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김시은,박봉수,박시형,신경진,하삼열,박진세,박강민,Kim, Si Eun,Park, Bong Soo,Park, Si Hyung,Shin, Kyong Jin,Ha, Sam Yeol,Park, Jin Se,Park, Kang Min The Korean Society of Clinical Neurophysiology 2015 Annals of Clinical Neurophysiology Vol.17 No.2
Background: The aim of this study was to investigate the predictive value of snoring frequency in the diagnosis and severity of obstructive sleep apnea. Methods: Patients who underwent polysomnography with one or more of the following characteristics were included: 1) sleepiness, non-restorative sleep, fatigue, or insomnia symptoms; 2) arousal due to cessation of breathing or the occurrence of gasping or choking when waking up; and 3) habitual snoring, breathing interruptions, or both, noted by a bed partner or other observer. We analyzed the differences in clinical and polysomnographic variables between patients with and without obstructive sleep apnea and investigated the associations of those variables with obstructive sleep apnea severity. Results: One hundred ninety-three patients met the inclusion criteria, and 145 of the 193 patients were diagnosed with obstructive sleep apnea. Multiple logistic regression analysis showed that large neck circumference (p = 0.0054) and high snoring index (p = 0.0119) were independent predictors for obstructive sleep apnea. Moreover, between the obstructive sleep apnea severity groups, there was a strong tendency of difference in body mass index (p = 0.0441) and neck circumference (p = 0.0846). However, there was no significant difference in snoring frequency according to obstructive sleep apnea severity (p = 0.4914). Conclusions: We confirmed that snoring frequency is a predictor of obstructive sleep apnea. In addition, we showed for the first time that snoring frequency is not associated with obstructive sleep apnea severity, thus it is not a valuable marker for predicting obstructive sleep apnea severity.
배종석(Jong Seok Bae),김상진(Sang Jin Kim),박강민(Kang Min Park),지근하(Geun Ha Chi),황태규(Tae Gyu Hwang) 대한소아신경학회 2007 대한소아신경학회지 Vol.15 No.2
저자들은 22년 6개월의 장기생존을 보이는 물무뇌증환자를 경험하였고 임상적 방사선학적인 특징을 기술하였다. 기록을 통해서 본 증례가 전세계에서 현재까지 보고된 물무뇌증환자의 장기생존한 예들 가운데 가장 긴 생존을 보인 경우라는 것을 확인하였고 문헌고찰과 함께 보고하는 바이다. Hydranencephaly is a rare condition in which the brain's cerebral hemispheres are absent and replaced by sacs filled with cerebrospinal fluid. The prognosis for children with hydranencephaly is generally poor, so many children with this disorder die before the age of 1 year. We experienced a patient with hydranencephaly who showed prolonged survival until age of 22 years. To our limited knowledge, this case may be the longest survival of a patient with hydranencephaly in the world.