• Title/Summary/Keyword: 삼차신경

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Determination of Safe Needling Depth via X-ray at $TE_{17}$(Yifeng) and $ST_7$(Xiaguan) (X-ray를 통한 예풍(藝風)과 하관(何關)에서의 안전한 자침 깊이에 대한 고찰)

  • Byun, Hyuk;Kang, Min-Joo;Jung, Chan-Yung;Park, In-Shik;Jo, Hyeon-Seog;Kim, Gyeong-Ho;Lee, Seung-Deok;Kim, Kap-Sung
    • Journal of Acupuncture Research
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    • v.24 no.6
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    • pp.69-73
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    • 2007
  • 목적 : X-ray를 통해 안면마비에 다용되는 예풍과 안면통에 다용되는 하관에서의 안전한 자침 깊이에 대하여 고찰하여 보고자 하였다. 방법 : 건강한 지원자들에게 원치 않을 경우 언제든지 시험을 중지할 권리가 있다는 것을 공지한 후, 시험에 동의한 남녀 각각 2명의 피험자들을 대상으로 대학병원 침구과 전문의가 예풍과 하관을 직자(直刺)($40mm{\times}0.35mm$ 일회용 침)하였다. 피험자의 이상 반응 유무를 살피며 안면신경 혹은 삼차신경이 지나가는 경로로 알려진 깊이까지 진침(進鎬)하였다. 유침(留鍼) 상태에서 Skull X-ray의 AP view와 Lateral view를 촬영하였다. 결과 : 피험자들은 침병이 피부에 도달 하는 동안(40mm 직자) 자침 혈위에서 중창감(重脹感)을 자각하였으며, 추후 어떠한 이상 반응도 보이지 않았다. 결론 : 안면마비와 안면통의 효율적인 치료를 위하여 안면신경과 삼차신경에 근접할 수 있는 혈위인 예풍과 하관에서의 40mm 직자는 신경염이나 뇌 손상과 같은 이상 반응을 유발하지 않았다.

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Analgesic Effect of Botulinum Toxin on Neuropathic Pain after Trigeminal Nerve Injury (삼차신경 손상에 의한 신경병증성 통증에서 보툴리눔 독소의 진통 효과)

  • Kim, Young-Gun;Kim, Seong-Taek
    • Journal of Dental Rehabilitation and Applied Science
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    • v.28 no.2
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    • pp.171-178
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    • 2012
  • Botulinum toxin type A (BoNT-A) has been applied successfully to treat chronic migraine, dystonia, spasticity and temporomandubular disorders(TMDs) as well as frontal wrinkle and glabella wrinkle. Recently it has been reported that BoNT-A, reversibly blocks presynaptic acetylcholine release, also inhibits the release of substance P, CGRP(calcitonin gene related peptide) and glutamate related to peripheral sensitization and neurogenic inflammation in sensory nerve, In this study we reviewed animal nerve injury model such as rat and rabbit and identify the analgesic effect and mechanism of nerve injury pain after dental treatment.

A Dynamic Three Dimensional Neuro System with Multi-Discriminator (다중 판별자를 가지는 동적 삼차원 뉴로 시스템)

  • Kim, Seong-Jin;Lee, Dong-Hyung;Lee, Soo-Dong
    • Journal of KIISE:Software and Applications
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    • v.34 no.7
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    • pp.585-594
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    • 2007
  • The back propagation algorithm took a long time to learn the input patterns and was difficult to train the additional or repeated learning patterns. So Aleksander proposed the binary neural network which could overcome the disadvantages of BP Network. But it had the limitation of repeated learning and was impossible to extract a generalized pattern. In this paper, we proposed a dynamic 3 dimensional Neuro System which was consisted of a learning network which was based on weightless neural network and a feedback module which could accumulate the characteristic. The proposed system was enable to train additional and repeated patterns. Also it could be produced a generalized pattern by putting a proper threshold into each learning-net's discriminator which was resulted from learning procedures. And then we reused the generalized pattern to elevate the recognition rate. In the last processing step to decide right category, we used maximum response detector. We experimented using the MNIST database of NIST and got 99.3% of right recognition rate for training data.

Early Therapeutic Effects of Cyberknife Radiosurgery on Trigeminal Neuralgia (삼차신경통에 대한 사이버나이프 방사선수술의 조기 치료 효과)

  • Mun Seong-Kwon;Choi Ihl-Bohng;Kang Young-Nam;Jang Ji-Sun;Kang Ki-Mun;Choi Byung-Ock
    • Radiation Oncology Journal
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    • v.24 no.2
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    • pp.88-95
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    • 2006
  • Purpose: We evaluated whether Cyberknife radiosurgery is an effective and safe method of therapy for medically intractable trigeminal neuralgia (TN). Materials and Methods: We retrospectively analyzed the outcome of 26 patients, who failed to surgery or were not suitable candidates for invasive intervention and were treated by Cyberknife radiosurgery between March 2004 and May 2005. Radiosurgery doses of $60{\sim}64 Gy$ were delivered to the 80% isodose line prescribed to an 6 mm length of the nerve, sparing the most proximal 3 mm away from the trigeminal nerve root entry zone (median dose: 64 Gy). Results: Follow-up period was $3{\sim}15$ months (median follow-up period: 9 months) Preliminary results from a cohort of 26 patients undergoing Cyberknife radiosurgery for TN showed that pain relief was achieved in 50% (13/26) of patients within the first 24 hrs after treatment. At last follow-up, 96.2% (25/26) of patients reported early pain relief within 7 days. Treatment failure developed in 2 of 26. Poor response occurred in one patient and relapse was observed in the other patient. 3 patients had hypoesthesia (11.5%), which was the only complication observed with any of our patients. Conclusion: With these results, authors assumed that Cyberknife radiosurgery for TN could be one of safe and effective therapeutic methods.

