• Title/Summary/Keyword: Spinal cord disorder

Search Result 50, Processing Time 0.022 seconds

Psychological Change and Adaptation Process in Patients with Spinal Cord Injury (척수손상환자의 심리변화와 적응과정)

  • Yoon, Hong-Il
    • Journal of Korean Physical Therapy Science
    • /
    • v.4 no.4
    • /
    • pp.529-538
    • /
    • 1997
  • Rehabilitation after spinal cord injury(SCI) is complex process involving an array of adaptation to change in both physical and psychological function. It is generally accepted that psychological disorder and change are sificant psychological problem among the patients with spinal cord injury. The psychological problems that they have are depressor, anxiety, and fear etc. This study was designed to know of psychological state of patients with SCI after injury, such as psychological change and adaptation process, and change of needs.

  • PDF

Clinical Study on the Case of Paraplegic Patient Caused by Spinal Cord Injury (척수손상으로 인한 하지마비 환자 1례에 대한 임상증례)

  • Lee, Ji-Eun;Chun, Hea-Sun;Cho, Myung-Rae;Ryu, Chung-Ryeol
    • Journal of Physiology & Pathology in Korean Medicine
    • /
    • v.23 no.4
    • /
    • pp.898-902
    • /
    • 2009
  • The aim of this study is to report the improvement after the Oriental medical treatment about a paraplegic patient caused by spinal cord injury. The paraplegia caused by spinal cord injury was the result of falling down. So we diagnosed it as Eohyeol(瘀血), Wei symptom(痿證), Urinary retention(癃閉) in Oriental medical system and applied herbal medicine, acupuncture, moxibustion, physical exercise to the patient for 42days. We evaluate the clinical effect of the treatment with VAS and motor/sensory function score of the body and lower extremities. After the Oriental medical treatment, we achieved the effective result on impairment in motor and sensory function of the paraplegic patient. And also we got the improvement of urinary disorder and pain. The more clinical study about paraplegic patient caused by spinal cord injury may be needed.

Syringomyelia Associated with a Spinal Arachnoid Cyst

  • Kim, Min-Su;Kim, Seong-Ho
    • Journal of Korean Neurosurgical Society
    • /
    • v.45 no.5
    • /
    • pp.315-317
    • /
    • 2009
  • While syringomyelia is not a rare spinal disorder, syringomyelia associated with a spinal arachnoid cyst is very unusual. Here, we report a 62-year-old man who suffered from gait disturbance and numbness of bilateral lower extremities. Spinal magnetic resonance imaging (MRI) showed the presence of a spinal arachnoid cyst between the 7th cervical and 3rd thoracic vertebral segment and syringomyelia extending between the 6th cervical and 1st thoracic vertebral segment. The cyst had compressed the spinal cord anteriorly. Syringomyelia usually results from lesions that partially obstruct cerebrospinal fluid flow. Therefore, we concluded that the spinal arachnoid cyst was causing the syringomyelia. After simple excision of the arachnoid cyst, the symptoms were relieved. A follow-up MRI demonstrated that the syringomyelia had significantly decreased in size after removal of the arachnoid cyst. This report presents an unusual case of gait disturbance caused by syringomyelia associated with a spinal arachnoid cyst.

Anterior Surgical Approach in Recurrent Cervical Neurenteric Cyst - Case Report - (재발한 경추 신경장성 낭종의 전방경유 치험 - 증 례 보 고 -)

  • Bae, Kwang Ju;Kim, Il-Man
    • Journal of Korean Neurosurgical Society
    • /
    • v.29 no.9
    • /
    • pp.1258-1261
    • /
    • 2000
  • Intraspinal neurenteric cyst is rare congenital lesion derived from disorder of notochord formation. Most of these are located ventral to the spinal cord and conventional posterior approach is considered to be effective method as initial treatment modality. This cyst can recur, but the risk of reccurence after partial removal through long term follow-up has not been determined. We experienced one case of cervical neurenteric cyst which recurred after partial removal through laminectomy. The magnetic resonance imaging and postmyelography computerized tomography revealed an intradural extramedullary cystic lesion anterior to the cervical cord at the fifth cervical vertebra level. We performed anterior cervical corpectomy and cyst was totally removed. The patient's neurological symptom was improved postoperatively. Neurenteric cyst located ventrally to the cervical spinal cord should be removed through anterior route for direct visualization of the relationship between the cyst wall and the spinal cord.

  • PDF

Melanotic Schwannoma in Cervical Spine - A Case Report - (경추에 발생한 멜라닌 신경초종 - 증례보고 -)

  • Yi, Seong;Chin, Dong Kyu;Jin, Byung Ho;Cho, Yong Eun;Kim, Young Soo
    • Journal of Korean Neurosurgical Society
    • /
    • v.30 no.7
    • /
    • pp.916-920
    • /
    • 2001
  • Primary melanotic schwannoma in spinal cord is a very uncommon disorder, eight cases of melanotic schwannoma in spinal cord have been found in the literature. We present a case report of a patient with an intradural, extramadullary melanotic schwannoma in cervical spine and the literature on melanotic schwannoma is reviewed. The proposed theories on the origin of these tumors and treatment are discussed.

