• 제목/요약/키워드: Electrophysiological monitoring

검색결과 16건 처리시간 0.023초

Efficacy of Intraoperative Facial Electromyographic Monitoring in Patients with Hemifacial Spasm

  • Park, Hae-Kwan;Jang, Kyung-Sool;Lee, Kyung-Jin;Rha, Hyung-Kyun;Joo, Won-Il;Kim, Moon-Chan
    • Journal of Korean Neurosurgical Society
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    • 제39권3호
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    • pp.183-187
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    • 2006
  • Objective : Hemifacial spasm has characteristic and specific electrophysiological finding, lateral spread response[LSR]. We study the correlation between change of lateral spread response during microvascular decompression[MVD] and clinical outcome after MVD. Methods : Sixty two patients with hemifacial spasm who were treated with microvascular decompression from March 2000 to February 2003 were included in this study. The monitoring of intraoperative facial electromyography[EMG] and brain stem auditory evoked potential were performed. Results : In 28 [44.7%] patients, there was persistence of lateral spread response after vascular decompression in root exit zone of facial nerve. Among these 28 patients, 9 had mild hemifacial spasm at discharge. Three out of 34 patients who had intraoperative disappearance of lateral spread response after MVD had mild hemifacial spasm. But Both groups, disappearance of LSR [Group I], and persistence [Group II] had only 2 patients with mild hemifacial spasm, and 5 patients at 3 months, respectively. Conclusion : Although intraoperative EMG monitoring is very useful in assessing the efficacy of MVD, the clinical outcome of MVD in patient with hemifacial spasm does not always correlate with EMG finding. The prognostic value of intraoperative LSR monitoring in the long-term results is questionable.

억제적 통제 및 행동 감시간의 관계: 사건관련전위 연구 (The Relationships between Inhibitory Control and Action Monitoring; Event-related Potential Study)

  • 강승석;박성근;하태현;노규식;김명선;권준수
    • 인지과학
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    • 제14권4호
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    • pp.1-7
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    • 2003
  • 본 연구는 집행기능의 범주에 속하는 행동적 억제(behavioral inhibition) 기능과 행동 감시(action monitoring) 기능의 공통점을 사건관련전위 요소 및 그 뇌 신경원 분석을 통해 비교 분석하였다. 피험자들에게 Go/NoGo 과제를 수행시키면서 측정, 분석한 사건관련전위인 N200 및 P300 요소는 NoGo 조건의 경우 전두엽 쪽에서 더욱 큰 진폭을 보였다는 점에서 NoGo 조건에서 요구되는 행동적 억제기능을 반영한다고 볼 수 있었다. 또한 전두엽 영역에서 오류반응 후에 관찰되는 부적 전위인 ERN 정반응 이후 관찰되는 CRN에 비해 보다 큰 진폭과 빠른 잠재기를 보였다는 점에서 행동감시의 신호가 오류반응에 대해 보다 크게 요구되는 것이라 추론할 수 있었다. 행동적 억제의 지표인 NoGo 조건에서의 N200과 P300 요소의 잠재기와 행동감시의 지표인 ERN 요소의 진폭간에는 유의미한 부적상관이 발견되었는데, 이는 행동적 억제의 효율성이 높은 피험자일수록 행동감시의 정도 또한 크게 나타냄을 시사하는 결과라 볼 수 있었다. 이러한 집행기능 지표들간의 관련성은 이들 사건관련전위 요소들의 신경원이 거의 유사한 위치인 전대상피질(anterior cingulate cortex)에서 나타난 뇌 신경원 국소화법 결과를 통해서도 지지되었으며, 이러한 결과를 전대상피질의 집행적 통제기능이라는 맥락에서 논의하였다.

