단지양 근위축증(Monomelic Amyorophy) 3례 : 증례 보고 Case Report

김기찬,정호중,정상욱,정흥채,조근열 고신대학교 의학부 1999 高神大學校 醫學部 論文集 Vol.14 No.1-2

Monomelic amyotrophy is a rare form of motor neuron disease which is insidious onset in the second and fourth decades, male preponderance, sporadic occurrence, wasting and weakness confined to one limb, and absence of involvement of the cranial nerves, cerebrum, brain, stem, and sensory system. Symptoms and signs often progress for several years before spontaneously arresting. Neurologic findings and electrophysiologic studies are only useful for the diagnosis of monomelic amyotrophy and other laboratory testing are frequently normal or nonspecific. We reported three cases of typical monomelic amyotrophy with review of the articles.

외상으로 인한 후복막 유건종 제거술 후 신경인성 통증의 재활치료

김기찬,정호중 고신대학교의과대학 2007 고신대학교 의과대학 학술지 Vol.22 No.2

Desmoid tumors are infrequent and histologically benign fibrous neoplasms originating from the musculoaponeurotic structures throughout the body. These tumors are found in areas of previous traumatic or surgical scarring. The compartment syndrome is considered a true emergency condition. The internal pressure rises so high that local circulation is cut off and the affected muscle dies. The local increased pressure can also damage associated nerves resulting in a loss of both power and sensation. Lumbosacral plexopathy is characterized by intense pain in one or both legs, associated with motor and sensory deficits. Proper medications including topiramate with physical therapy and psychological modalities are critical to successful outcome of the management for neuropathic pain. We experienced a case of rehabilitation for lumbosacral plexopathy and compartment syndrome following excision of retroperitoneal desmoid tumor due to trauma in 9 year-old child.

검도와 연관된 근골격계 통증

하호성,김기찬,,정호중 KOSIN UNIVERSITY COLLEGE OF MEDICINE 2006 高神大學校 醫學部 論文集 Vol.21 No.1

Background : The purpose of this study is to understand the distribution of Kumdo related pain and associated factors Materials and Methods : A clinical evaluation was done by a physiatrist with radiography. 119 men and 11 women were interviewed about Kumdo experience, daily and weekly practice time, pain complaint, anatomical disturbance of pain by total 15 question at January, 2006. Result : Lower limb was the most common area of pain complaints, followed by upper lims, spine in orders. Tendinitis (5 cases) on wrist was most common in upper limb and plantar fascitis (7 cases) was most common at lower limb. Conclusion : Kumdo related pains were more disturbance in lower limb, followed by upper limb. And most common disease was plantar fascitis of foot.

직장암환자에서 복회음병합절제술(Miles' operation) 후 발생한 지속적인 배뇨장애의 치료

박희석,김기찬,정호중 고신대학교 의학부 1998 高神大學校 醫學部 論文集 Vol.13 No.1-2

Bladder dysfunction is one of the serious postoperative complications after rectal cancer surgery. To get sufficient objective data and factors for adequate management of bladder dysfunction following rectal cancer surgery, we reviewed medical records of 122 patients who had abdominoperineal resection of rectum (Miles' operation) for rectal cancer. The incidence of bladder dysfunction in 122 rectal cancer patients was 18.9 percent (23 patients). Among 23 patients with bladder dysfunction, 10 patients were referred to our rehabilitation service and their bladder was areflexic type neurogenic bladder at referred time. In 10 patients referred to our rehabilitation service, 8 patients(80.0% got the balanced bladder and 2 patients(20.0% ) failed, and the interval between beginning of bladder training and establishment of balanced bladder in 8 patient was 13.4±6.8 days. In 13 patients did not referred to our service, only 3 patients(23.1% ) got the balanced bladder and 10 patients(76.9%) failed. To improve the life quality of the rectal cancer patients with neurogenic bladder following abdominoperineal resection of rectum, early proper rehabilitative managements including bladder training were should be given.

