• Title/Summary/Keyword: nerve conduction study

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Diagnosis of neuropathic foot of diabetics using photo-plethysmography (용적맥파 측정법을 이용한 신경병증 당뇨병 족부질환의 진단)

  • Nam, Ki-Chang;Ryu, Chang-Yong;Jung, Won-Hyuk;Kim, Jin-Tae;Park, Joong-Hoon;Kim, Deok-Won
    • Proceedings of the KIEE Conference
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    • 2005.05a
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    • pp.39-41
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    • 2005
  • The population of diabetes is continuously increasing because of the economic development and the lifestyle modification. If diabetes become chronic condition, it can cause various complications. Among many other complications, diabetic foot is the most fatal issue since it may require amputation of the legs. Diabetic foot has three different types such as neuropathic, neuro-ischemic and ischemic. Among these types, patients of neuropathic foot experience sensory abnormality. Nerve conduction velocity (NCV) is used for diagnosing neuropathic foot but this method uses strong electric stimulus to cause severe pain to the patients In this study, two channel photo-plethysmography was used as noninvasive screening tool for distinguish neuropathic foot and normal group by observing blood flow of both finger and toe simultaneously.

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Comparison of blood flow ratio between normal and diabetic neuropathy group using photoplethysmograph (PPG를 이용한 정상인과 당뇨병 환자의 혈류량 비교)

  • Lee, Ju-Hyung;Kim, Sung-Woo;Kang, Eun-Seok;Kim, Deok-Won
    • Proceedings of the KIEE Conference
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    • 2007.04a
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    • pp.77-79
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    • 2007
  • The purpose of this study was to suggest a new detection method for early diagnosing diabetic neuropathic foot by obtaining a ratio of toe to figer blood flow using photoplethysmography(PPG). Nerve conduction velocity (NCV) has been routinely used for diagnosing neuropathic foot, but it applies strong electric stimulus to peripheries resulting in stress and pain. The blood flow ratio of diabetic neuropathy(0.96${\pm}$0.20) was significantly higher in comoarison to normal control group(0.46${\pm}$0.15, left : p<0.05, right : p<0.05) and non-neuropathy diabetic group(0.49${\pm}$0.21, left: p<0.05. right: p<0.05).

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Painless Aortic Dissection Simulating Guillain-Barré Syndrome (길랑-바레 양상으로 발현한 무통성 대동맥 박리 1례)

  • Oh, Eun-Jin;Jeong, Sang-Wuk;Park, Jong-Kwan;Hong, Keun-Sik
    • Annals of Clinical Neurophysiology
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    • v.7 no.1
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    • pp.49-51
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    • 2005
  • A 61-year-old man with an antecedent febrile illness presented with progressive flaccid paraparesis, but no sensory or sphincter involvement. Magnetic resonance imaging (MRI) of the spine was negative and nerve conduction study (NCS) showed the absence of F-waves in his legs, suggesting $Guillain-Barr{\acute{e}}$ syndrome (GBS). However, abdominal pain after admission led to the consideration of the spinal cord ischemia secondary to aortic dissection confirmed by computed tomography. We report the rare condition of painless aortic dissection simulating GBS.

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Bilateral Femoral Neuropathy Combined with Multifocal Abscesses (다발성 농양과 동반한 양측성 대퇴신경 마비)

  • Kim, Chul Hyun;Lee, Yang Soo;Byun, Seung Deuk;Lee, Zee Ihn
    • Annals of Clinical Neurophysiology
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    • v.7 no.2
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    • pp.127-129
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    • 2005
  • We report a 29-year old female who developed bilateral femoral neuropathy combined with multiple abscesses in both thigh muscles. She was present with weakness in both lower extremities for 15 days and intermittent chilling sense for 3 months. Nerve conduction study showed complete absence of compound muscle action potentials in bilateral femoral nerves when stimulated at inguinal area. Electromyographic examination revealed no motor unit action potentials in both rectus femoris and vastus medialis muscles. CT revealed multifocal abscesses in bilateral thigh muscles. After antibiotic treatment, the patient's neurologic symptoms were improved.

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Review of Electrophysiologic Examination (전기생리학적 검사에 대한 고찰)

  • Baek Su-Jeong;Kim Dong-Hyun;Lee Mi-Ae;Kim Jin-Sang
    • The Journal of Korean Physical Therapy
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    • v.16 no.3
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    • pp.72-85
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    • 2004
  • We have few assessment tool in physical therapy. Recently, there is increasingly a concern of electrophysiologic examinations. They includes electomyography; needle and surface, evoked potentials; somatosensory evoked potentials; brainstem auditory evoked potentials; visual evoked potentials, nerve conduction velocity, blink reflex, H-reflex, and F-wave. The purpose of this study is understanding of electrophysiologic examinations. So we hope many physical therapist to use electrophysiologic examinations in research.