  • PDF

Developing physical activity smart wheelchair treadmill for Spinal cord disorder (척수장애인들을 위한 휠체어 전용 신체활동 스마트 트레드밀 개발)

  • Seo, Sangjun;Choi, Hyunhee
    • Proceedings of the Korean Society of Computer Information Conference
    • /
    • 2019.07a
    • /
    • pp.143-144
    • /
    • 2019
  • 본 논문은 현대에 신체활동(Physical activity)를 하지 않으면 심혈관계질환, 당뇨, 암, 골다공증 등과 같은 질환의 위험성을 가지고 있음에도 불구하고 공간부족, 시간부족, 날씨 등으로 제약을 받아 신체활동이 부족한 척수장애인의 들을 위한 스마트 휠체어 트레드밀을 개발함이다. 기존의 휠체어 트레드밀은 휠체어를 생활할 때 사용하는 대상자들에게 신체활동을 제공하였다. 스마트 휠체어 트레드밀은 경사(Slope-Incline, Decline)를 조절하여 개별마다 다른 건강체력능력에 운동강도(Exercise intensity)를 다르게 할 수 있다. 또한 스마트 휠체어 트레드밀은 거리측정, 속도측정이 가능한 센서를 부착하여 대상자의 운동량을 알 수 있을 뿐만 아니라 체중측정도 가능하여 대상자의 운동량에 대한 칼로리소모량을 얻을 수 있다. 이러한 스마트 휠체어 트레드밀과 VR(Virtual reality) 프로그램, 게임을 접목시켜 척수장애인들의 신체활동에 흥미를 증진 시킬 수 있다.

  • PDF

Improvement of unilateral hyperhidrosis in spinal cord injury following treatment with revised Boyanghwano-tang: a case report (보양환오탕가감방으로 호전된 경추 손상 유래 편측성 다한증 1례)

  • Oh, Ji-Seok;Yang, Su-Young;Lee, Jin-Woo;Oh, Young-Seon;Lee, Yong-Koo;Park, Yang-Chun
    • Journal of Haehwa Medicine
    • /
    • v.20 no.1
    • /
    • pp.85-89
    • /
    • 2011
  • Hyperhidrosis is common complication of spinal cord injury, but localized unilateral hyperhidrosis is relatively rare disorder without autonomic disreflexia. A 52-year-old man with a 10-month history of cervical injury induced tetraplegia complained of excessive intermittent left-sided sweating. The sweating occurred by urinary retention or without any autonomic dysreflexia. The patient sweated excessively on the left face and upper body. In the point of Differentiation of Syndrom (辨證), the patient was diagnosed as Gi-Heo-Hyeol-Eo (Pi-Wei-Qi-Xu 氣虛血瘀) and was administered revised Boyanghwano-tang (reserved Bu-Yang-Huan-Wu-tang), and he was almost complaint free during 4 month about none dysreflexial hyperhidrosis.

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

  • Park Sung Cheul;Mun Sung Won;Song Yung Sun;Yeom Seung Ryong;Lee Jung hun;Yun Kyoung Hwan;Kwon Young Dal;Kim Kwan Sik
    • Journal of Physiology & Pathology in Korean Medicine
    • /
    • v.16 no.6
    • /
    • pp.1302-1307
    • /
    • 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.

Evaluation of Pain and Its Effect on Quality of Life and Functioning in Men with Spinal Cord Injury

  • Hassanijirdehi, Marzieh;Khak, Mohammad;Afshari-Mirak, Sohrab;Holakouie-Naieni, Kourosh;Saadat, Soheil;Taheri, Taher;Rahimi-Movaghar, Vafa
    • The Korean Journal of Pain
    • /
    • v.28 no.2
    • /
    • pp.129-136
    • /
    • 2015
  • Background: Pain is one of the most important consequences of spinal cord injury (SCI). It may affect several aspects of life, especially the quality of life (QoL). Hence, this study was conducted to establish an understanding of pain and its correlates and effects on patients with SCI in our community. Methods: In a cross-sectional study, 58 male veterans suffering from SCI were admitted to our center for a regular follow-up. Demographic and SCI-related descriptive information were gathered using a self-reported questionnaire. To evaluate the patients' pain quality and the effect of pain on daily life, a questionnaire in 3 parts of lumbar, cervical and shoulder pain was administered. EuroQoL questionnaire and General Health Questionnaire (GHQ) 12 were also used to assess the patients' QoL. Results: The mean age of the participants was $45.91{\pm}6.69$ with mean injury time of $25.54{\pm}5.91$. forty-four patients (75.9%) reported pain, including lumbar pain (63%), cervical pain (39%) and shoulder pain (51%). The presence of pain was associated with lower QoL. Patients with lumbar pain reported a significant amount of pain affecting their daily life and this effect was higher in patients with lower GHQ score or anxiety/depressive disorder. Conclusions: Musculoskeletal pain, is a common complaint in veterans with SCI and is inversely associated with functioning and general health status. Lumbar and shoulder pain affects patient's daily living more than cervical pain.

Treatment of Tremor and Spasticity in Failed Back Surgery Syndrome with Spinal Cord Stimulation -A case report- (떨림과 경직이 발생한 척추수술후증후군 환자에서 척수자극술에 의한 치료 경험 -증례 보고-)

  • Kim, Young Jae;Kim, Myoung Hun;Lim, Se Hoon;Lee, Jeong Han;Lee, Kun Moo;Cheong, Soon Ho;Choe, Young Kyun;Shin, Chee Mahn
    • The Korean Journal of Pain
    • /
    • v.19 no.1
    • /
    • pp.107-110
    • /
    • 2006
  • Tremor is a rhythmic, involuntary and oscillatory movement of body parts, and it is the most common movement disorder. Spasticity is also one of the movement disorders that is commonly accompanied with Complex Regional Pain Syndrome; however, the basic nature of spasticity has not yet been proved. A 25-year-old male patient had two operations and he was being treated because of a back injury that occurred 4 years ago. He suffered from pain, tremor and spasticity on both his lower legs, and his symptoms were diagnosed as failed back surgery syndrome. The tremor and spasticity were aggravated despite of continuous treatments. We then treated him with spinal cord stimulation. His pain, tremor and spasticity disappeared after spinal cord stimulation.