• Title/Summary/Keyword: Vestibular

Search Result 388, Processing Time 0.025 seconds

Neurophysiology of the Sensory System and Clinical Applications (감각신경계의 신경생리와 임상적 이용)

  • Seo, Dae-Won
    • Annals of Clinical Neurophysiology
    • /
    • v.12 no.2
    • /
    • pp.35-46
    • /
    • 2010
  • Various electrophysiological tests have provided a large body of valuable information on neuronal responses to a presented stimulus. The special and general somatic sensory pathways are main targets of evoked potentials. Two types of evoked potentials, exogenous and endogenous, are commonly used. Exogenous evoked potentials of general and special somatic sensory systems will be reviewed. One of general somatic sensory functional pathways, proprioception, can be evaluated by general somatosensory evoked potentials with electrical stimulation on nerves. The special somatosensory functional pathways, including vision, and audition, can be evaluated by visual evoked potentials and auditory evoked potentials. Also laser-evoked potentials are newly developed for pain pathway, including lateral spinothalamic pathway, and vestibular myogenic evoked potentials for sacculocollic pathways. The evoked potentials of sensory system have maximal clinical utility in evaluating functional deficits along the sensory pathways. They are used for evaluating comatose patients, hysterical patients, premature infants, patients with suspected demyelinating diseases or neoplasms, and research. We discuss the neurophysiologic tests of sensory systems in views of practical points. The organized evaluation of sensory electrophysiologic tests can be helpful in detecting and estimating the abnormalities in neurological diseases.

Development of Videooculograph for Vestibular Function Test (전정 기능 평가를 위한 영상 안구 운동 측정 시스템의 개발)

  • 김수찬;남기창;이원선;김덕원
    • Journal of the Institute of Electronics Engineers of Korea SC
    • /
    • v.40 no.3
    • /
    • pp.189-198
    • /
    • 2003
  • Videooculography (VOG) is one of the eye-movement measurement methods used for objective evaluation of vestibule -ocular reflex. A key feature of VOG is to estimate accurately the center of pupil and ocular torsion with being less influenced by the upper eyelid droop, eyelashes, corneal reflection, and eye blinks. Especially, it Is important to find the accurate center of the pupil in 3-D VOG because the inaccurate pupil center causes significant errors on measuring torsional eye movement. A new algorithm was proposed to find the center of pupil which is a little influenced by factors mentioned above. In this study, real time three-dimensional VOG which can measure horizontal, vortical, torsional eye movements, and the diameter of pupil was implemented using the proposed method.

Implementation of the F-B function comparison on the body movement

  • Kim, Jeong-Lae;Hwang, Kyu-Sung;Nam, Yong-Seok
    • International journal of advanced smart convergence
    • /
    • v.3 no.1
    • /
    • pp.20-24
    • /
    • 2014
  • To compare body signal, was designed the F-B function system on the body movement for the comfortable state. To detect subject of the normal state, was decided on the base of physical signal in the body movement. There are to detect the condition of Vision, Vestibular, Somatosensory and CNS. Vision condition was verified a variation of greater average (Vi-${\Phi}_{AVG-AVG}$) was presented slightly greater at $17.424{\pm}9.65$ unit. Vestibular condition was identified a variation of slightly greater average (Ve-${\Phi}_{AVG-AVG}$) was presented at $9.068{\pm}1.478$ unit. Somatosensory condition was checked a variation of smaller average (So-${\Phi}_{AVG-AVG}$) was presented slightly smaller at $2.79{\pm}0.419$ unit. CNS condition was confirmed a variation of diminutive smaller average (C-${\Phi}_{AVG-AVG}$) was presented slightly larger at $0.557{\pm}0.153$ unit. As the model depends on the F-B function system of body movement, average values of these perturbation were computed F-B function comparison data. These systems will be to infer a data algorithm and a data signal processing system for the evaluation of the stability.

A Case of Dizziness Patient diagnosed as Cerebellar infarction and treated with Qingyanligetang(淸咽利膈湯) (소뇌경색(小腦梗塞)으로 인한 중추성(中樞性) 현운환자(眩暈患者)의 치험(治驗) 1례(例))

  • Han, Gi-Sun;Lee, Won-Chul
    • The Journal of Dong Guk Oriental Medicine
    • /
    • v.9
    • /
    • pp.25-33
    • /
    • 2000
  • Dizziness is one of the common symptoms in many patients. The disorders of the labyrinth, vestibular nerve, vestibular neclei, or their central connections are responsible for practically all vertigo. Most disorders of the central connections are the vascular diseases and tumors. This study is based on the clinical consideration of one patient who sufferd from the cerebellar infarction and the upper respiratory infection. The patient, 61 - year - old man was diagnosed as the cerebellar infarction has been troubled with dizziness, a headache, a sore throat, a cough etc. The symptoms are classed as the Sanchopungyeul.(上焦風熱) Pungdam(風痰), and we prescribed Qingyanligetang(淸咽利膈湯) for him and his symptoms took a tum for the better.

