• 제목/요약/키워드: Visual field defect

검색결과 53건 처리시간 0.033초

Modified Trans-Middle Temporal Gyrus Approach for Trigonal Tumor to Preserve Visual Field

  • Choi, Jeong-Wook;Jung, Shin;Jung, Tae-Young;Jang, Woo-Youl;Moon, Kyung-Sub;Kim, In-Young
    • Journal of Korean Neurosurgical Society
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    • 제50권6호
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    • pp.538-541
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    • 2011
  • Objective : We evaluated a modified trans-middle temporal gyrus (MTG) approach with good postoperative visual preservation for patients with trigonal tumors. Methods : Three patients with a trigonal tumor were treated via the modified trans-MTG approach guided by a neuro-navigator. Modified trans-MTG approach involve the incision at the MTG within 5 mm to the superior temporal sulcus. This approach makes a proper trajectory to the trigone but also reduces the retraction injury of MTG as little as possible to prevent postoperative visual field defect. Preoperative and postoperative visual field examination using perimetry was performed to evaluate the visual field. Results : Three patients underwent surgery for lymphoma in the right trigone, meningioma in the left trigone, and focal enhancing nodule in the right paratrigonal area, respectively. In case of lymphoma, preoperative examination showed a left homonymous hemianopsia : one week later after surgery, a visual field examination was performed and revealed improvement of the visual field defect. In case of the meningioma, the preoperative examination showed no visual field defect : one month later, the visual field had no defect. In case of the enhancing nodule, preoperative visual field testing revealed a partial left homonymous hemianopsia. Visual examination within one month after surgery showed no visual field defect. All three patients treated with the modified trans-MTG approach showed no visual deterioration after surgery. Conclusion : The modified trans-MTG approach provides a safe and useful technique for trigonal tumors without postoperative visual field deterioration and affords adequate exposure of the trigonal tumor with a short trajectory.

항경련제 Vigabatrin이 시야에 미치는 영향 (Assessment of the Relationship between Vigabatrin and Visual Field Defect in Children)

  • 정사준;정용환;조의현
    • Clinical and Experimental Pediatrics
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    • 제45권12호
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    • pp.1546-1550
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    • 2002
  • 목 적: 본 저자들은 VGB과 시야결손과의 관련성을 알기 위해 본 연구를 시행하였다. 방 법: 간질로 진단 받고 VGB을 추가 복용으로 치료를 시행한 환아 중 발달 연령이나 인지 연령이 8세 이상인 환아 78명을 대상으로 하였다. 시야검사는 Humphrey 자동 시야측정계로 시행한 후 결과가 의심이 되면 Goldman 시야측정계로 검사를 즉시 다시 시행하였으며, 이들은 다시 6개월 후에 재검을 실시하였다. 결 과 : 본 연구에서는 78명 중 5명에게 의증이 있었으나 재검시 다시 정상으로 나와 시야결손이 있는 환아는 없었다. 결 론: 본 조사에서 VGB은 시야결손을 일으키는 약물로 나타나지는 않았다. VGB의 시야결손으로 사용에 제한을 두기보다 다른 약으로 조절이 되지 않는 부분발작과 영아연축의 치료에 초기 선택 약물로 조심스럽게 사용하면 무방할 것으로 생각되어진다. 이와 함께 시야결손의 선별검사가 추천되며, VGB을 복용하는 소아에게 있어 정기적인 검사가 필요하겠다.

뇌졸중 후 양안의 동측 상방 수평반맹을 호소하는 환자 한의 치험 1례 (A case study of bilateral superior altitudinal hemianopia in a stroke patient treated with Korean Medicine)

  • 최정우;김서영;김하리;신희연;양승보;조승연;박성욱;고창남;박정미
    • 대한중풍순환신경학회지
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    • 제20권1호
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    • pp.43-52
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    • 2019
  • ■ Objectives The purpose is to report the case of Korean medicine in the treatment of bilateral superior altitudinal hemianopia after a stroke. ■ Methods The patient was treated with acupuncture, electroacupuncture, bee venom, and herbal medicine. The visual field defect was assessed using humphrey visual field analyzer and confrontation visual field test. ■ Results After treatment, humphrey visual field analyzer and confrontation visual field test showed improvement in field of vision ■ Conclusion This study suggested that Korean medical treatment could be an effective option for treating visual field defect after stroke.

