• Annals of Clinical Neurophysiology
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• 제8권2호
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• pp.199-202
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• 2006

We report a case of chiasmal optic neuritis in a patient who had been diagnosed as multiple sclerosis, and was presented with bitemporal hemianopsia. The brain MRI revealed a high signal lesion with focal enhancement in optic chiasm, and the visual evoked potential functionally supported it. This is the first case of chiasmal optic neuritis in multiple sclerosis with temporally and spatially disseminated lesions.

• Annals of Clinical Neurophysiology
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• 제16권1호
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• pp.39-41
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• 2014

Hemiplegia cruciata (HC) manifests as paralysis of the ipsilateral arm and contralateral leg. Herein, we report a 64-year-old man with weakness of the right leg and of the left arm after multiple sclerosis (MS). His brain and spine magnetic resonance imaging show a lower medulla lesion, which is extended to posterior part of C1 spine through cervicomedullary junction. HC usually results from stroke or trauma, but it is rare as presenting symptom of MS.

• 한국식품영양과학회지
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• 제12권1호
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• pp.51-56
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• 1983

알맞은 수준의 linoleic acid섭취시에는 5, 8, 11- eicosatrienic acid가 혈장에서 미량 검출되지만 식이에 linoleic acid가 없거나 부족할 경우 5, 8, 11- eicosatrienoic acid가 증가하고 반면에 linoleic acid와 arachidonic acid는 감소한다. 뿐만 아니라 피부염, 탈모, 미토콘드리아 기능 변화, 모세관 취약성, 조직 변화 등의 변화가 일어난다. EFA 결핍의 발현에 식이의 EFA부족 그 자체는 물론 단백질 부족, 고콜레스테롤혈증을 일으키는 인자들, 당뇨병, 다발성 경화증, 동맥 경화증 등 여러 요소들이 영향을 미치고 있다. EFA결핍은 특히 여러 가지 임상적 요인으로 인하여 장기간의 무지방 비경구 영양을 공급받는 환자에서 자주 보고되고 있는데, 거의 대개 지방 유탁액의 정맥 주사로 예방내지 치료한다. EFA결핍을 미연에 방지하기 위한 linoleic acid의 섭취량은 환자의 연령이나 지방 유탁액의 투여 방법에 따라 다르지만 EFA 결핍으로 인한 생화학적 비상정적인 상태의 경우 경구적으로 최소한 총 칼로리의 1%를, 비경구적으로는 2%를 공급하여 주면 될 것이다.

• Journal of Acupuncture Research
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• 제20권1호
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• pp.209-217
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• 2003

Background : Multiple Sclerosis is characterized by chronic inflammation, demyelinization and neurogliosis(plaque) in optic nerve, brain and spinal cord, which is recurrent visual disturbance, sensory disturbance, motor disturbance and sphincter disturbance, etc. Objective : This study was performed to evaluate the treatment of acupuncture therapy including Herbal Acupuncture and Bee venom Herbal Acupuncture in Multiple Sclerosis. Methods : We treated 5 cases of Multiple Sclerosis patients with mainly Bee venom Herbal Acupuncture therapy, and herbal Acupuncture, sa-am acupuncture form 18th september, 2001 to december, 2002. Results : 1 Of 5 cases who were treated with above, 3 patients were mildly reduced symptoms and 2 patients were no changes. 2. There are two patients who were definitely appeared the recurrent symptoms on treatment period, but decreased the remission period than before. 3. It has not shown noticeable recurrent symptoms of 3 patients. Conclusions : Bee Venom Herbal Acupuncture therapy and other acupuncture therapies were effective in reducing the recurrent symptoms and remission perod, but it was not evaluated the chief complaints on 5 cases of Multiple Sclerosis. We think that it need the further study and clinical trial for Multiple Sclerosis and other neurological diseases.

• Journal of Chest Surgery
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• 제30권2호
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• pp.226-230
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• 1997

본 증례는 잦은 상기도 감염을 보였던 마제상폐를 동반한 양측성 엽내형 폐격리증의 성공적 치료에 대한 보고이다. 단순 흉부X-선상 양측 폐하엽 에 폐렴정 경화와 침윤을 보였으며 흉부전산화단층촬영상 폐격리증에 합당한 다발성 낭성병변을 보였다. 대동맥조영술에서 횡격막 상부에서 시작되어 양측 격리 폐로 유입되는 2개의 기 형체동맥을 관찰할 수 있었다. 좌측 개흉술을 통하여 좌측과 우측의 격리폐로 유입되는 체동맥을 결찰후 분리하고 좌하엽의 폐엽절제술을 시행한 다음 마제상폐의 협소부를 분리절 제후 우측 격리폐는 남겨두었다. 환자는 수술후 10일째 퇴원하였으며 잔류 우측 곁리폐의 합병증이나 증상없이 추적관찰중이다. 수술후 5개월깨 시행한 흉부전산화단층촬영상 남겨두었던 잔류 우측 격 리폐 는 자연 소실되었음을 관찰할수 있었다 본 증례로 보아 합병증이 없는 엽내형 격리폐에서 폐엽절제술 을 시행하지 않고 기형체동맥을 결찰분리만하는 새로운 치료방법을 제안해 보는 바이다.

