乏枝神經膠腫 Oligodendroglioma의 1치험례

변덕시,최동열,이봉암,이인수,양문호 대한신경외과학회 1974 Journal of Korean neurosurgical society Vol.3 No.2

We have seen a case of oligodendroglioma arising in the left frontal lobe of 64-year-old woman. She had complained of longstanding headache with occasional seizures and episodic dysarthrias for six years before admission. On admission there were drowsy mentallity and bilateral papilledema of 3 diopters without other neurological abnormality. The tumor was showed as a calcified mass of an egg size in the left frontal lobe even on the plain skull X-ray films. The tumor was totally removed by surgery and measured 4×5×4㎝. On microscopic examination it was a typical oligodendroglioma. The patient was discharged in. good condition on the twelfth postoperative day. Many authors reported that the incidence of oligodendrogliomas in all glioma group was relativly rare. In Korea there was no clinical report of oligodendroglioma except only two cases reported by Dr. Lee et al in 1955. So we present this case, though it was typical and classical in pathological nature and clinical process.

月經의 發生 機轉과 月經病證에서 볼 수 있는 異常症狀을 周期ㆍ量ㆍ質ㆍ色등에 의한 臨床的 價値에 대한 文獻的 考察

李基商,尹喜植,李光揆,金鎭洙,陸相元,卞德市 대한동의병리학회 1999 동의생리병리학회지 Vol.13 No.2

月經은 天癸의 作用下에 衝任脈과 胞宮과의 相關關係에 의해서 分泌되는 周期的인 出血로써, 女性發育의 成熟標志중의 하나로 孕育能力이 있음을 나타내주는 것이다. 때문에 어떤 發病因子로 因하여 天癸나 任督脈 혹은 胞宮의 機能異常을 招來하면 量, 周期, 色, 質, 등에 있어서 非正常的인 狀態의 月經이 나오게 된다. 非正常的인 月經의 狀態를 把握하여 原因을 糾明하고자, 여러 臨床 文獻들을 토대로 文獻考察을 하여 知見을 얻었기에 報告하는 바이다. The period, color. amount and quality of menstruation should be considered of checking whether menstruation in nomal or abnormal, for they are related to the diseases of menstration. The results of diseases study are as fallowes. 1. period -------------------------------------------------------------------------------- advanced menstrual period period ------------------------------------------------------------------------- blood fever stagnation of the deficiency deficiency heat due to liver of yin-deficiency of blood of qi becone heat syndrome -------------------------------------------------------------------------------- menorrhagia 0 0 0 0 0 amount ------------------------------------------------------------------------- scanty 0 0 0 menstruation -------------------------------------------------------------------------------- loosness 0 quality------------------------------------------------------------------------- thickness 0 0 -------------------------------------------------------------------------------- light color 0 color -------------------------------------------------------------------------- puple color 0 0 0 0 -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- delayed menstrual period irregular menstrual penod period-------------------------------------------------------------------------- deficiency cold and cold in stagnation stagnation stagnation weekness blood of deficiency blood of the of of the liver of Chong and of Chong stagnancy liver of phlegmand and insuffi- heart Ren and Ren of cold become heat dampness ciency and channals channels syndrome kidney spleen -------------------------------------------------------------------------------- menorr- 0 0 hagia amo----------------------------------------------------------------------------- -unt scantly 0 0 0 0 0 0 menstr- uation -------------------------------------------------------------------------------- loosness 0 0 qual---------------------------------------------------------------------------- -ity thickness 0 0 -------------------------------------------------------------------------------- light 0 0 0 0 color color--------------------------------------------------------------------------- puple color 0 0 0 0 -------------------------------------------------------------------------------- 2. color ?? 3. amount ?? 4. quality ?? The above result are correlated with each other in the process of menstration, therefore they can be used for the differential diagnosis on the symptoms of abnormal menstration and clinical treatment.