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Atorvastatin/ezetimibe 복합제 복용 후 발생한 시야결손 부작용 사례보고 (Visual Field Defect after Taking Atorvastatin/Ezetimibe, a Case Study)

  • 김지윤;이경규;김준영;이정민;김나영;이모세;지은희
    • 한국임상약학회지
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    • 제29권2호
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    • pp.133-137
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    • 2019
  • Atorvastatin is one of the most widely prescribed medications for dyslipidemia treatment. In Korea, post combined therapy with ezetimibe, a 73-year-old woman was reported by a community pharmacy to have experienced visual field defect, which recovered after drug discontinuation. She had never experienced this symptom before, and several studies have reported an association between use of statins and visual disorders such as blurred vision, diplopia, and cataract. Blockage of cholesterol accumulation, oxidative stress, or myopathy is expected to be a cause of this symptom. Naranjo scale, Korean causality assessment algorithm (Ver.2), and World Health Organization-Uppsala Monitoring Center (WHO-UMC) criteria were the three tools used to determine causality between the visual disorder and atorvastatin. The results represent 'probable', 'certain', and 'probable/likely' causality, respectively. Our results, in combination with a review of literature, indicate that ocular adverse effects are highly likely related to atorvastatin.

A Surgical Case of Lymphocytic Hypophysitis with Progressive Visual Worsening

  • Shin, Hee-Sup;Park, Bong-Jin;Lim, Young-Jin
    • Journal of Korean Neurosurgical Society
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    • 제42권3호
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    • pp.216-219
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    • 2007
  • Lymphocytic hypophysitis is a clinically rare disease, and it has been known to be an autoimmune disease which mainly affects pregnant women at the end of gestation or right after delivery. The authors experienced a case of lymphocytic hypophysitis in a 29-year-old pregnant woman with rapid progressing visual disturbance. Sella MRI showed a mass-like lesion of hypophysis and hypertrophy of pituitary stalk with evidences of hypopituitarism. Cesarean section was done and then TSA was performed. The pathologic diagnosis was lymphocytic hypophysitis. After TSA, visual acuity was improved and visual field defect was recovered. She was given thyroid hormone replacement therapy because of transient partial hypopituitarism for 6 months after surgery. One must consider the probability of lymphocytic hypophysitis, if there are alteration of visual acuity and visual field defect which aggravate rapidly during pregnancy due to mass effect, decreased serum hormonal levels shown in hypopituitarism and sella MRI findings of hypertrophy of pituitary stalk and enlargement of pituitary gland.

시각유발전위 검사상 후-시신경교차부위병변을 보인 환자들의 뇌 영상 결과와의 연관성 (Visual Evoked Potentials in Retrochiasmal Lesion; Correlation with Neuroimaging Study)

  • 김성훈;조용진;김호진;이광우
    • Annals of Clinical Neurophysiology
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    • 제2권1호
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    • pp.13-20
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    • 2000
  • Background and Objective : Visual evoked potentials(VEPs) is considered to be a reliable diagnostic procedure for examining patients with anterior visual pathways. Some abnormalities in the recordings on monocular stimulation have been said to indicate retrochiasmal lesion, but less consistent results have been reported. This study is to evaluate the positive predictability of VEP for the detection of retrochiasmal lesion. Methods : We reviewed VEPs that could be interpreted as indicative of a retrochiasmal lesions, based on amplitude or latency asymmetry recorded on the left(O1) and right(O2) occipital regions. Bilateral absent VEPs on both recording(O1 and O2) without evidence of prechiasmal lesion were included. During 5 years, we identified 31 patients who met the above criteria and who had undergone magnetic resonance imaging(MRI) of brain(one patient underwent computerized tomography). Twenty three patients underwent pattern reversal VEPs and others underwent flash goggle VEPs. Results : Brain imagings were abnormal in 29 and were normal in 2. Of the 29 abnormal scans, lesions in posterior visual pathway were detected in 21 scans(predictive value=68%). The predictive value was not significantly different between flash goggle VEP(75%) and pattern reversal VEP(68%). The predictive value was higher in patient with visual field defect(100%) than those without visual field defect(25%). The pathologic nature of lesion also showed close relations to the predictive value. VEPs is usually paradoxically lateralized(78%), but not in all patients. Conclusion : VEPs abnormalities suggesting retrochiasmal lesion were usually corresponded with brain MRI findings. Diagnostic reliability could be increased when considering the visual field defect and nature of lesion. Therefore, the authors suggest that VEPs studies could be useful in evaluating the patients with the retrochismal lesion.

