精神神經系

宋秀植 藥業新聞社 1982 (月刊) 醫藥情報 Vol.1982 No.11

Bender Gestalt 檢査分析에 依한 韓國人 本能性 癎疾患者의 器質病理學的 硏究

宋秀植 우석대학교 의과대학 1968 우석의대잡지 Vol.5 No.1

Through the analyses of the Bender Gestalt test results it was attempted to determine the nature of the organic pathological phenomena of Korean idiopathic epileptics and also to testify the validity of Bender Gestalt test as a differential diagnostic tool for the organic syndrome. The material comprised from 45 cases of idiopathic epileptics (20 cases with normal E.E.G. and 25 cases with abnormal E.E.G.) and control groups were comprised from 20 cases of normal and 17 cases of head traumatics respectively. The test results were analyzed according to the Hutt’s analytic system. The results are as follows. 1. As to the types of sequence of the general aspects rigid pattern was predominantly revealed in epileptics and irregular and confused figure drawings were more common in head traumatics. 2. As to the patterns of page cohesion of the general aspects, edge, top and bottom tendencies were more common in epileptics and head traumatics than in normal group. 3. As to the figure size of the general aspects distorted figure drawings were revealed above 50% in epileptics and head traumatics. 4. As to the patterns of figure spacing of the general aspects distorted figure drawings were revealed 42.2% in head traumatics comparing none of it in normals and epileptics. 5. As to the types of line quality of the general aspects distorted figure drawings revealed 76.5% in head traumatics and 53.4% in epileptics, especially workover drawings were more dominantly revealed in epileptics. 6. The percentages of distorted figure drawings of all the 9 aspects in traumatics and epileptics were both assessed a having highly significant meanings. In the assessment of the significance of the difference between the head traumatics and the epileptics only the rotation drawing was more significantly frequent in the former than in the later. 7. The tendency of workover drawing in the general aspects of line quality, and distorted figure drawings of closure or joining, of rotation, of angulation and of angle of joining in the figure aspects were more dominant in the abnormal E.E.G. group of epileptics than in the normal E.E.G. group of epileptics. 8. From all of these results it might be summarized as follows; first, the more distorted figure drawings were revealed in the order of head traumatic group, epileptic group with abnormal E.E.G. and epileptic group with normal E.E.G., second, in the idiopathic epileptics the organic causes were highly suspected from the results of their defect of higher perceptual integrating functioning.

