• Title/Summary/Keyword: 말초신경

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에르고타민으로 인한 혈관경축 (Ergotamine-induced Vasospasm)

  • 임창영;이헌재;이건
    • Journal of Chest Surgery
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    • 제38권3호
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    • pp.245-248
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    • 2005
  • 에르고타민이 포함된 약물은 편두통의 치료에 널리 사용되고 있다. 경련성의 혈관수축은 가장 심각한 약물 부작용 중의 하나로 이는 허용된 약물 투여량의 복용에서도 일어날 수 있다. 저자는 15년간 편두통으로 인해 꾸준히 에르고타민이 포함된 약물을 복용한 과거력이 있는 63세 남자환자에 나타난 혈관경축에 의한 상지의 심한 허혈상태를 인조혈관 우회로 이식술, 교감신경 차단술, 그리고 헤파린과 프로스타글란딘 El으로 치료하였으나 결국 에르고타민이 포함된 약물을 중단하고서야 극적인 임상 호전을 경험하였기에 보고하는 바이다.

전자침술로 호전된 유방암 환자의 항암화학요법 유발 말초신경병증 증례보고 (Electroacupuncture for the Treatment of the Chemotherapy-induced Peripheral Neuropathy in Breast Cancer Patient: A Case Report)

  • 박지혜;이진선;조종관;유화승
    • 대한암한의학회지
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    • 제20권1호
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    • pp.1-9
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    • 2015
  • Objectives : The purpose of this study is to report the effect of electroacupuncture on chemotherapy induced peripheral neuropathy in breast cancer patient. Methods : The patient is a female with chemotherapy induced peripheral neuropathy (CIPN) who was diagnosed with breast cancer and suffering from paresthesia of extremities after chemotherapy of docetaxel. The patient was treated with electroacupuncture (15 minutes per one time) twice a day for 14 days. The clinical outcomes were measured by Patient Neurotoxicity Questionnaire (PNQ) grade and visual analogue scale (VAS). Results : In this case, PNQ Item 1 (numbness) grade was improved from D to C, Item 2 (weakness) grade was from C to B. The score of upper limbs VAS was decreased from 7 to 2, lower limbs was from 7 to 5 respectively. Edema of both extremities was also improved. Conclusions : This case study suggests that electroacupuncture therapy may have significant effects of CIPN in breast cancer patient.

복부에 발생한 악성 말초신경초종양 (Malignant Peripheral Nerve Sheath Tumor of Abdomen)

  • 소규섭;임영국;홍용택;김훈남
    • Archives of Plastic Surgery
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    • 제38권6호
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    • pp.886-889
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    • 2011
  • Purpose: Malignant peripheral nerve sheath tumor without neurofibromatosis type 1 is very rare neoplasm. Development in the superficial soft tissue is exremely rare. Authors experienced one rare case of primary malignant peripheral nerve sheath tumor developed on abdomen. The clinical and histologic findings were described. Methods: An 83-year-old man visited hospital with an $11{\times}6.5{\times}4.5$ cm sized ulcerated and hemorrhagic mass on abdomen. The tumor was localized in abdominal skin and started growing 3 years ago. Results: Wide excision with safety margin of 2 cm and limberg flap was done. The postoperative biopsy revealed a malignant peripheral nerve sheath tumor. There was no evidence of recurrence of tumor for 16 months. Conclusion: Malignant peripheral nerve sheath tumor is an aggressive malignant tumor. An abrupt enlargement of size, ulceration and bleeding are suggestive of malignant chnages of the tumor. We recommand early wide excision with enough safety margin as treatment of malignant peripheral nerve sheath tumor.

납 중독 랫드의 말초신경내 myo-inositol 수송 체계에 관한 연구 (A study on myo-inositol transport system in peripheral nerve isolated from lead-intoxicated rat.)

