• 대한수의학회지
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• 제36권4호
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• pp.859-871
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• 1996

This study was conducted to elucidate the distribution of Aujeszky's disease viral nucleic acids and antigens in the central nervous system (CNS) of piglets. The first Korean isolate of Aujeszky's disease virus(ADV) that isolated from naturally infected piglets in Yang San, was inoculated into 32 day old piglets with $10^{5.9}TCID_{50}/ml$ through intranasal or intramuscular route. These piglets were sacrificed at every 24hrs for 8 days. The immunohistochemistry (IHC) was conducted to detect the viral antigens in paraffin-embedded tissue sections using avidin-biotin-peroxidase complex (ABC) method. The viral nucleic acids were detected by in situ hybridization (ISH) using ADV specific DNA probe labeled with digoxigenin. The ADV antigens were detected in reticuloendothelial cells of spleen, lymph nodes and tonsil, alveolar walls, leptomeningeal vascular walls, inflammatory foci of each organ, and nerve cells. The viral nucleic acids were detected in the spinal trigeminal nucleus and its tracts of the pons and medulla oblongata by the ISH technique. The pathways of AD viruses in CNS were determined by IHC and ISH. In the intranasally inoculated group, the viruses in nasal mucosa moved to medulla oblongata and pons through the trigeminal nerve. In case of intramuscullarly inoculated group, viruses moved to brain via lymphoid organs or spinal nerves from sciatic nerves.

• Journal of Oral Medicine and Pain
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• 제32권2호
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• pp.187-200
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• 2007

이 연구는 치과임플란트 시술후에 발생할수 있는 감각이상의 평가를 위하여 뉴로미터를 사용하여 정량적으로 측정하여, 임플란트 시술후의 감각신경 평가에 개관적 지침을 마련하고자 하는데 목적이 있다. 2006년 대전 썬 병원 구강내과에 내원한 환자중에 임플란트 술식을 시행한 환자 44명과 대조군 30명을 대상으로 $Neurometer^{(R)}$ CPT/C (Neurotron, Inc., Baltimore, Maryland, U.S.A.)를 이용하여 임플란트 시술전과 시술후 발사시에 2000 Hz, 250 Hz, 5 Hz,주파수로 검사를 시행하였다. 측정 부위는 임플란트 시술부위에 따라 삼차신경의 상악신경 분지와 하악신경 분지에 적용하였다. Neurometer는 세가지의 주파수 (2000 Hz, 250 Hz, 5 Hz)를 적용할 수 있는데, 각 주파수별로 대상자가 감각을 느낄 수 있는 가장 낮은 전류의 세기를 전류인지역치로 기록하였다. 각 신경섬유별 전류인지역치는 $A{\beta}$섬유의 경우 2000 Hz, $A{\delta}$섬유의 경우 250 Hz의 전류자극 하에서 특징적으로 반응하며, C섬유의 경우 5 Hz의 전류자극 하에서 반응한다. 전류인지역치 검사는 삼차신경 영역에 있어서도 말초신경 손상을 평가하기 위하여 검사를 시행할 수 있으며, 말초신경부위에 특징적인 주파수의 전류를 발생시켜 선택적인 신경 섬유를 자극한다. 서로 다른 굵기의 신경 섬유들은 각기 다른 빈도의 전류자극에 선택적으로 반응하는데, 각기 다른 주파수의 전류자극을 적용하며, 각 전류에 선택적으로 반응하는 $A{\beta},\;A{\delta}$, C신경 섬유의 반응 역치를 개별적으로 평가할 수 있다. 전류인지역치를 통한 평가에서는 전류인지 역치의 증감을 측정하여 감각과민이나 감각감퇴등의 감각이상을 진단할 수 있다. 임플란트 시술전후의 전류인지역치를 평가한 본 연구에서는 다음과 같은 결과를 얻었다. 1. 임플란트 시술 전후의 평가에서는 좌우 상하악 각각의 2000 Hz, 250 Hz, 5 Hz에서의 전류인지역치는 전반적으로 수술 후가 증가되었으며, 하악에서는 2000 Hz와 5 Hz에서 수술후에의 전류인지역치가 통계학적으로 유의하게 증가하였다. 2. 전신질환을 가지고있거나 그로 인하여 투약중인 군에서는 임플란트 수술 전후에 유의한 차이가 없었으며, 대조군에 비해서는 좌측 2000 Hz와 5 Hz에서 임플란트 시술군이 전류인지역치가 유의하게 높았다. 3. 대조군과 임플란트 수술군의 수술전의 전류인지역치 측정치의 비교에서는 우측 2000 Hz, 5 Hz에서 임플란트 시술군이 유의하게 높았으며, 대조군과 임플란트 수술후의 전류 인지 역치 평가에서는 2000 Hz에서 유의한 차이를 보였다. 4. 남자가 여자보다는 전류인지역치가 높았으나, 통계학적인 유의성을 보이지는 않았으며, 임플란트 시술군내에서도 남녀차이는 보이지 않았으며, 대조군에서 좌측 2000 Hz에서 유의하게 낮았다. 임플란트 시술 전후의 전류인지 평가에서 남녀성별에 따른 차이는 남자군에서는 통계학적 차이가 없었고, 여자군에서 우측 5 Hz, 좌측 2000 Hz에서 유의하게 높았다. 5. 감각신경이 있다고 호소하는 군과 아닌 군과의 비교에서는 감각이상을 호소하는 군이 전체적으로 전류인지역치가 증가했으나 통계학적인 유의성은 없었다. VAS상에 증가를 보이는 군의 수술전후의 전류인지측정 평가에서는 우측 5 Hz에서 임플란트 시술후 전류인지역치가 유의하게 증가하였으며, VAS 표시가 수술전후에 모두 0 인 경우에 좌측 2000 Hz에서 수술후의 전류인지역치가 유의하게 증가하였다. 이 연구는 뉴로미터를 이용하여 치아 임플란트 시술후에 발생할 수 있는 감각이상을 평가 할수 있는 객관적이고 정량적인 전류인지역치를 제시하고자 하였다.