Bender Gestalt 檢査分析에 依한 韓國人 本能性 癎疾患者의 器質病理學的 硏究

宋秀植 우석대학교 의과대학 1968 우석의대잡지 Vol.5 No.1

韓國人 癎疾患者의 腦波學的 考察

宋秀植 고려대학교 의과대학 1972 고려대학교 의과대학 잡지 Vol.9 No.2

간이역의 벤치에서

송수식 샘터사 1993 월간 샘터 Vol.24 No.5

간질중첩상태의 임상분석

송수식,장필립 大韓神經精神醫學會 1984 신경정신의학 Vol.23 No.3

For more understanding of status epilepticus which is an emergent condition with high mortality and requires immediate treatment, we reviewed and analyzed clinical records of 94 patients with status epilepticus, who had been hospitalized from 1974 to 1983 in the Seoul Red Cross Hospital. The results were summarized as follows ; 1. The rate of status epilepticus was 8.6% for the 1098 inpatients with seizure disorder. Also, 50% of these were below age 20. 2. Regarding types of seizures, generalized tonic & clonic seizure was the most common type and accounted for 45.7% of the total patients with status epilepticus. 3. Among the total number of patients diagnosed with status epilepticus, symptomatic status epilepticus comprised 57.4%. The primary causes included: (1) Infectious disease (29.6%) (2) Head trauma (22.2%) (3) Cerebro-vascular disease (14.8%), and (4) other (33.4%). 4. As to precipitating factors, irregularity or discontinuation of anticonvulsant medication was noted in 31.6%, fever was evident in 29. 8% and psychic factors was prominent in 10.5%. 5. Regarding the axillary temperatures, more than half (61.6%) of the 78 patients with status epilepticus without underlying infectious disease rose above 37℃. 6. The leukoeyte count of the peripheral blood showed leukoeytosis in 60.8% of the 74 patients with status epilepticus without underlying infectious disease. Also, differential counts of leukocyte were performed in 70 patients who had no underlying infectious disease. As a result, neutrophilia appeared in 60% and lymphocytosis appeared in 5.7%. 7. In the measurement of serum electrolytes (Na and Ca). hyponatremia appeared in 44.4%, and hypocalcemia appeared in 9.5%. 8. In C.S.F findings, the pressure was increased in 23.5% of the 34 patients without any underlying infections disease, cerebrovascular disease, brain tumor, metabolic disorder. Also, pleocytosis was noted in 14.7%. 9. As to E.E.G. classification, moderate abnormality was the most common abnormal type (33.3%). The next included marked abnormality (25.4%). Normal E.E.G. findings comprised only 9.5%. The abnormal wave patterns included generalized slow waves (30.4%), suppression of background rhythms (26.9%), focal slow waves (24.7%), and etc. 10. Total mortality was 13.8%, and 76.9% of these died within a week. The mortality of symptomatic status epilepticus (53.8%) was higher than idiopathic status epilepticus. The causes of death was established in 38.5% of the mortality.

韓國人 癎疾患者의 腦波學的 考察

宋秀植 고려대학교 의과대학 1972 고려대 의대 잡지 Vol.9 No.2

This study was intend to find the incidence of abnormal E.E.G. findings and patterns among epileptics in Korea. One thousand four hundred forty cases who were given the diagnosis of epilepsy and treated from Jan. 1965 to Dec. 1971 at the Neuropsychiatry Department of Korea University Medical College Woo Sok Hospital were selected. And those epileptics who showed the evidences of such as brain injury, brain tumor, cerebral degenerative disease, endocrine disorders and other cerebral and systemic diseases which supposed to give influences to cerebral functioning were excluded from this study. The results obtained were as follows: 1. As to the proportion of clinical types in the 1, 440 cases of epileptics, it was revealed that grand mal epilepsy was 59.9% (826 cases), motor seizure was 17.7% (255 cases), psychic and psychomotor seizure was 6.2% (89 cases), unclassified epileptic seizure was 4.2% (60 cases), centrencephalic and focal seizure was 3.4% (49 cases), petit mal epilepsy was 2.8% (41 cases), mixed type was 1.7% (25 cases), myoclonic seizure was 1.6% (23 cases), autonomic seizure was 1.1% (16 cases), sensory seizure was 0.7% (10 cases), and infantile spasms was 0.7% (10 cases). 2. In the proportion of age groups according to the clinical types, grand mal epilepsy was above 60% in all of the age groups, motor seizure was above 13% in all of the age groups over 4 years old. 3. In the proportion of the clinical types according to age groups, petit mal epilepsy was 78% in the age group of between 4 and 15 years old. 4. In the proportion of abnormal E. E. G. according to age groups, in the age group between 4 and 15 years old, abnormal E. E. G. occupied 75.8%, and that it was the highest proportion of abnormal E. E. G. comparing with other age groups. 5. In all of the cases, the proportion of abnormal E. E.G. was 52.9%, and in the clinical types, infantile spasms was 100%, mixed type, myoclonic seizure and petit mal epilepsy were above 70%, grand mal epilepsy was 49.2% and other clinical types were above 30%. 6. In the proportion of wave patterns of abnormal E. E. G. according to the clinical types, paroxysmal slow wave was above 57% in the clinical types except petit mal epilepsy, myoclonic seizure and infantile spasms, 3 c/s spike and wave complex was 48.3% in the petit mal epilepsy, spike and wave complex was 83.3% in the myoclonic seizure and suppression and rhythmic bursts was 100% in the infantile spasms. 7. In the proportion of symmetricity and localization of abnormal E. E. G., the symmetric and generalized abnormal E. E. G. was above 65% in the petit mal epilepsy, myoclonic seizure, mixed type and infantile spasms and asymmetric and localized abnormal E. E. G. was 54.2% in the motor seiure.

