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Cerebral Arteriovenous Malformation Associated with Intracranial Meningioma and Aneurysm - Case Report - (두개강내 수막종과 동맥류를 동반한 뇌동정맥기형 - 증 례 보 고 -)

  • Kim, Jeong Hoon;Ha, Young Soo;Park, Chong Oon;Hyun, Dong Keun
    • Journal of Korean Neurosurgical Society
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    • v.30 no.1
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    • pp.110-113
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    • 2001
  • The cerebral arteriovenous malformation(AVM) rarely coexists with primary intracranial tumor. The authors experienced a patient with intracerebral hematoma due to AVM rupture in whom intracranial meningioma and intracranial aneurysms coexisted. The meningioma was located at convexity of right frontal lobe, and arteriovenous malformation at temporo-occipital lobe of same hemisphere with feeding from right middle cerebral artery, and three intracranial aneurysms exist at the cavernous portion of right internal carotid artery, AVM feeding artery, and intranidal of the AVM. The authors report a rare case of coexisted intracranial AVM, meningioma and aneurysms with review of literatures.

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Recovery of an Injured Corticospinal Tract in a Patient With Infarction on the Corona Radiata

  • Lee, Sook;Lim, Hyoung-Won;Yeo, Sang-Seok
    • The Journal of Korean Physical Therapy
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    • v.27 no.1
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    • pp.78-80
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    • 2015
  • Purpose: Many studies have attempted to elucidate the motor recovery mechanisms of stroke. In the current study, we report on a patient with infarction who showed recovery of an injured corticospinal tract (CST), using diffusion tensor imaging (DTI). Methods: A 20-year-old male presented with severe paralysis of the left extremities following an infarction in the right corona radiate and basal ganglia. The patient showed good motor recovery as much as being able to manipulate object using his left hand and could walk independently on stairs at 9 months after onset. Results: At 1 month after onset, the right CST showed decreased fiber volume due to the partial injury at the level of the corona radiate, and no (motor evoked potential) MEP was evoked from the right hemisphere. By contrast, the results at 9 months showed increased fiber volume of the right CST and the amplitude of MEP had improved to normal range on TMS. Conclusion: These results suggest that the severely injured right CST and MEP amplitude had been recovered during 9 months. Therefore, this result has important implications for brain plasticity and brain rehabilitation in patients with infarction.

Acute Ischemic Stroke Involving Both Anterior and Posterior Circulation Treated by Endovascular Revascularization for Acute Basilar Artery Occlusion via Persistent Primitive Trigeminal Artery

  • Imahori, Taichiro;Fujita, Atsushi;Hosoda, Kohkichi;Kohmura, Eiji
    • Journal of Korean Neurosurgical Society
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    • v.59 no.4
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    • pp.400-404
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    • 2016
  • We report a case of acute ischemic stroke involving both the anterior and posterior circulation associated with a persistent primitive trigeminal artery (PPTA), treated by endovascular revascularization for acute basilar artery (BA) occlusion via the PPTA. An otherwise healthy 67-year-old man experienced sudden loss of consciousness and quadriplegia. Magnetic resonance imaging showed an extensive acute infarction in the right cerebral hemisphere, and magnetic resonance angiography showed occlusion of the right middle cerebral artery (MCA) and BA. Because the volume of infarction in the territory of the right MCA was extensive, we judged the use of intravenous tissue plasminogen activator to be contraindicated. Cerebral angiography revealed hypoplasia of both vertebral arteries and the presence of a PPTA from the right internal carotid artery. A microcatheter was introduced into the BA via the PPTA and revascularization was successfully performed using a Merci Retriever with adjuvant low-dose intraarterial urokinase. After treatment, his consciousness level and right motor weakness improved. Although persistent carotid-vertebrobasilar anastomoses such as a PPTA are relatively rare vascular anomalies, if the persistent primitive artery is present, it can be an access route for mechanical thrombectomy for acute ischemic stroke.