  • PDF

TREATMENT OF HEAVY MANDIBULAR BUCCAL FRENUM USING APICALLY POSITIONED FLAP UNDER DEEP SEDATION IN CHILDREN (소아환자의 깊은 진정요법 하에서 근단변위 판막술을 이용한 거대협소대의 치료)

  • Kim, Jong-Bin;Yoon, Hyung-Bae
    • Journal of the korean academy of Pediatric Dentistry
    • /
    • v.26 no.1
    • /
    • pp.69-76
    • /
    • 1999
  • The mandibular buccal frenum is defined as a fold of mucous membrane at the posterior labial vestibule and attaches the lips and the cheeks to the alveolar mucosa, gingiva, and underlying periosteum. The buccal frenum becomes a problem when its attachment is too close to the marginal gingiva. It may then pull on healthy gingiva, encourage plaque formation and interfere with tooth brushing. Especially, heavy buccal frenum mucogingivally results in insufficent attached gingiva, inadequate vestibular depth and high frenum attachment and also difficulty in eruption of mandibular premolar. Frenotomy, frenectomy and mucogingival surgery are used in treating heavy buccal frenum. Frenotomy with autogenous free gingival graft has been used popularly because of its stable result. But, it is difficult in younger children because of inadequate donor site, difficulty in making recipient site and behavior management. Frenotomy with apically positioned flap is considered as more efficient way for a very young child with heavy buccal frenum. Additionally, modified deep sedation with $N_2O-O_2$ can be used as an adjunct for the effective treatment outcome. Decrease in muscle pull, adequate width of attached gingiva and increased vestibular depth can be expected from this treatment approach.

  • PDF

TREATMENT OF HEAVY BUCCAL FRENUM USING FRENOTOMY AND AUTOGENOUS FREE GINGIVAL GRAFT IN CHILDREN : A CASE REPORT (소아에서 소대절개술 및 자가유리치은이식술을 이용한 거대협소대의 치료증례)

  • Kweon, Hoon;Choi, Yong-Seong;Lee, Sang-Ho
    • Journal of the korean academy of Pediatric Dentistry
    • /
    • v.21 no.2
    • /
    • pp.533-539
    • /
    • 1994
  • The mandibular buccal frenum is a fold of mucous membrane at the posterior labial vestibule, that attaches the lips and the cheeks to the alveolar mucosa, gingiva, and underlying periosteum. The buccal frenum becomes a problem if its attachment is too close to the marginal gingiva. It may then pull on healthy gingiva, encourge plaque formation and interfere with tooth brushing. Heavy buccal frenum mucogingivally results in insufficient attached gingiva, inadequate vestibular depth and high frenum attachment and also difficulty in eruption of mandibular second premolar. Frenectomy in various forms has been used for many years to remove the influence of the frenum. Unfortunately, the results are not always ideal and there is often postoperative relapse because of muscle pull. In this treatment, frenotomy was used in conjuction with autogenous free gingival graft with the object of removing the influence of the buccal frenum and creating an adequate and stable width of attached gingiva. We observed decrease in muscle pull, adequate width of attached gingiva and increased vestibular depth in addition to progressive eruption of second premolar. Periodic follow-up is needed for evaluation of relapse, grafting gingiva and also space regaining for second premolar.

  • PDF

The Role of the Gamma System in Movement and Posture (${\gamma}$계(系)의 자세(姿勢) 및 운동(運動)에 대(對)한 조절기능(調節機能)에 관(關)하여 - Stretch reflex feed back system에 있어서 ${\gamma}$계(系)의 작용(作用)을 중심(中心)으로 -)

  • Kim, Jeh-Hyub
    • The Korean Journal of Physiology
    • /
    • v.4 no.2
    • /
    • pp.19-24
    • /
    • 1970
  • Since the discovery of the muscle spindle by Hassall (1831), an intensive studies of its anatomical and physiological characteristics had been undertaken. Recent morphological studies of Boyd (1962) demonstrated that the muscle spindles have two different intrafusal muscle fibers, nuclear bag and nuclear chain fiber, and these intrafusal fibers are under independent motor innervation by ${\gamma}_1$ and ${\gamma}_2$ motor neurone. Neurophysiological studies of Hunt and Kuffler (1951) showed regulatory effect of ${\gamma}$ motor neurone upon the excitability of the spindle afferents. Harvey and Mathews (1961) observed the dynamic and static characteristics of the two different spindle afferents, the primary and secondary ending. Furthermore, Mathews (1962) postulated the functional existance of two kind of ${\gamma}$ motor neurones, namely, the dynamic and static fusimotor fiber. Recent report of Kim and Partridge(1969) pointed out that the descending vestibular signals had increased the slope of the length-tension relationship in stretch reflex; Kim (1967) demonstrated that the descending vestibular impulses act upon the stretch reflex loop through the ${\gamma}$ motor pathway. These experimental evidences from the morphological and neurophysiological studies on the muscle spindles support the concept that the stretch reflex action of the skeletal muscle operates as a negative feedback control system. The author had discussed the way by which the f system participates in the control of stretch relfex feed back system. that was taken for a prototype of posture and movement.

