• Title/Summary/Keyword: Neurological symptoms

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A case of Wilson's disease (Wilson씨 병 환자 1례에 대한 증례보고)

  • Go, Tae-hyun;Eom, Jae-yong;Chae, Jin-suk;Shon, Sung-se;Choi, Ik-sun
    • Journal of Acupuncture Research
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    • v.21 no.5
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    • pp.249-256
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    • 2004
  • Objectives : Wilson's disease is an autosomal recessive abnormality in the hepatic excretion of copper that results in toxic accumulation of the metal in liver, brain, and other organs. The purpose of this case study is to show a case with Wilson's disease treated with acupuncture therapy. Methods : We experienced a 17 year old male patient with a Wilson's disease whose main symptoms are neurological symptoms, such as spasticity, quadripleia and dysphagia. The patient was treated with acupuncture therapy for 3 weeks. Results : Spasticity was assessed by the modified Ashworth scale in an every week. 1. Lt. elbow, wrist and ankle joint improved Gr.III to Gr.II. 2. Rt. each joints and Lt. knee joint seemed to improve a little but no grade changed. Conclusions : This study is just one case and the period of acupuncture therapy is short, which make this case study less sufficient to decide the effect of acupuncture therapy. However, in this case study, acupuncture therapy seems somewhat effective to neurological symptoms of Wilson's disease, such as spasticity and quadriplegia. We suggest that oriental medicine should be studied to cure Wilson's disease from now on.

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Features and Interpretation of Olfactory and Gustatory Disorders in the Corona Virus Disease-19 (코로나바이러스감염증-19에서 나타나는 후미각손상의 특성과 한의학적 분석)

  • Chi, Gyoo-yong
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.34 no.6
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    • pp.309-318
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    • 2020
  • Besides respiratory infection, COVID-19 has many neurological symptoms not only loss of smell and taste but also fatigue and brain fog. But it is a challenge to treat the neurological symptoms especially of anosmia and ageusia. In order to search for the therapeutic methods, the geographical diversity and pathological mechanisms of the COVID-19 and two symptoms were investigated from the latest clinical studies. Because the environmental conditions of the monsoon climate zone of East Asia and the Mediterranean and Oceanic climate zone of Italy, Britain, United States and tropical Brazil are different, each of diverse etiology and internal milieu should be considered differently in the treatment. SARS-CoV-2 exhibits the dampness-like characteristics and the olfactory and gustatory disorders are particularly more common than other flu or cold. and it tends to show features of damaging the lung qi of olfaction and heart-spleen qi of gustation. The mechanisms of olfactory and gustatory loss are various according to precursory, inflammatory, non-inflammatory and sequelar forms, so the therapeutic method should be designed for each period and pathology. If the process of inflammation arises from nasal and respiratory, olfactory epithelium to the central nervous structure by way of blood brain barrier, the treatment should be corresponded with the stage and depth of pathogen place. And if the olfactory loss is asymptomatic or in the initial stage, it can be applied intranasal topical scent therapy to relieve temporary locking of qi movement, but maybe also used in parallel together with herbs of relieving dampness toxin latent in the lung parenchyma.

Application of near-infrared spectroscopy in clinical neurology

  • Kim, Yoo Hwan;Kim, Byung-Jo;Bae, Jong Seok
    • Annals of Clinical Neurophysiology
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    • v.20 no.2
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    • pp.57-65
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    • 2018
  • Near-infrared spectroscopy (NIRS) monitoring has been used mainly to detect reduced perfusion of the brain during orthostatic stress in order to assess orthostatic intolerance (OI). Many studies have investigated the use of NIRS to reveal the pathophysiology of patients with OI. Research using NIRS in other neurological diseases (e.g., stroke, epilepsy, and migraine) is continuing. NIRS may play an important role in monitoring the regional distribution of the hemodynamic flow in real time and thereby reveal the underlying pathophysiology and facilitate the management of not only patients with OI symptoms but also those with various neurological diseases.

Progressively Enlarged Intracerebral Ependymal Cyst Presenting with Movement Disorder

  • Lee, Seong-Jun;Hong, Chang-Ki;Ahn, Jung-Yong;Lee, Kyu-Sung
    • Journal of Korean Neurosurgical Society
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    • v.41 no.4
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    • pp.252-254
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    • 2007
  • Ependymal cysts are neuroepithelial cysts, typically found in the central white matter of the temporoparietal and frontal lobes. Clinical symptoms usually result from neurological deficits referable to these regions, from seizures, and chronic headaches associated with increased intracranial pressure. We describe here a case of ependymal cyst on the right fronto-parietal lobe, presenting with tremor and weakness. The cyst was resected surgically and presurgical neurological abnormalities were improved. An exploratory surgery with establishment of an adequate route of drainage and histological examination of the cyst wall are mandatory in the management of patients with a progressive and symptomatic intraparenchymal cyst.

