• 제목/요약/키워드: Symptoms of Stroke

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Asymptomatic moyamoya syndrome, atlantoaxial subluxation and basal ganglia calcification in a child with Down syndrome

  • Lee, Kyung Yeon;Lee, Kun-Soo;Weon, Young Cheol
    • Clinical and Experimental Pediatrics
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    • v.56 no.12
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    • pp.540-544
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    • 2013
  • Down syndrome, the most common chromosomal abnormality, may be associated with various neurologic complications such as moyamoya syndrome, cervical spinal cord compression due to atlantoaxial subluxation, and basal ganglia damage, as well as epileptic seizures and stroke. Many cases of Down syndrome accompanied by isolated neurologic manifestations have been reported in children; however, Down syndrome with multiple neurologic conditions is rare. Here, we have reported a case of Down syndrome in a 10-year-old girl who presented with asymptomatic moyamoya syndrome, atlantoaxial subluxation with spinal cord compression, and basal ganglia calcification. To the best of our knowledge, this is the first report of Down syndrome, in a child, which was accompanied by these 3 neurologic complications simultaneously. As seen in this case, patients with Down syndrome may have neurologic conditions without any obvious neurologic symptoms; hence, patients with Down syndrome should be carefully examined for the presence of neurologic conditions.

Stroke after percutaneous transhepatic variceal obliteration of esophageal varix in Caroli syndrome

  • Lee, Yoo Min;Lee, Yoon;Choe, Yon Ho
    • Clinical and Experimental Pediatrics
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    • v.56 no.11
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    • pp.500-504
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    • 2013
  • Here we present the case of an 11-year-old female patient diagnosed with Caroli syndrome, who had refractory esophageal varices. The patient had a history of recurrent bleeding from esophageal varices, which was treated with endoscopic variceal ligation thrice over a period of 2 years. However, the bleeding was not controlled. When the patient finally visited the Emergency Department, the hemoglobin level was 4.4 g/dL. Transhepatic intrajugular portosystemic shunt was unsuccessful. Subsequently, the patient underwent percutaneous transhepatic variceal obliteration. Twenty hours after this procedure, the patient complained of aphasia, dizziness, headache, and general weakness. Six hours later, the patient became drowsy and unresponsive to painful stimuli. Lipiodol particles used to embolize the coronary and posterior gastric veins might have passed into the systemic arterial circulation, and they were found to be lodged in the brain, kidney, lung, and stomach. There was no abnormality of the portal vein on portal venography, and blood flow to the azygos vein through the paravertebral and hemiazygos systems was found to drain to the systemic circulation on coronary venography. Contrast echocardiography showed no pulmonary arteriovenous fistula. Symptoms improved with conservative management, and the esophageal varices were found to have improved on esophagogastroduodenoscopy.

The Study on Clinical relations of Mamok and Abnormal sensations (마목(麻木)과 이상감각(異常感覺)과의 연관성에 관한 연구(1))

  • Ko, Seong-Kyu
    • The Journal of Korean Medicine
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    • v.18 no.1
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    • pp.251-266
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    • 1997
  • The results are as follows. 1. Oriental medical terms which express abnormal sensations are Bulin, Mamok, Mamokbulin. 2. Bulin, Oriental medical terminology, was used from Naegyeong's era to the Song Dynasty era and expressed as one of the symptoms in Jungpung(Stroke), Bi syndrome(Obstruction syndrom of Gi and Hyeol), Wi syndrome(Flaccid paralysis of the limbs), Hyeolbi(One of the Bi syndroms). But since the Keum Dynasty era, Mamok or Mamokbulin were more used than Bulin and that was refered as seperated disease. 3. Ma is paresthesia or dysthesia on the skin and the limbs, and the symtoms are not itchy, patients are felt like insect's crawling or bite. Mok is a stubborn symptom , the patients are felt like tree, which don't know pain and itching sensation. And therefore Ma is similar to positive phenomena and Mok is similar to negative phenomena in clinical aspect. 4. Mamok is GiHyeol(Gi is functional activities, Hyeol is blood) and Gyeonglak(Meridian system)'s disease. It's main causes are Giheo(Deficiency of Gi) and Hyeolhel(dificiency of Blood) and inducing tactors are Pung-Han-Seub(pathogenic wind-cold-dump) and Damtak(Phlegm-turbity), Eohyeol(Stagnated blood). 5. Mamok is induced from mononeuritis, multiple mononeuritis, polyneuropathy in the peripheral nervous lesions and also induced from cervical spondylosis, spinal tumour, multiple sclerosis, cerebrospinal vascular disease in central nervous systems.

