• 제목/요약/키워드: Nerve test

검색결과 525건 처리시간 0.032초

양측 외전신경마비만을 보인 비전형적 Miller-Fisher 증후군 (Bilateral Sixth Nerve Palsies as the Sole Manifestation of Atypical Miller-Fisher Syndrome)

  • 노상우;김종국;박환석;정은주;김상진;김응규;배종석
    • Annals of Clinical Neurophysiology
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    • 제13권1호
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    • pp.51-53
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    • 2011
  • Recently, we encountered a man with isolated bilateral sixth nerve palsies and areflexia whose titer of anti-GQ1b IgG antibody was elevated. We propose that bilateral sixth nerve palsies can be the sole manifestation of "anti-GQ1b antibody syndromes" and that patients with isolated bilateral sixth nerve palsies should be administered an anti-GQ1b antibody test for the diagnosis of acute immune-related neuropathy.

수근관 증후군(carpal tunnel syndrome) 5례에 대한 증례 보고 (Clinical Study on Five Cases of Carpal tunnel syndrome)

  • 김일환
    • 대한약침학회지
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    • 제4권3호
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    • pp.39-45
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    • 2001
  • Objective: The purpose of the study was to evaluate the effectiveness of treating the carpal tunnel syndrome by using both the Herbal Acupuncture and herbal medicine therapy on five cases. Methods: For the Herbal Acupuncture, Jungseonguhhyul No. 1 and Hwanglyunhaedoktang were used. For the herbal medicine, Dangguihwalhyul-tang was used. The patients were treated once in every two days; the result was evaluated after ten treatments. Patients' conditions were monitored through their testimony, phalen's test, nerve conduction study and electromyography. Results: In all five cases, the patients showed improvement; in four cases, the patients no longer had most of the clinical symptoms. Based on the result of the nerve conduction study, for the four cases in which the patients no longer displayed most of the clinical symptoms, their nerve conduction rate improved; for the remaining one case, the patient's nerve conduction rate deteriorated. Conclusions: The results of this study demonstrate that combining the Herbal Acupuncture and herbal medicine therapy can have noticeable effects in treating the carpal tunnel syndrome; developing more variety of the herbal acupuncture would lead to even better treatment results.

Idiopathic Ninth, Tenth, and Twelfth Cranial Nerve Palsy with Ipsilateral Headache: A Case Report

  • Sun, Seung-Ho
    • 대한약침학회지
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    • 제15권4호
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    • pp.66-71
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    • 2012
  • Objective: This case report is to report the effect of Korean traditional treatment for idiopathic ninth, tenth, and twelfth cranial nerve palsy with ipsilateral headache. Methods: The medical history and imaging and laboratory test of a 39-year-old man with cranial palsy were tested to identify the cause of disease. A 0.2-mL dosage of Hwangyeonhaedoktang pharmacopuncture was administered at CV23 and CV17, respectively. Acupuncture was applied at P06, Li05, TE05, and G37 on the right side of the body. Zhuapiandutongbang (左偏頭痛方) was administered at 30 minutes to 1 hour after mealtime three times a day. The symptoms were investigated using Visual Analogue Scale (VAS). Results: The results of magnetic resonance imaging (MRI), computed tomography (CT), and laboratory tests were normal. The medical history showed no trauma, other illnesses, family history of diseases, medications, smoking, drinking and so on. All symptoms disappeared at the 10th day of treatment. Conclusion: Korean traditional treatment such as acupuncture, pharmcopuncture, and herbal medicine for the treatment of ninth, tenth, and twelfth cranial nerve palsy of unknown origin is suggested to be effective even though this conclusion is based on a single.

하악 무치악 인공치아매식술시 하치조신경 전위술 (INFERIOR ALVEOLAR NERVE REPOSITIONING IN THE ATROPHIC POSTERIOR MANDIBULAR ALVEOLAR RIDGE)

  • 최의환;하정완;김수관;정태영;김수흥
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제23권3호
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    • pp.226-231
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    • 2001
  • Modified surgical technique for transposition of the inferior alveolar nerve followed by immediate placement of endosseous implants in mandibles with moderate to severe atrophy are presented. Five transpositions of the inferior alveolar nerve together with the installation of 10 implants were performed in four patients. The mean postoperative follow-up time was 17 months, with a range of 8 to 20 months. All implants with functioning pontics remained stable, with no mobility or symptoms of pain and infection during the follow-up period. Neurosensory evaluation was performed using the two-point discrimination test. Two patients had objective neurosensory dysfunction at postoperative, but all the nerve function were reported as normal by the patients 4 months postoperatively.