삼차신경 손상환자에서 삼차신경 체성감각 유발전위의 유용성 : 증례보고 Case Report

정호중,김기찬 고신대학교 의학부 2004 高神大學校 醫學部 論文集 Vol.19 No.1

We studied brainstem auditory evoked potential(BAEP), blink reflex, and trigeminal somatosensory evoked potential(SSEP) on 30-years old man with trigeminal nerve injury due to cerebellopontine angle tumor which had been identified by cranial operation. We report this case for evaluation of their usefulness. The patient complained a numbness on Rt. face for several days. On visit to our department, there are intact on his mentality and normal except decreased sensation and tingling sensation on Rt trigeminal innervated territory in cranial nerve examination. The upper motor neuron signs were not observed. MRI picture revealed multilobulated cystic mass at the right CP angle measured 4×7 cm, which compress the right temporal lobe, midbrain, and right cerebellum. We consider that BAEP and Blink reflex studies were identified as useful screening test for evaluation of trigeminal nerve injury patient, but trigeminal SSEP was not in our case studies and we report a case with review of the articles.

부산지역 외상성 척수손상환자 발생의 변화추이

강경문,김기찬,정호중 고신대학교의과대학 2007 고신대학교 의과대학 학술지 Vol.22 No.2

Objective: To identify trends in the epidemiologic and injury data of person with traumatic spinal cord injury (SCI). Method: Review of medical records of 312 patients with traumatic spinal cord injury from 1996 to 2005 at the four university hospitals and one training hospital in Busan was performed. The epidemiologic informations of this study were compared to those of the past study conducted between 1986-1993 and 1996-2005. Results: Average age(42.8) at injury was rised. Male-to-female ratio was 3.5:1, the population of males has decreased significantly in recent years(1996-2005). The leading cause of traumatic SCI was traffic accident. Tetraplegia accounted for 52.2% of all traumatic SCI, 47.8% were paraplegia. Complete injury decreased compared to the past occupying 41% of all the injury while tetraplegia increased. Traumatic spinal cord injury occured most commonly in August, summer, the time of 6 A.M to midday and on Saturday. Conclusion: This study showing the recent characteristics of traumatic SCI in Busan revealed increase in the average age at injury, the rate of females and incomplete injury. The most frequent time of onset was from 6 AM to midday.

38세 남자환자에서 발생한 만발성 림프부종 1예

정호중,김기찬,엄문섭 고신대학교의과대학 2006 고신대학교 의과대학 학술지 Vol.21 No.2

Primary lymphedema tarda is considered to be a congenital disease with delayed manifestations. The cause is unknown; an autoimmune destruction of lymphatic channels can be hypothesized. We report a case of isolated lymphedema of the left lower extremity in a 38-year-old male. The diagnosis of lymphedema was confirmed by lymphoscintigraphy and appropriate diagnostic studies were done to rule out other known causes of limb edema. We report a rare case of primary lymphedema tarda of the left lower extremity.

직장암환자에서 복회음병합절제술(Miles' operation)후 발생한 지속적인 배뇨장애의 치료

박희석,김기찬,정호중 高神大學 醫學部 1998 高神大學醫學部 論文集 Vol.13 No.1-2

척추주위근을 침범한 신경통양 근위축증 (Neuralgic Amyotrophy) 2례

전포성,정상욱,김기찬,정호중 고신대학교 의학부 1998 高神大學校 醫學部 論文集 Vol.13 No.1-2

Neuralgic amyotrophy is a clinical syndrome of unknown etiology characterized by the acute onset of severe shoulder girdle pain followed by motor weakness or paralysis, and variable sensory loss. Up to 90 percent of patients eventually recover within the third years and the treatment is symptomatic. Neurologic findings and electrodiagnostic studies are only useful diagnostic methods of neuralgic amyotrophy and other laboratory testing are frequently normal or nonspecific. We report two cases of neuralgic amyotrophy with paraspinal muscles involvement with review of literature.

재활의학과적 검사 결과가 임상증상과 차이를 보인 잠수병 환자

심영주,정호중,김기찬 고신대학교 의과대학 2010 고신대학교 의과대학 학술지 Vol.25 No.2

Decompression sickness is divided into 2 types based on clinical symptoms and severity. Type I decompression sickness involves usually the musculoskeletal system and cardiopulmonary system. Type II decompression sickness involves commonly the central nervous system. We experienced a case of type II decompression sickness involving cervical spinal cord. The patient showed hypesthesia below C5 dermatome and quadriplegia. But the whole spinal magnetic resonance image revealed high signal of the spinal cord below T2 levels and electrodiagnostic study showed thoracic cord level lesion. In decompression sickness, diagnosis of injured spinal cord levels is very delicate problem because in some cases clinical symptoms can be unmatched with magnetic resonance findings and electrodiagnostic study. In this kind of case there are little studies of diagnostic tools and prognostic factors. Therefore, focusing on clinical symptoms need to help more proper treatment and provide better prognosis to decompression sickness patients