• 제목/요약/키워드: Transverse Myelitis

검색결과 33건 처리시간 0.028초

반복적 구토 및 복통으로 가성 장 폐쇄로 진단받은 환자 1례 (A Case of Patient with Recurrent Vomiting and Abdominal pain due to Intestinal Pseudoobstruction)

  • 조형준;이진용;김덕곤;김기훈
    • 대한한방소아과학회지
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    • 제18권1호
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    • pp.93-104
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    • 2004
  • Objectives: Transverse myelitis is a rare neurological disorder that is part of a spectrum of neuroimmunologic diseases of the central nervous system. A patient was hospitalized with intestinal pseudoobstruction(poor oral feeding, vomiting, abdominal pain, constipation) secondary to Transverse myelitis. We treated her with Oriental medical approach and obtained satisfactory result. Methods: The Herbal medicine(Bihwa-eum), Acupuncture, Moxibustion therapy were applied for improving the deficiency of energy of the spleen and stomach, regulate the flow of vital energy. Results: After treatments, Patient's vomiting frequency is decreased and abdominal pain is improved and oral feeding is available. She gains in weight continuously. Conclusion: The authors thought that Bihwa-eum is effective to vomiting and abdominal pain due to intestinal pseudoobstruction. The more study is needed.

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각기병(脚氣病) 1례에 대한 증례보고 (A case study on Gak-gi-byung that is similar to beriberi Disease)

  • 배정규;안택원
    • 혜화의학회지
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    • 제16권1호
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    • pp.191-197
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    • 2007
  • Gak-gi-byung in Korean Medicine have many things in common with Beriberi disease, Guillain-Barre syndrome, Transverse myelitis and Cauda equina syndrome. Dong-Ui-Bo-Gam define Gak-gi-byung as syndrome that includes sudden lower limbs weakness, pain and edema. Gak-gi-byung start from the foregoing symptoms and could progress to general digestive, neurological or respiratory symptoms is found on many medical practitioners. In this case, we described a 60-years old man diagnosed as Gak-gi-byung in Korean Medicine. He complained Rt lower limb weakness, Rt Knee Clumsiness and limitation of his Rt knee & ankle motor. And his condition was improved through Korean Medical treatment such as acupuncture and herbal medicine like 'Chung-yul-sa-seup-tang' about 15 days.

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Enterovirus 71에 의한 급성 파종성 뇌척수염 1례 (A Case of Acute Disseminated Encephalomyelitis by Enterovirus 71)

  • 황희승;조성희;김선미;정대철;정승연;강진한
    • Pediatric Infection and Vaccine
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    • 제10권1호
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    • pp.114-122
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    • 2003
  • 본 저자들은 상기도 감염 후 발열과 배뇨곤란, 하지의 근력저하를 주소로 내원한 7세 환아에서, 급성 횡단성 척수염 증상으로 시작하여 의식 변화와 호흡부전의 급성 파종성 뇌척수염으로 진행한 1례에서 enterovirus 71을 증명하고 고용량 methylprednisolone 정주 후 증상의 호전을 경험하였기에 문헌 고찰과 함께 보고하는 바이다.

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급성 횡단성 척수염으로 진단된 비증 환자의 치험 1례 (Clinical Study on 1 Case of Patient with Arthalgia Syndrome Diagnosed as Acute Transverse Myelitis)

  • 이승현;필감흔;조은희
    • 동의생리병리학회지
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    • 제21권6호
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    • pp.1663-1669
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    • 2007
  • Acute transverse myelitis(ATM) is defined as an acute intramedullary dysfunction of the spinal cord, ascendng or static involving both halves of the cord and appearing without any history of previous neurological diseases due to traumatic accident, tumor of all kind, encephalitis and of course excluding all possible viral, bacterial and fungal infection. It is mainly characterized by acute motor disorder of both limbs in respect to which spinal segments are affected as well as sensory disorder and dysuria & dyschezia. The exact cause is unknown, however it is recently suggested that immunological factors are highly involved. It has been reported by several reliable sources that it is often accompanied by immunological diseases such as systemic lupus erythematosus(SLE). As treatments non steroid anti-inflammatory drugs(NSAIDS) are primarily recommended as to steroids, limited doses are injected only with the proper prescription from the physician. Operative methods are not options as traumatic accidents and tumors are excluded as factors. To enhance muscle strength and prevent articular contracture physical therapy and passive exercise is imperative. The following patient whose chief complaints were mainly about hypoesthesia of Rt. lower limb and stiffness of phalanges of both fingers as well as to weakness of lower extermity. Therefore it has been diagnosed as arthalgia syndrome. In oriental medicine factors such as wind evil heat-evil, dampness-heat evil, cold evil cause the arthalgia syndrome. In this case the patient was diagnosed as dampness-heat evil and herbal medicine Chunglijagam-Tang and Dong-Qi acupuncture was applied to treat bladder disorder.

다제내성 결핵에 의한 횡단척수염 1예 (A case of Transverse Myelitis due to Multidrug-Resistant Tuberculosis)

  • 이광하;나승원;박이내;최혜숙;정훈;전규락;심태선
    • Tuberculosis and Respiratory Diseases
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    • 제60권3호
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    • pp.353-356
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    • 2006
  • 폐결핵 치료중 흉부엑스선상 악화 및 갑자기 발생한 하지 마비와 감각이상으로 자기공명영상 촬영후 급성 횡단척수염 진단 및 객담 검사상 다제내성 결핵균 검출로 2차 결핵약제와 스테로이드 병합치료를 시행하여 부분적으로 호전을 보였던 증례이다. 급성 횡단척수염은 매우 드문 질환이며 균주의 직접 침범이나 면역학적 기전으로 발생하나 후자가 더 가능성 있는 기전으로 생각되어지고 있다. 아직도 결핵 및 다제내성 결핵의 유병률이 높은 국내 상황에서 드물게 결핵이 원인으로 추정된 급성 횡단척수염의 증례를 보고하는 바이다.