Pseudorabies 바이러스를 이용한 흰쥐 가슴샘 지배 신경의 중추신경계통내 표지영역에 관한 연구

변덕시(Duck Si Byun),신선영(Sun Young Sin),서지은(Ji Eun Seo),이창현(Chang Hyun Lee),이봉희(Bong Hee Lee),이무삼(Moo Sam Lee) 대한체질인류학회 1999 해부·생물인류학 (Anat Biol Anthropol) Vol.12 No.1

Transsynaptic tracer인 pseudorabies virus를 이용하여 흰쥐 가슴 샘을 지배하는 중추신경계통 내 표지영역을 관찰하기 위하여 흰쥐 좌우 가슴 샘의 실질 내에 pseudorabies virus를 주입하였다. 그 후 4~5일간 생존 후 희생시켜 뇌와 척수 절편에서 면역조직화학 염색법에 의하여 표지부위를 관찰하였던바 다음과 같은 결론을 얻었다. 흰쥐 가슴 샘에서 투사되는 척수의 공통된 표지영역들은 내장과 말초혈관의 자극에 반응하는 신경 핵들의 영역으로서 체성감각, 내장-체성감각 및 교감신경과 관련된 영역이었으며, 뇌에서의 공통된 표지영역은 가슴 샘을 지배하는 감각과 혈관의 운동 등을 통합 조절하는 중추신경계 내 자율신경계통과 관련된 신경 핵으로서 가슴 샘의 기능을 조절하는 중요한 역할을 할 것으로 생각된다.

中腦水道 閉塞을 合倂한 化膿性 腦室炎 1例

崔東烈,卞德市,李仁洙 대한신경외과학회 1974 Journal of Korean neurosurgical society Vol.3 No.1

A rare case of ventriculitis associated with the obstruction of aqueduct of Sylvius is reported and the pertinent literature reviewed. A 24 years old male, who had been suffering from a longstanding chronic pyogenic ear disease since childhood, was admitted to our clinic in Dec. 1973 with a comatose state. Contrast radiology showed the obstrutive hydrocephalus with the occluded aqueduct of Sylvius, but neither intracerebral or intracerebellar space consuming mass presented. Cerebrospinal and ventricular fluid revealed a marked growth of Escherichia Coli. So ventriculitis complicating obstruction of the aqueduct of Sylvius due to chronic suppurative otitis media and mastoiditis was diagnosed in this patient, and treated by Torkildsen's operation with proper chemotherapy and resulted in good recovery. We experienced that ventriculitis initiated from meningitis might give rise to obstruction of the aqueduct of Sylvius and it could be considered as a brain abscess superimposed raised intracranial pressure from obstructive hydrocephalus.

星香正氣算이 腦浮腫에 미치는 臨床的 硏究

임준규,변덕시,노석선 대한한의학회 1990 대한한의학회지 Vol.11 No.1

傷寒論에 나타난 汗出에 대한 文獻 考察

尹喜植,卞德市,鄭한솔,李光揆,陸相元,李相龍 대한동의병리학회 1999 동의생리병리학회지 Vol.13 No.2

傷寒論 六經病證의 治法은 總括的으로 祛邪와 扶正의 두가지 방법으로 요약되며, '扶陽氣'와 '存陰液'의 原則으로 邪去正安하고자 하는 것이 目標로서, 汗出은 氣와 津液이 結合하여 밖으로 드러나는 것이므로 陽氣와 陰液의 두 가지 요소를 모두 살펴볼수 있으므로 汗出의 樣態를 살펴서 疾病의 部位, 豫後, 治法등을 밝혀낼 수 있는 要素가 된다. 이에 본인은 傷寒論중에 言及된 汗出에 대한 考察을 통해서 六經證治의 바탕으로 삼고자 病因, 病機와 豫後등을 살펴보았다. To study literaturally the cause and pathogenesis of perspiration expressed in Sang han non with division of six channel, the result of this study are summarized as follows. 1. There are perspirations in tai-yang disease because of wind, wind-warm, wind-damp, internal heat changed from evil heat induced by wrong treatment such as being diarrhaed in the stage of tai-yang disease, yang insufficient with chest discomfort, internal deficit and harmony ying with wei during self recovery. 2. There are spontaneous perspirations in yang-ming disease in the case of yang-ming channel's heat(this perspiration's quantity is very much), yang-ming bu's heat(this perspiration's quantity is little), jaundice induced wrong treatment and so on. 3. There are perspirations in shao-yang disease with yang-ming bu's excess, internal water, recovery from disease and taking the shi ho tang in shi ho tang's syndrome. 4. There is no perspiration in Yin syndrome except three case of shao-yin's collapse of yang. 1) perspiration and throat pain; Gamgiltang 2) perspiration and vomiting: Gamchogungangtang 3) perspiration and feeling cool in hands and feet; Sayeuktang These cases caused from wi yang's insufficient based on kidney yang's deficit and these perspiration are cool, never stopping, and so the body become very dangerous stage. 5. There is two cases in jue-yin disease's perspiration. 1) Recovery of yang and heating; will recure 2) Yin-cold enter deeply and Yang-qi become very week.

