• Title/Summary/Keyword: Neurophysiological

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Spinal Dysraphism in the Last Two Decades : What I Have Seen during the Era of Dynamic Advancement

  • Wang, Kyu-Chang
    • Journal of Korean Neurosurgical Society
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    • v.63 no.3
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    • pp.272-278
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    • 2020
  • Compared to any other decade, the last two decades have been the most dynamic period in terms of advances in the knowledge on spinal dysraphism. Among the several factors of rapid advancement, such as embryology during secondary neurulation and intraoperative neurophysiological monitoring, there is no doubt that Professor Dachling Pang stood high amidst the period. I review here the last two decades from my personal point of view on what has been achieved in the field of spinal dysraphism, focusing on occult tethered cord syndrome, lumbosacral lipomatous malformation, terminal myelocystocele, retained medullary cord, limited dorsal myeloschisis and junctional neural tube defect. There are still many issues to revise, add and extend. Profound knowledge of basic science is critical, as well as refined clinical analysis. I expect that young scholars who follow the footsteps of precedent giants will shed bright light on this topic in the future.

A Study of Joint Therapy (관절치료에 관한 연구)

  • Bae, Sung-Soo;Lee, Myung-Hee;Lee, Sang-Yeul;Yoon, Chang-G.
    • Journal of the Korean Society of Physical Medicine
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    • v.3 no.2
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    • pp.121-125
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    • 2008
  • Purpose : The objective of this study was conducted to find out the treatment of joint problems. Methods : This is a literature study with books, seminar note and international course books. Results : Passive oscillation and distraction movement therapy is only joint mobilization and pain control. In the joint therapy need muscle strengthening, training of eccentrical control and neurophysiological therapy for joint mobility, stability, stability of mobility and skill. Conclusion : Joint therapy is not only joint mobility but also strengthening of soft tissue. Need the neurophysiological therapy those are use of ventromedial motor nucleus and dorsolateral motor nucleus, reciprocal inhibition, eccentrical muscle contraction training, proprioceptors and exteroceptor for structures and functional activities. For the pain control, reduce swelling, keeping GAGs and functional activities need direct and indirect therapy.

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Change and Development of Therapeutic Exercise (운동치료의 변화와 발전)

  • Bae, Sung-Soo;Kim, Seung-Joon;Lee, Keun-Heui
    • The Journal of Korean Physical Therapy
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    • v.13 no.3
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    • pp.751-760
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    • 2001
  • Therapeutic exercise had developed with human being. It depend upon development of physiology, anatomy, kinesiology and biomechanics. There are two categories in therapeutic exorcise. One is classical therapeutic exercise which is a activity of one muscle group, one axis and one plane motion. It is ROM, FRE. osteokinematics, arthrokinematics. Another is neurophysiological approach which is multi muscle group, multi axis and plane exercise. It is PNF and Bobath that start from 1940 to early 1950. Classical therapeutic exorcise develop from ROM to osteokinematics and arthrokinematics. It is foundation of the joint mobilization and orthopaedic manual physical therapy. Neurophysiological therapeutic approaching has more theory and skills than before. Bobath methods had changed from reflex-inhibiting posture to key points of control and added the theory of musculoskeletal, biomechanics, motor behaviour and cognition. We call it motor control.

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Finite-difference Time-domain Study on Birefringence Changes of the Axon During Neural Activation

  • Lee, Jong-Hwan;Kim, Sung-June
    • Journal of the Optical Society of Korea
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    • v.13 no.2
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    • pp.272-278
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    • 2009
  • Recently, there has been a growing interest in optical imaging of neural activity because the optical neuroimaging has considerable advantages over conventional imaging. Birefringence of the axon has been reported to change during neural activation, but the neurophysiological origin of the change is still unresolved. This study hypothesizes that the birefringence signal is at least partially attributed to the transient cellular volume change associated with nerve excitation. To examine this hypothesis, we investigated how the intensity of cross-polarized light transmitting through the axon would change as the size of the axon changes. For this purpose, a two-dimensional finite-difference time-domain program was developed with the improvement of the total-field/scattered-field method which reduces numerical noise. The results support our hypothesis in that the computed cross-polarized signals exhibit some agreement with previously-reported birefringence signals.

A case of generalized tetanus with characteristic neurophysiological findings (특징적인 신경생리학적 소견을 가진 전신성 파상풍 1례)

  • Kim, Jung-Il;Lee, Ji-Man;Kim, Jong-Yeol;Park, Sung-Pa;Suh, Chung-Kyu
    • Annals of Clinical Neurophysiology
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    • v.4 no.1
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    • pp.81-84
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    • 2002
  • Tetanus is a disorder known to interfere with inhibitory modulation of the motor system in humans. In this report, we describe the characteristic neurophysiological findings in a 52-year-old patient with generalized tetanus. The cutaneous silent period was absent and the silent period evoked in distal upper limb muscles by transcranial magnetic stimulation was shortened. These findings can be interpreted as evidence of impaired inhibitory mechanisms at multiple levels of the nervous system.