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Coating defect classification method for steel structures with vision-thermography imaging and zero-shot learning

  • Jun Lee;Kiyoung Kim;Hyeonjin Kim;Hoon Sohn
    • Smart Structures and Systems
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    • 제33권1호
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    • pp.55-64
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    • 2024
  • This paper proposes a fusion imaging-based coating-defect classification method for steel structures that uses zero-shot learning. In the proposed method, a halogen lamp generates heat energy on the coating surface of a steel structure, and the resulting heat responses are measured by an infrared (IR) camera, while photos of the coating surface are captured by a charge-coupled device (CCD) camera. The measured heat responses and visual images are then analyzed using zero-shot learning to classify the coating defects, and the estimated coating defects are visualized throughout the inspection surface of the steel structure. In contrast to older approaches to coating-defect classification that relied on visual inspection and were limited to surface defects, and older artificial neural network (ANN)-based methods that required large amounts of data for training and validation, the proposed method accurately classifies both internal and external defects and can classify coating defects for unobserved classes that are not included in the training. Additionally, the proposed model easily learns about additional classifying conditions, making it simple to add classes for problems of interest and field application. Based on the results of validation via field testing, the defect-type classification performance is improved 22.7% of accuracy by fusing visual and thermal imaging compared to using only a visual dataset. Furthermore, the classification accuracy of the proposed method on a test dataset with only trained classes is validated to be 100%. With word-embedding vectors for the labels of untrained classes, the classification accuracy of the proposed method is 86.4%.

자동외관검사를 위한 확률기반 불량 확인 알고리즘 개발 (Development of Probability Based Defect Verification Algorithm for Automatic Visual Inspection)

  • 김영흡;유선중
    • 반도체디스플레이기술학회지
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    • 제16권2호
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    • pp.1-8
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    • 2017
  • The visual inspection of electronic parts consists of two steps: automatic visual inspection and verification inspection. In the stage of a verification inspection, the human inspector sequentially inspects all the areas which detected in the automatic inspection. In this study, we propose an algorithm to determine the order of verification inspection by Bayes inference well known in the field of machine learning. This is a method of prioritizing a region estimated to have a high probability of defect using experience data of past inspection. This algorithm was applied to the visual inspection of ultraviolet filters to verify its effectiveness. As a result of the comparison experiment, it was confirmed that the verification inspection can be completed 30% of the conventional method by adapting proposed algorithm.

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양안 기능성 이측반맹 환자 1례의 증례보고 (Clinical Study of One Patient with Functional Bitemporal Hemianopia)

  • 주경옥;원재선;조아름;김지현;김창환
    • 한방안이비인후피부과학회지
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    • 제23권2호
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    • pp.206-209
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    • 2010
  • Objectives : To carry out the oriental medicine treatment on a patient with Functional Bitemporal Hemianopia. Methods : We experienced one case of Functional Bitemporal Hemianopia treated with oriental medical treatment, acupuncture and herbal medication. Results : Visual field defect were improved after treatment. Conclusion : Oriental medical treatment could be safe and effective method in Functional Bitemporal Hemianopia.

우측 반맹을 호소하는 환자 치험 1례 (Case Study of Right-side Homonymous Hemianopia in a Stroke Patient Treated by Traditional Korean Medical Treatment)

  • 이유리;손정화;박민정;조기호;문상관;정우상
    • 대한한방내과학회지
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    • 제37권2호
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    • pp.237-242
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    • 2016
  • Objective: This study presents a case of a 56-year-old Korean male with right-side hemianopia due to stroke. Homonymous hemianopia represents a visual field defect related to loss of vision in all or part of the left or right visual field in both eyes; treatment options for this condition are limited.Method: The patient was treated with acupuncture, moxibustion, herbal medicine (Yangguksanhwa-tang), and electroacupuncture around the eyes. We executed a confrontation visual field exam (the Donders test) to evaluate any visual field defectsResults: The visual field area showed improvement after the management of traditional Korean medical treatments.Conclusion: Based on this case, traditional Korean medical treatments may be effective in treating hemianopia due to stroke.