• Journal of Korean Neurosurgical Society
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• 제37권3호
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• pp.173-178
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• 2005

Objective: The goal of this study is to provide the clinical data of patients with brainstem cavernous hemangiomas after treatment with microsurgery or radiosurgery after conducting a retrospective analysis of 21 patients at one institution. Methods: Twenty one patients with brainstem cavernous hemangiomas were treated at the authors' institution between 1995 and 2004 and clinical analysis was performed by retrospective review of medical records and neuroimaging examinations. Thirteen patients underwent microsurgical resection and radiosurgery was performed as an initial treatment in 9 patients. Results: Radical excision was achieved in 12 among 13 patients and transitory neurological deterioration or new neurological deficit developed during the immediate postoperative period in 7 (54%). The final outcomes at 5 - 70 months after surgery were improved in 11 patients (85%) and worsened in 2 patients (15%) compared with the preoperative state. Radiosurgery was performed in 9 patients. During the follow up period from 5 to 70 months there was neurological improvement in 3 patients, no significant change in 3 and deterioration in 3 patients. Two patients developed rebleeding at 5 months, 60 months respectively after radiosurgery. Conclusion: Microsurgery for symptomatic cavernous hemangioma of brainstem can be performed with acceptable morbidity. Fatal complication is rare with careful selection of the optimal operative approach in well selected patients. Radiosurgery is an effective alternative for the lesions which are not accessible by surgical approach, however, there is still a possibility of rebleeding over a long period after radiosurgical treatment and microsurgery should be considered as a treatment with priority for the majority of cases.

• Journal of Acupuncture Research
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• 제15권2호
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• pp.17-28
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• 1998

The present study was designed to investigate the effect of different stimulation-duration of high frequency electroacupuncturet(EA) treatment on the neuronal activities in the spinal cord and brainstem using Fos immunohistochemical technique. Three different stimulus-duration was used in this experiment : 30minutes, 1 hour and 2 hours. The summerized results were summerized as follow : 1. The number of Fos expression was significantly increased in the spinal cord dorsal horn depending upon the increase of stimulus-duration (P<0.05). Otherwise, there was no significant difference between 30 minutes EA treated group and anesthetic control. 2. High frequency EA biphasic stimulation significantly enhanced the Fos expression in the DR, middle and rostral portion of PAG LD, and caudal PAG LV after 1 hour and 2 hours treatment. The number of Fos immunoreactive neuron in the brainstem was increased accorcting to the length of stimulus-duration. Those results indicate that at least 1 hour EA treatment was necessary to increase the neuronal activities in the spinal cord and brainstem. Those basic data from this study can be applied to establish the effective treatment of EA for pain control in the clinical field.

• 한국임상수의학회지
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• 제35권3호
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• pp.103-106
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• 2018

A 12-year-old castrated male Shih Tzu presented with suspected hearing loss. The patient had no history of head trauma or exposure to ototoxic drugs. The results of neurologic and physical examinations were normal. An otoscopic examination showed that both the tympanic membranes and the external ear canals had a normal appearance. However, the results of brainstem auditory evoked response tests confirmed sensorineural deafness in the right ear and indicated conduction disturbances and brainstem abnormalities in the left ear. Magnetic resonance imaging was performed to confirm the causes of the conduction disturbances and brainstem abnormalities. Inflammatory changes in the left middle ear were highly suspected to be responsible for the findings in the left ear. The results of these examinations confirmed complete hearing loss in the right ear and indicated otitis media in the left ear, which could have been the cause of the conduction disturbances.