The Nuclear Medical Study on the Effect of LI4 Acupucture on Cerebral Blood Flow (좌측(左側) 합곡(合谷) 자침(刺鍼)이 뇌혈류(腦血流)에 미치는 영향(影響)에 관한 핵의학적(核醫學的) 고찰(考察))

  • Oh, Hee-Hong;Byun, Jae-Yung;Kim, Il-Du;Ahn, Soo-Gi;Mun, Hyung-Cheal;Hwang, Woo-Jun;Lee, Geon-Mok;Lee, Byung-Chul;Cho, Jae-Woon;Yang, Gui-Bee
    • Journal of Acupuncture Research
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    • v.18 no.4
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    • pp.46-54
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    • 2001
  • Objective : To study correlation of the brain areas with acupoints used in the treatment of cerebrovascular diseases to evaluate the hypothesis that selecting acupoints on the left side to treat disorders on the right side and vice versa is known as the crossing combination of acupoints. Materials and Methods: Rest/acupuncture-stimulation Tc-99m ECD brain SPECT using a same-dose subtraction method was performed on 5 normal male volunteers (age range from 27 to 30 years) using acupuncture at acupoint, LI4 located in the left hand. In the control study, needle location was chosen on a non-meridian focus 1cm posterior to the right fibular head. All images were spatially normalized and the differences between rest and acupuncture stimulation were statistically analyzed using SPM(R) for Windows(R). Results : Acupuncture applied at LI4 located in the left hand increased rCBF in the right hemisphere, that is, the right parietal lobe(angular gyrus) and a part of the right middle posterior temporal gyrus and the right inferior occipital lobe. In the control stimulation, no significant rCBF increase was observed. Conclusion : The results demonstrated a correlation between stimulation at acupoint with increase in rCBF to the controlateral hemisphere.

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Construction of New Concept of Symmetric Coordinated Use of Both Hands

  • Donghua, Wang
    • International Journal of Quality Innovation
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    • v.2 no.2
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    • pp.121-126
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    • 2001
  • Based on the creative education theory, the study of the symmetric coordinated use of both hands is the application of both the quality education ideal and the understanding principles of the creative education to the training of using hands. In the light of relevant concepts of the 'Domain' theory and the expertise of both the Chinese and foreign specialists in this field, this article discusses the relation between the tapping of mental creativity, scientific use of hands and the animation of the right hemisphere of the brain with the aim of constructing a new concept of the symmetric coordinated use of both hands.

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Evaluation of likes and Dislikes during Visual Stimuli by Electroence phalography

  • Suo, Y.;Marusei, O.;Takeda, A.;Watanuki, S.
    • Proceedings of the Korean Society for Emotion and Sensibility Conference
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    • 2000.04a
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    • pp.58-61
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    • 2000
  • The purpose of this study is to investigate the characteristics of electroencephalogram (EEG) during emotional occurrence of likes and dislikes in humans subjected to visual stimuli. Fifteen healthy male subjects participated in the study. Portrayals of females and cars on a visual screen, one photographic display at a time. were used as the stimulus. The subjects, with their EEGs concomitantly monitored, were asked to record their likes and dislikes for each portrayal of a total of 50 sequential displays. The results indicated that beta ($\beta$)=wave was more prevalent with dislikes than likes, and the arousal level was higher when dislikes predominated over likes, implying that more cerebral information processing activity was involved in answering dislikes than likes. In the case of cars, the difference between likes and dislikes was focused within a frequency band of 15-20 Hz in the right cerebral hemisphere. Our findings suggest that the activity in the right brain predominates with increases in negative emotion.

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The cerebral representation related to lexical ambiguity and idiomatic ambiguity (어휘적 중의성 및 관용적 중의성을 처리하는 대뇌 영역)

  • Yu Gisoon;Kang Hongmo;Jo Kyungduk;Kang Myungyoon;Nam Kichun
    • Proceedings of the KSPS conference
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    • 2003.10a
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    • pp.79-82
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    • 2003
  • The purpose of this study is to examine the regions of the cerebrum that handles the lexical and idiomatic ambiguity. The stimuli sets consist of two parts, and each part has 20 sets of sentences. For each part, 10 sets are experimental conditions and the other 10 sets are control conditions. Each set has two sentences, the 'context' and 'target' sentences, and a sentence-verification question for guaranteeing patients' concentration to the task. The results based on 15 patients showed that significant activation is present in the right frontal lobe of the cerebral cortex for both kinds of ambiguity. It means that right hemisphere participates in the resolution of ambiguity, and there are no regions specified for lexical ambiguity or idiomatic ambiguity alone.

