• 제목/요약/키워드: 뇌허혈

검색결과 262건 처리시간 0.023초

급성 허혈성 뇌경색 환자의 자기공명영상 검사 시 Echo Planar Image T2 FLAIR 기법의 유용성에 관한 연구 (A Study on the Usability of Echo Planar Image T2 FLAIR Sequence in the MRI of Acute Ischemic Cerebral Infarction)

  • 노태관;조용근
    • 한국방사선학회논문지
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    • 제14권7호
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    • pp.957-964
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    • 2020
  • 본 연구는 현재 사용되고 있는 가장 빠른 Pulse Sequence 중 하나인 EPI기법과 T2 FLAIR 기법 두 가지를 함께 적용하여 사용하는 EPI-FLAIR기법을 급성 허혈성 뇌경색 환자에게 적용하여, EPI-FLAIR 기법의 진단적 유용성에 대하여 평가하였다. 연구 결과 정성적, 정량적 분석 결과 EPI-FLAIR 기법이 T2 FLAIR 기법과 비교 시 통계적으로 유의한 차이가 있음을 알 수 있었으며, 결론적으로 EPI-FLAIR 기법은 화질의 저하 없이 영상획득시간을 줄일 수 있어 허혈성 급성 뇌경색 및 뇌출혈, 신경학적 결핍, 경색 시기 진단이 필요한 환자의 여러 가지 뇌 병변 평가와 함께 비협조적인 환자들에게 발생하는 Motion Artifact를 줄일 수 있는 장점 있어 T2 FLAIR와 비교하여 충분한 진단적 가치가 있다고 사료된다.

죽력과 생강즙이 중대뇌동맥 폐쇄에 의한 뇌허혈 손상에 미치는 영향 (Bambusae Calulis in Liquamen (Jukryuk) and Zingiberis Rhizoma Juice's (Saengkang- juice's) Effect on Ischemic Damage Secondary to MCA Occlusion in Mice)

  • 류주열;김영균;권정남
    • 대한한의학회지
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    • 제23권3호
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    • pp.134-144
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    • 2002
  • Objective : The purpose of this study was to investigate the effect of Jukryuk and Saengkang-juices on cerebral vascular ischemia (CVI) of the middle cerebral artery (MCA). Method : By admiuistration Jukryuk and Saengkang-juices, we compared treated groups with untreated groups, in view of five points as follows: 1) cerebral damage; 2) damaged area of ischemia; 3) cerebral edema; 4) the number of neuronal cells adjacent to the areas damaged by ischemia; and 5) the number of neuronal cells adjacent to the areas damaged by ischemia Results : In this experiment, the effect of Jukryuk and Saengkang-juices was determined by inducing cerebral vascular ischemia after occluding the middle cerebral artery (MCA) in mice, and making observations and comparisons such as alterations in damaged areas and neuronal cellular changes in the brain. Conclusions : According to the above results, Jukryuk and Saengkang-juices can protect the cerebral vascular ischemia.

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신원방우황청심원의 뇌허혈 및 중추신경계에 미치는 영향 (Pharmacological Action of New Wonbang Woohwangchungsimwon Pill on Cerebral Ischemia and Central Nervous System)

  • 조태순;이선미;이은방;조성익;김용기;신대희;박대규
    • 약학회지
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    • 제43권2호
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    • pp.251-262
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    • 1999
  • In order to investigate pharmacological properties of New Wonbang Woohwangchungsimwon Pill (NSCH) and Wonbang Woohwangchungsimwon Pill (SCH), the effects of NSCH and SCH on cerebral ischemia and central nervous system were compared. Cerebral ischemia insult was performed using unilateral carotid artery occlusion in mongolian gerbils. The histological observations showed preventive effects of NSCH and SCH treatments with ischemia-induced brain damage. The ATP in brain tissue was decreased in vehicle-treated ischemic gerbils. This decrease was prevented by SCH treatment. In contrast to what was inhibited by NSCH and SCH treatments. While NSCH and SCH had no effects on the hexobarbital-induced sleeping time, they prevented the seizures induced by electric shock and strychnine. NSCH and SCH showed sedative effect in rotarod and spontaneous activity test. Furthermore, NSCH and SCH showed anti-stress effect. Our findings suggest that the pharmacological profiles of NSCH on cerebral ischemia and central nervous system are similar to those of SCH.

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갈근이 뇌허혈 손상 흰쥐의 해마 구역별 HSP70 발현에 미치는 영향 (Effect of Puerariae Radix on HSP70 Expression in Ischemic Damaged Rats)

  • 김연섭
    • 동의생리병리학회지
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    • 제18권1호
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    • pp.167-171
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    • 2004
  • This study investigated a HSP70 expression of Puerariae Radix in cerebral ischemia. The global cerebral ischemia was induced by bilateral common carotid arteries occlusion under hypotension (40 mmHg) in Sprague-Dawley rats. After the treatment of Puerariae Radix extract, the heat shock protein 70 (HSP70) expressions were measured immunohistochemically. The upregulation of HSP70 expression in hippocampal regions resulted by cerebral ischemia. Then Puerariae Radix treatment demonstrated significant decrease of HSP70 expressions in CA1 region and dentate gyrus of the hippocampus as compared with control group. These results suggested that Puerariae Radix reveals the neuroprotective effect through the control of noxious stress stimulations to neurons.

