• 제목/요약/키워드: Neurologic

검색결과 1,298건 처리시간 0.033초

동요흉 환자의 임상적 고찰 (The Clinical Analysis of Flail Chest)

  • 장재한
    • Journal of Chest Surgery
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    • 제28권12호
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    • pp.1160-1166
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    • 1995
  • From 1980 through 1993, sixty one patients having traumatic flail chest were analysised retrospectively at the Department of Thoracic and Cardivascular Surgery, Chonbuk National University Hospital. There were 47 men and 14 women, mean age, 49.3 years, age range 4 to 82 years. The most common mode of trauma was automobile accident, common combined other organ injuries were skeletal injury [ 36 patients and neurologic injury [ 20 patients . In the mode of treatment, ventilator therapy was done in 34 cases and operative stabilization was done in 18 cases [ Kirschner or steel wire: 9 cases, Judet`s strut: 9 cases . Sixteen patients died [26 % . The main factors associated with fatal outcome were shock [ p < 0.002 , head injury [ p < 0.005 , and more than 50 years of age [ p < 0.05 . In fatal cases, 14 patients died during in ventilator therapy [ 14/34, 41 % and 2 patients died following operative stabilization of chest wall [ 2/18, 11 % .The overall cause of death was septicemia, ARDS, ARF, hypovolemic shock and hypoxic brain damage.

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Polyunsaturated Fatty Acids in Children

  • Lee, Ji-Hyuk
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제16권3호
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    • pp.153-161
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    • 2013
  • Polyunsaturated fatty acids (PUFAs) are the major components of brain and retina, and are the essential fatty acids with important physiologically active functions. Thus, PUFAs should be provided to children, and are very important in the brain growth and development for fetuses, newborn infants, and children. Omega-3 fatty acids decrease coronary artery disease and improve blood flow. PUFAs have been known to have anti-inflammatory action and improved the chronic inflammation such as auto-immune diseases or degenerative neurologic diseases. PUFAs are used for metabolic syndrome related with obesity or diabetes. However, there are several considerations related with intake of PUFAs. Obsession with the intake of unsaturated fatty acids could bring about the shortage of essential fatty acids that are crucial for our body, weaken the immune system, and increase the risk of heart disease, arrhythmia, and stroke. In this review, we discuss types, physiologic mechanism of action of PUFAs, intake of PUFAs for children, recommended intake of PUFAs, and considerations for the intake of PUFAs.

위장관 증상이 없는 로타바이러스 감염에 동반된 신생아 경련 1례 (A Case of Neonate with benign Convulsion without Gastrointestinal Manifestations is Associated with Rotavirus Infection)

  • 김영진;소경진;마상혁
    • Pediatric Infection and Vaccine
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    • 제11권2호
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    • pp.198-201
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    • 2004
  • 신생아 로타바이러스 감염의 임상 양상은 무증상 감염으로부터 심한 탈수가 동반되는 위장관까지 다양하게 나타난다. 위장관 증상이 없이 경련을 주소로 입원한 신생아에서 대변 검사 상 로타바이러스감염이 확인하여 신생아 경련의 원인이 인과관계가 명확하지는 않지만 로타바이러스 감염과 연관성이 있을 것으로 사료되는 증례를 문헌고찰과 함께 보고하는 바이다.

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10세 남아에서 생긴 요관 결석에 의한 고혈압성 뇌병증 (Hypertensive Encephalopathy in a 10-year-old Boy with Ureteral Stone)

  • 김용주;강훈철;구자욱
    • Childhood Kidney Diseases
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    • 제8권1호
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    • pp.51-56
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    • 2004
  • 고혈압성 뇌병증은 혈압상승과 함께 두통, 오심, 구토, 시력장애, 경련, 의식 변화 등을 특징으로 하는 급성 신경 증후군으로 소아에서는 대부분 급성 신장염이나 신혈관성 고혈압에 의해 발생하고 지금까지 요로 결석과 동반된 고혈압상 뇌병증의 보고는 없었다. 저자들은 요관 결석과 동반되어 발생한 고혈압성 뇌병증 1례를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.

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말티즈 견의 두개골에서 발생한 다엽성 종양 (Multilobular Tumor of Skull in a Maltese Dog)

  • 양철호;강민희;김승곤
    • 한국임상수의학회지
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    • 제33권1호
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    • pp.48-50
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    • 2016
  • A 10-year-old spayed female Maltese dog weighting 3.4 kg was referred with growing firm mass at the parietal bone region from 2 weeks ago. A firm, partially calcified mass ($1.9cm{\times}4.4cm$) was palpated in the region of the frontal and parietal skulls but had no neurologic signs. Computed tomography (CT) characteristics of mass were round to oval shape, fine granular appearance, and well defined margins. Mass involving the calvarial bones had invasion into the cranial vault with a significant intracranial portion. Histologically, the tumor was characterized by the presence of multiple lobules containing osteoid or cartilage in the center that were separated by anastomosing fibrous septae. This is case report described the clinical and histopathological features of multilobular tumor of skull in a Maltese dog.

