• Title/Summary/Keyword: Hallucinations

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A case of Hashimoto's encephalopathy presenting with seizures and psychosis

  • Lee, Min-Joo;Lee, Hae-Sang;Hwang, Jin-Soon;Jung, Da-Eun
    • Clinical and Experimental Pediatrics
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    • v.55 no.3
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    • pp.111-113
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    • 2012
  • Hashimoto's encephalopathy (HE) is a rare, poorly understood, autoimmune disease characterized by symptoms of acute or subacute encephalopathy associated with increased anti-thyroid antibody levels. Here, we report a case of a 14-year-old girl with HE and briefly review the literature. The patient presented with acute mental changes and seizures, but no evidence of infectious encephalitis. In the acute stage, the seizures did not respond to conventional antiepileptic drugs, including valproic acid, phenytoin, and topiramate. The clinical course was complicated by the development of acute psychosis, including bipolar mood, insomnia, agitation, and hallucinations. The diagnosis of HE was supported by positive results for antithyroperoxidase and antithyroglobulin antibodies. Treatment with methylprednisolone was effective; her psychosis improved and the number of seizures decreased. HE is a serious but curable, condition, which might be underdiagnosed if not suspected. Anti-thyroid antibodies must be measured for the diagnosis. HE should be considered in patients with diverse neuropsychiatric manifestations.

A Case Report of Schizophrenia with Acute Cerebral Infarction Treated with Guibi-tang (급성 뇌경색을 동반한 정신분열병 환자의 귀비탕(歸脾湯) 치험1례)

  • Kim, Eui-Chul;Hong, Eun-Gi;Lee, Ju-Il;Park, Young-Chul;Sun, Teh-Cheng;Kwon, Do-Ik;Park, Jun-Ha;Kim, Ju-Young;Song, Il-Heon
    • The Journal of Internal Korean Medicine
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    • v.27 no.2
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    • pp.546-553
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    • 2006
  • Schizophrenia is a disturbance condition that lasts for at least 6 months and includes at least 1 month of active-phase symptoms(i.e., two [or more] of the following : delusions, hallucinations. disorganized speech, grossly disorganized or catatonic behavior, negative symptoms) In this study, we report one case of schizophrenia with acute cerebral infarction. The patient has been diagnosed with schizophrenia more than 20 years ago, and after this recent cerebral infarction, all of her schizophrenic symptoms such as auditory hallucination, delirium, depression, insomnia were aggravated. Her schizophrenic symptoms, PANSS and NIHSS total scores were considerably reduced after oriental treatment(Guibi-tang(歸脾湯)), so we report this as a potential treatment.

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A Clinical Report on the Galhwahaesung-tang for Treatment 2 Cases of Alcohol Withdrawal Syndrome (갈화해성탕(葛花解醒湯)의 알콜금단증후군 치험 2례 보고)

  • Won, Jin-Hee;Lee, Jong-Bum;Yoon, Jun-Chul;Bae, Nam-Gyu;Kim, Tae-Gyun;Moon, Young-Ho
    • The Journal of Internal Korean Medicine
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    • v.22 no.3
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    • pp.495-501
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    • 2001
  • Alcohol withdrawal syndrome includes two or more of the following symptoms: autonomic hyperactivity, increased hand tremor, insomnia, nausea or vomiting, hallucinations of illusions, psychomotor agitation, anxiety, grand mal seizures. Symptoms are usually relieved by administering brain depressant. In oriental medicine, Ju sang correspond to alcohol withdrawal syndrome. Galhwahaesung-tang has been used for the treatment of Ju sang. The authors treated 2 cases of alcohol withdrawal syndome with Galhwahaesung-tang and symptoms are markedly improved. So, We report these case with a brief review of related literatures.