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Electrodermal Activity as an Indicator of Emotional Processes

  • Boucsein, Wolfram
    • Science of Emotion and Sensibility
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    • v.2 no.1
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    • pp.1-25
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    • 1999
  • The differentiation of emotions by means of psychophysiological measures has been only moderately successful so far. A major reason for this dilemma may be the lack of appropriate neurophysiological modeling for the various autonomic nervous system based measures being used in emotion research. The aim of the present article is to provide such a neurophysiological background for electrodermal activity which has been frequently used as an indicator of emotional processes. First, the literature is reviewd with respect to the usability of electrodermal measures as an indicators of emotion. second, the neurophysilogical sources of electrodermal phenomena in general are described. Electrodermal activity has different origins in the central nervous system, a limbic-hypothalamic source that dominates during negative emotions as opposed to a premotor and basal ganglia source being predominantly active during positive emotions. Panksepp's model of four basic emotive systems is adopted for demonstrating subcortical structures and pathways possibly involved in the elicitation of both kinds of electrodermal activity in comparison with cardiovascular in dicators of emotional processes.

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Intraoperative monitoring of somatosensory and visual evoked potentials for detecting posterior cerebral artery infarction during anteromesial temporal resection

  • Seo, Suyeon;Kim, Dong Jun;Lee, Chae Young
    • Annals of Clinical Neurophysiology
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    • v.22 no.2
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    • pp.104-108
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    • 2020
  • We performed intraoperative neurophysiological monitoring (INM) during anteromesial temporal resection (AMTR) in a patient with lesional temporal lobe epilepsy. INM revealed a sudden decrease in N20 waves in somatosensory evoked potentials (SSEPs) and poor P100 waves in visual evoked potentials (VEPs). These changes developed after applying electrocoagulation in the right mesial temporal areas. Postoperative brain magnetic resonance imaging demonstrated right thalamic and medial occipital infarctions. SSEPs and VEPs monitoring can be useful for detecting posterior cerebral artery infarction in AMTR.

Expression of Corazonin Gene by Developmental Stage of Scuttle Fly

  • Hohyun Park
    • Biomedical Science Letters
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    • v.29 no.4
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    • pp.330-335
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    • 2023
  • The corazonin (Crz) gene showed two subtypes of different length at laval and pupal stage. The long subtype fade out in adult central nerve system (CNS) but the short one survive through all the life cycle from larva to adult. The short subtype has the same base sequences with mature Crz mRNA and detected in both brain and ventral nerve cord (VNC). The long one, on the contrary, was detected only in the brain tissue. As observed in above results, Crz neurons develop in different pattern in the CNS of scuttle fly and the Crz gene expresses two different subtypes. These results suggest that this neurotransmitter may perform differential neurophysiological functions in the scuttle fly. Variation in the amino acid composition of the final active undecapeptide supports in strong those possibilities. We expect further studies on the relationship between neurophysiological functions of Crz and behavioral characteristics of the scuttle fly.

An Electrode Configuration for Recording Muscle Motor Evoked Potentials in the Upper Extremities during Intraoperative Neurophysiological Monitoring

  • Choi, Young-Doo;Jin, Seung-Hyun;Kim, Chi-Heon;Kwak, Gil Ho;Kim, Bo Eun;Chung, Chun Kee
    • Journal of Korean Neurosurgical Society
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    • v.60 no.4
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    • pp.475-480
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    • 2017
  • Objective : The main aim of the present study is to examine the electrode configurations used to record the muscle motor evoked potential (mMEP) in the upper extremities during surgery with the goal of producing a high and stable mMEP signal, in particular among the abductor pollicis brevis (APB), abductor digiti minimi (ADM), and across the APB-ADM muscles, which have been widely used for the mMEP in the upper extremities. Methods : Thirty right-handed patients were recruited in this prospective study. No patients showed any adverse events in their mMEP signals of the upper extremities during surgery. The mMEPs were recorded independently from the signals for the APB and ADM and for those across the APB-ADM. Results : The mMEP amplitude from across the APB-ADM was statistically higher than those recorded from the APB and ADM muscles. Moreover, the coefficient of variation of the mMEP amplitude from across the APB-ADM was smaller than those of mMEP amplitude recorded from the APB and ADM muscles. Conclusion : The mMEP from across the APB-ADM muscles showed a high yield with high stability compared to those in each case from the APB and ADM muscles. The configuration across the APB-ADM muscles would be best for mMEP recordings from the upper extremities for intraoperative neurophysiological monitoring purposes.