• 제목/요약/키워드: left temporal

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Giant Cell Tumor of the Temporal Bone in an Old Patient

  • Paek, Kyung-Il;Kim, Seon-Hwan;Song, Shi-Hun;Kim, Youn
    • Journal of Korean Neurosurgical Society
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    • 제37권6호
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    • pp.462-465
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    • 2005
  • We report a case of a 67-year-old woman with giant cell tumor of the temporal bone. A 67-year-old woman presented with localized tenderness, swelling, sensory dysesthesia, dizziness, and headache over the left temporal bone. She was neurologically intact except left hearing impairment, with a nonmobile, tender, palpable mass over the left temporal area. A brain computed tomography(CT) scans showed a relatively well defined heterogenous soft tissue mass with multiple intratumoral cyst and radiolucent, osteolytic lesions involving the left temporal bone. The patient underwent a left frontotemporal craniotomy and zygoma osteotomy with total mass removal. Permanent histopathologic sections revealed a giant cell tumor. She remains well clinically and without tumor recurrence at 2 years after total resection.

운동 표상과 관련된 뇌 메커니즘을 알아보기 위한 VR 시스템 개발 및 이를 이용한 fMRI 연구: 예비 실험 (Development of motor representation brain mechanism VR system using IMRI study: A Pilot Study)

  • 이원호;구정훈;조상우;이형래;한기완;박진식;김재진;김인영;김선일
    • 한국HCI학회:학술대회논문집
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    • 한국HCI학회 2008년도 학술대회 1부
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    • pp.728-732
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    • 2008
  • 본 연구는 운동 표상에 관한 뇌 메커니즘의 이해를 위해 fMRI를 이용한 측정 시스템을 개발하였다. 개발된 시스템의 검증을 위해 예비 실험을 시행하였다. fMRI task는 visual feedback을 제공하는 task와 차단하는 task 두 가지의 task로 구성되었다. 실험 결과 visual feedback이 제공되었을 때는 left superior orbital gyrus, bilateral precentral gyrus, left superior occipital gyrus, left supplementary motor area, right thalamus, right postcentral gyrus 그리고 right superior parietal lobule 같은 영역들이 활성화 되었다. Visual feedback이 차단되었을 때는 left precuneus, right middle temporal gyrus, bilateral supplementary motor area, right anterior cingulate cortex, left Inferior temporal gyrus, left insula lobe, right superior parietal lobule, bilateral postcentral gyrus 그리고 left precentral gyrus 같은 영역들이 활성화 되었다. 개발된 시스템을 통해서 visual feedback이 차단되었을 경우 운동 표상에 관한 뇌 메커니즘을 알아 볼 수 있었다.

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안정교합장치가 교근 및 전측두근 활성에 미치는 영향 (The Effects of Stabilization on the Electromyographic Activities of the Masseter and Anterior Temporal Muscles during Maximal Clenching)

  • Won-Ill Kang;Jae-Kap Choi
    • Journal of Oral Medicine and Pain
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    • 제16권1호
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    • pp.25-32
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    • 1991
  • The author studied the changes of electromyographic activities of the masseter and anterior temporal muscles during maximal clenching before and after stabilization splint wearing. It also studied the changes of the symmetry of the muscle activity during maximal clenching. For this study, 15-healthy-female-students were selected. The obtained results were as follows : The EMG activities of right and left anterior temporal muscles and right masseter muscle during maximal clenching immediately after wearing of the stabilization splint were not changed compared with before wearing of the stabilization splint. The EMG activities of right and left masseter and anterior temporal muscles during maximal clenching were significantly increased after 1 week and 4 week-use of the stabilization splint(p<0.01). The asymmetric indices of the EMG activities of right and left masseter and anterior temporal muscles during maximal clenching immediately after wearing of the stabilization splint were not changed compared with before wearing of the stabilization splint. The asymmetric indices of the EMG activities of right and left anterior temporal muscles during maximal clenching were significantly decreased after 1 week and 4 week use of the stabilization splint(p<0.01). and that of masseter muscles showed a decreased tendency but there were no significant differences(p>0.05).