자기공명영상을 이용한 중년 및 초고령의 허혈성 뇌혈관 호발 부위에 대한 분석 (Analysis on Ischemic Cerebrovascular of Middle Age and Oldest-Old Age by Using Magnetic Resonance Imaging)

  • 성열훈
    • 디지털융복합연구
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    • 제10권9호
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    • pp.391-396
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    • 2012
  • 본 연구에서는 자기공명영상(magnetic resonance imaging, MRI)을 이용하여 중년 및 초고령의 허혈성 뇌혈관 호발 부위를 분석하여 임상에 기초자료로 제시하고자 하였다. 2006년 5월부터 2008년 1월까지 허혈성 뇌혈관 질환으로 자기공명영상검사를 받은 69 명(평균나이: 44.2세, 남: 43명, 여: 26명)의 중년 환자군과 129 명(평균나이: 84.7세, 남: 58명, 여: 71명)의 초고령 환자군에 대해 후향적으로 분석하였다. 뇌혈관 부위는 앞교통 동맥(anterior communication artery, ACoA), 뒤교통 동맥(posterior communication artery, PCoA), 앞대뇌 동맥(anterior cerebral artery, ACA), 중간대뇌 동맥(middle cerebral artery, MCA), 뒤대뇌 동맥(posterior cerebral artery, PCA), 속목 동맥(internal carotid artery, ICA), 온목 동맥(common carotid artery, CCA), 그리고 뇌바닥 동맥(basilar artery, BA)으로 나누었으며, BA를 제외한 모든 혈관들의 허혈성 뇌혈관 위치는 좌, 우, 양쪽으로 분류하였다. 그 결과 허혈성 뇌혈관은 중년 환자군에서 남성이 여성보다 많았고 남성, 여성 모두 MCA에서 가장 많이 발생하였으며 초고령 환자군에서는 좌, 우, 양측의 혈관에서 고른 발생빈도와 여성이 남성보다 많았으며 남성은 ICA, 여성은 MCA에서 많이 호발하고 있었다. 특히, MCA에서 초고령의 남자환자군보다 중년의 남자 환자군에서 많이 발생하고 있었다. 이러한 허혈성 뇌혈관 호발 부위의 분석은 임상적 진단과 치료에 도움을 줄 수 있으리라 사료된다.

일시적 국소 뇌허혈 흰쥐모델에서 원지석창포산의 뇌손상 및 인지기능 보호효과 (Protective Effects Wonjiseokchangpo-san has on Brain Damage and Cognitive Dysfunction in Transient Focal Cerebral Ischemia)

  • 강미선;장규태;김장현
    • 동의생리병리학회지
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    • 제18권6호
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    • pp.1777-1783
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    • 2004
  • This study was conducted to determine the effects Wonjiseokchangpo-san on brain damage in transient focal cerebral ischemia. Rats were used for testing in the following three models: Morris Water Maze, Eight-Arm Radial Maze, and Histochemistry. In the Morris Water Maze Model, the Wonjiseokchangpo-san group showed significant decrease in the 3rd and 6th training session compared with the ischemia group. A retention test, in the Morris Water Maze Model, was performed on the 7th day without the escape platform. The Wonjiseokchangpo-san group showed significant increase compared to the ischemia group. In the Eight-Arm radial Maze model, the Wonjiseokchangpo-san group showed significant decrease in the error rate compared to the ischemia group. In the density of hippocampal CA1 cell of the cresyl violet-stained section, the Wonjiseokahangpo-san group showed significant increase compared to the ischemia group. These results suggest that Wonjiseokchangpo-san may have a significant protective effect on brain damage and cognitive dysfunction in transient focal cerebral ischemia.

일시적 국소 뇌허혈 흰쥐모델에서 거풍지보단의 뇌손상 및 인지기능 보호효과 (Protective Effects of Geupunggibodan on Brain Damage and Cognitive Dysfunction in Transient Focal Cerebral Ischemia in Rats)

  • 정성욱;장규태;김장현
    • 대한한의학회지
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    • 제26권2호
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    • pp.52-62
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    • 2005
  • Objectives: This study was conducted to determine the effects of Geupunggibodan on brain damage in transient focal cerebral ischemia in rats. Methods: Rats were used for testing in the following three models: Morris water maze, eight-ann radial maze, and histochemistry. Results: In the Morris water maze model, the Geupunggibodan group showed significant decrease in the 3rd, 4th and 6th training sessions compared with the ischemia, group. A retention test in the Morris water maze model was performed on the 7th day without the escape platform. The Geupunggibodan group showed significant increase compared to the ischemia group. In the eight-ann radial maze model, the Geupunggibodan group showed significant decrease in the error rate compared to the ischemia group. In the density of hippocampal CA1 cell of the cresyl violet-stained section, the Geupunggibodan group showed significant increase compared to the ischemia group. Conclusions: These results suggest that Geupunggibodan may have a significant protective effect on brain damage and cognitive dysfunction in transient focal cerebral ischemia.