• 대한청각학회지
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• 제24권2호
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• pp.71-78
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• 2020

Background and Objectives: Currently limited information is available on speech stimuli processing at the subcortical level in the recipients of cochlear implant (CI). Speech processing in the brainstem level is measured using speech-auditory brainstem response (S-ABR). The purpose of the present study was to measure the S-ABR components in the sound-field presentation in CI recipients, and compare with normal hearing (NH) children. Subjects and Methods: In this descriptive-analytical study, participants were divided in two groups: patients with CIs; and NH group. The CI group consisted of 20 prelingual hearing impairment children (mean age=8.90±0.79 years), with ipsilateral CIs (right side). The control group consisted of 20 healthy NH children, with comparable age and sex distribution. The S-ABR was evoked by the 40-ms synthesized /da/ syllable stimulus that was indicated in the sound-field presentation. Results: Sound-field S-ABR measured in the CI recipients indicated statistically significant delayed latencies, than in the NH group. In addition, these results demonstrated that the frequency following response peak amplitude was significantly higher in CI recipients, than in the NH counterparts (p<0.05). Finally, the neural phase locking were significantly lower in CI recipients (p<0.05). Conclusions: The findings of sound-field S-ABR demonstrated that CI recipients have neural encoding deficits in temporal and spectral domains at the brainstem level; therefore, the sound-field S-ABR can be considered an efficient clinical procedure to assess the speech process in CI recipients.

• Journal of Audiology & Otology
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• 제24권2호
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• pp.71-78
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• 2020

Background and Objectives: Currently limited information is available on speech stimuli processing at the subcortical level in the recipients of cochlear implant (CI). Speech processing in the brainstem level is measured using speech-auditory brainstem response (S-ABR). The purpose of the present study was to measure the S-ABR components in the sound-field presentation in CI recipients, and compare with normal hearing (NH) children. Subjects and Methods: In this descriptive-analytical study, participants were divided in two groups: patients with CIs; and NH group. The CI group consisted of 20 prelingual hearing impairment children (mean age=8.90±0.79 years), with ipsilateral CIs (right side). The control group consisted of 20 healthy NH children, with comparable age and sex distribution. The S-ABR was evoked by the 40-ms synthesized /da/ syllable stimulus that was indicated in the sound-field presentation. Results: Sound-field S-ABR measured in the CI recipients indicated statistically significant delayed latencies, than in the NH group. In addition, these results demonstrated that the frequency following response peak amplitude was significantly higher in CI recipients, than in the NH counterparts (p<0.05). Finally, the neural phase locking were significantly lower in CI recipients (p<0.05). Conclusions: The findings of sound-field S-ABR demonstrated that CI recipients have neural encoding deficits in temporal and spectral domains at the brainstem level; therefore, the sound-field S-ABR can be considered an efficient clinical procedure to assess the speech process in CI recipients.

• Annals of Clinical Neurophysiology
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• 제11권1호
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• pp.33-36
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• 2009

Bickerstaff's brainstem encephalitis (BBE) is an autoimmune central nervous system disorder. It can occur in more limited forms and may overlap with Guillain-Barr$\acute{e}$ syndrome (GBS). A 49-year-old female presented with rapidly progressive paralytic ileus, urinary retention, deep drowsiness, ophthalmoplegia, dysarthria, ataxia, quadriparesis and hyporeflexia after viral meningitis. She was diagnosed as BBE with GBS and treated with immunoglobulin. She was completely recovered after 1 month. It is a rare case of BBE overlapping with GBS presenting with severe paralytic ileus.

• Annals of Clinical Neurophysiology
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• 제10권1호
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• pp.1-12
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• 2008

Intraoperative neuromonitoring (INM) is well known to be useful method to reduce intraoperative complications during the surgery of nervous system lesions. Evoked potentials are most commonly used among the electrophysiological tests. Brainstem auditory evoked potentials are for detecting the problems along the auditory pathways including the eighth cranial nerve and brainstem. Somatosensory evoked potentials are applied for preventing the spinal cord lesions. The INM is affected by many factors. In order to perform an optimal INM, the confounding factors including technical, anesthetical, and individual factors should be kept well under control. INM has frequent electrophysiologic changes during the surgery and it might be helpful to keep one's eyes on which monitoring modalities are reluctant to change during each operation. The skillful monitoring and timely interpretation of electrophysiologic changes can drive the patient to be undergone surgery, even in high surgical risk group.