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요추부 선택적 신경근 차단술 이후 발생한 Wallenberg's Syndrome의 한방복합치료 1례 (Treatment of Wallenberg's Syndrome Following Selective Nerve Root Block: A Case Report)

  • 박서현;권정국;박재원;금동호
    • 한방재활의학과학회지
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    • 제26권4호
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    • pp.107-115
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    • 2016
  • The occurrence of brain stem stroke after lumbar selective nerve root block seem to be an uncommon event comparing it to after cervical selective nerve root block. We recently experienced a 60-year-old man who were diagnosed as left lateral medullary infarction (Wallenberg's syndrome) after lumbar selective nerve root block. He was treated by traditional Korean medicine with acupunture, Pulsed electromagetic therapy (PEMT), herb medicine. The range of motion of upper and lower extremity, manual muscle test, Korean version of Berg balance scale (K-BBS) and Korean version of Barthel index (K-MBI) were adopted to measure the resulting recovery after 4 weeks treatment. Traditional Korean medicine was effective for rehabilitation of patient. Further studies are needed to set up and Korean medical protocol for Wallenberg's syndrome.

만성기 비골신경 마비의 한방치료 증례보고 (A Case Report of Korean Medicine Treatment of Chronic Peroneal Nerve Palsy)

  • 유근정;황규상;이준영;이언정
    • 대한한방내과학회지
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    • 제38권5호
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    • pp.668-674
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    • 2017
  • Objective: This case report describes the effects of Korean medicine treatment on chronic peroneal nerve palsy. Methods: One patient with peroneal nerve palsy was treated 6 months after onset with various Korean medicine treatments, such as acupuncture, cupping, herbal medicine (Bojungikki-tang and Palmijihwang-tang), and Hominis Placental pharmacopuncture for 14 days. The Manual Muscle Test (MMT), range of motion (ROM) of the ankle, and a numerical rating scale (NRS) were used to evaluate the effectiveness of treatment. Results: After 14 days of treatment, the scores for all 3 scales were improved. The MMT grade increased from 1-3 to 4-4+. The ankle ROM was restored to a nearly normal range. The NRS showed a considerable improvement, decreasing from 7 to 2. No side effects were noted. Conclusions: Korean medicine may be effective for the treatment of chronic peroneal nerve palsy, but further studies are needed.

수부에 시행한 신경감각 유리 조직 이식술 (Transplantation of the Neurosensory Free Flaps to the Hand)

  • 이준모;이주홍
    • Archives of Reconstructive Microsurgery
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    • 제9권2호
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    • pp.120-126
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    • 2000
  • 저자들은 1992년 7월부터 수부에서 연부 조직이 손상되어 결손된 부위를 신경감각 유리 피부판을 이용하여 재건하여 평균 5년 11개월 추시하였다. 수부에서 적절한 신경감각 유리 피부판은, 절개와 문합시 미세 수술이 가능하도록 충분한 직경과 길이를 가진 혈관이 존재하여야 하며, 피부판에 존재하는 신경은 임계 감수성이 가장 중요하며, 때로는 방어 감수성을 향상시키기 위하여 선택되어져야 한다. 포장 주위 유리 피부판은, 족부의 제 1 협부-공간 피부판과 족지-수질 피부판과 함께 임계 감수성을 향상시키기 위한 중요한 피부판이지만, 수부에서 결손 부위, 그리고 결손 부위의 특수한 상황과 결손 부위가 넓은 경우에는, 2차적으로 방어 감수성의 향상을 위하여 족 배유리 피부판이나 외 상완 피부판 등이 선택되어 질수 있다. 저자들이 치험한 수부 무지의 재건에 이용한 포장 주위 피부판 4례는 임계 감수성이 우수하고, 2점 감별 검사에서 양호한 결과를 보였다.

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중년여성에서 근막이완요법이 신경전도와 통증에 미치는 영향 (Effects of Myofascial Release on Nerve Conduction Studies and Pain Scale in Middle-Aged Women)

  • 연정민;이현경;이옥경
    • 디지털융복합연구
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    • 제12권6호
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    • pp.425-432
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    • 2014
  • 본 연구는 근막이완요법의 효과를 보기 위하여 중년여성에서 근막요법 전후의 피로와 신경전도에 미치는 영향을 관찰하였다. 28명의 중년여성을 대상으로 오후 6시 이후에 2일 간격으로 총 3회(1, 3, 5 일) 근막이완요법을 실시하였으며, 근막이완요법 전 후의 통증 정도 변화를 설문 조사하였으며, 통각계를 이용하여 승모근에서 압력통각역치와 시각적 통증강도를 측정하였다. 정중신경에서 운동신경전도와 감각신경전도 검사를 실시하여 잠복기, 진폭, 신경전도속도를 측정하였다. 설문조사결과 피로를 많이 느끼는 시간은 18~21시였으며, 피로와 통증을 가장 많이 느끼는 부위는 어깨부위로 조사되었다. 근막이완요법 후에 통증의 정도, 압력통각역치, 시각적 통증강도는 근막이완요법전보다 유의적으로 감소하였다. 근막이완요법전보다 근막이완요법이후 운동신경의 잠복기는 유의적으로 감소되었고 진폭은 유의적으로 증가하였으며 감각신경의 잠복기는 유의적으로 감소되었다. 이와 같은 결과 근막이완요법은 중년여성에서 통증 개선을 위한 대체요법으로 사용될 수 있을 것으로 사료된다.