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대황(大黃)이 뇌허혈 손상에 의한 뇌부종에 미치는 영향 (Effect of Rhei Rhizoma on Brain Edema Induced by MCAO in Rats)

  • 강경화;손낙원;김범회
    • 동의생리병리학회지
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    • 제23권4호
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    • pp.866-871
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    • 2009
  • Brain edema is a major importance in the pathophysiology of CNS injuries including stroke. Ischemic brain edema results from both cytotoxic edema, which is severe in astrocytes at early stage, and vasogenic edema caused by excessive blood-brain barrier (BBB) permeability. The present study was performed to determine the effect of Rhei Rhizoma on brain edema induced by middle cerebral artery occlusion (MCAO) in the rats. The neurological symptom, total infarct volume and edema index caused by MCAO were measured. The changes of Matrix Metalloproteinase-9 (MMP-9) and inducible nitric oxide synthase (iNOS) immunoreactivities were also observed. We found that Rhei Rhizoma extract improved the neurological symptom and attenuated the total infarct volume and brain edema caused by ischemic insult. Rhei Rhizoma extract also attenuated the expression of MMP-9 and iNOS. This results suggest that Rhei Rhizoma has a protective effect on the brain edema caused by ischemic insult.

사물탕가미방이 백서의 좌우 중대뇌 동맥 폐쇄에 의한 뇌허혈 손상의 회복에 미치는 효과 (Effects of Samul-tang-gamibang against Focal Cerebral Ischemic Damage by Middle Cerebral Artery Occulusion of Rats)

  • 서창훈;김영균;권정남
    • 대한한의학회지
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    • 제25권1호
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    • pp.117-128
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    • 2004
  • Objectives : This research was performed to investigate effect of Samul-tang-gamibang against focal cerebral ischemic damage after middle cerebral artery occlusion(MCAO). Methods : This research was used rats which were against focal cerebral ischemic damage by MCAO. It was used Zea Longa's theory and Belayev's methods to give rise to focal cerebral ischemic damage by MCAO. After 7days later, we drew out the brain and then had frozen and dyeing it and we had taken a picture to measure of the damaged area in each brain section. We determined the Neurological Index and tested the Foot-fault test and Roatated test to appraise the fall of motion ability result from cerebral ischemic damage. Results : The results of the experiment are as follows. 1. Samul-tang-gamibang reduced infarct size of sample group compared to control group at 7 day after MCAO. 2. Samul-tang-gamibang reduced infarct volume of sample group compared to control group at 7 day after MCAO. 3. Samul-tang-gamibang reduced foot-fault index of sample group compared to control group at 5,7 day after MCAO. Conclusions : Samul-tang-gamibang has protective effects against ischemic brain damage and had significant reduced infarct size and infarct volume of Rt-MCAO.

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실험적(實驗的) 뇌허혈(腦虛血) 및 저산소증(低酸素症)에 대한 Flunarizine의 약효(藥效) -뇌장해에 대한 Flunarizine 효능- (Effect of Flunarizine on Experimental Ischemia and Hypoxia in Rats and Mice)

  • 김은미;김영진;신정희;윤재순
    • 약학회지
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    • 제32권5호
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    • pp.343-350
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    • 1988
  • Recent hypothesis suggested that intracellular accumulation of calcium is a common denominator of ischemic celullar damage. Flunarizine, a calcium entry blocker, posses vasodilating properties in cerebral vascular beds and clinically used in circulatory disorders. The present study was designed to evaluate the effect of flunarizine on ischemic and hypoxic brain damage. An ischemic model was made by bilateral carotid artery ligation (BCAL) in Wistar strain rat. Hypoxic model was made by intravenous injection(i.v.) of KCN to rats and mice. In mice, flunarizine not only reduced the mortality of KCN, but also delayed the onset time of convulsion. The contents of ATP, creatine phosphate and glucose, cerebral energy metabolite, decreased 30 minutes after BCAL and KCN i, v, while that of lactate increased. But these variations were suppressed by flunarizine. Furthermore, increase in the dosage of flunarizne generally promoted the recovery of cerebral energy metabolites in hypoxic animals. The results suggest that flunarizine had a protective effect against ischemic and hypoxic brain damage due to its ameliorating action on the cerebral energy metabolism.

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