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뇌자도를 이용한 어휘적 중의성의 처리와 관련된 대뇌 신경활동 분석 (Magnetoencephalographic Study on the cerebral neural activities related to the processing of lexically ambiguous words)

  • 유기순;김준식;정천기;남기춘
    • 대한음성학회:학술대회논문집
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    • 대한음성학회 2007년도 한국음성과학회 공동학술대회 발표논문집
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    • pp.59-63
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    • 2007
  • Neuromagnetic fields were recorded from normal 10 subjects to investigate the time course of cerebral neural activation during the resolution of lexical ambiguity. All recordings were made using a whole-head 306-channel MEG (Elekta Neuromag TM Inc., $Vectorview^{TM}$). The observed activity was described by sLORETA (standardized low resolution brain electromagnetic tomography) techniques implemented in CURRY software (Neuroscan). In the results, bilaterally occipito-temporal lobe was activated at 170ms. At 250ms was associated with bilateral temporal lobe during ambiguous condition, whereas in left parietal, temporal lobe on unambiguous condition. The left frontal lobe, temporal lobe were activated at 350ms for all condition. At approximately 430ms, was activated in right frontal, temporal lobe on the resolving ambiguous condition, in left parietal lobe, right temporal lobe on the preserving ambiguous condition. In conclusion, the cerebral activations related to the resolving lexical ambiguity were right frontal lobe and the areas of mountainous ambiguity were left parietal lobe.

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An Unusual Case of Japanese Encephalitis Involving Unilateral Deep Gray Matter and Temporal Lobe on Diffusion-Weighted MRI

  • Seok, Hee Young;Lee, Dong Hoon
    • Investigative Magnetic Resonance Imaging
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    • 제20권4호
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    • pp.250-253
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    • 2016
  • Acute Japanese encephalitis (JE) is an endemic viral infectious disease in various parts of Far East and Southeast Asian countries including Korea. Bilateral thalami are the most common involving sites in JE. Other areas including the basal ganglia, substantia nigra, red nucleus, pons, cerebral cortex and cerebellum may be also involved. We report an extremely unusual brain diffusion-weighted MR imaging (DWI) findings in a 53-year-old man with serologically proven JE involving unilateral deep gray matter and temporal lobe, which shows multifocal high signal intensities in left thalamus, left substantia nigra, left caudate nucleus and left medial temporal cortex on T2-weighted image and DWI with iso-intensity on apparent diffusion coefficient (ADC) map.

Functional Reorganization Associated with Semantic Language Processing in Temporal Lobe Epilepsy Patients after Anterior Temporal Lobectomy: A Longitudinal Functional Magnetic Resonance Image Study

  • Kim, Jae-Hun;Lee, Jong-Min;Kang, Eun-Joo;Kim, June-Sic;Song, In-Chan;Chung, Chun-Kee
    • Journal of Korean Neurosurgical Society
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    • 제47권1호
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    • pp.17-25
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    • 2010
  • Objective: The focus of this study is brain plasticity associated with semantic aspects of language function in patients with medial temporal lobe epilepsy (mTLE) Methods: Using longitudinal functional magnetic resonance imaging (fMRI), patterns of brain activation were observed in twelve left and seven right unilateral mTLE patients during a word-generation task relative to a pseudo-word reading task before and after anterior temporal section surgery. Results: No differences were observed in precentral activations in patients relative to normal controls (n = 12), and surgery did not alter the phonological-associated activations. The two mTLE patient groups showed left inferior prefrontal activations associated with semantic processing (word-generation>pseudo-word reading), as did control subjects. The amount of semantic-associated activation in the left inferior prefrontal region was negatively correlated with epilepsy duration in both patient groups. Following temporal resection, semantic-specific activations in inferior prefrontal region became more bilateral in left mTLE patients, but more left-lateralized in right mTLE patients. The longer the duration of epilepsy in the patients, the larger the increase in the left inferior prefrontal semantic-associated activation after surgery in both patient groups. Semantic activation of the intact hippocampus, which had been negatively correlated with seizure frequency, normalized after the epileptic side was removed. Conclusion: These results indicate alternation of semantic language network related to recruitment of left inferior prefrontal cortex and functional recovery of the hippocampus contralateral to the epileptogenic side, suggesting an intra- and inter-hemispheric reorganization following surgery.

Cryptogenic Temporal Hollowing

  • Park, Ie Hyon;Kwon, Heeyeon;Kim, Sang Wha
    • 대한두개안면성형외과학회지
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    • 제17권4호
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    • pp.218-221
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    • 2016
  • Temporal hollowing is a common complication that occurs after coronal approach surgeries. However, temporal hollowing without previous nerve damage or trauma history is rare. Herein, we present a patient with cryptogenic temporal hollowing. A 22-year-old man without any history of craniofacial interventions or trauma presented with temporal hallowing. Magnetic resonance imaging revealed fatty degeneration of the left temporalis muscle. Electromyography and nerve conduction study showed no signs of neurologic abnormalities. The patient received autologous fat injection of 30 mL harvested from the left thigh using the modified Coleman technique. Temporal hollowing is commonly caused by atrophy of the superficial temporal fat pad. Its incidence is reported to be as high as 6% after coronal approach operation. Augmentation using porous hydroxyapatite or titanium mesh is a treatment option. Autologous fat graft can also be an option for mild to moderate temporal hollowing. In this case, a patient with no history of trauma, surgery, or myogenic disease developed temporal hollowing. Further study of the little-known cryptogenic form of temporal hollowing is warranted.

