• Journal of Korean Neurosurgical Society
• /
• 제41권6호
• /
• pp.387-390
• /
• 2007

Objective : To determine the presentation, incidence, and risk factors of seizures in patients treated for brain tumors. Methods : One hundred patients who consecutively underwent a craniotomy for the treatment of supratentorial brain tumors were assessed. The pathologies of the patients enrolled in the study included glioma [n=56], meningioma [n=31], metastatic brain tumor [n=7], primary central nervous system lymphoma [n=4], and central neurocytoma [n=2]. Anti-epileptic drugs [AEDs] were administered to all patients for up to six months after the surgery. Pre-defined variables for outcome analysis included tumor grade and location, extent of tumor resection, number of seizures, age at tumor diagnosis, adjuvant therapy, medication and radiological abnormalities. Results : Thirty patients [30%] presented at least a single episode of seizure at the time of admission. Five of these patients [16.7%] developed the seizure during the follow-up period. Newly developed seizure was noticed in six out of seventy patients [8.6%] without prior seizure. Histopathology was malignant gliomas in 10 and supratentorial meningioma in one. Early seizure developed only in two patients. Conclusion : Compared with patients without seizure, patients with seizure at the time of admission showed younger age [p=0.003], a higher portion of low-grade glioma [p=0.001], tumor location in the frontal and temporal lobes [p=0.003] and cortical involvement [p=0.017]. Our study suggestes that tumor progression is considered a significant risk factor for seizure development in glioma patients.

• Biomolecules & Therapeutics
• /
• 제6권1호
• /
• pp.20-24
• /
• 1998

In the present study, we tested whether lead intoxication induces change of the thiamine content and the seizure threshold in rats and the changes of seizure threshold are related to the changes of thiamine status. It was also tested whether administration of excessive thiamine could reverse the toxic manifestation of lead in rats. Four groups of Wistar rats were prepared: 1) control group, 2) lead treated group, 3) lead plusthiamine treated group, and 4) thiamine deficient group. Each group of animals was divided into three subgroups based on age: 3, 7 and 16 weeks. In each group, thresholds of electroshock seizure and thiamine contents in brain regions including telencephalon, brain stem, cerebellum were measured. Thiamine contents in brain regions of the lead treated group were significantly lower than those of the control group and thiamine treatment reversed the decrease back to the control level. Thresholds of the electroshock seizure of the lead treated group in 3, 7 week old rats and those of thiamine deficient group in 3 week old rats were significantly lower than those of the control group. These observations were reversed by the supplementation with thiamine. These results from the present study suggest that increased seizure sensitivity induced by lead intoxication in rats may be mediated at least in part through the changes of thiamine status.

• 정보보호학회논문지
• /
• 제28권5호
• /
• pp.1129-1140
• /
• 2018

인터넷의 보급과 다양한 디지털기기의 발달에 따라 전자정보의 양은 급격하게 증가하고 있다. 전자정보 중에서 본인이 직접 소지하지 않는 포털사 전자메일과 같은 제3자 보관 전자정보 압수수색은 지속해서 증가하고 있으며 재판에 증거로도 사용되고 있다. 그러나 현행 압수수색 방식은 압수 기간만 산정한 뒤 전체 전자메일에 대하여 무분별하게 압수수색을 진행하고 있으며 압수수색 결과에 대한 통보 부재와 같은 많은 문제점이 있어 압수수색 절차를 살펴보고 그 개선점에 대해 제시하였다.

• 대한한방소아과학회지
• /
• 제27권4호
• /
• pp.1-9
• /
• 2013

Objectives The purpose of this study is to report the cases of two pediatric patients diagnosed as Sik-gan (食癎), a kind of epileptic seizure thought to be caused by uncontrolled consumption of food, treated by formula variation of Samchulkunbi-tang (蔘朮健脾湯). Methods Two pediatric patients diagnosed as Sik-gan (食癎) according to traditional Korean medical terms were administered by variety of Samchulkunbi-tangs (蔘朮健脾湯) while correcting unhealthy eating habit. To measure the degree of the patients' process, the number and exact symptoms of seizure events, and gastrointestinal symptoms were recorded. Results The treatment of various Samchulkunbi-tang (蔘朮健脾湯) was not only extended remission period of seizure, but also improved gastrointestinal symptoms on both of the patients. Conclusions Pediatric patients who have past medical conditions for epileptic seizure as well as unhealthy eating habits or gastrointestinal malfunctions are prone to have a specific form of seizure called the Sik-gan (食癎). In this report, we have proven that variety of Samchulkunbi-tang (蔘朮健脾湯) can considerably be effective in improving the patients' gastrointestinal symptoms and preventing recurring seizure events.

