• 제목/요약/키워드: frontal lobe

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두경부 T 세포 림프종 환자에서 발생한 진행성 다초점성 백질뇌병증 - 증 례 보 고 - (Progressive Multifocal Leukoencephalopathy in a Patient with T Cell Lymphoma of Head and Neck - A Case Report -)

  • 신동아;장종희;장진우;박용구;김태승;정상섭
    • Journal of Korean Neurosurgical Society
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    • 제29권12호
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    • pp.1682-1687
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    • 2000
  • Progressive multifocal leukoencephalopathy(PML) is a fatal demyelinating disease that occurs in immunocompromised hosts. We report a case of PML that developed in patient with T cell lymphoma of head and neck. During chemotherapy for lymphoma, she was confused and had memory impairment. A magnetic resonance imaging of the brain revealed confluent signal change at white matter of the frontal lobe, insula, and anterior limb and genu of internal capsule. The lesion was confirmed with brain biopsy and the histopathological finding was compatible with PML.

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종양내 출혈을 동반한 뇌수막종 - 증례보고 - (Meningioma with Intratumoral Hemorrhage - A Case Report -)

  • 천세명;김태성;이기택;고준석;임영진;김국기;임언;이봉암
    • Journal of Korean Neurosurgical Society
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    • 제30권9호
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    • pp.1134-1139
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    • 2001
  • Meningioma associated with intratumoral hemorrhage is rarely reported. We present two patients with intratumoral hemorrhage. One 70-year-old man was admitted to our department with a decreased level of consciousness and left hemiparesis. CT scan and MRI scan revealed huge tumor with intratumoral hemorrhage in the frontal lobe. After surgical removal of the tumor, histopathological diagnosis was a meningotheliomatous meningioma. The other seemed patients was 56-year-old woman with headache and vomiting. She showed no specific neurological deficit. CT and MRI scan revealed large size tumor with intratumoral hemorrhage that looks like meningioma. The patient died suddenly before surgery. We reviewed the relevant literature and discussed the possible mechanism of hemorrhage in the meningioma.

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A case of tacrolimus-induced encephalopathy after kidney transplantation

  • Kim, Myoung-Uk;Kim, Sae-Yoon;Son, Su-Min;Park, Yong-Hoon
    • Clinical and Experimental Pediatrics
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    • 제54권1호
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    • pp.40-44
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    • 2011
  • We present a case of tacrolimus-induced encephalopathy after successful kidney transplantation. An 11-year-old girl presented with sudden onset of neurologic symptoms, hypertension, and psychiatric symptoms, with normal kidney function, after kidney transplantation. The symptoms improved after cessation of tacrolimus. Magnetic resonance imaging (MRI) showed acute infarction of the middle cerebral artery (MCA) territory in the right frontal lobe. Three days later, she had normal mental function and maintained normal blood pressure with left hemiparesis. Follow-up MRI was performed on D19, showing new infarct lesions at both cerebral hemispheres. Ten days later, MRI showed further improvement, but brain single photon emission computed tomography (SPECT) showed mild reduction of uptake in both the anterior cingulate gyrus and the left thalamus. One month after onset of symptoms, angiography showed complete resolution of stenosis. However, presenting as a mild fine motor disability of both hands and mild dysarthria, what had been atrophy at both centrum semiovale at 4 months now showed progression to encephalomalacia. There are two points of interest in this case. First, encephalopathy occurred after administration of tacrolimus and improved after discontinuation of the drug. Second, the development of right-side hemiplegia could not be explained by conventional MRI; but through diffusion tensor imaging (DTI) and diffusion tensor tractography (DTT) of white matter tract, visualization was possible.

