거미낭으로 일과성 정신병 유발이 의심되고 리스페리돈 치료에 효과적이었던 증례

박원명,배치운,전태연,김광수,유태열,Bahk, Won-Myong,Pae, Chi-Un,Jun, Taeyoun,Kim, Kwang-Soo,Lew, Tae-Yul 대한생물정신의학회 2001 생물정신의학 Vol.8 No.1

There had been few reports of arachnoid cyst accompanying psychiatric disturbance and no report treated with low-dose risperidone administration. We report a patient, developed first-transient psychotic episode considered to be provoked by an arachnoid cyst, responsive to risperidone, which was found in the middle cranial fossa as follows. A 57-year-old man was admitted by suddenly developed headache, auditory hallucination, delusion of persecution and, an arachnoid cyst in the anteromedial aspect of middle cranial fossa was found on MRI after admission. The psychotic episode was first to him and he was also negative to other clinical evaluation including endocrine abnormality, his psychotic symtom was suspected to be induced by arachnoid cyst and was well controlled to low-dose risperidone administration. He left hospital free from psychotic symptoms on 14 hospital days.

한국어판 Alexithymia 척도의 개발에 관한 연구 - SSPS(Schalling-Sifneos Personality Scale)와 TAS(Toronto Alexithymia Scale)의 신뢰도와 타당도 -

한진희,이성필,이수정,도규영,홍승철,김은혜,김광수,유태열,Han, Jin-Hee,Lee, Sung-Pil,Lee, Soo-Jung,Do, Kyu-Young,Hong, Seung-Chul,Kim, Eun-Hye,Kim, Kwang-Soo,Lew, Tae-Yul 한국정신신체의학회 1995 정신신체의학 Vol.3 No.2

This paper describes the development of Korean version of two widely used self-report measure of alexithymia-Schalling-Sifneos Personality Scale (SSPS) and Toronto Alexithymia Scale(TAS), and present the preliminary results of their reliability and validity tested to an Korean college student sample(N=206). TAS showed moderate to acceptable internal consistancy with 0.26 of mean item-total correlation and 0.754 of Cronbach's alpha coefficient, while those parameters for SSPS turned out inconsistent. However, results of test-retest reliability for both scale were excellent. Factor analysis revealed tow factors for TAS and three factors for SSPS ; the four-factor structure of TAS was quite congruent with previously known alexithymaia construct, while, again, SSPS showed intermixed factor structure. TAS scores correlated fairly well with somatization scores enough to get concurrent validity while SSPS scores did not. Overall, Korean version of TAS demonstrated well matched findings in terms of internal consistency and factorial validity with original and Spanish version of TAS. The results suggest that Korean version of TAS could be a useful and reliable tool for the measurement in Korean population.

의과대학생의 성격유형과 자연최면경험

이정태(Chung Tai Lee),한상익(Sang Ick Han),김광수(Kwang Soo Kim),박원명(Won Myong Bahk),유태열(Tae Yul Lew),정진복(Jin Bok Jung),전양환(Yang Whan Jeon) 한국정신병리진단분류학회 1995 精神病理學 Vol.4 No.1

N/A N/A

알코올중독증 환자의 대뇌 국소혈류량 변화

이정태(Chung Tai Lee),손형선(Hyung-Sun Sohn),성양숙(Yang-Sook Sung),양문정(Mun-Jung Yang),채정호(Jeong-Ho Chae),박원명(Won-Myong Bahk),김광수(Kwang-Soo Kim),유태열(Tae-Yul Lew) 한국중독정신의학회 1998 중독정신의학 Vol.2 No.1

The purpose of this study was to investigate the effect of chronic alcohol intake to regional cerebral blood flow in the patients with alcohol dependence by single photon emission computerized tomography (SPECT). The subjects were detoxified alcoholic inpatients (n=10) diagnosed as alcohol dependence by DSM-IV criteria and control group (n=8). The regions of interest (ROIs) were drawn in frontal lobe (3 ROIs), temporal lobe (3 ROIs), parietal lobe (3 ROIs), occipital lobe (1 ROI), and thalamus (1 ROI). We compared data from chronic alcoholic patients to those from controls about cerebral asymmetry indices and regional cerebral blood flow (rCBF) indices measured from each ROI. The results were as follows:1) There were significant differences in asymmetry indices of thalamus with alcoholic patients and control group (p<0.05). 2) rCBF indices of alcoholic patients were significantly higher than those of control group in left posterior temporal cortex, right posterior parietal cortex and right thalamus (p<0.05), and tended strongly to be higher than those of control group in right posterior temporal cortex, left posterior parietal cortex and left superior lateral frontal cortex. The result of increased rCBF in cerebral cortex and thalamus of detoxified inpatients with alcohol dependence suggested that there may exist a significant association between alcohol dependence and frontothalamic circuitry as brain reward system. In comparison of rCBF in both hemispheres, rCBF in right thalamus was observed to increase, which is possibly associated with impulsivity and change of affective status. Further research on the change of rCBF according to the duration after alcohol withdrawal is warranted.