• Journal of Acupuncture Research
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• 제15권2호
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• pp.117-133
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• 1998

The purpose of this morphological study was to investigate the relationship to facial nerve and LI4 related to the large intestine meridian. The common locations of the spinal cord and brain projecting to the LI4 and facial nerve were observed fallowing injection of transsynaptic neurotropic virus, pseudorabis virus(PRV), into the LI4 and facial nerve of the rat. After survival times of 96 hours following injection of PRV, the rats were perfused, and their spinal cord and brain were frozen sectioned(30${\mu}m$). These sections were stained by PRV immunohistochemical staining method, and observed with light microscope The results were as follows: 1. The PRV labeled spinal cord segments projecting to the LI4 and facial nerve were founded in cervical, thoracic, lumbar and sacral segments. Dense labeled areas of each spinal cord segment were founded in lamina IV, V, X, lateral spinal nucleus, intermediolateral nucleus and dorsal nucleus. 2. The PRV labeled medulla oblongata projecting to the LI4 and facial nerve were founded in the A1 noradrenalin cells/C1 adrenalin cells/caudoventrolateral reticular nucleus, rostroventrolateral reticular nucleus, medullary reticular nucleus, nucleus tractus solitarius, raphe obscurus nucleus, raphe pallidus nucleus, raphe magnus nucleus, gigantocellular nucleus, lateral paragigantocellular nucleus, and spinal trigeminal nucleus.

• The Korean Journal of Pain
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• 제19권2호
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• pp.282-284
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• 2006

Percutaneous radiofrequency thermocoagulation has been applied in patients with various forms of chronic pain, such as facet joint pain, cancer pain and trigeminal neuralgia. A major portion of the hip joint is innervated by the articular branches of the femoral and obturator nerves. Radiofrequency thermocoagulation of the articular branches of the obturator and femoral nerves can be a good alternative treatment for patients with hip joint pain, especially in those where surgery is not applicable. A patient suffering hip joint pain due to metastatic cancer underwent multiple radiofrequency lesioning of the femoral and obturator nerves at $80^{\circ}C$ for 120 seconds, using a Racz-Finch Kit. The patient experienced about a 50% reduction in the pain, without any numbness or other side effects.