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Factors Influencing Cognitive Impairment of the Elderly Residents (재가노인의 인지기능장애에 영향을 미치는 요인)

  • Kim, Eun-Ju
    • Journal of East-West Nursing Research
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    • v.16 no.2
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    • pp.122-130
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    • 2010
  • Purpose: This study was aimed at finding factors influencing cognitive impairment which is one of the typical symptoms among the demented elderly. Methods: The number of subjects was 417 elderly residents aged over 65 yr in a community. A cognitive function and a depression level were measured using the Korean Version of Mini-Mental State Examination (MMSE-K) and the Korean Form of Geriatric Depression Scale (KGDS). Alcohol abuse was measured using the CAGE instrument. Chi-square test and Logistic regression analysis were conducted to identify factors affecting cognitive impairment. Results: The prevalence rates of cognitive impairment of the sample was 43.5%. Sex, age, educational level, perceived health and alcohol abuse were strong factors influencing cognitive impairment. However, the effects of smoking, living alone, depression, family history in dementia and stroke were not strong. Conclusion: Risk for cognitive impairment were increased by being female and older than 70 yr, having low education, perceiving health as poor, and drinking alcohol abusively. Therefore, a reinforcement system, continuous research and the development of proper programs should be preformed in order to prevent cognitive impairment.

Cerebral fat embolism syndrome: diagnostic challenges and catastrophic outcomes: a case series

  • Hussein A.Algahtani;Bader H. Shirah;Nawal Abdelghaffar;Fawziah Alahmari;Wajd Alhadi;Saeed A. Alqahtani
    • Journal of Yeungnam Medical Science
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    • v.40 no.2
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    • pp.207-211
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    • 2023
  • Fat embolism syndrome is a rare but alarming, life-threatening clinical condition attributed to fat emboli entering the circulation. It usually occurs as a complication of long-bone fractures and joint reconstruction surgery. Neurological manifestations usually occur 12 to 72 hours after the initial insult. These neurological complications include cerebral infarction, spinal cord ischemia, hemorrhagic stroke, seizures, and coma. Other features include an acute confusional state, autonomic dysfunction, and retinal ischemia. In this case series, we describe three patients with fat embolism syndrome who presented with atypical symptoms and signs and with unusual neuroimaging findings. Cerebral fat embolism may occur without any respiratory or dermatological signs. In these cases, diagnosis was established after excluding other differential diagnoses. Neuroimaging using brain magnetic resonance imaging is of paramount importance in establishing a diagnosis. Aggressive hemodynamic and respiratory support from the beginning and consideration of orthopedic surgical intervention within the first 24 hours after trauma are critical to decreased morbidity and mortality.

The simulator loop probe style magnetic stimulation design for a nervous system treatment (신경계 치료를 위한 루프 프로브형 자기자극기의 시뮬레이터)

  • Kim, Whi Young
    • Journal of Korea Society of Digital Industry and Information Management
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    • v.5 no.3
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    • pp.29-37
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    • 2009
  • It is as result that study to apply mini magnet nerve curer in peripheral nervous system disease treatment. Simulator and embodied action power and Control Unit in cylinder form of magnet roof object firstly. Yielded service area about special quality of probe of loop object cylinder style and treatment area dimension and distance of treatment pulse secondly. Embody pulse forming course energy value by Probe's form by third, could embody treatment pulse by disease. Specially, through a special quality experiment, saved Damping pulse form and treatment digital forming etc. variously. Lately, embodied this to aid a little in disease treatment that follow that there is no invasion that there is no stimulation by medicine development. Neuralgia, muscular disease and Altzheimer, with stroke etc. is becoming the matter of concern and interest which disease of adult etc. it is same is important. And the melancholia in compliance with the modern direction of a ceremony which is complicated and garrulous, trillion it will cry and symptoms, it is a tendency where the emotional obstacle etc. nervous psychiatric disorder patient is increasing at class speed. But currently the applicator it will be able to treat like this disease almost it is a condition which is wholly lacking. Consequently like this disease it used magnetic stimulation and it diagnosed and the equipment it will be able to treat plan and it embodied.

Current evidence on acupuncture from sham needle studies (거짓침을 이용한 침연구의 현황)

  • Lee, Hyang-Sook
    • Korean Journal of Acupuncture
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    • v.23 no.1
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    • pp.95-109
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    • 2006
  • Objectives : There has been a considerable debate about how to best control for placebo effects in clinical trials of acupuncture. Recently several sham needles were developed and validated. This study aimed at summarising the validation studies of these needles and evaluating the outcomes of the randomised controlled trials (RCTs) using them. Methods : Computerised literature searches were performed using 'acupuncture' AND 'placebo OR sham' with a limitation of the results to RCTs in Medline via PubMed and the Cochrane Library. Only formally validated sham needle controlled studies were included. Data were extracted regarding study design, condition, sample size, credibility testing, intervention and outcomes. Methodological quality was assessed using a modified Jadad scale. Results : Three validated sham needles by Streitberger, Park, and Fink, were identified. Acupuncture's effectiveness for various conditions was tested using these needles in 12 RCTs. Real acupuncture was superior to sham acupuncture for rotator cuff tendonitis and hypertension. No significant differences between real acupuncture and sham acupuncture emerged for chemotherapy-related nausea and vomiting, postoperative nausea and vomiting, menstrually related migraine, acute stroke rehabilitation, chronic/episodic tension-type headache, neutrophil respiratory burst in healthy volunteers, alcohol withdrawal symptoms and chronic poststroke leg spasticity. Conclusions : The new sham devices have been adequately validated and may be useful tools for investigating specific research question. In spite of the sham needle's limits, the results of RCTs using such devices tend to suggest that the clinical effects of acupuncture are largely due to a placebo response.

