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조효근,허경,임성룡,홍도권 인제대학교 1992 仁濟醫學 Vol.13 No.4
약년자 뇌졸중은 중년 이상의 뇌졸중과 비교하여 드물게 일어나지만 동맥 경화증 이외의 다양한 원인을 갖고 있기 때문에 치료 및 재발의 방지를 위하여 그 원인을 찾아야 한다. 이에 본 저자등은 1989∼1991년 사이 본원에 뇌졸중으로 입원한 15∼45세 사이의 환자를 대상으로 약년자 뇌졸중의 위험 인자 및 원인 질환을 분석하였다. Stroken in young adults are relatively uncommon and have more various and diverse possible causes or risk factors than elderly strokes. We evaluated 222 patients aged 15-45 years who were admitted to our hospital during 1989-1991 under diagnose of cerebral infarction, intracerebral hemorrhage, and subarachnoid hemorrhage. These age groups comprised 13.0% of all patients admitted for stroke. Cerebral infarction was diagnosed in 47 patients who had atherosclerosis (hypertension, diabetes mellitus, hyperlipidemia etc.), heart disease (valvular heart disease, atrial fibrillation, cardiomyopathy, endocarditis), meningitis, Moyamoya disease, leukemia, alcohol, migraine, Cushing's syndrome, Takayasu arteritis, polycythemia etc. as their underlying diseases. Intracerebral hemorrhage was diagnosed in 85 patients who had hypertension, ruptured arteriovenous malformation, ruptured aneurysm, Moyamoya disease, leukemia, tumor, pregnancy etc. as their underlying diseases. Subarachnoid hemorrhage was diagnosed in 90 patients ; the causes were ruptured aneurysm, ruptured arteriovenous malformation, and Moyamoya disease. From the above results, we confirmed young adult strokes were related to various underlying diseases and extensive studies were needed for diagnosis of causative diseases.
김응규,김성은,조효근 인제대학교 1998 仁濟醫學 Vol.19 No.1
신경전도속도 검사는 말초신경의 이상 유무를 알아볼 수 있는 중요한 검사 방법 중 하나이다. 그러나 상운동원성 질환 환자에서도 이상을 보일 수도 있다는 보고가 있기에 과연 상운동원 성 질환에서 신경전도속도 검사가 이상을 보이는지, 이상을 보이면 어떠한 인자와 연관이 있는지 연관성을 알아보기 위하여 연구하였다. Background and Purpose : Neve conduction velocity(NCV) is a useful method for lower motor neuron disorders, especially in the peripherial neuropathy. But some authors reported that NCV was abnormal in the user motor neuron disorders. We conducted this study to see whether NCV abnormality was indeed present in the upper motor neuron disorders, and to see if present, what kinds of factors are associated. Methods : This study was done on 26 patients from Feb.1996 to Aug.1996 who admitted to the Busan paik hospital. Inje university with upper motor neuron disorders. Exclusion criteria was peripheral neuropathy, alcoholism and radiculopathy. NCV test was performed in the 4 extremities with F-wave latency, muscle power and atrophy. Results : The association between muscle power and atrophy existed only in the right upper extremity, that is, less muscle power, more atrophy. The muscle power in the right upper and lower extremities were associated with right upper extremity NCV abnormality. The muscle power in the left lower extremity were associated with left upper extremity NCV abnormality. There was no correlation between muscle power and atrophy whether NCV is normal or abnormal. Conclusion : NCV test was a useful method in the lower motor neuron disorders. But this study revealed that abnormality of NCV test was present in the upper motor neuron disordes. So the recovery of motor function might be influenced by abnormal NCV.