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Ketamine-induced generalized convulsive seizure during procedural sedation

  • Kim, Ji Hoon;Lee, Chong Kun;Yu, Sung Hoon;Min, Byung Duk;Chung, Chang Eun;Kim, Dong Chul
    • Archives of Craniofacial Surgery
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    • v.22 no.2
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    • pp.119-121
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    • 2021
  • Ketamine is used widely in emergency departments for a variety of purposes, including procedural sedation for facial laceration in pediatric patients. The major benefits are its rapid onset of effects, relatively short half-life, and lack of respiratory depression. The known side effects of ketamine are hallucinations, dizziness, nausea, and vomiting. Seizure is not a known side effect of ketamine in patients without a seizure history. Here, we present the case of a patient in whom ketamine likely induced a generalized tonic-clonic seizure when used as a single agent in procedural sedation for facial laceration repair. The aim of this article is to report a rare and unexpected side effect of ketamine used at the regular dose for procedural sedation. This novel case should be of interest to not only emergency physicians but also plastic surgeons.

Photogenie as the duality and mentality of the photographic image: a study based on the theory of Edgar Morin (포토제니 혹은 사진 이미지의 이중성과 정신성 - 에드가 모랭의 논의를 중심으로)

  • Kim, Ho Young
    • Cross-Cultural Studies
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    • v.34
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    • pp.71-92
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    • 2014
  • This article presents a study on the concept of "Photogenie", which refers to the duality and mentality of the photographic image, with the viewpoint regarding the photographic image by Edgar Morin. First, we will look at the evolution of the concept of "Photogenie". From the field of photography, the term "Photogenie" means objects that produce light, enough to impress the photographic plate. But theorists of cinema at the beginning of the 20th century have changed the meaning of the term. For Louis Delluc, the "Photogenie" means the effect of union between the reproduction of real and artistic genius. For Jean Epstein, the "Photogenie" means mental quality, nonmaterial or inderterminable, of the photographic and cinematographic image. But Morin synthesized the arguements of Delluc and Epstein. For him, the "Photogenie" indicates both a double character of the photographic image and its mental quality. Then, based on this concept of "Photogenie," Morin said on particular aspects in the photographic image. Considering photography as a double in the anthropological sense, it puts emphasis not only the dual nature of the photographic image but also mental and spiritual quality. Combining the theory of the mage Henri Bergson and Jean-Paul Sartre, he builds his own theory of the mage that concerns both photography and cinema. In short, to Morin, the photographic image is a place where coexist absence and presence, the real and the imaginary, perception and memory, the material and mental, as well that a place of mentality which appear all our memories, hallucinations, dreams, imagination etc.

Two Cases of Opioid-Induced Hyperalgesia in Cancer Patients Treated with Opioids for Pain Management (아편유사제를 사용한 암환자에서 발생한 통각과민 2례)

  • Hong, Sukchul;Kwon, Jung Hye;Han, Su Jung
    • Journal of Hospice and Palliative Care
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    • v.22 no.2
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    • pp.100-104
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    • 2019
  • Opioids are important drugs for the management of severe cancer pain without a ceiling effect. However, opioid administration leads to dose-limiting complications including drowsiness, hallucinations, delirium, respiratory depression, cognitive impairment, seizure, myoclonus, and hyperalgesia. Opioid-induced hyperalgesia (OIH) is a paradoxical phenomenon as opioid exposure increases pain sensitivity. Reducing or stopping opioids, opioid rotation, or co-administration of N-methyl-D-aspartate (NMDA) antagonists have been suggested for the management of OIH. In this study, we report two clinical cases of successful management of OIH in cancer pain patients that were treated with opioids.

Artificial intelligence Artworks and Media Perception (인공지능 미술작품과 매체 지각)

  • Huh, Yoon Jung
    • Journal of Digital Convergence
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    • v.20 no.5
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    • pp.741-749
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    • 2022
  • The purpose of this study is to find out what kind of media perception can be experienced by the audience when artificial intelligence technology meets art, where new technologies are invented one after another. Among the artificial intelligence works, I selected works that stand out in relation to perception and investigated what kind of media perception the audience experiences when artificial intelligence technology meets art. By examining the characteristics of machine hallucinations, uncanny, and artificial empathy with the media perception of artificial intelligence art, these perceptions were ultimately identified as aura perception within family resemblance. In the future, artificial intelligence technology will develop further and artists will not stop experimenting with them. It is expected that the works created by artists will expand the audience's perceptual experience while providing new experiences to the audience.

