• 제목/요약/키워드: syncope

검색결과 159건 처리시간 0.025초

담궐두통으로 변증한 두통환자 치험 1례 보고 (Clinical Report of Phlegm-syncope Type Headache Patient Treated with Oriental Medicine)

  • 백인경;유호룡;조현경;설인찬;김윤식
    • 동의생리병리학회지
    • /
    • 제27권1호
    • /
    • pp.139-141
    • /
    • 2013
  • The purpose of this case study is to report the effect of oriental medical treatment on phlegm-syncope type headache. We treated a patient with herbal medicine Banhabaekchulcheonma-tang-kami, acupuncture and cupping therapy. This study suggests that oriental medicine therapy has a significant effect on the headache.

뇌전증발작 양상을 보인 심실 빈맥 (Ventricular Tachycardia Imitating Epileptic Seizures)

  • 박민호;원혜연;임동규;변경민;허재혁
    • Annals of Clinical Neurophysiology
    • /
    • 제17권2호
    • /
    • pp.80-81
    • /
    • 2015
  • Syncopes are the most common non-epileptic attacks mimicking epileptic seizures. Among them, cardiogenic syncope is potentially life threatening. A 49 year old man was refered for the recurrent episodes of loss of consciousness with tonic posture and upward eyes deviation. The electrocardiogram showed polymorphologic ventricular tachycardia during attacks, which normalized after that. He was treated with isoproterenol and symptoms subsided. Here, we report a case of ventricular tachycardia manifested as epileptic seizures.

Autonomic dysfunction in postoperative primitive neuroectodermal tumor of heart

  • Anil, Abhijith K;Vanidassane, Ilavarasi;Netam, Ritesh;Pushpam, Deepam;Bakhshi, Sameer;Deepak, KK
    • Annals of Clinical Neurophysiology
    • /
    • 제23권2호
    • /
    • pp.126-129
    • /
    • 2021
  • We present a patient with a primitive neuroectodermal tumor arising from the right atrium who experienced multiple syncope episodes daily, which had first appeared 1 month after surgery. The symptoms continued to worsen over the course of chemotherapy, and the autonomic function test (AFT) was performed after the 14th chemotherapy cycle. The AFT revealed orthostatic hypotension and reduced baroreflex-dependent sympathetic reactivity. Physical counterpressure techniques were applied with a visual biofeedback intervention, and were found to be effective in reducing the syncope episodes.

주사기를 이용한 상악동 거상술 시 발생한 실신 및 종격동기종에 관한 증례보고 (Syncope and pneumomediastinum during the maxillary sinus elevation with an air-syringe: a case report)

  • 김수완;이종근;송지영
    • 구강회복응용과학지
    • /
    • 제37권3호
    • /
    • pp.171-176
    • /
    • 2021
  • 종격동기종은 치과 영역에서 매우 드물고 잠재적으로 위험한 합병증이다. 이의 흔한 원인으로는 핸드피스와 고압 공기/물 주사기를 사용하는 발치, 근관치료, 잇몸 밑 치은연하 소파술 등이 있다. 본 증례는 임플란트 식립을 위한 전 치료로 주사기를 이용하여 상악동에 골이식을 시행받은 61세 여자에게서 발생한 대량의 종격동기종과 피하기종의 증례이다. 환자는 치료 도중 갑작스럽게 발생한 구강 통증과 함께 의식 소실이 발생하였고, 응급실로 전원 되었다. 영상학적 검사상 종격동기종과 함께 얼굴과 목부위 전체에 피하기종이 발견되었다. 예방적 항생제, 산소 흡입, 금식 등의 보존적 치료가 이루어졌고, 합병증 없이 7일 만에 퇴원하였다. 환자의 실신은 시술 중 상악동 천공 후 과량의 공기유입으로 인해 발생한 종격동기종에 의해 순간적인 강한 흉부 압박으로 혈압 감소와 통증 쇽에 의한 것으로 생각된다. 치과 치료 중 환자가 의식을 잃었다면 기도 폐쇄의 위험성이 있기 때문에 종격동기종을 즉각적으로 감별하고 치료해야 한다.

아랍어의 음은 변화 연구 (A Study of Phonetic Changes in Arabic)

  • 이규철
    • 대한음성학회지:말소리
    • /
    • 제11_14호
    • /
    • pp.105-120
    • /
    • 1987
  • The main purpose of this paper is to examine the rules of phonetic changes in Standard Arabic which keeps the characteristics of phonemes of Proto-Semitic as followings: Assimilation, Dissimilation, Prosthesis, Anaptyxis, Syncope and Contraction, Aphaeresis, and Metathesis.

  • PDF

경부 경막외 마취중 발생한 Bezold-Jarisch 반사 -2예 보고- (Bezold-Jarisch Reflex during Cervical Epidural Anesthesia -Two case reports-)

  • 이경진;민상기;한상건;이성중;김명은;문봉기;이영석
    • The Korean Journal of Pain
    • /
    • 제11권1호
    • /
    • pp.143-145
    • /
    • 1998
  • There are reports on cervical epidural anesthesia for surgery of neck, chest and upper limb. However, there are limited published data on the specific problems with this procedure, including dural puncture, epidural abscess, and vasovagal syncopes. We experienced two cases of vasovagal syncope during cervical epidural anesthesia in the sitting position. These syncopes consisted of sudden hypotention and bradycardia, associated with nausea, dizzness and sweating. The patients were resuscitated successfully and recovered without any adverse effects. Current literature is being reviewed and the possible mechanisms of cardiac arrest under cervical epidural anesthesia in the sitting position are being discussed.

