• Title/Summary/Keyword: cranial nerve

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A CASE REPORT OF TRIGEMINAL NEURALGIA TREATED BY ALCOHOL INJECTION AND PHARMACOTHERAPY (삼차신경통의 효과적인 치료법과 증례)

  • Kim, Kwang-Hyun;Kim, Hong-Ki;Kim, Moon-Gon
    • The Journal of the Korean dental association
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    • v.10 no.4
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    • pp.233-236
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    • 1972
  • The authors have effectively treated a case of true trigeminal neuralgia involving the 3rd branch of the 5th cranial nerve by mandibular nerve block with alcohol and Dilantin administration, and reached following results. 1. Alcohol injection has a definite value as the primary treatment of trigeminal neuralgia. 2. It is not yet to be clarified whether the effects of alcohol injection and Dilantin therapy reveal synergism. 3. Phenobarital was given as an adjuvant of Dilantin, but its effect on the painful paroxysms is questionable.

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Oral findings and dental management of a patient with Moebius syndrome: a case report

  • Lee, Eunkyoung;Kim, Youngjin;Kim, Hyunjung;Nam, Soonhyeun
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.10 no.2
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    • pp.101-105
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    • 2014
  • Moebius syndrome is a rare, congenital neurological disease involving facial paralysis and limitation of eye movements. It results from maldevelopment of the sixth and seventh cranial nerves. Dental features of this syndrome include micrognathia, microstomia, tongue deformity, cleft palate, hypoplasia of the teeth, and congenital missing teeth. A 7-year-old female with Moebius syndrome was referred from a local dental clinic for caries treatment. She presented with facial paralysis and microstomia. Oral findings included multiple caries with enamel hypoplasia, congenital missing teeth, and tongue deformity. Dental treatments including restorative and preventive procedures were performed. Oral findings and management aspects of Moebius syndrome for this case are discussed. Early evaluation and multidisciplinary care are needed for children with Moebius syndrome.

Neurogenic Tumors of the Head and Neck (두경부 신경성 종양에 관한 임상적 고찰)

  • Park Cheol-Oh;Lee Sam-Uel;Oh Sung-Soo;Park Yoon-Kyu
    • Korean Journal of Head & Neck Oncology
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    • v.9 no.1
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    • pp.42-48
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    • 1993
  • A group of 49 patients with neurogenic tumor in head and neck except intracranial tumor & Von-recklinghausen's disease was treated at the Department of Surgery. Presbyterian Medical Center during 12 years from January, 1980 to December, 1991. Of the 49 cases, 24 cases were neurilemmoma, 23 cases neurofibroma and 2 cases malignant schwannoma. The lateral cervical region was the commonest location of the neurogenic tumors, 24 cases (49%) arose from posterior triangle of neck and 12 cases from anterior triangle of neck. The origin of nerve was identified in 28 cases(57%). Cervical plexus(10 cases) and brachial plexus(7 cases) were most commonly affected. The most common site of neurogenic tumors arose from cranial nerve was anterior cervical triangle.

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Intraoperative Neuromonitoring (수술 중 신경계 감시)

  • Seo, Dae-Won
    • Annals of Clinical Neurophysiology
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    • v.10 no.1
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    • pp.1-12
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    • 2008
  • Intraoperative neuromonitoring (INM) is well known to be useful method to reduce intraoperative complications during the surgery of nervous system lesions. Evoked potentials are most commonly used among the electrophysiological tests. Brainstem auditory evoked potentials are for detecting the problems along the auditory pathways including the eighth cranial nerve and brainstem. Somatosensory evoked potentials are applied for preventing the spinal cord lesions. The INM is affected by many factors. In order to perform an optimal INM, the confounding factors including technical, anesthetical, and individual factors should be kept well under control. INM has frequent electrophysiologic changes during the surgery and it might be helpful to keep one's eyes on which monitoring modalities are reluctant to change during each operation. The skillful monitoring and timely interpretation of electrophysiologic changes can drive the patient to be undergone surgery, even in high surgical risk group.

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Four Cases of Chronic Recurrent Bell's Palsy (만성 재발성 벨마비 4예)

  • Kim, Kyung Jib;Lee, Dong Kuck;Kim, Ji Eun
    • Annals of Clinical Neurophysiology
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    • v.7 no.2
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    • pp.114-116
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    • 2005
  • Idiopathic facial nerve palsy, or Bell's palsy(BP) is an acute paralysis of the facial muscles innervated by the seventh cranial nerve. The cause and prognosis of recurrent BP are various. The frequency and heterogenicity of etiology suggest a predisposing factor or immune mechanisms. About 10% to 15% of patients with BP will suffer a recurrence, and less than 1.5% will have more than 4 episodes. We report four patients of chronic recurrent BPs.

