• 제목/요약/키워드: Motor grade

검색결과 144건 처리시간 0.029초

만성적 경과관찰을 보이는 Guillain-Barré Syndrome 환자 1례 (A Clinical Case Study of Guillain-Barré Syndrome with Chronic Progression)

  • 노지애;장재원;이기언;홍정수;김동진
    • 대한한방내과학회지
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    • 제39권1호
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    • pp.76-83
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    • 2018
  • Objectives: This case study reports on one patient presenting atypical and chronic disorders after being diagnosed with $Guillain-Barr{\acute{e}}$ Syndrome (GBS). Methods: One patient was treated by Yeongseonjetong-eum-gami, Taklisodok-eum-gami, electroacupuncture, and physical therapy. Any improvement in symptoms was assessed by measuring changes in the motor grade of upper limb weakness, the numerical rating scale (NRS) of lower limb numbness, and GBS scores. Results: After 24 days of treatment, the patient's symptoms of GBS showed little improvement. Conclusions: Traditional Korean medical treatment appeared to be effective in reducing GBS symptoms, but more research is required to confirm these results. When treating GBS patients, the clinician should put effort into distinguishing GBS from other nervous disorders, such as acute onset Chronic Inflammatory Demyelinating Polyneuropathy (CIDP).

뇌졸중 환자의 경직측정을 위한 휴대형 장치의 유용성 (Clinical Effectiveness of New Portable System for Measuring Spasticity of the Stroke Patients)

  • 김거식;서정환;송철규
    • 전기학회논문지
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    • 제59권1호
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    • pp.217-219
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    • 2010
  • Spasticity is a motor disorder characterized by a velocity dependent increase in muscle tone with exaggerated tendon jerks, resulting from hyper-excitability of the stretch reflex. The aim of this study is to develop a portable system for quantifying the grade of spasticity which could calculate the biomechanical as well as neurophysiologic parameters, and for determining the relationship between the Tonic Stretch Reflex Threshold (TSRT) and Modified Ashworth Scale (MAS). Eleven patients with stroke participated in the study (6 males and 5 females, the average age of $64.5\pm16.0$ years). As a results, the mean and standard deviation values of the TSRT were $129.8\pm4.2$, $123.4\pm5.2$ and $119.1\pm2.6$ in the MAS 1, MAS 1+ and MAS 2 groups, respectively. Also, there was a negative correlation between the TSRT and MAS (rho=-0.72, p<0.05). This demonstrated that the TSRT could be made clinically available for the more objective and reliable evaluation of the spasticity, instead of using the conventional clinical scales and an isokinetic dynamometer.

Spontaneous Resolution of a Large Chronic Subdural Hematoma Which Required Surgical Decompression

  • Lee, Gun Seok;Park, Young Seok;Min, Kyung Soo;Lee, Mou Seop
    • Journal of Korean Neurosurgical Society
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    • 제58권3호
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    • pp.301-303
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    • 2015
  • We report on a case of an 87-year-old woman who showed spontaneous resolution of a large chronic subdural hematoma which required surgical decompression. She had suffered from confused mentality and right side weakness of motor grade II for 10 days. The initial brain CT scan showed a 22 mm thick low density lesion located in the left fronto-temporo-parietal region with midline shift (12 mm) which required emergency decompression. However, because she and her family did not want surgery, she was followed up in the outpatient clinic. Five months later, follow up brain CT showed that the CSDH had disappeared and the patient became neurologically normal. The reasons for spontaneous resolution of CSDH remain unclear. We discuss the possible relation between mechanisms of physio-pathogenesis and spontaneous resolution of a large chronic subdural hematoma (CSH) in an elderly patient.

A Dumbbell-Shaped Meningioma Mimicking a Schwannoma in the Thoracic Spine

  • Kim, Myeong-Soo;Eun, Jong-Pil;Park, Jeong-Soo
    • Journal of Korean Neurosurgical Society
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    • 제50권3호
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    • pp.264-267
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    • 2011
  • A 50-year-old man presented bilateral hypesthesia on and below the T6 dermatome and paresthesia. Magnetic resonance imaging (MRI) showed an intraspinal extradural tumor, which located from the 6th thoracic vertebral body to the upper margin of the 7th vertebral body, continuing dumbbell-like through the intervertebral foramen into the right middle thorax suggesting a neurogenic tumor (neurofibroma or neurilemmoma). With the patient in a prone position, we exposed and excised the tumor via a one stage posterior approach through a hemi-laminictomy of T6. Histologic examination showed a grade 1 meningothelial meningioma, according to the World Health Organization classification. Initially, we assumed the mass was a schwannoma because of its location and dumbbell shape. However, the tumor was actually a meningioma. Postoperatively, hypesthesia resolved completely and motor power of the leg gradually full recovered. A postoperative MRI revealed no evidence of residual tumor.

Haloperidol로 치료한 Tourette 장애에서 발생한 항정신병약물-퇴행 증후군 1례 (A Case of Antipsychotic-Regression Syndrome in Haloperidol Treated Tourette's Syndrome)

  • 정희연;조현주;권영준;박인준;진혁희
    • 생물정신의학
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    • 제5권1호
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    • pp.134-137
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    • 1998
  • Authors report a case of separation anxiety disorder, which developed as a side effect during haloperidol treatment of Tourette syndrome(TS). In this case, 14 years old boy developed attention deficit symptoms during his infancy. At 4th grade of primary school, he developed vocal tic, motor tic, and coprolalia. With 5mg/day of haloperidol treatment his symptoms of TS were subsided. During the treatment, he developed features of separation anxiety disorder, including dependence, pleading, clinging, and sadness. Symptoms of attention deficit and separation anxiety disorder were improved by 25mg/day of imipramine treatment. During haloperidol treatment of TS, careful observation may be needed whether separation anxiety disorder-like symptom develops.