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강박증 환자에서의 Mismatch Negativity 이상에 관한 연구 (Abnormal Mismatch Negativity in Patients with Obsessive-Compulsive Disorder)

  • 장준환;신경순;손준희;권준수
    • 대한불안의학회지
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    • 제6권1호
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    • pp.31-36
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    • 2010
  • Objective : Mismatch negativity (MMN) provides an electrophysiological index of an involuntary attention switching process. This study investigated MMN anomalies and their relationship to clinical variables in patients with obsessive-compulsive disorder (OCD). Methods : Study participants were 29 OCD patients and 24 normal controls. We used a 128-channel EEG to measure MMN during a passive oddball paradigm. Then we assessed the correlations between MMN amplitudes and clinical measures. Results : The OCD patients exhibited significantly greater MMN amplitude compared to the controls. Also, the right frontal lobe MMN amplitudes correlated significantly to the OCD patients' Yale-Brown Obsessive Compulsive Scale total scores (r=-0.520, p=0.005). Conclusion : These results suggest that MMN anomalies in OCD patients reflect a monitoring circuit dysfunction, raising the possibility that the OCD's pathophysiology includes glutamatergic dysfunction.

Effect of Xenogeneic Substances on the Glycan Profiles and Electrophysiological Properties of Human Induced Pluripotent Stem Cell-Derived Cardiomyocytes

  • Yong Guk, Kim;Jun Ho Yun;Ji Won Park;Dabin Seong;Su-hae Lee;Ki Dae Park;Hyang-Ae Lee;Misun Park
    • International Journal of Stem Cells
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    • 제16권3호
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    • pp.281-292
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    • 2023
  • Background and Objectives: Human induced pluripotent stem cell (hiPSC)-derived cardiomyocyte (CM) hold great promise as a cellular source of CM for cardiac function restoration in ischemic heart disease. However, the use of animal-derived xenogeneic substances during the biomanufacturing of hiPSC-CM can induce inadvertent immune responses or chronic inflammation, followed by tumorigenicity. In this study, we aimed to reveal the effects of xenogeneic substances on the functional properties and potential immunogenicity of hiPSC-CM during differentiation, demonstrating the quality and safety of hiPSC-based cell therapy. Methods and Results: We successfully generated hiPSC-CM in the presence and absence of xenogeneic substances (xeno-containing (XC) and xeno-free (XF) conditions, respectively), and compared their characteristics, including the contractile functions and glycan profiles. Compared to XC-hiPSC-CM, XF-hiPSC-CM showed early onset of myocyte contractile beating and maturation, with a high expression of cardiac lineage-specific genes (ACTC1, TNNT2, and RYR2) by using MEA and RT-qPCR. We quantified N-glycolylneuraminic acid (Neu5Gc), a xenogeneic sialic acid, in hiPSC-CM using an indirect enzyme-linked immunosorbent assay and liquid chromatography-multiple reaction monitoring-mass spectrometry. Neu5Gc was incorporated into the glycans of hiPSC-CM during xeno-containing differentiation, whereas it was barely detected in XF-hiPSC-CM. Conclusions: To the best of our knowledge, this is the first study to show that the electrophysiological function and glycan profiles of hiPSC-CM can be affected by the presence of xenogeneic substances during their differentiation and maturation. To ensure quality control and safety in hiPSC-based cell therapy, xenogeneic substances should be excluded from the biomanufacturing process.

자기공명영상을 이용한 금속전극의 정확한 위치 결정 (Accurate Localization of Metal Electrodes Using Magnetic Resonance Imaging)