백서 좌골신경의 압박손상에 대한 단기간 스테로이드 투여 시 복합근활동전위의 변화 (Changes of Compound Muscle Action Potential in Short-term Steroid Therapy for Compression Injury of Rat Sciatic Nerve)

  • 김소현;박광원;백준석;정태영;김미리;박상준
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제35권1호
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    • pp.25-30
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    • 2013
  • Purpose: Many surgical procedures in oral and maxillofacial area can induce trauma to the peripheral nerve. The aim of the study is to evaluate the effects of short-term steroid therapy on nerve recovery after crush injury. Methods: Sixteen rats were randomly divided into two groups. The right sciatic nerves were exposed, crushed, and sutured. The control group was not given steroids. The test group was injected with dexamethasone disodium phosphate (2 mg/kg body weight/day) for 7 days. In all animals, compound muscle action potential (CMAP) was recorded before and at 1, 7, 14, 21, and 28 days after injury. Results: The amplitude of the CMAP before and at 1, 7, 14, 21, and 28 days after injury were $53.20{\pm}4.80$ mV, $20.12{\pm}5.38$ mV, $30.01{\pm}14.15$ mV, $31.14{\pm}13.56$ mV, $31.73{\pm}16.33$ mV, and $37.23{\pm}16.98$ mV in the control group, and $55.25{\pm}6.72$ mV, $18.62{\pm}6.26$ mV, $29.50{\pm}13.06$ mV, $32.90{\pm}13.226$ mV, $30.17{\pm}11.80$ mV, and $38.41{\pm}12.27$ mV in the test group, respectively. The nerve conduction velocity was $18.82{\pm}3.94$ m/s, $16.73{\pm}3.48$ m/s, $19.60{\pm}2.45$ m/s, $18.68{\pm}3.94$ m/s, $18.02{\pm}3.51$ m/s, and $19.25{\pm}3.88$ m/s in the control group, and $18.94{\pm}3.48$ m/s, $17.28{\pm}2.53$ m/s, $7.57{\pm}2.54$ m/s, $18.77{\pm}2.12$ m/s, $19.48{\pm}1.55$ m/s, and $19.22{\pm}2.97$ m/s in the test group, respectively. There was no significant difference between both groups (P>0.05). Conclusion: This study did not show any therapeutic effect of short-term administration of steroids on injured rat sciatic nerve. Further studies are needed.

산약의 항당뇨 특성 연구(2) - NGF 유도 신경병증예방 - (Characteristics of Antidiabetic Effect of Dioscorea rhizoma(2) - Prevention of Diabetic Neuropathy by NGF Induction -)

  • 강동호;최상진;이태호;손미원;박지호;김선여
    • 한국식품영양학회지
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    • 제21권4호
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    • pp.430-435
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    • 2008
  • The main cause of diabetic neuropathy, one of the most debilitating complications, is the chronic hyperglycemia, the increase sorbitol or the decrease of nerve growth factor(NGF). NGF, a protein, plays a major role in the development and maintenance of peripheral nervous system. Systemic administration of NGF prevents manifestations of neuropathy in rodent models of diabetic neuropathy. In the previous investigation, we report the hypoglycemia effect of Dioscorea rhizoma extract(DRE) in diabetic mice. The present study shows protective effect of DRE on diabetic neuropathy by induction of NGF protein. We investigated the NGF level in salivary gland and sciatic nerve of normal mouse and the effect of DRE on sciatic nerve conductivity and thermal hyperalgesia test in Type 2 db/db mouse. DRE increased endogenous NGF level in salivary gland and sciatic nerve of mouse. And sensory nerve conductivity velocity(SNCV), motor nerve conductivity velocity(MNCV) and thermal hyperalgesia increased in DRE treatment mice compared with control group. On the basis of our results, we conclude that DRE increase induction of endogenous NGF level and have protective effect on diabetic neuropathy by induction of NGF. Therefore, we propose that long-term use of DRE might help prevention of diabetes-associated complication; diabetic neuropathy.