  • 정명규;조해용
    • 환경위생공학
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    • 제11권2호
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    • pp.21-26
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    • 1996
  • In our previous studies, we reported that lead intoxicated nerve cell by inhibition of the Na$^{+}$-K$^{+}$ ATPase activity and reduction of myo-inositol in nerve cell. As the second series of experiments, in order to understand toxic mechanism of lead for nerve cell, the characteristics of myo-inositol transport system and the effect of lead on its system have been studied in the sciatic nerves of control and lead-treated rats. A lead intoxicated animal model was induced by feeding diet containing lead to Sprague-Dawley rat for two weeks. Four weeks aged Sprague-Dawley rats were divided into three group : normal control group, 10ppm-lead treated group, 100ppm-lead treated group. All rats were sacrified at the end of two weeks. The rate o myo-inositol transport by sciatic nerve isolated from lead-treated rat was significantly decreased compared with that of control rat. This deficit results from that myo-inositol transport system which is carrier mediated and sodium-potassium dependent was inhibited by the lead treatment (both 10ppm and 100ppm) due to increase of the Km value without affecting Vmax value for myo-inositol carrier. These observations suggest that the toxic mechanism of lead on nerve myo-inositol transport system might be a change of affinity without change of maximum transport velocity for carrier.

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유방암 수술 후 발생한 림프부종과 말초신경병증에 대한 도침술과 정맥자락술 집중치료 증례보고 (Acupotomy and venesection in Upper Limb Lymphedema and Peripheral neuropathy following Breast Cancer Surgery)

  • 장은하;김소연;김현식;김성철
    • 대한약침학회지
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    • 제12권4호
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    • pp.119-126
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    • 2009
  • Purpose: In order to estimate clinical effects of acupotomy and venesection in a patient with peripheral neuropathy and upper limb lymphedema following breast cancer surgery. Methods: From 17th August, 2009 to 29th August 2009, 1 female patient with peripheral neuropathy and upper limb lymphedema following breast cancer surgery was treated with general oriental medicine therapy(acupuncture, moxibustion, cupping, physical therapy, herbal medication) and acupotomy with venesection. Results: The patient's chief complaints- Lt hand numbness, Lt arm edema, Lt. wrist flexion limitation - were notably improved. Conclusions : This study demonstrates that oriental medical treatment with acupotomy and venesection therapy has significant effect in improving symptoms of peripheral neuropathy and upper limb lymphedema following breast cancer surgery, as though we had not wide experience in this treatment, more research is needed.

말초성 안면신경마비에 대한 임상적 고찰 (A Clinical Study on Peripheral Paralysis of the Facial Nerve)

  • 김호봉;김경범;배윤한
    • 대한물리치료과학회지
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    • 제4권2호
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    • pp.433-438
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    • 1997
  • This study has done to show the analysis and ressult of their recovery in 35 cases of peripheral paralysis of the facial nerve. The research was from Jan. 1, 1994 to Dec. 31, 1996 at Ulsan Dong Kang Hospital. The results were as follows ; 1. There were 19 males(54.3%) and 16 females(45.7%). Age distribution of patients showed above 20 years old in 31 patients(88.6%). 2. 18 cases(51.4%) were on the right and 17 cases(48.6%) on the left side. 3. Unknown of etiology was 23 cases(65.7%). 4. Grade of injury was zero in 21 cases(60.0%), trace in 8 cases(22.9%). 5. The period of treatment was $2{\sim}3$ weeks in 23 cases(65.7%), $1{\sim}2$ months in 3 cases(8.6%). 6. On electromyography facial nerve action potential amplitude was above 1.0 mv in 22 patients(62.9 %) after treatment. Facial nerve conduction latency using orbicularis oris was below 6.0 msec in 23 patients(65.7%) after treatment. 7. Recovery of patient was normal in 25 cases(71.5%) and fair in 10 cases(28.5%).

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항암제 유발 말초신경병증환자와 유기산검사 마커와의 상관성 연구 (Correlation Analysis of Organic Acid Comprehensive Profile Markers with Chemotherapy Induced Peripheral Neuropathy in Cancer Patients)

  • 박지혜;성상엽;이진선;유화승
    • 대한한의학회지
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    • 제38권1호
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    • pp.72-80
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    • 2017
  • Objectives: The purpose of this study is to evaluate the urinary organic acid comprehensive profile for chemotherapy induced peripheral neuropathy (CIPN). Methods: Participants are 66 patients with CIPN who had symptom (Visual analog scale ${\geq}30mm$, Eastern Cooperative Oncology Group ${\leq}2$). Participants were tested with organic acid comprehensive profile markers. Results: Positive Correlation was observed in the neurotransmitter metabolism markers, N-methyl-D-aspartate (NMDA) modulators markers, detoxification markers, energy production markers, amino acid metabolism markers, and intestinal dysbiosis markers. Especially, all the neurotransmitter metabolism markers were showed positive rate of 44%. In addition, neuro-endo-immune was associated with energy metabolism (mitochondrial dysfunction) in CIPN of cancer patient. especially detoxification, intestinal bacterial hyperplasia, vitamin deficiency (folate, complex B group, vitamin C). Conclusions: Significant urinary organic acid comprehensive profile results were obtained in cancer patients who induced peripheral neuropathy by chemotherapy.

