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배상남(Sang Nam Bae),정필주(Pil Ju Jeong),남상욱(Sang Ook Nam) 대한소아신경학회 2001 대한소아신경학회지 Vol.9 No.1
저자들은 29개월 된 남아에서 생후 6개월경부터 교대성으로 편마비 증상을 보였으며, 편마비 증상을 보일 때 시행한 뇌파 검사, 뇌 자기 공명 영상 촬영, 뇌 자기 공명 영상 혈관 조영술 및 뇌 단일 전자 방출 전산화 단층 촬영상 특이 소견을 보이지 않았던 소아 교대성 편마비 1례를 경험하였기에 문헌고찰과 함께 보고하는 바이다. Alternating hemiplegia of childhood(AHC) is a rare but clinically distinct syndrome characterized by onset before 18 months of age, frequent attacks of alternating paralysis, nystagmus transient ocular palsies, other autonomic dysfunction, and the development of cognitive impairment and a choreoathetotic movement disorder. The case is a 13 month-old boy who has presented repeated episodes of alternating hemiplegia from the age of 6 months at a frequency of several times per month, which was lasting for two or three days. The diagnosis was based on clinical features. Frequently such hemiplegic attacks were accompanied by irratability. He had mental retardation, neurodevelopmental delay, and seizure attacks. EEG, brain MRI, Brain MR angiography, and Tc-99m HMPAO-brain single photon emission compute tomography(SPECT) failed to reveal any significant abnormal finding during the hemiplegic attacks. We tried calcium-entry block and flunarizine to relieve the hemiplegic attacks, but the frequency and severity of the hemiplegic attacks were not decreased by flunarizine therapy.
서울 왕릉지역의 산림환경변화가 토양 이.화학성에 미치는 영향
남이,이선,배상원,Nam, Yi,Yee, Sun,Bae, Sang-Won 한국지하수토양환경학회 2005 지하수토양환경 Vol.10 No.3
서울 및 경기지역의 문화재청 관할(창덕궁, 종묘, 서오릉, 동구릉) 왕릉지역에 대한 토양조사를 실시하여 산림환경변 화가 토양 이화학성에 미치는 영향을 연구하였다. 창덕궁, 종묘, 서오릉, 동구릉의 4개 왕릉 지역의 토양화학성을 비교하기 위하여 pH, 유기물, 유효인산, 치환성 칼슘, 칼륨, 마그네슘, 양이온치환용량, 염기포화도, 전질소를 분석하였고 토양 내 오염도를 측정하기 위해 토양 내 중금속(Cd, Ph, Cu) 함량을 분석하였다. 또한 토양의 답압정도를 평가하기 위하여 토양경도, 통기성, 공극율, 기상율, 가비중을 측정하여 다음과 같은 결론을 얻었다. 1) 토양의 답압정도를 나타내는 지표인 토양경도와 통기성은 종묘와 서오릉지역이 창덕궁과 동구릉지역보다 불량하였으며 이는 출입하는 내방객의 증가와 지속적인 토양관리의 차이로 나타나는 현상으로 사료된다. 특히 서오릉지역의 토양경도와 통기성을 산림지역, 출입통제지역, 답압지역으로 구분하여 조사한 결과 산림지역이 답압지역보다 양호한 것으로 나타나 지속적인 토양관리를 위한 안식년제를 도입할 필요성이 제기 되었다. 2) 4개지역의 토양 pH는 표토가 심토보다 높게 나타났으며, 종묘와 서오릉지역의 토양 pH가 창덕궁 및 동구릉지역 보다 높게 나타난 것은 시비에 기인한 것으로 판단된다. 서오릉의 산림지역의 경우 토양 pH와 유기물 함량이 답압지역보다 높게 나타나 시비 등 토양관리가 식물생육환경으로서의 토양개선에 효과적임을 반영하였다. 3) 4개지역의 토양 내 중금속함량은 서오릉 및 동구릉지역에 비해 창덕궁 및 종묘지역에서 높게 나타나 서울 도심권에 위치할수록 대기로부터 유입된 중금속류의 축적이 많음을 시사하였다. The soil properties of the royal tombs (managed by cultural properties administration) located in Seoul and suburban Gyonggi area were investigated to see the influence of the change in soil environment on the royal tomb s이I. To compare the soil chemical properties of four royal tombs soil of Changdeokgung, Jongmyo, Seooneung, and Dongguneung, pH, organic content, available phosphate, extractable calcium, extractable potassium, extractable magnesium, cation exchange capacity, degree of base saturation, and total nitrogen content were measured. The concentrations of Cd, Pb, and Cu measured as the degree of heavy metal contamination can be an indication of atmospheric pollution in the soil environment. To estimate the degree of soil compaction, soil hardness, pore space, porosity, bulk density, and soil atmosphere were analyzed. Through these studies, following conclusions were made: 1. The soil hardness and pore space which can