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A Case of Paralytic Strabismus Treated by Oriental Medicine (외전신경마비(外轉神經痲痺) 사시환자(斜視患者)의 한방치험(韓方治驗)1례(例))

  • Kim, Chang-Hwan;Kim, Yong-Suk
    • The Journal of Korean Medicine
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    • v.18 no.1
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    • pp.82-86
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    • 1997
  • Stabismus refers to a muscle imbalance that results in improper alignment of the visual axes of the two eyes. It may be divided into paralytic and nonparalytic strabismus. Paralytic strabismus is primarily a neurologic problem ; nonaralytic strabismus is more strictly an ophthalmologic problem. Characteristic clinical disturbances result from lesions of the third, fourth, and sixth cranial nerves. Lesions of the sixth nerve result in a paralysis of lateral or outward movement and a crossing of the visual axes. We present a case of paralytic strabismus in 24-year-old female who recovered by Oriental medicine, including acupuncture and herbal medicines.

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Neurilemmoma in the floor of the mouth: a case report

  • Shim, Seung-Kee;Myoung, Hoon
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.42 no.1
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    • pp.60-64
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    • 2016
  • Neurilemmomas are well-encapsulated, benign, slow-growing tumors originating from Schwann cells of the nerve sheath surrounding cranial, peripheral, or autonomic nerves. Intraoral neurilemmomas are relatively rare and have a wide variety of morphologic and radiologic features. This makes differential diagnosis difficult, and only histopathological features can lead to a definitive neurilemmoma diagnosis. In this report, we present the case of a 30-year-old woman whose chief complaint was a solitary, nodular mass on the right floor of the mouth. After computed tomography and magnetic resonance imaging, we performed an incisional biopsy that showed the typical characteristics of a neurilemmoma. The mass was removed completely through an intraoral surgical approach. Despite losing a portion of the lingual nerve, the patient did not complain of any specific discomfort. Wound healing was uneventful and there were no signs or symptoms of recurrence.

A Case of Tracheal Schwannoma (기관에 발생한 신경초종 1예)

  • Lee, Han-Bin;Chang, Jae Won;Shin, Yoo Seob;Kim, Chul-Ho
    • Korean Journal of Bronchoesophagology
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    • v.18 no.1
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    • pp.24-26
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    • 2012
  • As benign tumor originating in Schwann cells of nerve sheath, Schwannoma can rise in any site involving cranial nerve, sympathetic nerves, peripheral nerves excepting optic nerves and olfactory nerves. Schwannoma rarely occurs in trachea, and although can appear in any part, most often seen in the lower third of the trachea. Here, we reported a case of intra-tracheal schwannoma misdiagnosed and treated as bronchial asthma, later identified and successfully excised through an external approach.

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Thoracic teratoma in a laying hen (Deklb brown warren). A case report (산란계에서의 흉강내 기형종 발생보고)

  • 한규삼;이성효;서문정;오언평;채효석;유혜진;임채웅
    • Korean Journal of Veterinary Service
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    • v.20 no.2
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    • pp.183-189
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    • 1997
  • This article reports a spontaneous thoracic teratoma in a laying hen (Deklb brown warren). In this case, a 40 days old hen was submitted for necropsy as part of an investigation into a flock problem suspected Marek's disease to Chonbuk Veterinary Service Laboratory in 1983. On the gross finding, mass was In the cranial subpulmonary cavity and attached to the vertebral column. It contained fully developed contour feathers. Histologically, feathers were arised from feather follicles complete with arrector plumi muscle, nerve, vessel and mucous gland composed with simple tall columnar epithelium. The outer surface of mass was lined by keratinized or nonkeratinized stratified squamous epithelium. It converted to pseudostratified ciliated columnar epithelium in some area. There were lymphocyte infiltration around gland tissue and eosinophilic intranuclear inclusion bodies in nonkeratinized epithelium. This thoracic teratoma was composed of ectodermal origin, squamous epithelium and nerve, and endodermal origin, mucous gland. This case in laying hen has never been reported in the literature in the world.

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A Case of the Oculomotor Nerve Palsy in Benedikt's Syndrome Patient (베네딕트 증후군 환자의 동안신경마비 치험 1례)

  • Kim, Seung-Jin;Jeung, Jong-An;Ann, Jeung-Jo;Jeon, Sang-Yoon;Hong, Seok;Kim, Kyung-Su;Jeung, Su-Mi
    • The Journal of Internal Korean Medicine
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    • v.26 no.3
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    • pp.670-676
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    • 2005
  • The purpose of this case study is to present a case of oculolmotor nerve palsy due to midbrain infarction improved by acupuncture and herb medicine. Oculomotor nerve palsy is a disorder associated with dysfunction in the third cranial nerve, which causes eye movement disorder, diplopia and ptosis. The patient, who was diagnosed with Benedikt's Syndrome(Red Nucleus Syndrome), was given oriental medical treatment. Benetikt's Syndrome has the various symptoms of weakness on one side(contralateral) and eye movement disorder, ptosis, diplopia(ipsilateral) etc., but research on Benetikt's Syndrome or midbrain infarction is scant. Results of this study suggest a role for conservative therapy with herb medicine and acupuncture to treat oculomotor nerve palsy(eye movement disorder, ptosis, diplopia, etc., ipsilateral) and right motor weakness(contralateral) due to midbrain infarction. Further research into oriental medical treatment for such disorders will be forthcoming.

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