A Primary Sjögren's Syndrome Patient Presented with Severe General Toothache

  • Lee, Yeon-Hee;Kho, Hong-Seop
    • Journal of Oral Medicine and Pain
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    • v.40 no.3
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    • pp.130-134
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    • 2015
  • $Sj{\ddot{o}}gren's$ syndrome (SS) is an autoimmune disease characterized by an autoimmune exocrinopathy involving mainly salivary and lacrimal glands. Apart from manifestations due to involvement of exocrine glands, patients with SS can present with muscular and neurological manifestations. Here, we report a rare case of a 59-year-old woman with primary SS, who presented with severe general toothache and masticatory muscle myalgia successfully treated with clonazepam. Although it was not certain that these symptoms could be originated from focal muscle dystonia or neurological changes that are associated with primary SS, our case suggested that comprehensive evaluation including neuromuscular examinations in the oral and maxillofacial area is needed in patients with SS.

Novalis Stereotactic Radiosurgery for Spinal Dural Arteriovenous Fistula

  • Sung, Kyoung-Su;Song, Young-Jin;Kim, Ki-Uk
    • Journal of Korean Neurosurgical Society
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    • v.59 no.4
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    • pp.420-424
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    • 2016
  • The spinal dural arteriovenous fistula (SDAVF) is rare, presenting with progressive, insidious symptoms, and inducing spinal cord ischemia and myelopathy, resulting in severe neurological deficits. If physicians have accurate and enough information about vascular anatomy and hemodynamics, they achieve the good results though the surgery or endovascular embolization. However, when selective spinal angiography is unsuccessful due to neurological deficits, surgery and endovascular embolization might be failed because of inadequate information. We describe a patient with a history of vasospasm during spinal angiography, who was successfully treated by spinal stereotactic radiosurgery using Novalis system.

Introduction to cerebral cavernous malformation: a brief review

  • Kim, Jaehong
    • BMB Reports
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    • v.49 no.5
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    • pp.255-262
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    • 2016
  • The disease known as cerebral cavernous malformations mostly occurs in the central nervous system, and their typical histological presentations are multiple lumen formation and vascular leakage at the brain capillary level, resulting in disruption of the blood-brain barrier. These abnormalities result in severe neurological symptoms such as seizures, focal neurological deficits and hemorrhagic strokes. CCM research has identified 'loss of function' mutations of three ccm genes responsible for the disease and also complex regulation of multiple signaling pathways including the WNT/β-catenin pathway, TGF-β and Notch signaling by the ccm genes. Although CCM research is a relatively new and small scientific field, as CCM research has the potential to regulate systemic blood vessel permeability and angiogenesis including that of the blood-brain barrier, this field is growing rapidly. In this review, I will provide a brief overview of CCM pathogenesis and function of ccm genes based on recent progress in CCM research.

Movement Disorders that Psychiatrists Should Know (정신과의사가 알아야할 운동장애)

  • Cheon, Jin Sook
    • Korean Journal of Psychosomatic Medicine
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    • v.21 no.2
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    • pp.99-105
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    • 2013
  • The movement disorders in psychiatry have been neglected, though it is an important psychiatric dimension to exert unfavorable influence on patients'quality of life. The etiologies of movement disorders in psychiatry can be classified as primary neurological disorders, psychiatric comorbidities of neurological disorders, manifestations of primary psychiatric disorders, drug-induced movement disorders and psychogenic movement disorders. For the rapid and proper treatment for movement symptoms and signs easily observed from psychiatric patients, psychiatrists' ability toward precise disgnosis and differential diagnosis of movement disorders should be preceded.

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Bow Hunter's Stroke Caused by a Severe Facet Hypertrophy of C1-2

  • Chough, Chung-Kee;Cheng, Boyle C.;Welch, William C.;Park, Chun-Kun
    • Journal of Korean Neurosurgical Society
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    • v.47 no.2
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    • pp.134-136
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    • 2010
  • Bow hunter's stroke is a rare symptomatic vertebrobasilar insufficiency in which vertebral artery (VA) is mechanically occluded during head rotation. Various pathologic conditions have been reported as causes of bow hunter's stroke. However, bow hunter's stroke caused by facet hypertrophy of C1-2 has not been reported. A 71-year-old woman presented with symptoms of vertebrobasilar insufficiency. Spine computed tomography showed massive facet hypertrophy on the left side of C1-2 level. A VA angiogram with her head rotated to the right revealed significant stenosis of left VA. C1-2 posterior fixation and fusion was performed to prevent serious neurologic deficit from vertebrobasilar stroke.

A Study for Whiplash Injury (편타 손상에 관한 고찰)

  • Kim, Young-Min
    • Journal of Korean Physical Therapy Science
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    • v.3 no.1
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    • pp.895-905
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    • 1996
  • A whiplash injury of cervical spine is typically caused by a special kind of accident. It usually involves a driver of an automobile who experiences a direct impact from behind. There are no external signs of the injury, but shearing forces from the rapid flexion and extension momement result in segmental lesions. The extent of injury to the tissue depends upon the force of impact, the exact position of head at the moment of impact, the awareness of impending injury in order to "prepare" the musculature, and the normalcy of all the tissues of the neck. Diagnosis demend a carefully detailed history and a through musculo-skeletal--neurological examination. Whenever possible, the symptoms claimed must be verified by a carefule neurological examination.

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