내과입원 중 정신과에 자문의뢰된 신경증 환자에 대한 임상적 고찰

송수식,이상연,백주희,허통욱 大韓神經精神醫學會 1993 신경정신의학 Vol.32 No.5

We compared the clinical characteristics of two groups, 108 consulted medical inpatients with neurosis and 138 psychiatric inpatients with neurosis, during the period January 1, 1989 to December 31, 1991 at Seoul Red Cross Hospital. The results show various clinical differences between two groups. The results were as follows : 1) In the mean age, medical inpatients were older than psychiatric inpatients. Especially, in the aged patients over 60 years, medical inpatients outnumbered psychiatric inpatients. In the case of sex, female patients outnumbered male patients. In the educational level, both group had low educational level. 2) As to the symptom duration, medical inpatients usually had duration under one month, psychiatric inpatients were common over one year. 3) Most of the patients admitted via outpatient department, medical inpatients outnumbered psychiatric inpatients in the case of via emergency room. 4) The mean duration of hospitalization of medical inpatients were significantly longer than that of psychiatric inpatients. 5) The main organic diagnosis in medical inpatient group was gastrointestinal disorder. After psychiatric consultation, the number of cases with psychiatric diagnosis increased significantly in medical inpatient group. 6) The main psychiatric diagnosis in both group was depressive disorder, followed by somatoform disorder and anxiety disorder. Somatization disorder was more common in medical inpatient group than in psychiatric inpatient group. While conversion disorder was more frequent in psychiatric inpatient group. 7) Medical inpatients had more physical complaints than those of psychiatric inpatients. The main physical symptom in medical inpatient group was gastrointestinal symptom. But, the main physical symptom in psychiatric inpatient group was head and central nervous system symptom. 8) The major reason for psychiatric consultation was subjective physical symptoms which were not related to conformed medical illness. 9) Before psychiatric consultation, 78.7% of medical inpatients were prescribed psychotropic drugs. 10) As to the concordance rates with the consultant's recommandation, psychotropic drug(93.2%), diagnostic procedure(100%), and diagnostic presentation(65.7%) were relatively high but those of transfer(50%) and outpatient department follow-up(43.8%) were relatively low.

癎疾 大發作 患者의 腦波學的 考察

宋秀植,李元鎔,宋南玉 최신의학사 1972 最新醫學 Vol.15 No.6

This study was intended to find the incidence of abnormal E. E. G. findings and patterns among grand mal epileptics in Korea. Nine hundred and six cases (male 545 cases, female 361 cases) who were given the diagnosis of grand mal epilepsy and treated from Jan. 1965 to May. 1972 at the Neuropsychiatry Department of Korea University Medical College Woo Sok Hospital were selected. And those epileptics who showed the evidences of such as brain injury, brain tumor, cerebral degenerative disease, endocrine disorders and other cerebral and systemic diseases which supposed to give influences to cerebral functioning were excluded from this study. The results obtained were as follows: 1. Out of 906 cases of these epileptics 75. 8% were distributed under the age of 30 years old. 2. Abnormal E. E. G. findings were elicited in 48.2% of all cases. The age group between 0 to 4 years old was 24.6%, 5 to 19 years old was 67. 0% and above 20 years old group was slightly over 30%. 3. In the proportion of wave patterns of abnormal E. E. G. paroxysmal slow wave was 76.2%, generalized slow wave was 9.4%, spike and wave complex was 7.3% and mixed form was 4.3%. 4. As to the distribution of localization of abnormal E. E. G. according to the age groups, generalized pattern occupied 62. 5% in the group of under 4 years old and in the other age groups localized pattern occupied slightly over 60%. 5. In the proportion of symmetricity according to the age groups, all of the age groups showed high incidece of symmetricity except in the age group between 5 to 9 and 55 to 59 years old.

뇌파검사법

송수식 대한의학협회 1980 대한의학협회지 Vol.23 No.12