be used as indexes of soil compaction, were worse in the soil of Seooneung than in those of Changdeokgung and Dongguneury. These phenomena seem to be the result of increase in visitors in Seooneung and Dongguneung better and soil management in Changdeokgung and Dongguneung. When three different regions of forest area, prohibited area, and soil compaction area in Seooneung soil were compared, the degree of compaction in the forest area was less than compaction area, indicating the need for the employment of soil resting period in the compaction area. 2. The pH measurements of all four royal tombs soil were higher in top soil than sub soil. The higher soil pH values in Jongmyo and Seooneung seem to result from the application of soil conditioner. In the case of Seooneung, the values for soil pH and organic content were higher in the forest area than those in compaction area. It is thought that active soil management was employed in the forest area through application of organic matters and soil conditioners. 3. The heavy metal contents from soil of Changdeokgung and Jongmyo were higher than that from soil of Dongguneung. Since Changdeokgung and Jongmyo are located inside Seoul, it is thought that the high level of heavy metal concentrations in these royal tomb soil is the result of accumulation of pollutants from the city.
Mucosal Schwann-Cell Hamartoma Diagnosed by Using an Endoscopic Snare Polypectomy
배명남,이정은,배상묵,김은영,김은옥,정성훈,오정환,민기옥 대한대장항문학회 2013 Annals of Coloproctolgy Vol.29 No.3
Colorectal polyps of mesenchymal origin are a rare group of colorectal disorders. A ‘‘mucosal Schwann-cell hamartoma,”which is one type of polypoid lesion that originates from the mesenchyme, is a newly-proposed disease entity to be distinguished from the neurofibromas found in type-1 neurofibromatosis. This lesion is composed of pure Schwann-cell proliferation in the lamina propria and shows diffuse immunoreactivity for the S-100 protein. We report a case of a polypoid lesion of the colon with the features of this recently-proposed disease entity.
Recurrent Insulin Autoimmune Syndrome Caused by α-Lipoic Acid in Type 2 Diabetes
배상묵,배명남,김은영,김일규,서민우,신진경,조성래,정귀화 대한내분비학회 2013 Endocrinology and metabolism Vol.28 No.4
Insulin autoimmune syndrome (IAS) is characterized by spontaneous hypoglycemia caused by insulin autoantibodies in the absence of exogenous insulin administration. Some drugs containing sulfhydryl compounds are known to initiate the onset of IAS. A 67-year-old female who had diabetes for 5 years visited the outpatient clinic at our institution due to diabetic peripheral polyneuropathy. She was prescribed α-lipoic acid (ALA), which contains two sulfur atoms. Two weeks later, she complained of recurrent hypoglycemic symptoms. We detected a high level of insulin and high titers of insulin autoantibodies. Her human leukocyte antigen (HLA) genotype included the DRB1*0406 allele, which indicates a high level of susceptibility to IAS. She was treated with prednisolone. After this episode, she experienced two more hypoglycemic events after taking ALA for diabetic neuropathy in other hospitals. As ALA can be used to treat diabetic peripheral polyneuropathy, physician discretion is advised based on the possibility of IAS due to ALA in diabetic patients.