丁香에 關한 文獻的 考察

장윤성,김인낙,변덕시,주영승,Jang, Yoon-sung,Kim, In-rak,Byun, Duck-si,Ju, Young-Sung 대한한방안이비인후피부과학회 1999 한방안이비인후피부과학회지 Vol.12 No.2

In order to strengthen objectivity and availability of oriental herb medicine, the standard formula for herbs has been attempted to set up by documentary testing original herbs which were recorded in authorized document. The object herb medicines are CARYOPHYLLI FLOS. After this study, additional experimental verification is required as a matter of fact. As comparison materials, this thesis will be utilized. Specially the internal and external morphological standard in this study is expected to supply the search for several physiochemical reaction, biological reaction, determination of indicator material and identification of gene with basic sources in the future.

후두개와 외상에 대한 임상적 관찰

최동열,문석배,변덕시,이봉암,이인수 대한신경외과학회 1974 Journal of Korean neurosurgical society Vol.3 No.2

Posterior fossa injury is a relatively infrequent in all craniocerebral injuries, which may be a rapidly fatal disease unless the diagnosis and prompt treatment are made. Delay in operation or failure to make the diagnosis early may result in death from medullary decompensation. An injury to the occipital region, followed by signs and symptoms of cerebellar or medullary nerve dysfunction, should cause one to suspect the existence of this lesion. It is well to remember that neither the surgically demonstrated presence of a supratentorial clot nor the roentgenological failure to demonstrate an occipital fracture excludes the presence of a mass lesion in the posterior fossa. Authors studied 104 cases of posterior fossa injury admitted at Department of Neurosurgery, Kyung Hee Medical Center from October 5th, 1971 to August 30th, 1974. The results were as follows: 1) The incidence of posterior fossa injury was 5. 7% of all craniocerebral injuries. 2) The age incidence was greatest in the age group between 10 and 20. 27.9% of all cases were belonged in this group. 3) Common causes were traffic accident (82 cases: 78.8%), falls from (14 cases: 13.5%) and direct blow (6 cases: 5.8%). 4) Male outnumbered female by almost 2 to 1. 5) Common symptoms were disturbance of consciousness (67 cases: 64.4%), headache (43 cases: 41.3%) and vomiting (24 cases: 21.3%). 6) Scalp injuries were demonstrated in 95 cases and occipital, bone fracture in 58 cases under gross and radiological examination of posterior fossa. 7) Time interval between injury and operation was greatest at 3 to 6 hours. 8) In 30 cases of operation, massive cerebellar contusion was 13 cases, extradural hematoma was 7 cases and subdural hematoma was 2 cases and negative exploration was 6 cases. 9) The overall mortality rate was 25%.

뇌낭미충증으로 진단된 반신무력 및 경련 화자 1례에 대한 보고

장인수,손동혁,이영구,윤희식,변덕시,강현철 대한한방성인병학회 2000 韓方成人病學會誌 Vol.6 No.1

The authors report neurocysticercosis with seizure and mild hemiplegia. Neurocysticercosis is a pleomorphic parasitic disease that may confused with almost any other condition affecting the central nervous system. Therefore it needs more attention to diagnose this disease distinguished from others. Neurocysticercosis is occured by infection of pork tapeworm, Taenia Solium. and then there was some mentions "tapeworm caused by raw meat of pork and beef' in Kumkueyoryak [금궤요약], an old chinese medical literature in AD 2C-3C, maybe it must be one of the oldest records.

제 3,4,6 뇌신경 마비로 인한 안구운동장애 환자 치험 3례

신정애,손동혁,이태호,변덕시,윤희식,장인수 대한한방내과학회 2003 大韓韓方內科學會誌 Vol.24 No.3