-$Barr{\acute{e}}$ syndrome and acute transverse myelitis should be considered if recovery takes longer than anticipated.

재발성 횡단성 척수염 환자의 한방치험 1례 (A Case Report of a Patient with Relapsing Transverse Myelitis Treated by Korean Medical Treatment)

  • 이욱재;이동근;이주희;이정훈;김선욱;신정철
    • Journal of Acupuncture Research
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    • 제31권4호
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    • pp.155-162
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    • 2014
  • Objectives : The purpose of this study is to report the effect of Korean medical treatment on a patient with relapsing transverse myelitis. Methods : The patient was treated using acupuncture, pharmacopuncture, herbal medicine and other treatments including moxibustion and therapeutic exercise for 8 weeks. We evaluated the patient's motor grade with medical research council(MRC) scale and evaluated active range of motion in the hip, knee, and anke joint. Results : Through treatment the patient's motor grade and active range of motion all improved. Other symptoms such as lower limb hypoesthesia and residual urine sensation also showed improvement. Conclusions : We concluded that Korean medicine treatment had respectable effect in improving symptoms on the patient with relapsing transverse myelitis.

횡단척수염 환자에서 경막외 스테로이드 투여에 의한 치료 경험 -증례보고- (Experience of Epidural Steroids in Transverse Myelitis -A case report-)

  • 남복희;문호식;김정학;김대성;성춘호
    • The Korean Journal of Pain
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    • 제22권1호
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    • pp.92-95
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    • 2009
  • Transverse myelitis is a focal inflammatory disorder of the spinal cord characterized by motor, sensory, and autonomic dysfunction. A 41-year-old man with transverse myelitis and no pre-existing neurologic disease presented with hypesthesia, numbness, weakness in the both lower extremities, back pain, decreased libido, constipation, and dysuria. A MRI test showed intramedullary high signal intensity between T4 and T8 on a T2-weighted image. After high-dose intravenous methylprednisolone and oral prednisolone therapy, he showed facial swelling and acneiform eruption. Therefore, we injected 40 mg methylprednisolone via an epidural route. A 7-dose serial treatment improved most symptoms. A follow up MRI showed radiological improvement. We report a case of transverse myelitis treated by epidural steroids.

횡단성 척수염 1례에 대한 증례보고 (One Case Report of Patients with Transverse Myelitis)

  • 정성민;신용욱;김경옥
    • 대한추나의학회지
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    • 제4권1호
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    • pp.111-117
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    • 2003
  • Objectives: We recently experienced one case of Transverse Myelitis. We would introduce the clinical report it Methods: In the point of Differentiation of Syndrome, these subjects were diagnosed as Wejeung(Weizheng;痿證). We treated here with acupuncture. moxa, physical theraphy and herbal medication Results & Conclusions: Symptoms of the patient of this report were improved after above treatment. So it is suggested that oriental medical treatment is effective in Transverse Myelitis

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재발횡단척수염과 동반한 전신홍반루푸스 1예 (A Case of Systemic Lupus Erythematosus with Recurrent Transverse Myelitis)

  • 이준환;박기종;이상일;권오영;강희영;강종수;박의정;최낙천;임병훈
    • Annals of Clinical Neurophysiology
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    • 제9권1호
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    • pp.29-32
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    • 2007
  • Recurrent transverse myelitis is a rare manifestation of systemic lupus erythematosus. Recurrent transverse myelitis presents the biggest diagnostic problem, since it is common manifestation of multiple sclerosis. But it can also be the only feature or first manifestation in systemic lupus erythematosus. Neurological manifestations and magnetic resonance imaging can be indistinguishable, and there are no specific diagnostic tools. Here we describe a 59-year-old female having a systemic lupus erythematosus with recurrent transverse myeltitis. No uniform therapeutic protocol exists for systemic lupus erythematous with transverse myelitis, and the prognosis is usually poor. We suggest that aggressive treatment (usually with pulses of methylprednisolone and cyclophosphamide) might improve the prognosis of systemic lupus erythematosus with transverse myeltis.

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자기공명촬영으로 확인된 횡단성 척수염 29례에 대한 후향적 분석 (A Retrospective Analysis of MRI-verified 29 Cases of Transverse Myelitis)

  • 김영래;송준혁;박향권;김성학
    • Journal of Korean Neurosurgical Society
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    • 제29권12호
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    • pp.1642-1649
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    • 2000
  • Objectives : Transverse myelitis(TM) is characterized by bilateral motor, sensory, and autonomic dysfunction of the spinal cord in the absence of pre-existing neurologic disease. It is an uncommon but not rare condition. But it remains as poorly understood syndrome not only etiologically but also in terms of its clinical behavior. Neurosurgically, It is often quite difficult to distinguish from other surgical intramedullary lesions. We present our clinical experiences of TM in order to assess its clinical behavior and to define the radiological characteristics that can distinguish TM from other intramedullary lesions. Methods : From June 1991 to May 1997, twenty-nine patients with transverse myelitis were admitted to our department. All cases revealed acute or subacute syndrome of non-compressive myelopathy and intramedullary lesions in the MRI. We analyze the radiological data and medical records retrospectively. Results : Patients ranged in age from 16 to 66 years, with 22 males and 7 females. Mean follow-up period was 53 months. For the offending levels, cervical was 5, thoracic 21, and lumbar 3 in number. The patients who presented the return of symptoms after a diminution or abatement of initial symptoms were 7(24%). In the MRI, TM showed typical characteristics of high signal intensity lesions in the center of spinal cord in T2 weighted images and low- to iso-signal intensity in T1 weighted images. A focal nodular enhancement pattern was observed in 58.6%(17/29) of the patients. MR follow-up studies were done in the 21 patients and radiological improvement were verified. Biopsies were done in 3 patients. Normal to good outcome was achieved in 62% of the patients. Conclusion : Transverse myelitis has characteristic radiological findings that can be distinguished from other intramedullary lesions. In our series, it is associated with significant recurrence rates thus, should not be considered a selflimiting disease with good prognosis.

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