• International Journal of Oral Biology
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• 제40권4호
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• pp.175-182
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• 2015

Previous studies suggested that myelinated axons innervating rat molar pulps undergo morphological changes in their peripheral course. However, little information is available on the morphological feature of the parent axons at the site of origin. We therefore investigated the size of the myelinated parent axons and their morphological features at the proximal sensory root of the trigeminal ganglion by horseradish peroxidase (HRP) injection into rat upper molar pulps and subsequent light and electron microscopy. A total of 248 HRP-labeled myelinated axons investigated were highly variable in the size. Fiber area, fiber diameter, axon area (axoplasm area), axon diameter (axoplasm diameter), and myelin thickness were $11.32{\pm}8.36{\mu}m^2(0.80{\sim}53.17{\mu}m^2)$, $3.99{\pm}1.53{\mu}m(1.08{\sim}9.26{\mu}m)$, $8.70{\pm}6.30{\mu}m^2(0.70{\sim}41.83{\mu}m^2)$, $3.13{\pm}1.13{\mu}m(0.94{\sim}7.20{\mu}m)$ and $0.43{\pm}0.23{\mu}m(0.07{\sim}1.06{\mu}m)$, respectively. The g-ratio (axon diameter / fiber diameter) of the labeled axons was $0.79{\pm}0.05$ (0.61~0.91). Axon diameter was highly correlated with myelin thickness (correlation coefficients, r=0.83) but little correlated with g-ratio (r=-0.33) of individual myelinated parent axons. These results indicate that myelin thickness of the myelinated parent axons innervating rat molar pulps increase with increasing axon diameter, thus maintaining a constant g-ratio.

• 대한수의학회지
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• 제6권1호
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• pp.82-91
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• 1966

Studies On the myelinated fibers of the recurrent laryneal nerves were made in five, species of domestic animals namely dog, pig, goat, horse and Korean ox. Throughout the studies, the following characteristics of the myelinated fibers were obtained. 1. The number, size and cross sectional area of the myelinated fibers seemed to be proportionally related to the animal body weights. 2. The highest peak of diameter size frequency distribution of the myelinated fibers, observed at the right cranial level, in dog, goat and horse were 4-6 micron group, while in the case of Korean ox, 10-12 micron group was the highest. 3. The highest peak of diameter size frequency distribution of the myelinated fibers, observed at the right caudal level of Korean ox was 6-8 micron group, and 4-6 micron group was the highest in the other animals. 4. The highest peak of diameter size frequency distribution of the myelinated fibers obsered at the left cranial level was same to that of right cranial level. 5. The highest peak of diameter size frequency distribution of the myelinated fibers, observed at the left caudal levels in dog, goat, horse and Korean ox was 4-6 micron group, while in case of pig, $14-16{\mu}$ group was the highest. 6. The largest cross sectional areas were found in the group of 10-16 micron in all species of animals. 7. The fiber diameter size frequency distribution of recurrent laryngeal nerves of dog, goat, pig and horse were bimodal and Korean ox seemed to be a unimodal.

• 대한수의학회지
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• 제34권4호
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• pp.801-804
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• 1994

본 실험에서 초산납 투여로 인한 실험초기에 관찰할 수 있는 신경독성은 Schwann 세포의 종창이었다. 종창의 정도를 계측하기 위해 각 실험군 rat의 좌골신경을 횡단 조직표본으로 제작하여 Schwann세포의 두께와 핵의 장경을 측정 비교하였다. 즉 제1실험군은 30일간 0.5% 초산납이 함유된 음료수를 공급하였고 제2실험군은 제1군과 동일한 처리후 일반 실험실 조건에서 30일간 회복되게 하였으며 제3군은 대조군으로 정상 사육하였다. 초산납을 투여한 제1실험에서는 Schwann세포의 두께가 대조군보다 유의한 증가치를 보였는데, 제2실험군은 대조군과 유의한 차이가 없었다. Schwann세포핵의 직경 역시 제1군이 대조군보다 증가되었으나 유의한 차이는 없었다.