Diffusion Weighted MR Imaging of Spinal Cord: Preliminary Report

  • 인연권;이승구;김상흠;김시연;김동익
    • 대한자기공명의과학회:학술대회논문집
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    • 대한자기공명의과학회 2001년도 제6차 학술대회 초록집
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    • pp.166-166
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    • 2001
  • 목적: 척수의 질환에 대한 확산강조영상 소견에 대하여 알아본다. 대상 및 방법: 임상적으로 진단된 척수질환 환자 8명을 (acute transverse myelitis (n=3), spinal dural AV fistula (n=2), multiple sclerosis (n=1), spinal cord tumor (n=2)) 대상으로 하였다. 영상은 Philips Intera 1.5 T system을 이용하였고, multishot spin echo EPI 펄스열 및 EKG gating을 이용하여 영상을 얻었다. 3R-R 간격으로 영상을 얻었으며 TE=72msec, FOV=25cm, 256 matrix, 5mm thickness, b value=400으로 영상매개변수를 정하였다. 척수 중심으로 3개의 절편을 얻었으며 T2 강조 영상과 겉보기확산계수 영상을 같이 구하였다.

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위증(療證)으로 진단한 하지마비 환자의 치험 1례 (Clinical Observation on 1 Case of Both Leg Paralysis Patient Diagnosed Wei Symptom)

  • 위통순
    • 동의생리병리학회지
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    • 제20권3호
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    • pp.748-752
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    • 2006
  • Wei symptom(?證) is symptom that reveals muscle relaxation without contraction and muscle relaxation occurs in the lower or upper limb, in severe case, leads to death. This is the clinical report about the Wei symptom(?證)-patient doubt as Transverse Myelitis and Conversion Disorder. The patient was treated by acupuncture, moxibustion, herb medication(十全大補湯), electriccal stimulation theraphy, Bee Venom acupuncture, and had significant improvement in Wei symptom(?證). these results suggest the surface temperature differ remarkably from before being treated. The temperature is measured by using Digital Infrared Thermal Imaging(DITI). The results suggest that oriental medicare is an effective treatment for Wei symptom. We expected that therapeutic value of treatment of both leg Paralysis in the oriental medicine will be higher if more clinical studies and researches are accomplished.

Mycolasma pneumoniae 감염에 의한 뇌경색증 1례 (A Case of Cerebral Infarction Associated with Mycoplasma pneumoniae Infection)

  • 안영준;최기철;양은석;박영봉;박상기;문경래;김영숙
    • Pediatric Infection and Vaccine
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    • 제5권2호
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    • pp.308-312
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    • 1998
  • Mycoplasma pneumoniae infection is usually confined to the respiratory tract but it can cause a variety of extrapulmonary manifestations such as rashes, myalgia, hemolytic anemia, cerebral infarction, transverse myelitis, cerebellar ataxia, Guillain-Barre syndrome and meningoencephalitis. Neurologic complications of Mycoplasma pneumonia have been rarely reported until now. Cerebral infarction as a complication of mycoplasma infection in children has been very rarely reported. In our case, in a young girl with M. pneumoniae infection, a cerebral infarct resulted in persistent and significant neurological dysfunction. We report a 11-year-old girl with cerebral infarction associated with clinical and serologic evidence of Mycoplasma infection.

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경막외 스테르이드 주입후 발생한 하지마비 -증례 보고- (Paraplegia following Epidural Steroid Injection -A case report-)

  • 정소영;송장호;이미라;이홍식;박동호
    • The Korean Journal of Pain
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    • 제7권1호
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    • pp.106-112
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    • 1994
  • 45세 여자 환자에서 요하지통의 치료를 위해 triamcinolone 40 mg과 0.125% bupivacaine 10 ml를 경막외로 주입한후 24시간에 걸쳐 하지마비 및 해리성 감각소설이 발생하였다. 그 원인은 분명하지 않으나 선행절환의 악화, 급성 횡단성 척수염, 전척수동맥증후군, 그리고 신경독성등이 추정된다.

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다중스케일 비선형 처리를 통한 척수 손상 환자의 근전도 신호 패턴 추출 (Pattern Extraction of EMG Signal of Spinal Cord Injured Patients via Multiscaled Nonlinear Processing)

  • 이영석;이진;김현동;박인선;고현윤;김성환
    • 대한의용생체공학회:의공학회지
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    • 제22권3호
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    • pp.249-257
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    • 2001
  • 본 논물에서는 척수 손상으로 인하여 암이 수축 및 이완시 미약한 근전도, 신호를 발생시키는 환자로부터 명확한 수축 및 이완 패턴을 추출하기 위한 신호 처리 기법을 제안하였다. 제안한 방법은 비선형 고정 필터의 일종인 FatBear 필터를 이용하여 거대 운동단위 활동전위로 의심되는 충격 잡음을 제거하고 웨이브렛 평면에서 비선형 멀티 스케일 필터링 기법을 이용하여 가산 잡음을 제거하는 것으로서 횡단성 척수염으로 인한 마미 증후근을 보이는 환자들에게 적용하여 명확한 수축 및 이완 패턴을 추출할 수 있었다.

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