정신분열증 환자의 전산화 단층촬영상 대뇌 비대칭성과 대뇌 위축과의 관계

유태열,한진희,채영래,김광수,노왕구 大韓神經精神醫學會 1991 신경정신의학 Vol.30 No.3

Since the advent of computed tomography(CT). there have been growing evidences of cerebral structural abnormalities in schizophrenics. Among them. reversed hemispheric asymmetry has been regarded as impaired cerebral lateralization of schizophrenics representing another pathology different from brain atrophy. To investigate the pattern and frequency of reversed cerebral asymmetry and their relationship with brain atrophy. we analyzed widths of frontal and occipital region on the brain CT scans of right-handed 56 schizophrenics and 52 normal controls by a manual method. Brain atrophies were assessed using fixed arm planimetry and visual lineat measurements. Compared to normal controls. the schizophrenics show significantly increased frequency of reversed occipital asymmetry. Dividing the schizophrenics into group according to the evidences of atrophy revealed more reversed occipital asymmetry than those with brain atrophy. These findings suggest that reversed cerebral asymmetry might be unrelated to brain process and would be a neuroanatomic evidence of abnormal asymmetry of schizophrenices.

음독환자의 응급처치

유태열,이창욱 한국의학사 1989 診斷과治療 Vol.9 No.9

人間의 性 生理

유태열 大韓神經精神醫學會 1988 신경정신의학 Vol.27 No.5

Following the Masters and Johnson's work in 1966 and their pioneering effort on sex therapy, there have been abundant new findings and controversies on the subject of sexual responses and sex therapy in the following 20 years. In 1980, American Psychiatric Association included sexual dysfunction as a distinct and separate diagnostic entity which requires psychiatric management. This desirable trends are reflected in the DSM-Ⅲ classification. Updates of new findings in human sexual physiology in the past 20 years have been reviewed from five different perspectives : (1) 4 stages of human sexual responses, (2) controversies on female orgasm, (3) effect of sex hormones, (4) central regulating mechanisms of sexual responses, and (5) sex and menstrual cycle.

전기충격요법후 혈중 Prolactin에 대한 Methysergide의 영향

유태열,방승규,박원명,한진희,이수정,김광수 대한신경정신의학회 1991 신경정신의학 Vol.30 No.2

Recently it has been shown in numerous experimental studies that a series of electroconvulsive therapy(ECT) affects neurohormonal function in man, though its mechanism was yet unknown. To investigate effects of methysergide on serum prolactin response after ECT, the authors studied the change of the serum levels of prolactin before ECT(the day before ECT) and after ECT, with and without methysergide pretreatment by RIA method in 11 psychiatric patients. ECT was given with the electrodes placed in the bitemporal position using a pulse current delivering device(Thymatron). The results were as follows; 1) Compared with the day before ECT, serum prolactin levels were increased significantly at 15, 30, 60 minutes after ECT(P〈0.01). 2) Compared with ECT alone, serum prolactin levels were attenuated significantly at 15,30,60 minutes after ECT with methyserigide(P〈0.05. P〈0.01). Hormonal responses of this study in terms of the knowledge availakle on the neurotransmitter control of prolactin release suggests that the responses of prolactin to ECT may be mediated by the activation of serotonergic system in central nervous system.

정신증상을 수반한 급성 간헐성 포르피린증 1 예

채영래,유태열 大韓神經精神醫學會 1980 신경정신의학 Vol.19 No.4

We have treated a case of acute intermittent porphyria, 30-year-old Korean male, admitted at the department of neuropsychiatry, St. Mary's Hospital, Catholic Medical College. He was admitted to the department of internal medicine at first due to severe dehydration, irritability and general ache where initial diagnostic work-up was performed. However, he showed aggressive behaviours, paranoid delusions and hallucinatory behaviours which cannot be controlled by conservative medical treatment. Consquently, the patient was transferred to the department of neuropsychiatry where further observation, family study as well as various laboratory tests were done. The diagnosis of porphyria was established by Watson-Schwartz test and amount of delta-aminolevulinic acid and coproporphyrin in the 24 hour urine collection. He received high carbohydrate diet and large dose of chlorpromazine (300㎎-1,200㎎ per a day), and showed good response to the treatment given. From this case experience and literature review, it seems to be important to emphasize 1) the interdepartmental consultation, 2) the need of careful review and further laboratory tests and 3) the need of high carbohydrate diet and intravenous hematin administration at acute stage.

Alprazolam 의 급성 금단에 따른 금단 증후군

신경희,한진희,유태열 大韓神經精神醫學會 1987 신경정신의학 Vol.26 No.2

This is a clinical report of a case of an alprazolam withdrawal syndrome developed in a 43 year-old female patient who had been taking alprazolam 6 to 20 mg daily for more than 3 years, and abruptly discontinued the drug due to incidental major surgery (hysterectomy). The withdrawal symptoms had an abrupt onset 20 hours after her last dose of alprazolam, which were characterized by delirium, anxiety, irritability, fearfulness, sweating, sleep disturbance, bizarre behaviors, desultory speech, visual and auditory hallucinations, occular fluttering, tremor, and muscle twitchings. The patient was successfully managed by collaboratory work of both gynecologist and psychiatrist in less than 3 weeks' course of treatment. The initial phase of treatment was consisted of general supportive care and vigorous replacement therapy with high dose of lorazepam which was later shifted to diazepam, and then was tapered gradually. Additionally, small dose of a new antidepressant, trazodone, was administered to control underlying depression. Alprazolam, a new triazolobenzodiazepines, has been claimed to be an effective and safe anxiolytic and/or antidepressant with minimal adverse effects and addictive properties. However it is not widely appreciated that withdrawal syndrome can occur with this drug, and only few reports of alprazolam withdrawal reaction have existed in the literature. These types of agents are becoming one of the most widely prescribed drugs in medical practice, and their potential risks must be emphasized.