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Hemifacial Spasm Caused by a Huge Tentorial Meningioma

  • Park, Hun;Hwang, Sun-Chul;Kim, Bum-Tae;Shin, Won-Han
    • Journal of Korean Neurosurgical Society
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    • v.46 no.3
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    • pp.269-272
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    • 2009
  • A rare case of hemifacial spasm caused by an ipsilateral tentorial meningioma is described. Magnetic resonance imaging showed a huge tumor in the right cerebellar hemisphere, distant to the cerebello-pontine cistern. The facial-vestibulocochlear nerve complex was stretched by the shift of the brainstem and the right cerebello-pontine cistern was effaced. After removing the tumor, the hemifacial spasm resolved completely. We review our case with the pertinent literature regarding the etiological mechanism.

The Effects of EEG Power and Coherence on Cognitive Function in Normal Elderly, Non-Demented Elderly With Mild Cognitive Impairment, and Demented Elderly During Working Cognition Task

  • Han, Dong-Wook
    • Physical Therapy Korea
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    • v.15 no.4
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    • pp.70-79
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    • 2008
  • The purpose of this study was to find out the effects of electroencephalograph (EEG) power and coherence on cognitive function in normal elderly, non-demented elderly with mild cognitive impairment, and demented elderly during working cognition tasks. Forty elderly women (19 demented elderly, 10 non-demented elderly with mild cognitive impairment, 11 norma1 elderly) participated in this study, All subjects performed working cognition tasks with Raven's CPM while EEG signal was recorded, EEGs were measured continuously at rest and during the working cognition task. EEG power and coherence was computed over 21 channels: right and left frontal, central, parietal, temporal and occipital region. We found that there were more correct answers among normal elderly women than in other groups Owing the working cognition task, ${\Theta}$ wave at Fp1, Fp2 and F8, a wave at Fp2, ${\beta}$ wave at Fp1, Fp2. F4 and F8 of the frontal region was increased significantly in the demented elderly group. On the other hand. ${\Theta}$ wave at Fp1, Fp2 and F7, ${\beta}$ wave at Fp1, Fp2, F3 and F7 of the frontal region was increased significantly in the group of non-demented elderly with mild cognitive impairment. In contrast. in the normal elderly group, all of the ${\Theta}$ wave and ${\beta}$ wave at Fp1, Fp2, F3, F4, F7 and F8 of the frontal region (except ${\beta}$ wave at F3) was increased significantly, These results suggest that the nerves in prefrontal and right hemisphere regions were most active in the demented elderly group during problem solving, and the nerves in the prefrontal and left hemisphere lobe were most active in the group of non-demented elderly with mild cognitive impairment. In contrast, me majority of nerves in the frontal region were active in the normal elderly group.

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Effects of Imagery Tennis Training on Cerebral Activity

  • Jung, Seokwon;Choi, Min-sun;Kim, Min-uk;An, Hye-jin;Shin, Min-gyeong;Kwon, Oh-Young
    • Korean Journal of Clinical Laboratory Science
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    • v.47 no.1
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    • pp.46-50
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    • 2015
  • The previous studies showed that the visual imagery activated the occipital and posterior inferior temporal area of the brain, and the damage to the occipital cortex impaired the visual mental imagery. We studied current-source distribution of electroencephalography (EEG) to observe neuronal activity during imagery tennis playing. Eleven healthy volunteers were enrolled. All volunteers were right-handed males and novices for tennis playing. The mean age of them was 24.9 years. The EEGs were recorded on the scalp electrodes located according to the International 10~20 System. The number of electrodes was 25 channels including subtemporal electrodes. The EEG recording session was 13 min including 5 segments: resting-I, scenery-slide show, resting-II, watching tennis-game video, and imagery-tennis playing. The recoding durations were 3, 2, 3, 2, and 3 min respectively. Five 'artifact free 3-sec segments' were selected in each segment of 'imagery-tennis playing' and 'resting-II'. We did the frequency domain analysis with the EEG segments using a distributed model of current-source analysis. The statistical-nonparametric maps (SnPMs) were obtained between the segments of 'imagery-tennis playing' and the segments of 'resting-II' (p<0.01). The significant change of current-source density was observed only in alpha-2 frequency band (10~12 Hz). The current-sourcedensity was increased in the hippocampus, parahippocampus, and occipital fusiform gyrus in the right cerebral hemisphere (p<0.01). Imaginary-tennis playing may activate the hippocampal-occipital alpha networks of nondominant hemisphere.