• Annals of Clinical Neurophysiology
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• 제5권1호
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• pp.1-10
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• 2003

Small-fiber neuropathy (SFN) is a common clinical problems. The disorder is a generalized peripheral polyneuropathy that selectively involves small-diameter myelinated and unmyelinated nerve fibers. It is often idiopathic and typically presents with painful feet in patients over the age of 60. And autoimmune mechanisms are often suspected, but rarely identified. The clinical features consisted of painful dysesthesias and postganglionic sympathetic dysfunction, as well as reduced pinprick and temperature sensation. Although affected patients complain of neuropathic pain, this condition is often difficult to diagnose because of the few objective physical signs and normal nerve conduction studies. Diagnosis of SFN is made on the basis of the clinical features, normal nerve conduction studies, and abnormal specialized tests of small fiber function. These specialized studies include assessment of epidermal nerve fiber density as well as sudomotor, quantitative sensory, and cardiovagal testing. Unless an underlying disease is identified, treatment is usually directed toward alleviation of neuropathic pain.

• 대한근전도전기진단의학회지
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• 제20권2호
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• pp.77-83
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• 2018

Small fiber neuropathy (SFN) mainly affects thinly myelinated $A{\delta}$-fibers and unmyelinated C-fibers presented with neuropathic pain like burning feet or numbness. Many conditions are known as a causes of SFN, metabolic derangement, especially glucose intolerance, is the most frequent cause of SFN. It has been hard to diagnose SFN because there has been lack of specialized test for small nerve fiber. Quantification of intraepidermal nerve fiber density using skin biopsy is promising method to diagnose SFN. A skin biopsy also could give helps to research pathophysiology of SFN by specialized stain method.

• Annals of Clinical Neurophysiology
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• 제10권1호
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• pp.29-32
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• 2008

Although various criteria on the diagnosis of diabetic neuropathy are applied from trial to trial, being tailored in concert with its purpose, the utmost evidences of the diagnosis are subjective symptoms and objective signs of neurologic deficit. The application and interpretation of auxiliary electrophysiological test including nerve conduction study (NCS) should be made on the context of clinical pictures. The evaluation of the functions of small, thinly myelinated or unmyelinated nerve fibers has been increasingly stressed recently with the advent of newer techniques, e.g., measurement of intraepidermal fiber density, quantitative sensory testing, and autonomic function test. And the studies with those techniques have shed light to the nature of the evolution of diabetic neuropathy. The practical application of these techniques to the diagnosis of diabetic neuropathy in the individual patients, however, should be made cautiously due to several shortcomings: limited accessibility, wide overlapping zone between norm and abnormality with resultant unsatisfactory sensitivity and specificity, difficulty in performing subsequent tests, unproven quantitative correlation with clinical deficit, and invasiveness of some technique. NCS, as an extension of clinical examination, is still the most reliable electrophysiological test in evaluating neuropathy and gives the invaluable information about the nature of neuropathy, whereas the newer techniques need more refinement of the procedure and interpretation, and the accumulation of large scaled data of application to be considered as established diagnostic tools of peripheral neuropathy.

• Archives of Plastic Surgery
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• 제33권2호
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• pp.213-218
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• 2006

As the large defect of peripheral nerve occurs, the autologous nerve graft is the most ideal method but it has many limitations due to donor site morbidities. Various materials have been developed for the nerve defect as the conduits, but none of these materials is satisfactory. Among them, $Gore-Tex^{(R)}$ tube seems to be one of the most ideal nerve conduit materials at peripheral nerve defect. Many researches have focused on finding the neurotrophic factors. It is recently demonstrated that Valproic acid(VPA) has an effect of axonal regeneration as a neurotrophic factor without enzymatic degradation and toxicity problems. The purpose of this study is to evaluate the effect of VPA on the nerve regeneration at the peripheral nerve defect. A 10 mm gap of rat sciatic nerve was made and $Gore-Tex^{(R)}$ tube filled with biceps femoris muscle was placed at the nerve defect site. We let the rat take VPA as drinking water in experimental group and did not give VPA to the control group. We estimated the results as electrophysiologic and histological aspects for 16 weeks after the surgery. The nerve conduction velocity, total myelinated axon count, myelin sheath thickness and mean nerve fiber diameter significantly increased in VPA-treated experimental group when compared to the control (p < 0.05). From the above results, we conclude that VPA promotes the nerve regeneration at the peripheral nerve defect site. It is suggested that $Gore-Tex^{(R)}$ tube filled with skeletal muscle and VPA administration may be a good substitute for autologous nerve graft.