Expression Analysis of Schizophrenia Symptoms : Focusing on the Movies and (조현병 증상의 표현 분석 : 영화 <더 보이스>,<블랙 스완>을 중심으로)

  • Choi, Ji-Won
    • The Journal of the Korea Contents Association
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    • v.22 no.9
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    • pp.510-519
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    • 2022
  • This study aims to examine how delusions and hallucinations are expressed as representative symptoms of schizophrenia in the two films and . We look at how the two films show the appearance and overall image of the schizophrenic patient, the emotional expression of the schizophrenic patient, and how family and colleagues express the perceptions of the schizophrenic patient's symptoms. Finally, we will examine the perception of treatment measures for schizophrenia. Comprehensively, through this process, the schizophrenia symptoms expressed in the two films will have some effect on social perception of schizophrenia and the social implications of therapeutic intervention for schizophrenia recovery.

Natural Products as Potential Therapeutic Strategies for Parkinson's Disease

  • Hae-Rim Cha;Mi-Ran Lee;Hyun-Jeong Cho
    • Biomedical Science Letters
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    • v.29 no.3
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    • pp.121-129
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    • 2023
  • Parkinson's disease (PD) is a progressive neurodegenerative disorder that affects millions of people worldwide. The conventional treatment model for PD have harmful side effects, such as dyskinesia, hallucinations, nausea, and fatigue, and are expensive. As a result, natural products derived from medicinal herbs, fruits, and vegetables have emerged as potential therapeutic strategies for PD. These natural products have been traditionally used to treat various diseases and have been shown to possess anti-oxidative and anti-inflammatory properties, as well as inhibitory roles in protein misfolding, mitochondrial homeostasis, neuroinflammation and other neuroprotective processes. In addition, they have fewer side effects and are generally less expensive than conventional drugs. It also discusses the limitations of current treatments and the potential of natural remedies derived from plants to treat PD in new ways or as supplements to existing treatments. The multifunctional mechanisms of medicinal plants that may be utilized to treat PD are also discussed, including the modulation of neurotransmitter systems, the enhancement of neurotrophic factors, and the inhibition of apoptosis. While more research is needed to fully understand their mechanisms of action and efficacy, natural products have the potential to provide safer and more effective treatment options for patients with PD.

Association of Therapeutic Response and Change of Mismatch Negativity in Schizophrenia Patients (조현병 환자의 치료 반응에 따른 Mismatch Negativity 변화)

  • Lee, Soyoen;Rhie, Eui Hyeok;Kim, Jong Woo;Kang, Won Sub
    • Korean Journal of Biological Psychiatry
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    • v.24 no.4
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    • pp.188-195
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    • 2017
  • Objectives Schizophrenia is characterized by disturbances in perception and cognition. Attenuated mismatch negativity (MMN) reflects central auditory dysfunction in schizophrenia. The aim of this study is to compare MMN changes before and after treatment in schizophrenia patients and to assess their association with treatment response. Methods Twenty-three schizophrenia patients underwent an oddball paradigm. MMN was calculated by the difference waveforms of the event-related potentials (ERPs) elicited by subtracting standard from deviant stimulus. The clinical symptoms were measured by the Positive and Negative Syndrome Scale (PANSS), the Psychotic Symptom Rating Scale (PSYRATS). Follow-up evaluation was conducted when the PANSS total score decreased by 30% or more (treatment response group) or before discharge (non-response group). Results The treatment response group showed significantly larger MMN amplitude improvement and latency reduction than the non-response group after treatment (Fz ; mean amplitude p = 0.035, FCz ; p = 0.041). The auditory hallucination group showed shorter latency than that of the group without hallucinations. Additionally, auditory hallucination was associated with prolonged MMN latency and shortened after treatment in the auditory hallucination response group (Fz ; p = 0.048). Conclusions These results suggest that the attenuated MMN amplitude reflects the progression of the disease. The increment of MMN amplitude and shortening of latency after treatment may reflect cognitive functional recovery of central auditory sensory processing.