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Pattern Analysis of High-caffeine Energy Drink Consumption and Adverse Effects among College Students in a University (대학생들의 고카페인 에너지음료 소비실태 및 부작용 분석)

  • Lee, Jieun;Huh, Wan;Choi, Eun Joo
    • YAKHAK HOEJI
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    • v.57 no.2
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    • pp.110-118
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    • 2013
  • High-caffeine energy drink consumption has been increasing in young adults, frequently causing the most common symptoms such as tremor, insomnia, anxiety, and nervousness and rarely leading to serious adverse effects like seizure, acute mania, and stroke due to caffeine overdose. There have been little current studies regarding analysis of high-caffeine energy drink consumption and its adverse effects in Korea. This study was to examine high-caffeine consumption patterns, associated factors, and adverse effects based on responses from 231 college students in a University through survey. About 88.3% (n=204) of total respondents reported that they had energy drinks. College students mostly consumed energy drinks to keep awake (46%) when studying and to recover fatigue (27%). Approximately 44% respondents mainly reported palpitation (73.9%) and insomnia (72.8%) regarding adverse effect questionnaire. Current reports on the risk of recreational use, co-ingestion of alcohol and energy drink as well as energy drink consumption among children and adolescents are increasing, requiring further long-term research and awareness of these issues.

Improvement of medical law regulations for telemedicine services (원격의료서비스를 위한 의료법 관련 규제 개선방향)

  • Choi, Jung-Ah;Jung, Yong Gyu
    • The Journal of the Convergence on Culture Technology
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    • v.1 no.2
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    • pp.85-89
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    • 2015
  • It has been reported that cerebral disease is the most leading to death as a single disease even though next to cancer in the most important cause of death in the country. Even if patients maintain a life without death, it will have to suffer from side effects such as hemiplegia and language disorders. In this paper, the symptoms and treatment of cerebral infarction cases are described through the medical dramas (The Third Hospital, The Brain) and movie (Amur). Even if there is the same stroke each drama or movie, depending on the previous history or current physical condition of the patient knew which treatment the law is different.

Applications of Prescriptions Including Paeoniae Radix and Glycyrrhizae Radix Decoction in Dongeuibogam (동의보감(東醫寶鑑) 중(中) 작약감초탕(芍藥甘草湯)이 배오(配伍)된 방제(方劑)의 활용(活用)에 대한 고찰(考察))

  • Kook, Yoon-Bum
    • Herbal Formula Science
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    • v.18 no.2
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    • pp.1-14
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    • 2010
  • This report describes 57 prescriptions including Paeoniae Radix and Glycyrrhizae Radix in Dongeuibogam. Paeoniae Radix and Glycyrrhizae Radix have been used separately or concurrently in Oriental Medicine for a long time as a treatment for various disease. The following conclusions are reached through investigations on the applications of prescriptions including Paeoniae Radix and Glycyrrhizae Radix in Dongeuibogam. 1. 7 times(12.3%) prescriptions are recorded in women chapter, 6 times(10.5%) in cold chapter, 5 times(8.8%) in stool chapter and fatigue chapter each, 4 times(7.0%) in psychiatry chapter, which are arranged in order of frequency. 2. Anxiety, Yin-Yang deficiency, stroke, treating blood, cataract, fever floating due to Yin deficiency, weak and fatigue, pregnancy, abortion, women accessary disease, cold-feeling heart pain, stiffness, etc, among 51 symptoms in prescriptions including Paeoniae Radix and Glycyrrhizae Radix. 3. The dosage of Paeoniae Radix and Glycyrrhizae Radix are from 5 pun:2.5 pun to 2 nyang:1 nyang. 1 jeon:5 pun is recored 39 times(68.4%), 2 jeon:1 jeon and 1 nyang:5 jeon is 6 times(3.21%), 2 nyang:1 nyang is 2 times(1.8%) used among 57 prescriptions including Paeoniae Radix and Glycyrrhizae Radix. 4. 57 prescriptions including Paeoniae Radix and Glycyrrhizae Radix are mostly composed of Samooltang and Sagoonjatang, Gyejitang, Gamgiltang, Bowontang, Goongguitang, Jeongwoneum, Bojoongikgitang, Jigoongsan, Ijintang, Pyeongwuisan, Oryungsan, etc, according to the usage.