Coexistence of Radiation-induced Meningiomas and Shunt Related Pneumocephalus in a Patient with Successfully Treated Medulloblastoma

  • Kim, Young-Hoon;Kim, Chae-Yong
    • Journal of Korean Neurosurgical Society
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    • 제41권6호
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    • pp.403-407
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    • 2007
  • The authors encountered a case of simultaneous radiation-induced multiple meningiomas and ventriculoperitoneal [VP] shunt-related pneumocephalus. A 35-year-old man, who had undergone surgery for medulloblastoma 21 years previously and subsequently received high dose craniospinal irradiation with adjuvant chemotherapy and later underwent a VP shunt because of hydrocephalus, presented with a severe headache and weakness of both lower extremities. Computed tomography showed an air pocket lesion in the left temporal lobe and a large amount of pneumocephalus with a bony defect of the left tegmen tympani. In addition, a 3 cm sized well enhancing mass was noted in the in the right middle cranial fossa and additional small enhancing nodule in the left frontal pole. He was treated by left temporal craniotomy and repair of the bony and dural defects of the left tegmentum tympanum through extradural and intradural approaches, respectively. Afterwards, he underwent right temporal craniotomy and gross total removal of a rapidly growing right middle fossa mass and a left frontal mass. The histological examination was consistent with atypical meningioma, WHO grade II. In conclusion, physicians have to consider the serious long term complications of high dose radiation therapy and VP shunt placement and need to perform the neuroradiologic follow-up after such treatments for several decades.

COMPARATIVE ELECTROMYOGRAPHIC ANALYSIS OF MASTICATORY MUSCLES BETWEEN BILATERAL AND UNILATERAL MASTICATORS

  • Na Sun-Hye;Kang Dong-Wan
    • 대한치과보철학회지
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    • 제40권6호
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    • pp.577-589
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    • 2002
  • There are several variations in normal mastication. In them, unilateral mastication is chewing, predominantly on a preferred side of the dentition and hardly on e non-preferred side. Continual unilateral mastication may alter the coordination of masticatory muscles. Although they studied about these EMG of masticatory muscles, there were no information about characteristics of masticatory muscle activity in unilateral mastication. Therefore, In this study, we investigated the activity of the masseter and anterior temporal muscles during rest, clenching in maximum intercuspation and gum chewing in habitually unilateral mastication group compared with normal group and tried to know effects of continual unilateral mastication on activity of masticatory muscles. The results of this study were as follows 1. In electromyographic activity during rest, in bilateral mastication group pattern of muscle activity of right and left side was symmetrical. But, in unilateral mastication group, records of anterior part of temporal muscle was higher than that of bilateral mastication group (p<.01) and patterns of muscle activity of right and left side in both muscle were asymmetrical.(p<.05) 2. In electromyographic activity during clenching in maximum intercuspation, records of superficial part of masseter muscle were higher than anterior part of temporal muscle in both group. Muscle activity of temporal muscle in unilateral mastication group was a little higher han bilateral mastication group and asymmetry of activity pattern in temporal and masseter muscle was shown but these differences were not statistically significant. (p<.05) 3. In electromyographic activity during gum chewing, temporal muscle was activated earlier than masseter muscle and maximum bite force is derived from masseter muscle in both group. In unilateral mastication group, electromyographic activity of masseter and temporal muscle of preferred chewing side, regardless of right or left side chewing, was higher than that of bilateral mastication group and especially, difference in masseter muscle was statistically significant. (p<.01) Based on the above results, our study suggested that recording of masticatory muscle activity will be helpful in the effective diagnosis and treatment of some types of the parafunctional habits.

더러브렛종 경주마에서 치성낭포의 외과적 치료 (Surgical Treatment of Dentigerous Cyst in Thoroughbred Racehorse)

  • 양영진;권도연;조길재
    • 한국임상수의학회지
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    • 제26권1호
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    • pp.69-71
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    • 2009
  • A 2-year-old, female Thoroughbred racehorse was referred to the Equine Hospital of Korea Racing Authority. The horse was presented with fluctuant swelling at the base of the left temporal ear tooth. We performed physical examination, radiography and ultrasonography, and diagnosed as dentigerous cyst on the left temporal ear tooth-(dentigerous cyst). The horse was treated with removal of a dentigerous cyst(aural fistula). After surgical procedure for 12 days, the patient was recovered completely.