• 한방안이비인후피부과학회지
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• 제19권2호
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• pp.192-201
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• 2006

Objectives : Recently, He-Ne laser has been used for clinical purpose. We study the medical basis of He-Ne laser therapy and We make a proposal concerning the clinical application of using He-Ne laser in Medicine. Methods : We have selected data related to He-Ne laser therapy and study how to use He-Ne laser in clinic. Results : In biology, He-Ne laser therapy has been effects of an improve in skin regeneration an improve in peripheral and central nerve regeneration an improve in muscle regeneration, an anti-inflammation an alleviation of pain and a bone repair. In oriental medicine, He-Ne laser has been used to laser acupuncture and laser oriental physical treatment. In clinic, He-Ne laser have been used to care several parts like as facial palsy, facial spasm, trigeminal neuropathy, rhinitis and tinnitus. Recently, there is argument that He-Ne laser therapy is suitable to medical insurance. Conclusions : Laser therapy in oriental medicine is widespread and We can apply He-Ne laser to facial palsy, facial spasm, trigeminal neuropathy, rhinitis, tinnitus by using laser acupuncture or laser oriental physical treatment. Till now the whole mechanisms are not fully understood, so we hope to study these mechanisms actively and make suitable to medical insurance device in the near future.

• 혜화의학회지
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• 제10권1호
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• pp.259-268
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• 2001

As mentioned above, I have acquired some valuable results about medical treatments with acupuncture for "Trigeminal neuralgia" after studying oriental medical books. 1. The course of medical treatments with acupuncture was, first of all, applying general ones, and then, assisting ones based on occuring area of pain and the cause. 2. For general treatments, "Chok-yangmyong-Wi-Kyong", distributed widely on the face, was used in great numbers. The order, according to the number of using times, of spots for acupuncture was Ha-kwan(11 times), Hap-kok(10), Chan-juk(7), Hyop-geo, Tae-yang, Sa-baek(individually 6). 3. For assisting treaments based on occuring area of the pain, spots of the Kyong-rak, passing through occuring area of the pain, and Kyong-woe-ki-hyol were used in great numbers. 4. The order was O-je, Chan-juk, Yang-baek(individually 8), Tae-yang(5) for the pain of first branch of the trigeminal nerve; Sa-baek(12), Kwan-ryo(6), Go-ryo(5) for the pain of second one; and Hyop-geo, Ha-kwan(individually 6), Dae-young, Hyop-seung-jang(individually 5). Seung-jang(4). 5. For assisting treatments based on the cause, "One-hyol(原穴)", "Rak-hyol(絡穴)" and "5-soohyol(五輸穴)" were used in great numbers. 6. The order was Pung-ji(10), Hap-kok(9), Woe-kwan(5) for "Woe-Kam(外感)"; Nae-jong(12), Tae-chung(10), Chok-sam-ri(7) for "Kan-Wi-Hwa-Seung(肝胃火升)"; Tae-gue(7), Sam-um-kyo, Pung-ji(individually 2) for "Ho-Hwa-Sang-Seung(虛火上升)"; Pung-ryung(4) for "Pung Dam-Jo-R ak (風痰阻絡)"; Kyok-su(2) for "Ki-Che-Hyol-Ho(氣滯血虛)".

• Restorative Dentistry and Endodontics
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• 제33권5호
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• pp.452-456
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• 2008

Herpes zoster는 varicella zoster 바이러스에 의해 발생하는 급성 바이러스성 감염질환으로 삼차신경의 분지들을 침범할 수 있다. 치성동통과 유사한 증상을 보이는 43세 남자 환자가 내원하였으며 임상 및 방사선 검사 후에도 명확한 원인을 발견할 수 없었다. 피부과의사에 의해 삼차신경의 세 번째 분지에 발생한 herpes zoster로 진단되었고 항바이러스 치료를 시행하였다. 2개월 뒤, 환자의 피부 병소 및 동통은 대부분 사라졌으나 반흔조직은 다소 남아있었다. 진단과정 중 임상가는 구강안면부 동통이 herpes zoster와 연관될 수 있다는 가능성을 숙지하여야 할 것이다.

• Journal of Yeungnam Medical Science
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• 제38권3호
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• pp.202-207
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• 2021

Background: Trigeminal neuralgia (TN) is a severe, paroxysmal pain in the distribution of the fifth cranial nerve. Microvascular decompression (MVD) is the most widely used surgical treatment for TN. We undertook this study to analyze the effects of and complications of MVD and to refine the surgical procedure for treating TN. Methods: A total of 88 patients underwent for TN underwent surgery at our hospital. Among them, 77 patients underwent MVD alone, and 11 underwent partial sensory rhizotomy (PSR) with or without MVD. The medical records of these patients were retrospectively analyzed for patient characteristics, clinical results, offending vessels, and complications if any. Results: The mean follow-up duration was 43.2 months (range, 3-216 months). The most common site of pain was V2+V3 territory (n=27), followed by V2 (n=25) and V3 (n=23). The most common offending vessels were the superior cerebellar artery and anterior inferior cerebellar artery in that order. The overall rate of postoperative complications was 46.1%; however, most complications were transient. There were two cases of permanent partial hearing disturbance. In the MVD alone group, the cure rate was 67.5%, and the improvement rate was 26.0%. Among 11 patients who underwent PSR with or without MVD, the cure rate was 50.0%, and the improvement rate was 30.0%. Conclusion: The clinical results of MVD were satisfactory. Although the outcomes of PSR were not as favorable as those of pure MVD in this study, PSR can be considered in cases where there is no significant vascular compressive lesion or uncertainty of the causative vessel at the surgery.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제28권1호
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• pp.53-60
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• 2002

