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정신병과 치매로 발현한 양측 내경동맥 폐색증 환자 1예
전상범,권순억,이상암,이재홍 대한치매학회 2003 Dementia and Neurocognitive Disorders Vol.2 No.2
Bilateral internal carotid artery (ICA) occlusion is a rare cerebrovascular disease. Chronic ICA occlusion is not always associated with neurological deficits, but it can lead to visual disturbance, TIA, non-fatal stroke, and catastrophic stroke presenting with coma A 60-year-old man with bilateral ICA occlusion who presented with psychosis and dementia followed by sudden loss of consciousness is described. His clinical history and MRI findings suggested vascular dementia, but his psychotic features were difficult to explain without bilateral ICA occlusion F^(18)-FDG PET findings mimicked typical Alzhermer's disease and caused diagnostic confusion. To our knowledge, this is the first reported case of bilateral ICA occlusion associated with psychosis and dementia
급성 허혈성 뇌졸중에서의 페닐에프린을 이용한 혈압 상승 요법-증례 보고-
전상범,손호연 대한중환자의학회 2010 Acute and Critical Care Vol.25 No.3
Decreased cerebral perfusion is associated with a poor prognosis for a patient suffering from acute ischemic stroke. Induced hypertension may improve the cerebral perfusion and stroke symptoms. However, there is not enough clinical evidence to support this therapy and it is rarely performed in daily practice. Here we report three patients with acute ischemic stroke and cerebral hypoperfusion who were successfully treated with induced hypertension using intravenous phenylephrine. Phenylephrine infusion may be a treatment option for patients suffering from acute ischemic stroke and cerebral hypoperfusion.
전상범,임영민,김광국 대한신경과학회 2004 대한신경과학회지 Vol.22 No.3
We present a 55-year-old man who has a six-month history of progressive weakness of all limbs. Findings from neurologic examination were notable for a diffuse muscular weakness and atrophy in all limbs. Laboratory findings for collagen vascular disease, monoclonal gammopathy, and infections were normal. Electrophysiologic studies supported lower motor neuron (LMN) syndrome. CT scan and needle biopsy disclosed small cell lung cancer. This case suggests that in some elderly patients with LMN syndrome a careful search for an underlying cancer is warranted.
개방교합과 과개교합에서 구치의 근원심 치축경사도에 관한 두부방사선계측학적 연구
전상범,김진범,손우성 대한치과교정학회 1993 대한치과교정학회지 Vol.23 No.3
For the purpose of investigating mesiodistal axial inclination of posterior teeth in normal occlusion group, open bite and deep bite group and investigating the correlationship between the axial inclination of posterior teeth and overbite of anterior teeth, a cephalometric study was performed on the subjects consisted of normal occlusion group(40), open bite group(71 : Angle's Class Ⅰ 21, Class Ⅱ, division 1 25, Class Ⅲ 25) and deep bite group(64 : Angle's Class Ⅰ 23, Class Ⅱ, division 1 21, Class Ⅲ 20). Mesiodistal axial inclination of posterior teeth to occlusal, mandibular and palatal plane were measured. The findings of this study were as follows : 1. Upper and lower posterior teeth were more mesially inclined to occlusal plane in open bite group than in deep bite group. 2. Lower posterior teth were more mesially inclined in deep bite group than in open bite group in Angle's Class Ⅱ, division 1 malocclusion but there were no significant differences in Angle's Class Ⅰ and Class Ⅲ malocclusion. 3. There was no significant correlationship between the axial inclination of posterior teeth to each plane and overbite of anterior teeth in open bite group. 4. There was a significant correlationship between the axial inclination of upeer and lower second premolar to occlusal plane and overbite of anterior teeth in Angle's Class Ⅰ, Class Ⅱ, division 1 and Class Ⅲ malocclusion.
전상범,권순억,박중철,이덕희,윤성철,Yeon-Jung Kim,안재성,Byung Duk Kwun,강동화,H. Alex Choi,Kiwon Lee,김종성 대한뇌졸중학회 2016 Journal of stroke Vol.18 No.3
Background and Purpose Hemicraniectomy is a decompressive surgery used to remove a large bone flap to allow edematous brain tissue to bulge extracranially. However, early indicators of the decompressive effects of hemicraniectomy are unclear. We investigated whether reduction of midline shift following hemicraniectomy is associated with improved consciousness and survival in patients with malignant middle cerebral artery infarctions. Methods We studied 70 patients with malignant middle cerebral artery infarctions (MMI) who underwent hemicraniectomies. Midline shift was measured preoperatively and postoperatively using computed tomography (CT). Consciousness level was evaluated using the Glasgow Coma Scale on postoperative day 1. Patient survival was assessed six months after stroke onset. Results The median time interval between preoperative and postoperative CT was 8.3 hours (interquartile range, 6.1–10.2 hours). Reduction in midline shift was associated with higher postoperative Glasgow Coma Scale scores (P<0.05). Forty-three patients (61.4%) were alive at six months after the stroke. Patients with reductions in midline shifts following hemicraniectomy were more likely to be alive at six months post-stroke than those without (P<0.001). Reduction of midline shift was associated with lower mortality at six months after stroke, after adjusting for age, sex, National Institutes of Health Stroke Scale score, and preoperative midline shift (adjusted hazard ratio, 0.71; 95% confidence interval, 0.62–0.81; P<0.001). Conclusions Reduction in midline shift following hemicraniectomy was associated with improved consciousness and six-month survival in patients with MMI. Hence, it may be an early indicator of effective decompression following hemicraniectomy.