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Guillain-barré Syndrome after Multiple Bee Stings (다발성 벌 자상에 의한 길랑 바레 증후군 1례)

  • Jin, Sang-Chan
    • Journal of The Korean Society of Clinical Toxicology
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    • v.16 no.1
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    • pp.57-59
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    • 2018
  • Severe systemic responses including neurologic complications such as myasthenia gravis, myeloradiculopathy, optic neuropathy, parkinsonism, stroke and Guillain-$barr{\acute{e}}$ syndrome can occur after bee stings. This case describes a 78-year-old female who presented with symptoms of acute progressive bilateral symmetrical weakness in both lower legs after multiple bee stings. Nerve conduction study findings were consistent with acute sensorimotor axonal neuropathy and recovered by treatment with intravenous immunoglobulin. This case highlights that bee stings can result in acute onset Guillain-$barr{\acute{e}}$ syndrome, although the pathophysiologies of bee venoms need to be investigated accurately.

A Case of Cerebral Adrenomyeloneuropathy with Extensive Cerebral Lesions (광범위한 대뇌병터를 보인 대뇌형 부신척수신경병증 1예)

  • Kim, Hyun-Jung;Min, Ju-Hong;Lee, Kwang-Woo
    • Annals of Clinical Neurophysiology
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    • v.9 no.2
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    • pp.97-101
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    • 2007
  • We report a 31-year-old man with cerebral adrenomyeloneuronopathy variant, who presented as progressive gait disturbance. He had spastic paraparesis, hyperreflexia without Babinski's sign and sensory symptom. No adrenal insufficiency was noted. Brain MRI showed extensive high signal intensities in bilateral temporal lobes and posterior periventricular white matter in T2 weighed imaging without cerebrospinal fluid abnormality. His nerve conduction study showed sensorimotor demyelinating polyneuropathy and the level of saturated very-long-chain fatty acids was high in his plasma, although neuropsychological test was normal.

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Accessory Belly of the Piriformis Muscle as a Cause of Piriformis Syndrome: a Case Report with Magnetic Resonance Imaging and Magnetic Resonance Neurography Imaging Findings

  • Kim, Hae-Jung;Lee, So-Yeon;Park, Hee-Jin;Kim, Kun-Woo;Lee, Young-Tak
    • Investigative Magnetic Resonance Imaging
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    • v.23 no.2
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    • pp.142-147
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    • 2019
  • Piriformis syndrome caused by an accessory belly of the piriformis muscle is very rare. Only a few cases have been reported. Here, we report a case of piriformis syndrome resulting from an extremely rare type of accessory belly of the piriformis muscle originated at the proximal third portion of the main piriformis muscle and attached separately to the greater trochanter inferior to the insertion of the main piriformis muscle. A definitive diagnosis of piriformis syndrome was made based on magnetic resonance imaging and magnetic resonance neurography findings that were consistent with results of nerve conduction study and needle electromyography.

Rituximab Treatment for Polyneuropathy Induced by an Immune Checkpoint Inhibitor (Immune Checkpoint Inhibitor에 의한 다발신경병의 Rituximab 치료)

  • Shin, Hye-Rim;Kang, Dong-Wan;Kim, Eun Young;Kim, Tae Min;Lee, Soon-Tae
    • Journal of the Korean neurological association
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    • v.36 no.4
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    • pp.329-332
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    • 2018
  • Immune checkpoint inhibitor is associated with variety of immune-related adverse events. We present a case of polyneuropathy induced by immune checkpoint inhibitor, which was refractory to steroid and immunoglobulin. While high-dose steroid and immunoglobulin were not effective, we tried rituximab which is effective in other immune-mediated polyneuropathy. After rituximab treatment, patient's clinical symptom and nerve conduction study finding was markedly improved. We suggest rituximab might be effective in polyneuropathy induced by immune checkpoint inhibitor.

Difference between absolute and relative muscle strength according to resistance exercise proficiency

  • Sang-Hyun Lee
    • International journal of advanced smart convergence
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    • v.12 no.2
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    • pp.167-172
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    • 2023
  • In this study, the absolute and relative strength of six upper extremity resistance exercises were measured by classifying resistance exercise experts and non-experts. As a result, the skilled group showed higher absolute and relative muscle strength than the unskilled group in the 6 upper extremity resistance exercises. These results are judged to be the hypertrophy of fast-twith muscles, the mobilization of motor units, and the increase in the speed of nerve conduction while the skilled person consistently performs resistance exercise. Experts use intermuscular coordination efficiently to stably perform the load according to the movement and exercise intensity performed during exercise, whereas the inexperienced person uses relatively large muscle groups rather than efficiently using intermuscular coordination. It is considered that exercise motion and load were performed by mobilizing. In addition, as a result of comparing the absolute and relative muscle strength between the 6 types of upper limb resistance exercises, there was a difference between the 6 types of upper limb resistance exercises in the two groups. It can be judged that greater muscle strength and endurance were created through liver coordination.