Morphology and Ecological Notes on the Larvae and Pupae of Simulium (Simulium) from Korea

  • Kim, Sam-Kyu
    • Animal Systematics, Evolution and Diversity
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    • 제31권4호
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    • pp.209-246
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    • 2015
  • Morphological features of larvae and pupae of twelve species of Simulium (Simulium) from Korea are investigated and redescribed. Detailed descriptions of immature stages of each species are provided with photographs. For the Korean members of subgenus Simulium, combinations of the following characteristics can be used to separate them from other Korean subgenera: larval abdomen without a pair of conical-shaped ventral tubercles; postgenal cleft variously shaped, viz., miter shaped, spearhead, bullet shaped or triangular; rectal papillae 3 simple lobe or compound lobes; pupal gill of 6-16 filaments; cocoon shoe, boot or slipper shaped; and head trichomes 3 pairs (1 facial+2 frontal). Habitat information and other ecological aspects of each species are provided. Updated keys to larvae and pupae of the Korean species of the subgenus Simulium are also provided to facilitate species identification. Taxonomic treatment based on external morphologies of larvae and pupae of Korean species of the subgenus Simulium are focused and included in this study. To understand their interspecific relationships, phylogenetic analyses using multiple data from molecule, morphology, and ecology are warranted in future research. Also continued exploration for new character systems is needed to establish more stable boundaries for subgenus and species delimitations.

뇌졸중 후유증으로 나타난 진전 증상 치험 3례 (Three Cases of Tremor in Stroke Sequela Patients)

  • 유현희;윤효진;윤지원;이성근;이기상;손지영
    • 동의생리병리학회지
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    • 제19권5호
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    • pp.1450-1455
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    • 2005
  • Tremor is an most common abnormal movements disease which is to-and-fro shaking. It is caused by problems -with the nerves supplying certain muscles. It can affect the whole body or just certain areas. Parkinson's disease, Brain disease like injury of Frontal lobe, Cerebellum and Brainstem, drug and alcohol caused this symptom. It could be occured by physiological and Essential cause. In this paper, authors report three cases who showed tremor after Cerebral infarction. And we suggest that 'Ssanghwa-Tang' should be helpful for tremor patients.

Functional MRI를 이용한 학습집중력 향상 시트 개발 (Usefulness of Functional MRI for the study of concentration sheet)

  • 김창규
    • 한국산학기술학회:학술대회논문집
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    • 한국산학기술학회 2009년도 춘계학술발표논문집
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    • pp.13-17
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    • 2009
  • 본 논문에서는 학습집중력을 향상 시킬 수 있는 시트를 제작 하였다. 학습집중력의 향상을 입증하기 위하여 인체내에 존재하고 있는 조영제를 이용하여 공간적 시간적 해상도가 뛰어나고 비침습적으로 뇌기능을 측정할 수 있는 기능적 자기공명영상을 획득하고 뇌파측정을 한 결과 기억작용과 관련 있는 전두엽 부근의 뇌혈류량의 활성화를 확인할 수 있었고 뇌파 측정 분석결과 절대알파파와 절대베타파의 비율에서 유의할 만한 변화를 확인하였다. 기능적자기공명 영상은 뇌의 생리기능적 역할을 규명 의학적으로 수술 전후 장애를 방지하고 예방하는데 활용하고 있으며 뇌신경망의 가시화로 학습 집중력 등과 같은 뇌와 관련된 제품을 개발하는데 많은 연구가 이루어질 것이다.

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다양한 신경학적 이상을 나타낸 glufosinate ammonium(바스타$^{(R)}$) 급성 경구 중독 1례 (A Case of Acute Glufosinate Ammonium ($BASTA^{(R)}$) Intoxication Associated with Various Neurological Abnormalities)

  • 백진휘;김준식;이현규;박현주;하충건;노형근
    • 대한임상독성학회지
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    • 제3권2호
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    • pp.103-106
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    • 2005
  • BASTA is an herbicide which contains glufosinate ammonium as a main component with an anionic surfactant, polyoxyethylene alkylether sulfate, and nonselectively inhibits glutamine synthetase. It became a wildly used herbicide in Korea and its intoxication is now increasing. A 42-year old woman ingested about 300ml of BASTA in a suicide attempt. She showed unconsciousness and respiratory distress in the beginning, and later developed multiple generalized convulsions, low blood pressure, fever and diabetes insipidus. Although she became alert 12 days after the ingestion, she showed retrograde amnesia for a period of about recent 10 years. A neuropsychological test on day 22 revealed frontal lobe dysfunction, visual memory disturbance and slight decrease in visuospatial function. All these neurological abnormalities that might occur due to glufosinate ammonium were almost improved in the follow-up test performed a month later.