Neurosensory dysfunction of the injured inferior alveolarnerve(IAN) is a common and distrssing consequence of traumatic or iatrogenic injury. Conventional neurosensory testing has been used to detect and monitor sensory impairments of the injured IAN. However, these tests had low reliability and are not qualitative at best because they are based on solely on the patient's subjective assesment of symptoms. Consequently, there is need for more reliable, sensitive, and objective test measures to document and to monitor sensory dysfunction of the trigeminal nerve. This study was to investigate DITI's (digital infrared thermographic imaging) potential as a diagnostic alternative for evaluating of the nerve injures and sensory disturbance. Subjects were 30 patients who had been referred to Ewha Medical Center due to sensory disturbance of the lower lip and chin followed after unobserved inferior alveolar nerve injuries. The patients were examined by clinical neurosensory tests as SLTD (static light touch discrimination), MDD (moving direction discrimination), PPN (pin prick nociception) and DITI (digital infrared thermographic imaging). The correlation between clinical sensory dysfunction scores(Sum of SLTD, MDD, PPN, NP, Tinel sign) and DITI were tested by Spearman nonparametric rank correlation anaylsis & Kruskal-Wallis test, Wilcoxon 2-sample test. This study resulted in as follows; (1) The difference of thermal difference between normal side and affected side was as ${\Delta}-3.2{\pm}0.13$. (2) The DITI differences of the subjects presenting dysesthesia of the lip and chin were correlated significantly with the neurosensory dysfunction scores(r=0.419, p=0.021)and SLTD (r=0.429, p<0.05). (3) The MDD, PPN, NP, Tinel sign, duration, gender were not correlated with DITI(p> 0.05). Therefore, the DITI(digital infrared thermographic imaging) can be an option of the useful objective diagnostic methods to evaluate the injured inferior alveolar nerve and sensory dysfunction of trigerminal nerve.

• The Korean Journal of Physiology and Pharmacology
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• 제2권1호
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• pp.9-19
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• 1998

The present study was primarily carried out to characterize the properties of the spinomesencephalic tract (SMT) neurons that project from the upper cervical spinal segments to the midbrain. It was also investigated whether these neurons received convergent afferent inputs from other sources in addition to cervical inputs. Extracellular single unit recordings were made from neurons antidromically activated by stimulation of midbrain. Recording sites were located in lamina $I{\sim}VIII\;of\;C1{\sim}C3$ segments of spinal cord. Receptive field (RF) and response properties to mechanical stimulation were studied in 71 SMT neurons. Response profiles were classified into six groups: complex (Comp, n=9), wide dynamic range (WDR, n=16), low threshold (LT, n=5), high threshold (HT, n=6), deep/tap (Deep, n=10), and non- responsive (NR, n=25). Distributions of stimulation and recording sites were not significantly different between SMT groups classified upon their locations and/or response profiles. Mean conduction velocity of SMT neurons was $16.7{\pm}1.28\;m/sec$. Conduction velocities of SMTs recorded in superficial dorsal horn (SDH, n=15) were significantly slower than those of SMTs recorded in deep dorsal horn (DDH, n=18), lateral reticulated area (LRA, n=21), and intermediate zone and ventral horn (IZ/VH, n=15). Somatic RFs for SMTs in LRA and IZ/VH were significantly larger than those in SDH and DDH. Five SMT units (4 Comps and 1 HT) had inhibitory somatic RFs. About half (25/46) of SMT units have their RFs over trigeminal dermatome. Excitabilities of 5/12 cells and 9/13 cells were modulated by stimulation of ipsilateral phrenic nerve and vagus nerve, respectively. These results suggest that upper cervical SMT neurons are heterogenous in their function by showing a wide range of variety in location within the spinal gray matter, in response profile, and in convergent afferent input.