  • 조은혜;김민호;하윤;김동현
    • Investigative Magnetic Resonance Imaging
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    • 제15권1호
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    • pp.11-21
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    • 2011
  • 목적: 금속전극은 MRI 안에서 자기장의 왜곡을 일으켜 영상에 인공물이 나타난다. 본 논문에서는 전극이 B0와 수직으로 놓였을때 자기장 패턴의 특성을 이용하여 oblique-view angle imaging 방식을 통해 전극의 정확한 위치를 결정하는 방법을 제시하고자 한다. 대상 및 방법: 다양한 직경과 자화율을 가진 금속 전극모델의 시뮬레이션을 통하여 전극으로 인해 왜곡되는 field map의 양상을 파악하고 해상도에 따른 turbo spin-echo (TSE) 영상의 왜곡패턴을 분석하여 일반적인 영상기 법($90^{\circ}$ view)과 $45^{\circ}$ oblique-view에서의 위치 추정 기준을 마련하였으며 3.0T 임상용 장비에서 실제 전극의 TSE영상을 획득하여 시뮬레이션과 대조 검증하였다. 상대적으로 자기장의 왜곡에 민감한 gradient-refocused echo (GRE)시퀀스에서는 위상 영상을 이용해 위치를 추정하였다. 결과: 금속전극이 B0와 수직일 때 전극을 통과하는 $45^{\circ}$ 선상에서는 자기장 패턴의 변화가 매우 적었다. TSE 시퀀스의 경우 $45^{\circ}$ oblique-view 영상에서는 자화율의 크기에 관계없이 위치 추정기준이 잘 들어 맞았으며 자기장 왜곡에 의한 픽셀이 동양상이 양방향 대칭적으로 일어나므로 해상도가 낮은 경우에도 정확한 위치 추정이 가능하였다. 또한 GRE 시퀀스를 사용하였을때 $45^{\circ}$ oblique-view에서는 위상의 극성이 변화하는 선이 직교좌표계와 일치하기 때문에 일반적 방법보다 위치추정이 용이하였다. 결론: 시뮬레이션과 실제영상을 이용하여 일반적인 $90^{\circ}$ view에서보다 $45^{\circ}$ oblique-view에서 금속전극의 위치추정이 용이함을 확인하였다. 이는 전기 생리학적인 뇌연구 및 뇌수술 등을 MRI로 모니터링 하는데 적용 가능할 것으로 기대된다.

Monitoring trafficking and expression of hemagglutinin-tagged transient receptor potential melastatin 4 channel in mammalian cells

  • Eun Mi Hwang;Bo Hyun Lee;Eun Hye Byun;Soomin Lee;Dawon Kang;Dong Kun Lee;Min Seok Song;Seong-Geun Hong
    • The Korean Journal of Physiology and Pharmacology
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    • 제27권4호
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    • pp.417-426
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    • 2023
  • The TRPM4 gene encodes a Ca2+-activated monovalent cation channel called transient receptor potential melastatin 4 (TRPM4) that is expressed in various tissues. Dysregulation or abnormal expression of TRPM4 has been linked to a range of diseases. We introduced the hemagglutinin (HA) tag into the extracellular S6 loop of TRPM4, resulting in an HA-tagged version called TRPM4-HA. This TRPM4-HA was developed to investigate the purification, localization, and function of TRPM4 in different physiological and pathological conditions. TRPM4-HA was successfully expressed in the intact cell membrane and exhibited similar electrophysiological properties, such as the current-voltage relationship, rapid desensitization, and current size, compared to the wild-type TRPM4. The presence of the TRPM4 inhibitor 9-phenanthrol did not affect these properties. Furthermore, a wound-healing assay showed that TRPM4-HA induced cell proliferation and migration, similar to the native TRPM4. Co-expression of protein tyrosine phosphatase, non-receptor type 6 (PTPN6 or SHP1) with TRPM4-HA led to the translocation of TRPM4-HA to the cytosol. To investigate the interaction between PTPN6 and tyrosine residues of TRPM4 in enhancing channel activity, we generated four mutants in which tyrosine (Y) residues were substituted with phenylalanine (F) at the N-terminus of TRPM4. The YF mutants displayed properties and functions similar to TRPM4-HA, except for the Y256F mutant, which showed resistance to 9-phenanthrol, suggesting that Y256 may be involved in the binding site for 9-phenanthrol. Overall, the creation of HA-tagged TRPM4 provides researchers with a valuable tool to study the role of TRPM4 in different conditions and its potential interactions with other proteins, such as PTPN6.