• BMB Reports
• /
• 제46권2호
• /
• pp.80-85
• /
• 2013

We investigated the temporal alterations of adrenocorticotropic hormone (ACTH) immunoreactivity in the hippocampus after seizure onset. Expression of ACTH was observed within inter-neurons in the pre-seizure group of seizure sensitive gerbils, whereas its immunoreactivities were rarely detected in seizure resistant gerbil. Three hr after the seizure, ACTH immunoreac-tivity was significantly increased in interneurons within all hippocampal regions. On the basis of their localization and morphology through immunofluorescence staining, these cells were identified as $GABA_A$ ${\alpha}1$-containing interneurons. At the 12 hr postictal period, ACTH expression in these regions was down-regulated, in a similar manner to the pre-seizure group of gerbils. These findings support the increase in ACTH synthesis that contributes to a reduction of corticotrophin-releasing factor via the negative feedback system which in turn provides an opportunity to enhance the excitability of GABAergic interneurons. Therefore, ACTH may play an important role in the reduction of excitotoxicity in all hippocampal regions.

• 대한임상독성학회지
• /
• 제8권2호
• /
• pp.88-96
• /
• 2010

Purpose: Doxylamine is antihistamine drug that is used as a hypnotic. It is also used for suicidal attempts because it can be easily purchased at the pharmacy without a prescription. There were many articles about the complications after doxylamine intoxication such as a rhabdomyolysis, but only a few articles have reported on seizure. We reviewed the cases of doxylamine intoxication with seizure that were treated in the emergency department. Methods: We reviewed the medical records of the patients who were over 15 years old and who were intoxicated by doxylamine at 3 emergency medical centers from January 2006 to June 2010. We reviewed the patients' age, gender, the dose of doxylamine ingested, if gastrointestinal decontamination was done, the time from intoxication to hospital arrival, the seizure history, treatment of seizure, the electroencephalography (EEG) results, the brain computed tomography (CT) results and the blood test results. Results: There were 168 patients who were intoxicated by doxylamine during the study period. Twelve patients had a seizure episode. The differences between the patients who developed seizure and the patients who did not were the dose and the serum levels of sodium and creatinine. The only clinically meaningful difference was the amount of doxylamine. The amount of doxylamine ingested (>29 mg/kg) predicted the development of seizure with a sensitivity of 75% and a specificity of 92% on the ROC curve. One patient among the seizure patients expired in the emergency department. Conclusion: In case of doxylamine intoxicated patients, there is close relationship between seizure and ingested amount, so close observation needs to be done for the patients who ingest too much because doxylamine can cause death. Further prospective studies are needed for doxylamine intoxicated patients with a seizure episode.

• Clinical and Experimental Pediatrics
• /
• 제45권5호
• /
• pp.629-636
• /
• 2002

목 적 : 고체온에 의하여 유발된 반복성 열성경련에서 경련의 양상과 해마부의 nNOS 발현을 비교관찰하고 열성경련과 nNOS의 관계를 알아보기 위하여 연구를 시행하였다. 방 법 : 생후 20일된 Spraque-Dowley rat을 이용하여 1주일에 2회씩 4주간 모두 8회 온수에 노출시켜 고체온에 의한 반복적인 열성경련을 유발하였다. 실험에 이용된 쥐는 모두 82마리로서 이중 52마리는 실험군으로서 항온조에서 4분간 $45^{\circ}C$ 정도의 온수에 노출시켰고, 30마리는 대조군으로서 4분간 $37^{\circ}C$에 노출시켰다. 입수 후 경련이 발생할 때까지를 잠복기로 정하였고, 경련의 첫 증상으로서 근간대성 경련이 보이고 난 후 의식을 회복하여 정상적인 활동을 보이는 시점까지를 경련 지속시간으로 정하였다. 대조군과 고체온에 노출될 때마다 경련을 보였던 hyperthermic seizure group 및 경련이 전혀 발생하지 않았던 hyperthermic non-seizure group 간의 nNOS 발현을 관찰하기 위하여 western blot을 시행하였다. 결 과 : 고체온에 노출되었던 쥐의 87%에서 전신성 강직-간대 발작을 보였고, 고체온 노출횟수에 따른 경련 발생률은 통계적으로 유의성이 없었다(P>0.05). 입수 후 경련이 나타날 때까지의 잠복기는 158에서 240초였고 평균 204초였으며, 고체온 노출횟수에 따른 잠복기는 통계적으로 유의하지 않았다(P>0.05). 경련 지속시간은 12에서 145초였고 평균 55초로 측정되었으며, 고체온 노출에 따른 경련 지속시간은 통계적으로 유의하게 나타났다(P<0.05). 결과적으로 고체 온 노출횟수가 증가할수록 경련 지속시간은 의미있게 증가하였으나 경련 발생률 및 잠복기는 차이가 없었다. 쥐 해마부에서 nNOS 단백질의 발현을 조사하기 위하여 대조군의 해마부, 대뇌피질 및 소뇌, hyperthermic non-seizure group 및 hyperthermic seizure group의 해마부와 대뇌 피질을 대상으로 하여 western blot을 한 결과 대뇌 피질에서는 각 그룹간에 nNOS 발현에 변화가 없었으나 각 그룹의 해마부에서의 nNOS 단백질 발현은 대조군에 비하여 hyperthermic non-seizure group과 hyperthermic seizure group에서 약하게 나타났고, 이 두 군간에는 차이가 없었다. 결 론 : 고체온에 의한 반복성 열성경련에서 nNOS 는 경련유발에 영향을 주지 않을 것으로 추정되며 앞으로 열성경련에 의한 해마부의 형태학적인 변화와 함께 많은 연구가 병행되어야 할 것으로 생각된다.