Pontine Lesion Presenting as Trigeminal Sensory Neuropathy (교뇌의 병변를 보이는 삼차신경 감각신경병증 환자 1예)

  • Oh, Dong-Hoon;Heo, Jae-Hyuk;Sung, Jung-Jun
    • Annals of Clinical Neurophysiology
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    • v.7 no.1
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    • pp.43-45
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    • 2005
  • Trigeminal sensory neuropathy is a clinical diagnosis in which the main feature is facial numbness limited to territory of one or more sensory branches of the trigeminal nerve. We describe a 46-year-old woman who presented with left facial numbness in the territories of maxillary nerve and mandibular nerve. MRI disclosed a lesion in left trigeminal nerve root entry zone. In Blink test stimulating infraorbital foramen, ipsilateral R1 was delayed compared with contralateral R1. Lesion in pons or medulla can present as trigeminal sensory neuropathy.

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Inference of Context-Free Grammars using Binary Third-order Recurrent Neural Networks with Genetic Algorithm (이진 삼차 재귀 신경망과 유전자 알고리즘을 이용한 문맥-자유 문법의 추론)

  • Jung, Soon-Ho
    • Journal of the Korea Society of Computer and Information
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    • v.17 no.3
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    • pp.11-25
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    • 2012
  • We present the method to infer Context-Free Grammars by applying genetic algorithm to the Binary Third-order Recurrent Neural Networks(BTRNN). BTRNN is a multiple-layered architecture of recurrent neural networks, each of which is corresponding to an input symbol, and is combined with external stack. All parameters of BTRNN are represented as binary numbers and each state transition is performed with any stack operation simultaneously. We apply Genetic Algorithm to BTRNN chromosomes and obtain the optimal BTRNN inferring context-free grammar of positive and negative input patterns. This proposed method infers BTRNN, which includes the number of its states equal to or less than those of existing methods of Discrete Recurrent Neural Networks, with less examples and less learning trials. Also BTRNN is superior to the recent method of chromosomes representing grammars at recognition time complexity because of performing deterministic state transitions and stack operations at parsing process. If the number of non-terminals is p, the number of terminals q, the length of an input string k, and the max number of BTRNN states m, the parallel processing time is O(k) and the sequential processing time is O(km).

Outcome of Gamma Knife Radiosurgery for Trigeminal Neuralgia (삼차신경통에 대한 감마나이프방사선 수술)

  • Jeon, Sang Ryong;Lee, Dong Joon;Kim, Jeong Hoon;Kim, Chang Jin;Kwon, Yang;Lee, Jung Kyo;Kwun, Byung Duk
    • Journal of Korean Neurosurgical Society
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    • v.29 no.9
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    • pp.1228-1232
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    • 2000
  • Objective : This study was undertaken to analysis gamma knife radiosurgery(GKR) effect for trigeminal neuralgia after long term follow-up. Methods : There were 11 trigeminal neuralgia patients. The authors irradiated 67-85 Gy maximally to the nerve root entry zone(NREZ) using single 4mm collimator, just 1-6mm lateral side from the junction of the trigeminal nerve and pons. For the first 3 cases, we targeted the junction between the nerve and the pons. In theses cases, the pons was irradiated 56 or 60 gray in the surface. In the later 8 cases, the isocenter is positioned more distal side so that the brain stem surface would receive less than the 20% isodose. Results : The average follow-up duration was 25 months(13-50 months). Pain relief was noticed within a week to 5 months. In 3 patients, pain was relieved completely and in other 3 patients, mark improvement was achieved(80-90%). Remaining 4 patients showed significant improvement(30-50%). There was recurrence in only one case and she complained with similar intensity of pain at the last follow-up. There was no significant complication related to GKR. Conclusion : GKR is considered effective for trigeminal neuralgia based on the long term follow-up evaluation, but more clinical experience is needed to evaluate the efficacy of GKR for trigeminal neuralgia as a primary treatment modality.

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MRI Features of Multiple Cranial Neuropathies in Guillain-Barré Syndrome Occurring after COVID-19 Vaccination: A Case Report (COVID-19 백신 접종 후 발생한 길랑-바레증후군에서 보이는 다발성 뇌신경병증의 MRI 소견: 증례 보고)

  • Youngsoo Soh;Eun Ae Yoo;Eun-Sil Kim;Soo Jung Kim
    • Journal of the Korean Society of Radiology
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    • v.84 no.4
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    • pp.964-969
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    • 2023
  • Guillain-Barré syndrome (GBS) is an immune-mediated demyelinating polyneuropathy characterized by progressive, ascending, and symmetrical paralysis. It is known to be triggered by an antecedent infection or vaccination. Recently, GBS development following coronavirus disease 2019 (COVID-19) vaccination has been reported. Cranial neuropathies in typical GBS patients usually involve the facial and the lower cranial nerves (from IX to XII). We report a rare case of multiple cranial neuropathies involving trigeminal, abducens, and facial nerves in a patient who developed GBS following COVID-19 vaccination on the basis of obvious MRI features.