  • PDF

Studies on the Interrelationship between the Vestibular Semicircular Canals and the Extraocular Muscles in Rabbits and Cats (가토(家兎) 및 가묘(家猫)에 있어서 전정반규관(前庭半規管)과 외안근(外眼筋)의 상관성(相關性)에 관(關)한 연구(硏究))

  • Kim, Jeh-Hyub;Park, Byung-Rim;Park, Chul-Soon
    • The Korean Journal of Physiology
    • /
    • v.21 no.1
    • /
    • pp.91-101
    • /
    • 1987
  • The present experiment was carried out, in the rabbit and cat, in order to explore functional interrelationship between the vestibular semicircular canals and extraocular muscles, which are involved in the vestibulooculomotor reflex as the receptor and effector organ respectively. Semicircular canals were subjected to electrical stimulation, lymphatic fluid flow or acute freezing, and responses of the extraocular muscles were recorded in terms of changes in electromyographic activity and isometric tension. Electrical stimulation of a unilateral canal elicited contraction of the superio-medial muscle group (superior oblique, superior rectus and medial rectus muscles) in the ipsilateral eye and the inferio-lateral muscle group (inferior oblique, inferior rectus and lateral rectus muscles) in the contralateral eye. Thus a simple and distinct axiom was found in the pattern of the reflex-response of the extraocular muscles. Inhibition of the unilateral canals elicited the extraocular muscle responses contrary to those observed by excitation of the canal. Based on the present experimental results, it was demonstrated that the functional interrelations between the semicircular canals and extraocular muscles are rather equivalent in the frontal eyed cats (with binocular vision) and lateral eyed rabbits (with monocular vision). Therefore the previous thesis that the vestibuloocular relations vary from species to species awaits experimental reevaluation.

  • PDF

Analysis of Posture Balance System of using Multi-parameter after Exercising (운동 후 멀티파라미터를 이용한 자세균형의 시스템 분석)

  • Kim, Jeong-Lae
    • The Journal of the Institute of Internet, Broadcasting and Communication
    • /
    • v.11 no.5
    • /
    • pp.145-150
    • /
    • 2011
  • This study was developed the posture balance system of multi-parameter for moving body after and before exercising. Body transition meaned a head moving and upper body moving. This system has catched a signal for physical condition of body data such as a data acquisition system, data signal processing and feedback system. There were checked a parameter that measured vision, vestibular, somatosensory, CNS. This system was evaluated a data through the stability. The posture balance system can be used to support assessment for body moving in exercising situation. It was expected to monitor a physical parameter for health management system.

Differential diagnosis of peripheral vertigo (말초성 현기증의 감별진단)

  • Bae, Chang Hoon
    • Journal of Yeungnam Medical Science
    • /
    • v.31 no.1
    • /
    • pp.1-8
    • /
    • 2014
  • Dizziness can be classified mainly into 4 types: vertigo, disequilibrium, presyncope, and lightheadedness. Among these types, vertigo is a sensation of movement or motion due to various causes. The main causes of peripheral vertigo are benign paroxysmal positional vertigo (BPPV), acute vestibular neuritis (AVN), and Meniere's disease. BPPV is one of the most common causes of peripheral vertigo. It is characterized by brief episodes of mild to intense vertigo, which are triggered by specific changes in the position of the head. BPPV is diagnosed from the characteristic symptoms and by observing the nystagmus such as in the Dix-Hallpike test. BPPV is treated with several canalith repositioning procedures. AVN is the second most common cause of peripheral vertigo. Its key symptom is the acute onset of sustained rotatory vertigo without hearing loss. It is treated with symptomatic therapy with antihistamines, anticholinergic agents, anti-dopaminergic agents, and gamma-aminobutyric acid-enhancing agents that are used for symptoms of acute vertigo. Meniere's disease is characterized by episodic vertigo, fluctuating hearing loss, and tinnitus. It is traditionally relieved with life-style modification, a low-salt diet, and prescription of diuretics. However, diagnosis and treatment of the peripheral vertigo can be difficult without knowledge of BPPV, AVN, and Meniere's disease. This article provides information on the differential diagnosis of peripheral vertigo in BPPV, AVN, and Meniere's disease.