• Clinical and Experimental Pediatrics
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• 제48권2호
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• pp.212-215
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• 2005

신성 고혈압은 소아기 이차성 고혈압의 흔한 원인이며, 그 중 신동맥 협착은 치료 가능한 고혈압의 가장 흔한 원인이다. 신혈관성 고혈압 치료로 약물치료에 반응하지 않는 경우 혹은 초기 단계부터 치료목적으로 경피적 혈관 성형술과 신장동맥 스텐트 등의 중재적 혈관 성형술이나 수술요법이 시행할 수 있다. 죽상 경화형 협착, 다발성의 협착, 미세동맥류, 그리고 협착 부위가 혈관 성형술이나 stent로 교정되기 어려운 경우에는 부분적 혹은 완전 신장동맥 색전술이 시도될 수 있다. 저자들은 신장동맥 색전술을 이용한 renal ablation요법으로 고혈압의 호전을 보인 신혈관 고혈압증 1례를 경험하였기에 보고하는 바이다.

• 척추신경추나의학회지
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• 제9권2호
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• pp.21-33
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• 2014

Objectives : This study was to report the improvement of the patient with multiple sclerosis treated by Korean Medical treatment. Methods : The patient diagnosed as multiple sclerosis treated by acupuncture, bee venom pharmacupuncture, chuna manual therapy, and herbal medicine. To evaluate the effects of korean medicine, we used manual muscle test(MMT), the standard for assessment of the effect of stroke treatment, functional system(FS), visual analog scale(VAS). Results : 1. The patient's pain and optic dysfunction were reduced by the above therapy. 2. There was no change in manual muscle test(MMT), but there was mild improvement in finger joints function in the standard for assessment of the effect of stroke treatment. 3. In functional system(FS) scale, there was enhancement in optic function within a range. And there was improvement in expanded disability statue scale(EDSS) from 4.0 to 3.0. 4. In visual analog scale(VAS), there was considerable improvement from 9 to 6. Conclusions : The korean medical treatment was reduced pain and optic dysfunction.

• 동의신경정신과학회지
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• 제20권2호
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• pp.217-227
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• 2009

Objectives : Multiple sclerosis (MS) is a demyelination disease of central nervous system, presenting a various neurological disorders depending on the lesion. In the view of oriental medicine, MS is similar to Flaccidity-syndrome(痿證). Also, since MS is a chronic disease which repeats the recurrences with periods of remission of the symptoms in between, it may usually be accompanied by depression. However, the etiology, treatment, and cause of recurrence of MS remain unknown, and also, as the recurrences of MS have been repeated, disease burden has been accumulated, which aggravates disorder. This case of MS experienced depression after the patient had been diagnosed as bad consequence based on the past 5 times recurrences of multiple sclerosis. Methods : We saw the causes as vicera and bowels functional disorder which might have come from a poor diet. Thus, we diagnosed this case as dual deficiency of spleen and kidney(脾腎兩虛), stagnant qi transforming into fire(氣鬱化火) and liver-kidney deficiency(肝腎不足) and treated it with Herb medication, acupuncture therapy, and supportive therapy, making the patient better. Results : We have improved the patient's condition to the time before 5th recurrence. Conclusions : This result suggests that our oriental medical treatments was effective on multiple sclerosis with depression.

• 대한치과마취과학회지
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• 제10권2호
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• pp.197-202
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• 2010

Multiple sclerosis is a degenerative disease prevalent in northern climates, and its cause is unknown. The histopathological lesion in multiple sclerosis is the sclerotic "plague", a discrete focus of myelin loss with maintenance of axon segments and glial proliferation. The plaques may be seen in widely different brain and spinal tissues. The common causes of low back pain are psychosomatic disorder, myofascial pain dysfunction syndrome and herniation of nucleus pulposus. Local anesthetics cross the blood-brain barrier and the signs of CNS toxicity appear at a level between 4.5 and $7.0\;{\mu}g/ml$. This is a case report of acute back pain care after mandibular block anesthesia for the surgical extraction of mandibular root rests in an old aged woman with multiple sclerosis.

• Archives of Plastic Surgery
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• 제35권3호
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• pp.341-344
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• 2008

Purpose: Tuberous sclerosis is an autosomal dominant multisystemic neurocutaneous syndrome characterized by the development of multiple hamartoma distributed through the body, skin, brain, heart, kidney, and lung. The classic triad is seizure, mental retardation, and facial angiofibroma. We experienced a case of a tuberous sclerosis associated with the facial lesion and multiple masses on scalp, forehead, and right lower extremity. Methods: This a 34-year-old male patient had subependymal giant cell astrocytoma in brain and multiple angiomyolipoma in both kidneys. Tangential excision with razor blade and dermabrasion were done on the centrofacial area. We excised other lesions and the mass on scalp was excised and covered with split thickness skin graft. Results: The histopathological finding revealed that the facial lesion was angiofibroma and the others were multiple fibroma. Conclusion: In our case of tuberous sclerosis, we chose the tangential excision to remove the large nodules of angiofibroma, and then dermabrasion was used to smooth the final contour. The patient appeared to have a good results from this treatment modality. But, tuberous sclerosis is an disease that needs long term follow-up to check up the recurrence of skin problem.