• 한국콘텐츠학회논문지
• /
• 제13권5호
• /
• pp.223-233
• /
• 2013

경매에 있어 압류등기가 행해지면 부동산에 대한 처분제한의 효력이 공시되고, 그 후의 부동산 소유자에 의한 처분행위는 압류채권자 및 경락인에게 대항할 수 없어 그에 대한 관계에서 효력을 잃게 되므로, 위압류 또는 가압류에 대항할 수 없는 처분행위를 원인으로 한 등기는 직권말소된다. 따라서 가압류의 처분금지효에 의해 경락인에 대한 관계에서 상대적으로 소유권을 상실하는 승계인이 있는 경우, 관습상 법정지상권의 성립요건으로서 건물소유자와 토지소유자의 동일성은 가압류시점을 기준으로 판단하여야 한다. 실제로 부동산강제경매절차에 참여하는 이해관계인들도 가압류시점을 기준으로 하여 자신의 이해관계를 조정하므로, 가압류시(假押留時)가 아닌 경락시(競落時)를 기준으로 관습상 법정지상권을 인정할 경우 토지소유자에게는 불측의 손해를 초래하고, 건물소유자에게는 망외의 이익을 안겨주는 불합리한 결과가 초래될 수 있다. 대상판결이 이와 같은 취지에서 관여 대법관 전원일치의 전원합의체 판결로서 가압류시설(假押留時說)을 취하고, 이와 달리 경락시설(競落時說)을 취한 1990년 판결을 폐기한 것은 매우 타당하다.

• 대한임상독성학회지
• /
• 제16권1호
• /
• pp.49-56
• /
• 2018

Purpose: Glufosinate ammonium poisoning can cause seizures, even after a symptom-free period. This study was conducted to evaluate the relationship between serum neuron specific enolase (NSE) level and the occurrence of seizures in patients with acute glufosinate ammonium poisoning. Methods: For this retrospective observational study, data from patients diagnosed with acute glufosinate ammonium poisoning were collected between January 2016 and June 2016. Serum NSE was measured within 2 hours of arrival at the emergency department. The patients were divided into a seizure group and a non-seizure group. Results: The seizure group included eight of the 15 total patients (53.3%). The serum NSE level was significantly higher in the seizure group than in the non-seizure group ($32.4{\pm}11.9ng/mL$ vs. $19.5{\pm}5ng/mL$, p=0.019). The amount of glufosinate ingested and initial and peak serum ammonia levels were significantly higher in the seizure group than in the non-seizure group. There was no significant difference in the area under the curve of the serum NSE level or the initial and peak serum ammonia levels in terms of predicting the occurrence of seizures. Conclusion: In acute glufosinate poisoning, initial serum NSE levels may help in prediction of seizures.

• 대한치과마취과학회지
• /
• 제14권2호
• /
• pp.95-100
• /
• 2014

Background: About 60% of patients with epilepsy showed a variety of complications after returning home. The purpose of this study is to get further information and to help in the anesthetic management of the disable patients with epilepsy. Methods: After searching the outpatient anesthesia list of Seoul National University Dental Hospital clinic of the disabled from September 2010 to March 2012, we found total 83 patient cases who were taking antiepileptic drugs. A nurse of anethesiology department called to the patient's home after general anesthesia and got surveys with questionnaires form filled with complications at home. We enrolled total of 51 patients who agreed to participate this survey. And we also reviewed pre-anesthesia evaluation sheet, anesthesia record, and recovery and discharge record. Results: 11 of 51 (21.6%) patients had seizure convulsion at home within 1 weeks. 33.4% of patients who had at least once seizure attack per week had a seizure attack within 3 days. And 50% of once a month frequency patients had a seizure attack within 1 week. 33% of 1 - 3 seizure attacks per year patient group had a convulsion within 1 week. But there was no seizure attack within 1 week in whom had no seizure attack history during more than 1 year. Conclusions: After dental treatment, patient taking anticonvulsant have so many complications-especially seizure, more than we respected. We need more research about handle these problems.