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인체진동이 뇌파변동리듬에 미치는 영향평가 (Evaluation on the Effect of Whole Body Vibration on EEG Frequency-Fluctuation)

  • 민병찬;김형욱;김지관
    • 산업경영시스템학회지
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    • 제30권4호
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    • pp.71-77
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    • 2007
  • In this study, reactions of central nervous systems working against different conditions of forced frequency and acceleration were measured and analyzed. The experiment are conducted with health men. The steady vibration conditions of forced frequency (0.315m/s2-1.0Hz, 0.315m/s2-10Hz and 10Hz-1.0m/s2) are used and the waves of EEG (Electroencephalogram) are measured. As a result, this paper shows that the ${\alpha}-wave$ of frontal lobe transfers from low to high frequency band under the vibration environment. Additionally, the average frequency of ${\alpha}-wave$ is higher under the vibration than under non-vibration environment. In the case of forced frequency of 1.0Hz-0.315m/s2, the feeling with the vibration are nearly same compared with the non-vibration condition. But in the case of 10Hz-1.0m/s2, uncomfortable feeling increased compared with the non-vibration condition. This study also shows the relationship between fluctuation slop and feeling. From this study, it is found that the effect of vibration on human depends on acceleration characteristics. Highly accelerating vibration is more harmful to human.

A Rare Case of Primary Thymic Adenocarcinoma Mimicking Small Cell Lung Cancer

  • Cho, Eun Na;Park, Hye Sung;Kim, Tae Hoon;Byun, Min Kwang;Kim, Hyung Jung;Ahn, Chul Min;Chang, Yoon Soo
    • Tuberculosis and Respiratory Diseases
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    • 제78권2호
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    • pp.112-119
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    • 2015
  • Primary thymic adenocarcinoma is a very rare malignancy of the anterior mediastinum with no standardized treatment. A 36-year-old male patient presented with hoarseness over the past 3 months. A chest computed tomography (CT) scan showed an infiltrative mass to the proximal vessels and aortic arch in left upper mediastinum ($4.1{\times}3.1{\times}5.4cm$). Brain magnetic resonance imaging (MRI) showed focal lesions, suggesting metastasis in the left frontal lobe. A thoracoscopic biopsy of the mediastinal mass confirmed a primary thymic adenocarcinoma forming a glandular structure with atypia of tumor cells. The patient received four cycles of systemic chemotherapy, consisting of etoposide and cisplatin, with concurrent radiotherapy (6,000 cGy/30 fractions) to the mediastinal lesion and the metastatic brain lesion (4,200 cGy/12 fractions). A follow-up chest CT scan and brain MRI showed a decrease in the size of the left upper mediastinal mass and brain lesion. We report a rare case of the primary thymic adenocarcinoma with a literature review.

Brain Abscesses Associated with Asymptomatic Pulmonary Arteriovenous Fistulas

  • Nam, Taek-Kyun;Park, Yong-sook;Kwon, Jeong-taik
    • Journal of Korean Neurosurgical Society
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    • 제60권1호
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    • pp.118-124
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    • 2017
  • Brain abscess commonly occurs secondary to an adjacent infection (mostly in the middle ear or paranasal sinuses) or due to hematogenous spread from a distant infection or trauma. Pulmonary arteriovenous fistulas (AVFs) are abnormal direct communications between the pulmonary artery and vein. We present two cases of brain abscess associated with asymptomatic pulmonary AVF. A 65-year-old woman was admitted with a headache and cognitive impairment that aggravated 10 days prior. An magnetic resonance (MR) imaging revealed a brain abscess with severe edema in the right frontal lobe. We performed a craniotomy and abscess removal. Bacteriological culture proved negative. Her chest computed tomography (CT) showed multiple AVFs. Therapeutic embolization of multiple pulmonary AVFs was performed and antibiotics were administered for 8 weeks. A 45-year-old woman presented with a 7-day history of progressive left hemiparesis. She had no remarkable past medical history or family history. On admission, blood examination showed a white blood cell count of 6290 cells/uL and a high sensitive C-reactive protein of 2.62 mg/L. CT and MR imaging with MR spectroscopy revealed an enhancing lesion involving the right motor and sensory cortex with marked perilesional edema that suggested a brain abscess. A chest CT revealed a pulmonary AVF in the right upper lung. The pulmonary AVF was obliterated with embolization. There needs to consider pulmonary AVF as an etiology of cerebral abscess when routine investigations fail to detect a source.