• Archives of Plastic Surgery
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• 제32권5호
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• pp.613-618
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• 2005

When a large peripheral nerve defect occurs, an autologous nerve graft is the most ideal method of recinstruction. But an autologous nerve graft has many limitations due to donor site morbidities. Many previous focused on finding the ideal nerve conduit. Among them, $Gore-Tex^{(R)}$ has several advantages over other conduits. It can be manipulated to a suitable size, does not collapse easily, and it is a semi- permeable material that contain pores. A round shaped nerve can be newly formed because of its smooth inner surface. The purpose of this study was to evaluate the availability of $Gore-Tex^{(R)}$ tube as a nerve conduit at the peripheral nerve defect in the rat sciatic nerve. The 10 mm nerve gap was made in each group. A $Gore-Tex^{(R)}$ tube filled with skeletal muscle was inserted and autologous nerve graft was harvested, respectively. In the experimental group, we placed a 0.5 mm thickness, $30{\mu}m$ pored, 1.8 mm in diameter and 14 mm length tube with skeletal muscle inserted inside. In the control group, the nerve gap was inserted with a rat sciatic nerve. We estimated the results electrophysiologically and histologically to 16 weeks postoperatively. Results in the nerve conduction velocity, total myelinated axon count, myelin sheath thickness and mean nerve fiber diameter, the experimental group was substantially lower than that of the control group, but the statistic difference was not significant (p<0.05). The morphology was very similar in both groups, microscopically. From the above results, We conclude that $Gore-Tex^{(R)}$ qualifies as an ideal nerve conduit. It is suggested that $Gore-Tex^{(R)}$ tube filled with skeletal muscle may, substitute for an autologous nerve graft.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제15권4호
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• pp.281-301
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• 1993

단일축삭내 HRP 주입기법에 의해 서순응형 치근막 기계적자극수용기에서 오는 일차구심성 신경섬유증 무수축삭에 의해 연결되어 있는 종말지의 시냅양상 및 미세구조에 대한 연구결과는 다음과 같았다. 1. 표식된 stem collateral은 첫 bouton을 형성할 때까지는 수질을 함유하고 있었으며, 그 직경은 약 $0.81-1.38{\mu}m$이었고, 각 terminal bouton은 특징적으로 모두가 무수축삭에 의해 연결되어 있었다. 2. 대부분의 표식 bouton은 dome형태를 나타내었으며, 때때로 길쭉한 모양 혹은 둥근모양의 bouton도 다소 관찰되었으나 scalloped 형태 혹은 glomerulus 형태의 bouton은 전혀 나타나지 않았으며 각 표식 bouton은 균일한 형태 및 크기(직경 $47.60{\pm}3.58{\mu}m$)를 가진 밝은 타원 및 원형의 소포들을 함유하고 있었다. 3. 표식 bouton은 평균직경 $1.15{\pm}0.24{\mu}m$로서 비교적 작았고 평균 $1.11{\pm}0.31$개의 다른 neuronal propile과 시냅스를 이루었는데 그중 단 1개의 neuronal propile과 시냅스를 이루는 것이 89.4%, 2개의 neuronal propile과 시냅스를 이루는 것이 10.6%로서 대단히 단순한 형태의 시냅스를 이루는 것이 특징적으로 나타났으며, 그중 대부분(80.03%)이 dendritic shaft 혹은 spine과만 시냅스를 이루었으며 p-ending과 시냅스를 이루는 것은 6.1%였고 synaptic triad는 전혀 관찰되지 않았다.