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Cervical Myelopathy after Neck Manipulation
강진선,이성훈,원기홍,최태기,이수민,강은영,이현경,조윤경 대한임상통증학회 2023 Clinical Pain Vol.22 No.2
Spinal manipulation therapy (SMT) is commonly used to treat various musculoskeletal pains; however, it is associated with several complications. Mild complications resolve quickly; however, on rare occasions, they may cause severe complications that persist indefinitely. Here, we present a case of cervical myelopathy caused by a spinal manipulation. A 52-year-old man with a history of cervical radiculopathy at C4–7 underwent manipulation, performed by an unlicensed practitioner. After the manipulation, he explained abrupt muscle weakness in all four extremities. He was diagnosed with cervical myelopathy and had to undergo emergency surgery. Through this case, we aim to emphasize the role of doctors, with regard to spinal manipulation. Physicians must supervise the pre-evaluation of patients, manipulation, and post-manipulation monitoring, and the complications of SMT should be immediately reported.
Usefulness of Diffusion Tensor Imaging in Unexplained Ipsilateral Hemiplegia
Na Na Lim,이근수,원기홍,Jin Sun Kang,Sung Hoon Lee,Youn Kyung Cho,Hyun Kyung Lee,Eun Young Kang 대한신경손상학회 2021 Korean Journal of Neurotrauma Vol.17 No.1
Ipsilateral hemiparesis is a rare and challenging sign in clinical neurological practice. Although the etiology of this manifestation is poorly understood, recent studies have attempted to probe the pathomechanism of this sign with advanced radiological techniques. Additional knowledge about the lesion and unraveling the pathomechanisms causing neurological impairments are important to predict the prognosis and clinical course and to aid in rehabilitation. Therefore, we present a case of a patient with a traumatic subdural hematoma on the lef hemisphere and lef spastic hemiparesis. Using diffusion tensor imaging (DTI), we concluded that the right corticospinal tract injury caused by compression of the cerebral peduncle accounted for the ipsilateral hemiparesis, also known as Kernohan's notch phenomenon. Thus, this case report highlights the usefulness of the newer radiological techniques, such as DTI, to identify the pathomechanisms of neurological presentations.
고강도집속초음파치료 후 발생한 요추신경총병증 및 천추신경근병증 1예
천지홍,임나나,이근수,원기홍,이성훈,강은영,이현경,조윤경 대한근전도전기진단의학회 2019 대한근전도 전기진단의학회지 Vol.21 No.1
High intensity focused ultrasound (HIFU) has been widely used in gynecology and believed as a safe, effective, non-surgical modality for treating uterine fibroids. A 36-year-old woman had a HIFU treatment owing to uterine adenomyosis and experienced pain, motor weakness of around right lower extremity and pelvis. The electrodiagnostic study suggested right lumbar plexopathy and sacral radiculopathy.
김하워드,양회생,천지환,원기홍 고신대학교(의대) 고신대학교 의과대학 학술지 2021 고신대학교 의과대학 학술지 Vol.36 No.1
Foreign body (FB) sensation in the throat is often a common symptom encountered in clinical practice. FB sensation in throat has numerous causes mainly caused by reflex diseases such as laryngopharyngeal reflux. Its treatment has been focused on organic problems or hysteria while musculoskeletal problem has been neglected. We hereby report a patient with dysphagia and complaint of FB sensation in the throat after nasogastric tube removal. It was relieved by trigger point injection on the posterior belly of digastric muscles.