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경막외 혈종 및 경막의 동정맥 기형 환자의 척수손상 1례에 대한 임상적 고찰 (Clinical Report on a Case of Patient with Incomplete Spinal Cord Injury on epidural hematoma & dural arteriovascular hemangioma malformation C6- T1)

  • 박성철;문성원;송용선;염승룡;이정훈;윤경환;권영달;김관식
    • 동의생리병리학회지
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    • 제16권6호
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    • pp.1302-1307
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    • 2002
  • We experienced a case of patient of incomplete spinal cord injury following slipping off his clothes. He had complications : both leg paresisㆍboth arm weaknessㆍurine disturbanceㆍboth leg & arm sensory disorder . We could treat these complications with the methods of medical treatments ; acupunctureㆍmoxa therapyㆍherb-medicationㆍelectro-acupuncture & muscle exercises. We obtained results that motor grade and muscle atrophy were improved.

Applications of High-Quality Base Oil to Specialty Lubricants

  • Moon, Woo-Sik
    • KSTLE International Journal
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    • 제3권1호
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    • pp.30-37
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    • 2002
  • There have been significant improvements in base oil quality in order to satisfy recent market needs. In particular requirements of passenger car motor oils have been leading the trend. Now, high quality base oils such as VHVI base oils and PAOs are to be formulated in order to meet the tight volatility specifications. The severe hydrocracking, hydro-isomerized dewaxing and hydro-finishing process with noble-metal based catalysts (named UCO lube process) developed by SK corporation has been introduced as one of economic hydroprocessing routes to produce high quality VHVI base oils and food grade white mineral oils from fuels hydrocracker residue. Product quality of UCO lube process is similar to PAO in. general performances and therefore provides satisfactory performance far all straightforward applications in general lubricants. However, when applied to specialty lubricants like transformer oils, spray oils and coning oils, severely hydrocracked base oils are known to have various compatibility problems with gas or surfactants formulated in them. These problems are related to the difference in their composition; inherent high paraffin contents and lack of dissolving ability, Fortunately, it was found that excellent specialty lubricants could be made by carefully selecting and formulating adequate additives and/or aromatic compounds. Moreover, these specialties with high quality VHVI base oils ofter various advantages over conventional base oil based products.

Sacro-Occipital Technique를 통한 추간판 탈출증 환자 치험 1례에 대한 임상적 고찰 (Clinical Study on a Case of Herniation(Herniated) of Nucleus Pulposus with Sacro-Occipital Technique)

  • 박민제;성수민;황민섭;윤종화;박민정;김정욱
    • 대한추나의학회지
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    • 제6권1호
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    • pp.189-196
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    • 2005
  • Objectives : This report intended to estimate effect taken by using Sacro-Occipital Technique on the patient with Herniation of Nucleus Pulposus(Central type). Method : From 11 May, 2005 to 30 June, 2005. The patient recived Sacro-Occipital Technique and Acupuncture therapy. Result : After being hospitalized for 50 days. the patient's Motor Grade, ODI, VAS, ROM were improved each from IV to IV+. from 26 to 20, from 10 to 2, and ROM with flexion/entension, rotation were improved each from 70'/0' to 90'/12', from 30'/40' to 45'/55'. Conclusion : We considered Sacro-Occipital Technique has an useful effect on Herniation of Nucleus Pulposus

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Successful TAE after DCS for Active Arterial Bleeding from Blunt Hepatic Injury in a Child: A Case Report

  • Park, Chan Ik;Lee, Sang Bong;Yeo, Kwang Hee;Lee, Seungchan;Park, Sung Jin;Kim, Ho Hyun;Kim, Jae Hun;Kim, Chang Won;Park, Chan Yong
    • Journal of Trauma and Injury
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    • 제29권2호
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    • pp.47-50
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    • 2016
  • Transcatheter arterial embolization (TAE) for blunt hepatic injury in children is not common and is especially rare after damage control surgery (DCS). We report a successful TAE after DCS on a child for massive bleeding from the left hepatic artery due to a motor vehicle accident. The car (a sport utility vehicle) ran over the chest and abdomen of a 4-year-old boy. On arrival, initial vital signs were as follows: blood pressure, 70/40 mmHg; heart rate, 149/min; temperature, $36.7^{\circ}C$; respiratory rate, 38/min. After resuscitation, computed tomography was done, and a suspicious contrast leakage from a branch of the left hepatic artery and a spleen injury (grade V) were found. TAE was performed successfully after DCS for a liver injury.

침(鍼)과 Neuromuscular Electrical Simulation으로 치료한 요골신경마비에 대한 증례보고 (Case Report of Radial Nerve palsy patients treated with acupuncture and Neuromuscular Electrical Stimulation)

  • 황욱;김정신;배기태;남상수;김용석
    • Journal of Acupuncture Research
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    • 제21권6호
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    • pp.249-257
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    • 2004
  • Objective : Radial nerve palsy is characterized by palsy or paralysis of extensors of the wrist and digits, as well as the forearm supinators. Very proximal lesions also may affect the triceps. Numbness occurs on the dorsoradial aspect of the hand and the dorsal aspect of the radial 3 and 1/2 digits. We observed 7 patients with radial nerve palsy, the results are as follows. Methods & Results : All patients were treated by the same method and treatment was performed by acupuncture and Neuromuscular Electrical Stimulation. the electrode were placed unilaterally on the motor points of forearm. As the result, symptoms are improved remarkably. Conclusions : Patients were treated for 5.4 weeks, 14.7 times(average). The grade was that 6 cases were good and 1 case was excellent.

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