말초성 안면신경마비의 초기 수반증상 중 이후통에 대한 오공약침의 치료효과 비교 (The Effect of Scolopendrid Pharmacopuncture on Postauricular Pain as an Early Symptom of Bell's Palsy)

  • 곽규인;강재희;윤광식;조은;이현
    • Journal of Acupuncture Research
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    • 제29권5호
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    • pp.51-59
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    • 2012
  • Objectives : This study was to investigate the efficacy of Scolopendrid pharmacopuncture on relieving postauricular pain which was an early symptom of Bell's palsy. Methods : Clinical observation was done on 32 patients diagnosed with Bell's palsy in Cheon-ahn Oriental Medical Hospital of Daejeon University from November 11, 2011 to August 31, 2012. The patients were divided into 2 groups; group A received conventional treatment alone and group B received conventional treatment as well as Scolopendrid pharmacopuncture treatment. Results : 1. Scolopendrid pharmacopuncture group(group B) exhibited significantly reduced postauricular pain compared to conventional treatment group(group A). 2. Group B had significantly shorter duration of postauricular pain than group A. 3. Group B group showed better outcome than the group A but the difference was not significant. Conclusions : Scolopendrid pharmacopuncture shows a significant beneficial effect on postauricular pain as an early symptom of Bell's palsy.

사물탕(四物湯)이 손상된 말초신경섬유 재생에 미치는 효과에 대한 사전 연구 (A Prior Study on the Effect of Samul-tang to Regeneration of Injured Peripheral Nerve Fiber)

  • 이기태;유병찬;김윤식;설인찬
    • 혜화의학회지
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    • 제14권2호
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    • pp.107-112
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    • 2005
  • Peripheral axons in vertebrate animals can regenerate after nerve injury and accomplish its functional recovery. Numerous studies have revealed that diverse molecular factors are induced during axonal regeneration and their potential roles in axonal regeneration have been studied. Examples is N-CAM, L1, P0, nerve growth factors, GAP-43 and so forth. However, most of the studies on axonal regeneration have been primarily focused on axon fiber regrowth and elucidating molecular factors, and relatively less is known about functional recovery. Also, specific drugs or drug components used in the oriental medicine in relation to nerve fiber regeneration have not been known. And thus, in the present, a study on the effect of Samul-tang components and Samul-tang extracts to regeneration of peripheral axon fiber is underway by immunofluorescence staining. Therefore, this prior application of Samul-tang with documents consideration is reported with a plea for further investigation.

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말초신경병증으로 진단된 편측 족하수 환자의 치험 1례 (Clinical Study on 1 Case of Patient with the Foot Drop Diagnosed as Peripheral Neuropathy)

  • 최성용;이성균;국윤재;김대중;이승현
    • Journal of Acupuncture Research
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    • 제23권1호
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    • pp.217-223
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    • 2006
  • Objectives : To see if Clinical study on 1 Case of patient with the foot drop diagnosed as peripheral neuropathy suggest further treatment plan for more effective cure. Methods : To heal foot drop diagnosed as peripheral neuropathy using herbal medicine wooseul-tangkami and electronic acupuncture on the Yangmyung channel(陽明經) selected in The Yellow Emperor's of internal Medicine and on Panggwang channel(膀胱經) considered as painful lesion. Results : we experienced a case of foot drop diagnosed as the peripheral neuropathy the patient was treated by wooseul-tangkami, and electric acupuncture on Yangmyung channel and also Panggwang channel and had a significant improvement in gait ability and the range of motion. Conclusion : Herbal medicine wooseul-tangkami, and electric acupuncture on Yangmyung channel and also Panggwang channel was prescribed in the perpective of oriental medicine when treating foot drop, Wooseul-tangkami is used to remove the wetness-heat evil and had shown significant improvement in gait ability and the range of motion.

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