대한근전도전기진단의학회지 (Journal of Electrodiagnosis and Neuromuscular Diseases)

  • 제20권2호
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  • Pages.106-111
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  • 2018
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  • 2733-6581(pISSN)
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  • 2733-659X(eISSN)
대한근전도전기진단의학회 (Korean Association of EMG Electrodiagnostic Medicine)
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경두개 자기자극과 확산텐서 신경섬유로 검사를 통한 대뇌 병변의 국소화: 증례보고

Localization of Bilateral Hemisphere Lesion Using Combined Transcranial Magnetic Stimulation and Diffusion Tensor Imaging: Report of Two Cases

  • 이형남 (전북대학교병원 재활의학과) ;
  • 오영빈 (전북대학교병원 재활의학과) ;
  • 김기욱 (전북대학교병원 재활의학과) ;
  • 원유희 (전북대학교병원 재활의학과) ;
  • 고명환 (전북대학교병원 재활의학과) ;
  • 서정환 (전북대학교병원 재활의학과) ;
  • 박성희 (전북대학교병원 재활의학과)
  • Lee, Hyung Nam (Department of Physical Medicine & Rehabilitation, Research Institute of Clinical Medicine of Chonbuk National University - Biomedical Research Institute of Chonbuk National University Hospital) ;
  • Oh, Young-Bin (Department of Physical Medicine & Rehabilitation, Research Institute of Clinical Medicine of Chonbuk National University - Biomedical Research Institute of Chonbuk National University Hospital) ;
  • Kim, Gi-Wook (Department of Physical Medicine & Rehabilitation, Research Institute of Clinical Medicine of Chonbuk National University - Biomedical Research Institute of Chonbuk National University Hospital) ;
  • Won, Yu Hui (Department of Physical Medicine & Rehabilitation, Research Institute of Clinical Medicine of Chonbuk National University - Biomedical Research Institute of Chonbuk National University Hospital) ;
  • Ko, Myoung-Hwan (Department of Physical Medicine & Rehabilitation, Research Institute of Clinical Medicine of Chonbuk National University - Biomedical Research Institute of Chonbuk National University Hospital) ;
  • Seo, Jeong-Hwan (Department of Physical Medicine & Rehabilitation, Research Institute of Clinical Medicine of Chonbuk National University - Biomedical Research Institute of Chonbuk National University Hospital) ;
  • Park, Sung-Hee (Department of Physical Medicine & Rehabilitation, Research Institute of Clinical Medicine of Chonbuk National University - Biomedical Research Institute of Chonbuk National University Hospital)
  • 투고 : 2018.03.10
  • 심사 : 2018.10.10
  • 발행 : 2018.12.31
⟨ 이전 논문 다음 논문 ⟩

초록

Transcranial magnetic stimulation (TMS) has been a gold standard for investigating central motor pathways in humans. Diffusion tensor imaging with fiber tractography (DTI FT) is known for its usefulness in detecting white matter lesion in vivo. We investigated the clinical usefulness of elucidating the integrity and continuity of corticospinal tract (CST) by combined use of TMS and DTI FT in this study. We report two cases who have presented with left hemiparesis and evaluated by both TMS and DTI FT; 10-year-old boy with Mitochondrial Encephalomyopathy with Lactic Acidosis and Stroke-like episode syndrome and 20-year-old woman with traumatic brain injury. Combined use of TMS and DTI FT successfully led to localize the brain lesion that might cause motor impairment in patients with abnormal signal intensities in MRI. The results of this study suggest that TMS and DTI FT might provide the detailed information between function and anatomy of the CST, complementarily.

키워드

참고문헌

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