  • PDF

만성두통을 호소하는 공황장애 환자의 두통 치험 1례 (A Case Report of a Panic Disorder patient suffering from a Chronic Headache)

  • 차혜진;이지원;곡경내;김효주;서영민;박세진
    • 동의신경정신과학회지
    • /
    • 제19권2호
    • /
    • pp.279-288
    • /
    • 2008
  • In this case, a 33 year-old female patient had a chronic headache with Panic disorder, and accompanied gastroenteric troubles(vomiting, nausea, dyspepsia and abdominal discomfort), for fifteen years. It may be the symptoms of Phlegm-syncope headache, and we treated this disease with oriental medical treatment, including the Banhabaekchulcheonma-tang, Breathing retraining and Cognitive retructuring. The effects of treatment were measured by were using BPI(Brief Pain Inventory), VAS(Visual analog scale). In Conclusion, Chronic headache with panic disorder was improved by our treatment.

  • PDF

Takayasu씨 동맥염에 의한 대동맥궁 증후군 환자에서 대동맥판막 치환술 - 1예 보고 - (Aortic Valve Replacement in a Patient with Aortic Arch Syndrome Secondary to Takayasu's Arteritis -One case -)

  • 최종범;양현웅;이삼윤
    • Journal of Chest Surgery
    • /
    • 제37권1호
    • /
    • pp.88-91
    • /
    • 2004
  • Takayasu씨 동맥염 환자에서 대동맥판막 폐쇄부전은 종종 발생하는 합병증이다. 급성 및 진행성 염증으로 대동맥의 뇌혈관 분지에 협착 또는 폐쇄를 가진 환자에서 실신 등의 허혈성 뇌증상은 대동맥판막 폐쇄부전증의 합병으로 더 악화될 수 있다. 양측 경동맥의 폐쇄와 양측 척추동맥의 협착, 우관상동맥의 폐쇄, 대동맥판막 폐쇄부전증으로 실신 및 호흡곤란을 호소하는 34세 남자 환자에서 수술 전후에 스테로이드의 투여, 양측 쇄골하 동맥에 스텐트의 삽입 및 대동맥판막 치환술로써 증상의 호전을 가져올 수 있었다.

선천성 대동맥판막하 막상협착증 치험 2례 (Surgical Correction of Discrete Membranous Suaorti Stenosis)

  • 송인기
    • Journal of Chest Surgery
    • /
    • 제23권3호
    • /
    • pp.532-536
    • /
    • 1990
  • We experienced surgical correction of 2 cases of discrete membranous subaortic stenosis. Case 1 was 19 years old male patient. His complaints were fatigue, exertional dyspnea, syncope and angina for 8 years. Ejection. systolic murmur was heard at the second right intercostal space and diastolic murmur was heard at the apex. A thrill was palpated over the second right intercostal space and area of the carotid artery. 2-D echo, cardiac cath and left ventriculogram revealed discrete membranous subaortic stenosis and VSD. Complete excision of discrete membrane without mymectomy was done. VSD was closed with dacron patch and aortic valve was replaced with St. Jude medical valve. Case 11 was 16 years old female whose complaints were exertional dyspnea and syncope. Ejection systolic murmur was heard at second right intercostal space, but diastolic murmur was not heard. A thrill was palpated over the second right intercostal space and the area of carotid artery. 2-D echo, cardiac cath and left ventriculogram revealed discrete membranous subaortic stenosis. Complete excision of fibrous tissue and myotomy were made and aortic valve was replaced with St. Jude medical valve. Operative finding was followed: both aortic valves showed deformity of leaflets. Subaortic region had a thickened central fibrous body from which the ridge protruded. Both patient`s postoperative course were uneventful and short-term follow-up results were good except soft systolic murmur at the aortic area.

  • PDF

폐렴을 동반한 턱관절 탈구환자에서 인상채득 중 유발된 급성 호흡장애 (Acute Respiratory Distress during Impression Taking in a TMJ Dislocation Patient with Pneumonia)

  • 손정석;오지현;유재하;김종배
    • 대한치과마취과학회지
    • /
    • 제14권2호
    • /
    • pp.119-126
    • /
    • 2014
  • Difficulty in breathing can be very disconcerting to a patient who is conscious yet unable to breath normally. The common causes of acute respiratory distress include hyperventilation, vasodepressor syncope, asthma, heart failure, and hypoglycemia. In most of these situations, the patient does not exhibit respiratory distress unless an underlying medical disorder becomes acutely exacerbated. Examples of this include acute myocardial infarction, anaphylaxis, cerebrovascular accident, hyperglycemia, and hypoglycemia. A major factor that leads to the exacerbation of respiratory disorders is undue stress, either physiologic or psychologic. Psychologic stress in dentistry is the primary factor in the exacerbation of preexisting medical problems. Therefore, the most dental patient should be cared gently as the stress reduction protocol. This is a case report of acute respiratory distress with vasodepressor syncope during alginate impression taking of mandibular teeth in a long-standing temporomandibular joint dislocated 93-years-old pneumonic patient.