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고의경,최성원 대한이비인후과학회 부산,울산,경남 지부회 2016 임상이비인후과 Vol.27 No.2
Pulsatile tinnius has caused multiple etiology, vascular or nonvascular origin. Most patients of pulsatile tinnitus are treatable with correct diagnosis. So evaluation including history taking, audiometry, auscultation and radiologic study with angiography is very important. Authors had reviewed incidence, etiology, evaluation, and management of the pulsatile tinnitus by literature.
국내에서 편두통성 현훈의 임상 양상 및 치료에 대한 다기관 연구
고의경,안성기,강규식,구자원,김범규,김규성,김병건,김지수,박경호,박시내,박은호,박홍주,변재용,서명환,성기범,오선영,이정구,이태경,정성해,정원호,차창일,채성원 대한평형의학회 2009 Research in Vestibular Science Vol.8 No.2
Background and Objectives It is being increasing recognized that the morbidities of migraine and balance disorders are interrelated. In fact, migrainous vertigo (MV) is one of frequent causes of recurrent vertigo in patients presenting to specialized dizziness clinics. Nevertheless, not many studies have reported clinical manifestations and treatment. Therefore, the aim of study was designed to assess clinical features and treatment patterns by a nationwide multicenter study. Materials and Methods Patients between 9 and 74 years of age who visited 17 Korean tertiary referral centers and 1 clinic from February to March 2009 were investigated using two forms of questionnaires. Results Overall, 318 patients with MV were enrolled. MV was responsible for ~8.45% of visits to the specialized dizziness clinics. One hundred seventy-five of these patients had definite MV and were included in assessing the clinical features. Vertigo characteristics of patients with definite MV were various. Vertigo was regularly as-sociated with headache in 87% of the patients. The duration of vertigo ranged from seconds to days. For the treatment patterns, an acute and prophylactic therapies were carried in most clinics. There were no differences in either acute or prophylactic therapies between department of neurology and otorhinolaryngology. Conclusions The results of this study suggest that MV the clinical features of MV also varies in Korea. In addition, most clinics provide similar patterns of practice in treatment for MV. The syndrome of MV deserves further research activity as it is relatively common and clinically relevant. Background and Objectives It is being increasing recognized that the morbidities of migraine and balance disorders are interrelated. In fact, migrainous vertigo (MV) is one of frequent causes of recurrent vertigo in patients presenting to specialized dizziness clinics. Nevertheless, not many studies have reported clinical manifestations and treatment. Therefore, the aim of study was designed to assess clinical features and treatment patterns by a nationwide multicenter study. Materials and Methods Patients between 9 and 74 years of age who visited 17 Korean tertiary referral centers and 1 clinic from February to March 2009 were investigated using two forms of questionnaires. Results Overall, 318 patients with MV were enrolled. MV was responsible for ~8.45% of visits to the specialized dizziness clinics. One hundred seventy-five of these patients had definite MV and were included in assessing the clinical features. Vertigo characteristics of patients with definite MV were various. Vertigo was regularly as-sociated with headache in 87% of the patients. The duration of vertigo ranged from seconds to days. For the treatment patterns, an acute and prophylactic therapies were carried in most clinics. There were no differences in either acute or prophylactic therapies between department of neurology and otorhinolaryngology. Conclusions The results of this study suggest that MV the clinical features of MV also varies in Korea. In addition, most clinics provide similar patterns of practice in treatment for MV. The syndrome of MV deserves further research activity as it is relatively common and clinically relevant.
고의경,박성환,윤빛나,이일우,노환중,전경명,김학진 대한이비인후과학회 2004 대한이비인후과학회지 두경부외과학 Vol.47 No.9
Background and Objectives:The reports of normative measurements for inner ear structure using computer-based programs are rare. The purpose of this study was to measure the normative data of the Korean inner ear structures and establish the basic data for diagnosis of congenital inner ear anomaly. Subjects and Method:Temporal bone CT of 38 patients (16 men and 22 women) without apparent disease of middle and inner ear, fractures or major disorder such as seizure or tumor were retrospec-tively reviewed. Fifteen dimensions on axial views and 9 dimensions on coronal views were measured in PACS using π-view program. The slice thickness of CT was 0.6 mm. Results:From the axial view, the canal diameter of SC was 1.09± 0.15 mm, the bony island width was 5.70± 0.50 mm, the bony island width of LSC was 3.99± 0.58 m, the cochlear upper turn width & height were each 5.63± 1.07 and 3.03± 0.65 mm. The vestibular aqueduct were observed 95.3%. From the coronal view, the cochlear height was 5.14± 0.36 m. The length of IAC was significantly longer in male than female (p<0.05)site of IAC was significantly wider in the left than the right (p<0.05). The upper turn of cochlea in good bone conduction (≤10 B) had larger width and smaller height than those in poor bone conduction (>10 dB). Conclusion:We established the Korean normative measurements of the inner ear structures, which can be used for further diagnosis of the inner ear anomaly. 0.6 m slice로 촬영된 TBCT에서 38예 43귀를 파이뷰 프로그램을 이용하여 축상 스캔에서 15가지, 관상 스캔에서 9가지의 내이 구조물을 계측하여 다음과 같이 요약한다. 1) 파이뷰 프로그램을 이용한 계측이 필름상에서 캘리퍼를 이용하여 계측하는 것보다 더욱 정밀하게 측정할 수 있었다. 2) 내이도의 관상 스캔에서 남성이 여성보다 유의하게 그 길이가 길었고, 내이도 입구부 직경이 좌측이 우측보다 유의하게 넓었다. 3) 와우 상부회전이 포함된 와우골관의 폭은 골도 청력이 정상인 예에서, 그 높이는 골도 청력이 저하된 예에서 통계적으로 유의하게 큰 계측치를 보였다. 이상에서 파이뷰 프로그램을 이용한 측두골 계측이 내이 기형의 진단에 유용한 기초적 자료를 제공할 것으로 사료되며, 추후 많은 예에서 깊은 연구가 필요하리라 생각된다.