In vivo Anti-metastatic Action of Ginseng Protopanaxadiol saponins is Based on Their Intestinal Bacterial Metabolites After Oral Administration

  • Saiki, Ikuo
    • 한국응용약물학회:학술대회논문집
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    • 한국응용약물학회 1998년도 Proceedings of UNESCO-internetwork Cooperative Regional Seminar and Workshop on Bioassay Guided Isolation of Bioactive Substances from Natural Products and Microbial Products
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    • pp.95-98
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    • 1998
  • Ginseng (the root of Panax ginseng C. A. MEYER, Araliaceae) has been used for traditional medicine in China, Korea, Japan and other Asian countries for the treatment of various diseases including psychiatric and neurologic diseases as well as diabetes mellitus. So far, ginseng saponins (ginsenosides) have been regarded as the principal components responsible for the pharmacological activities of ginseng. Ginsenosides are glycosides containing an aglycone (protopanaxadiol or protopanaxatriol) with a dammarane skeleton and have been shown to possess various biological activities including the enhancement of cholesterol biosynthesis, stimulation of serum protein synthesis, immuno- modulatory effects and anti-inflammatory activity. Several studies using ginsenosides have also reported anti-tumor effects, particularly the inhibition of tumor-induced angiogenesis, tumor invasion and metastasis, and the control of phenotypic expression and differentiation of tumor cells.

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흉강경을 이용한 폐동정맥루의 수술 (Thoracoscopic Lobectomy of Pulmonary Arteriovenous Fistula -A Case Report-)

  • 임정철;장택희;백희종;나명훈
    • Journal of Chest Surgery
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    • 제29권6호
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    • pp.660-663
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    • 1996
  • Pulmonary arteriovenous fistula is relatively rare disease, and the most common types are congenital in origin. The clinical presentation of pulmonary arteriovenous fistula ranges from incidental finding on a chest roentgenogram to polycythemia, cyanosis, congestive heart failure, and major neurologic deficits caused by paradoxical embolism. Recently we have experienced a case of asymptomatic, well-localized pulmonary arteriovenous fistula In a 13 years-old female patient, which was successfully treated by thoracoscopic lobectomy.

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Magnetoencephalography (MEG)의 임상적 유용성 (Magnetoencephalography and Clinical Application)

  • 박현미;신동진
    • Annals of Clinical Neurophysiology
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    • 제1권2호
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    • pp.154-159
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    • 1999
  • Magnetoencephalography (MEG), the measurement of magnetic fields produced by neuronal current associated with normal and pathologic brain activities, is a totally noninvasive method for localizing functional regions of the brain. During the past several years, many clinical research centers are working to expand various fundamental functional brain regions, which can be easily localized, as well as to characterize magnetic abnormalities which accompany a wide variety of cerebral disease. At present, MEG is used in a number of clinical centers throughout the world for the presurgical functional localization of eloquent cortex, and for the non-invasive localization of epileptiform activity. And also, non-invasiveness means that it can be used for screening and repetitive follow-up measurement without concern for adverse effects. As procedures for activating various functional brain regions are standardized, and as the effects of specific cerebral diseases on the MEG are carefully documented in controlled studies, the number of routine neurological applications for MEG will increase significantly. In this paper, the basic principles of MEG are reviewed briefly with its clinical application to neurologic disease.

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속눈근육마비로 발현한 Miller Fisher 증후군 2예 (Two Cases of Miller Fisher Syndrome Presenting with Internal Ophthalmoplegia)

  • 안준성;김민아;김상진
    • Annals of Clinical Neurophysiology
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    • 제8권1호
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    • pp.71-73
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    • 2006
  • Many neurologic signs are found in Miller Fisher syndrome (MFS) especially including pupillary abnormalities. But when internal ophthalmoparesis is first manifestation in MFS, diagnosis may be difficult in acute phase of illness. We report two cases of MFS presenting with internal ophthalmoplegia. Pupillary areflexia may be involved in acute phase of MFS. When acute bilateral internal ophthalmoparesis is encounted in clinical practice, initial manifestation of MFS should be included in differential diagnosis.

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지속적 경막외마취하의 복식자궁절제술후 발생한 편측 하지 마비 -증례 보고- (Unilateral Lower Extremity Paralysis after Abdominal Hysterectomy under Continuous Epidural Anesthesia)

  • 조성경;정병기;윤진석;김영수;하정성
    • The Korean Journal of Pain
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    • 제10권2호
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    • pp.296-300
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    • 1997
  • Continuous epidural analgesia has been used widely for treatment of acute abdominal postoperative pain. Neurologic complications related to epidural analgesia occur infrequently but may be caused by various chemical, mechanical, ischemic or idiopathic factors. We report a case of abdominal hysterectomy in which unilateral lower extremity paralysis occurred after continuous epidural analgesia.

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