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주관절부 척골신경병증에서 소지외전근과 제1배측골간근의 기록
박윤근,권희규,이항재,윤대원,하강욱 대한재활의학회 2005 Annals of Rehabilitation Medicine Vol.29 No.6
Objective: To compare abductor digiti minimi (ADM) recording with first dorsal interosseous (FDI) recording for the localization of ulnar neuropathy at the elbow. Method: The subjects were consisted of 28 patients of ulnar neuropathy at the elbow. The subjects were divided into 3 groups: focal demyelination; focal demyelination and axonal degeneration; axonal degeneration. Compound muscle action potentials were recorded from both ADM and FDI muscles and ulnar nerve was stimulated at the wrist, 2 cm distal and 8 cm proximal to the medial epicondyle. Focal demyelination were analyzed into conduction block and/or conduction slowing. Results: Conduction block was observed in 13 out of 28patients (46%) with FDI recording and 11 out of the 28 patients (39%) with ADM recording. Conduction block was found solely with FDI recording in 3 patients, whereas 1 patient showed conduction block with ADM recording only. Concomitant segmental motor conduction slowing was observed in 11 out of 13 patients with FDI recording and in 6 out of 11 patients with ADM recording. Conclusion: Measurements to the FDI had a higher yield of abnormality than the ADM. In some patients, only one recording muscle showed abnormal findings. Therefore, it may be useful to record from both muscles to localize ulnar neuropathy at the elbow.
박윤근,류준선,윤창배,김기식,하경임,고병원 東國大學校 2000 東國論叢 Vol.39 No.-
Multiple allergosorbent test chemiluminescent assay (MAST CLA) is a simple method for in vitro measurement of allergen-specifie IgE antibodies. Total 125 patients was evaluated with Korean inhalant panel in diagnosis of allergic rhinitis. Overall positive rate was 53.6% and high incidence of allergen is house dust mite, house dust, cow's milk, mugwort, rye and brich. The results was slightly different from the results of large cities and the problem is absent item of domestic common trees. MAST CLA needs further improvement to be used as a primary screening test for allergy in Korea.
박윤근,박재환,류준선,김기식 대한이비인후과학회 2002 대한이비인후과학회지 두경부외과학 Vol.45 No.2
Chondrodysplasia puncta is a rare congenital disease. It is classified into four main types acording to the clinical features and heredity:autosomal dominant (Conradi-Hunermanns) type, autosomal recessive (rhizomelic) type, X-linked dominant type (RCDP) is the most lethal form of the disease, and most patients die in the neonatal period. Diagnosis of the RCDP relies on its characteristic features and radiological finding. The characteristic features are craniofacial dysmorphism (flat face, flat nasal bridge, anteverted nostril, telecanthus), cataracts, rhizomelic limb shortening, ichthyosis, and mental retardation. Radiologic findings include rhizomelic symetrical case shows typical abnormality in the face and extremity and also radiologic abnormality, uniquely combined with unilateral choanal atresia. (Korean J Otolaryngol 2002;45:178-81)