• 한국음향학회지
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• 제35권1호
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• pp.63-73
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• 2016

청각기관의 음조체계로 인해 사람들은 일반적으로 주파수 분포에 따라 소리를 듣는다. 그러나 어음인지 측면에서 어음의 음향적 특성이 사람의 뇌에서 어떻게 인식되는지는 여전히 명확하지 않다. 따라서 본 연구에서는 유사한 고주파수 음향적 특성을 갖는 두 개의 어음이 청각 뇌간에서 전기생리학적으로 어떻게 발현되는 지 확인하고자 하였다. 정상 청력을 지닌 20대 성인 33명이 실험에 참여하였다. 자극음으로 두 개의 한국어 단음절 /자/와 /차/, 4개의 주파수로 구성된 톤버스트음(500, 1000, 2000, 4000 Hz)을 사용하여 청성뇌간반응을 얻었다. 연구 결과, 단음절과 톤버스트음 모두 높은 재현성을 보였고, 파형 V는 모든 피검자에게서 잘 발현되었다. 피어슨 상관관계 분석 결과, 3671 ~ 5384 Hz 대역에서 에너지 분포를 갖는 /자/ 음절은 4000 Hz의 톤버스트음과 높은 상관관계를 나타냈다. 그러나 /차/ 음절은 1000 Hz와 2000 Hz의 톤버스트음과 높은 상관성을 보여, 3362~5412 Hz의 음향적 특성과 청각 뇌간에서 생리학적 반응은 일치하지 않았다. 이러한 결과를 바탕으로 사람의 어음인지과정을 면밀히 조사하기 위해 음향-청지각적 매핑후속 연구가 필요하겠다.

• 대한약리학회지
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• 제31권2호
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• pp.141-144
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• 1995

뇌간의 세로트닌 신경계는 내재성 하행성 동통억제계(endogenous descending pain inhibitory system)에 있어서 중추적인 역할을 하고 있다. 뇌간의 세로토닌 신경세포에 대한 glutamate 수용체 중 N-methyl-D-aspartic acid-(NMDA-) 및 non-NMDA 수용체 효현제들의 작용을 알아보기 위하여, 쥐의 태자(태생 14일)로부터 뇌간을 분리하여 10일 동안 배양한 후 5-hydroxytryptamine(5-HT)의 분비에 대한 각 glutamate 수용체 효현제들이 영향을 연구하였다. Glutamate를 $10\;{\mu}M$에서 $1000\;{\mu}M$까지 농도를 변화하여 30분 동안 배지에 가한 후, 배지내에 분비되는 세로토닌을 측정한 결과, 농도 의존적으로 세로토닌의 분비가 증가되었다. Glutamate 수용체 중에서 NMDA 수용체 효현제인 NMDA를 $10\;{\mu}M$에서 $1000\;{\mu}M$까지 농도를 변화하여 30분 동안 배지에 가한 후, 배지내에 분비되는 세로토닌을 측정한 결과, 농도 의존적으로 세로토닌의 분비가 증가되었다. Non-NMDA 수용체 효현제인 kainate 및 AMPA를 $3\;{\mu}M$에서 $300\;{\mu}M$까지 농도를 변화하여 배지에 처리한 결과, 각 효현제에 의해 농도 의존적으로 세로토닌의 분비가 증가됨을 관찰하였다. 이상의 연구결과, 쥐의 태자(태생 14일)로부터 분리하여 10일동안 배양한 뇌간의 세로토닌 신경세포에 있어서 glutamate, NMDA, kainate 및 AMPA 모두 5-HT의 분비를 자극함으로써, NMDA- 및 non-NMDA 수용체 모두 5-HT의 분비에 관여하고 있음을 나타낸다.

• 음성과학
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• 제11권4호
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• pp.143-150
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• 2004

This study was done to compare thresholds between those of Auditory Brainstem Response (ABR) with clicks or tonebursts and Multiple Auditory Steady-State Response (MASTER). The results would give a promising tool for evaluating frequency-specific hearing sensitivity in infants or young children. The correlation coefficient value between the click ABR thresholds and MASTER thresholds at carrier frequencies, 500, 1,000, 2,000 Hz, and 4,000 Hz was obtained at Pearson 0.91, 0.94, 0.93, and 0.91.