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비골절성 경추 손상에 동반된 척수 손상에 대한 임상적 연구: 아탈구와 SCIWORA (Spinal Cord Injury Without Radiographic Abnormality)
한상국 ( Han Sang Gug ),신동혁 ( Sin Dong Hyeog ),박상오 ( Park Sang O ),최필조 ( Choe Pil Jo ),권운용 ( Kwon Un Yong ),송형곤 ( Song Hyeong Gon ),송근정 ( Song Geun Jeong ),정연권 ( Jeong Yeon Gwon ),강보승 ( Kang Bo Seung ) 대한외상학회 2002 大韓外傷學會誌 Vol.15 No.2
Background : Cervical spine injuries with or without spinal cord injury are the most commonly missed serious injuries, and the missed or delayed diagnosis may cause serious, catastrophic consequences for patients and have medico-legal implications for phy
양성 발작성 두위 현기증의 임상양상과 이석 정복술의 효과
강보승,최필조,임태호,배성만,송형곤,송근정,정연권 대한응급의학회 2002 대한응급의학회지 Vol.13 No.3
Purpose; Until recently, three variants of benign paroxysmal positional vertigo (BPPV) have been recognized: the first is posterior-canal canalolithiasis, the second is horizontal-canal canalolithiasis, and the last is horizontal-canal cupulolithiasis. However, the last two types of BPPV have not been introduced into the textbook of Emergency Medicine yet. The otolith repositioning maneuvers are effective treatments for BPPV, but in emergency medicine, there has been little interest in and research on them. Our goals were to determine the efficacies of these treatments and to examine the clinical features of each types of BPPV. Methods: We performed a 6-month prospective study on forty-one patients(47 cases) who presented with a history and physical examination consistent with active BPPV to the emergency departments of a secondary hospital and a tertiary hospital (Dec. 2001-May. 2002). The patients were treated with a modified Epley canalith repositioning maneuver for posterior-canal BPPV, a modified Barbecue rotation for horizontal-canal canalolithiasis, and the maneuver of Joet al. for horizontal-canal cupulolithiasis. Results: A resolution attributable to the first intervention was obtained in 71.4% of the posterior-canal BPPV cases by using the modified Epley maneuver and in 73.1% of the horizontal-canal BPPV cases by using a modified Barbecue rotation & the maneuver of Jo et al. Conclusion: The otolith repositioning maneuvers result in a resolution of vertigo in the majority of patients (84.8% of the cases) immediately after treatment. They are safe and require no special equipment or investigations. They should be established as the treatments of choice for BPPV in emergency department.