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만성두통환자 치료에 통증유발점 치료 및 제 2 경추신경절 차단술의 효과
송찬우(Chan Woo Song),김정원(Jeong Won Kim) 대한통증학회 1995 The Korean Journal of Pain Vol.8 No.2
N/A Headache is a common disease of the general population. But the main problem in any study of headache has been that of defining the disease entities. In 1988, the Headache Classification Committee of the International Headache Society introduced operational diagnostic criteria for all headache disorders into l3 major group; migraine, tension-type headache, cluster headache and chronic paroxysmal hemicrania etc. Sjaastad was the first to describe cervicogenic headache, one of various head pain syndromes that probably originate in the cervical spine. Between March 1995 and June 1995, we studied 78 out-patients of the Department of Neuro pain clinic, Sanggye Paik Hospital, Inje university. We divided the patients into three study group fifty-three patients with tension-type headache, 13 with cervicogenic headache, and 12 with migraine headache. The reponse of trigger point injection and C2-ganglion block in pa- tients was investigated. We paid particular attention to the response of trigger point injection in patients of the three group. The effect of trigger point injection was more marked in tension-type headache group than in the other categories. The pain reduction after C1-ganglion block was more marked in cervicogenic headache group than in the others.
최중립(Joong Rieb Choi),송찬우(Chan Woo Song),이경 대한통증학회 1994 The Korean Journal of Pain Vol.7 No.2
The common disorder called facet syndrome exhibits lower back pain, with or without, radiating pain to buttock and thigh due to facet joint arthropathy. Many physicians have believed that the usual lesion of facet syndrome was an anatomical impairments of facet joint itself. So facet joint block has been known only as a therapeutic and diagnostic modality of facet syndrome. Based on clinical experience and anatomical study, we have concluded varying opinions from common sense about facet syndrome. Pain in the facet joint is supposedly the secondary effect of narrowing of joint space by sustained muscle contracture around joints. We therefore conclude that spasmolytic treatment of muscles connecting the two verte-bral articular space would be better for treatment and diagnosis of facet syndrome rather than facet block with local anesthetic and steroid only.
박장수(Jang Soo Park),송찬우(Chan Woo Song),김정원 대한통증학회 1995 The Korean Journal of Pain Vol.8 No.2
Piriformis Syndrome is characterized by pain of the low back, groin, perineum, buttock, hip, posterior thigh, leg and foot. Symptoms are aggravated by sitting, prolonged combination of hip flexion, adduction, the medial rotation, or by activity. In addition, patient may cornplain of painful swelling of the limb and sexual dysfunction-dyspareunia in female, and impotence in male. It currently appears that three specific conditions may contribute to the piriformis syndrome (a) myofascial pain, (b) nerve and vascular entrapment; (c) dysfunction of the sacro- iliac joint. The important keys of diagnosis are history and physical examination. There is no known objective diagnostic method. We deseribed the clinical features of four cases of piriformis syndrome and reviewed foreign literature.
최중립(Joong Rieb Choi),송찬우(Chan Woo Song) 대한통증학회 1995 The Korean Journal of Pain Vol.8 No.1
N/A Temporomandibular disorders typically present findings of limited or asymmetric patterns of jaw opening and joint sounds usually described as clicking, popping, grating, or crepitus. Recently, patients with temporomandibular disorders have received an increasingly aggres- sive treatment with a greater emphaais on surgical and dental reconstruction. Scientific stud- ies have not clearly identified the specific causes of the temporomandibular disorders and therefore some of the treatments are empiric, without a firm scientific foundation. We carried out a study on the patients of pain clinic OPD and concluded that the causes of the temporomandibular joint(TMJ) pain are the prolonged contraction of the muscles of masti- cation, especially the masseter muscle. Therefore, the spasmolytic treatment of masseter mus- cle would be a better treatment for TMJ syndrome rather than the surgical and dental recon- struction.
경부 경막외강내 카테테르의 X - 선상 위치 및 조영제의 확산
박영주(Young Joo Park),송찬우(Chan Woo Song) 대한통증학회 1996 The Korean Journal of Pain Vol.9 No.2
N/A Continuous epidural blnck can be useful in the management of acute and chronic pain. For the most effective analgesia, it is important to localize the tip of epidural catheter and spread of the drugs. We investigated the course, location of the tip of epidural cathe- ter and the spread of radiopaque dye. Epidural catheterization was performed in 12 patients on the sitting position. Catheters were advanced by 10 cm cephalad in the cervical epidural space by median approach and radiopaque dye 3 ml was injected through the catheters. The position of cervical epidural catheters and the spread of dye was confirmed by radiography. The course of epidural catheter were: coiled 3/12(25%), loop 2/12(16.7%), straight 2/12(16.7%). In 8 cases, the tip of epidural catheters were located within one vertebral segment from the level of insertion site. Radiopaque dye spreaded average 3.68 vertebral segment to cranially and 1.67 vertebral segment to caudally from the insertion site.
김경태(Kyung Tae Kim),송찬우(Chan Woo Song) 대한통증학회 1996 The Korean Journal of Pain Vol.9 No.1
N/A Disorders related to the cervical spine can present a variety of signs and symptoms be- cause of the many tissues and systems associated with this region. Therefore the challenge for the clinician is to organize the information from examination into a treatment plan that addresses the potential influences of the problem. The examination process should gather per- tinent information from the patient, relating the pain pattern resulting loss of function. Our patients X-rays showed absence of any abnormalities except loss of curvature. We therefore concluded that the main cause of posterior neck and shoulder pain was caused by muscle spasm, not cervical disc herniation nor degenerative change.
김병주(Byung Ju Kim),송찬우(Chan Woo Song),김정원( 대한통증학회 1995 The Korean Journal of Pain Vol.8 No.2
The implication of cervical pain associated with an elongated styloid process is credited to W.W. Eagle. Even though there were earlier reports of ossification of the stylohyoid ligament, findings in more than 200 cases in 1930s and 1940s resulted in the naming of a clinical syndrome that con- tinues to bear his name, Eagles syndrome. It is also sometimes called styloid process neuralgia or elongated styloid process syndrome is more common than generally recognized. The clinical symptoms range from a dull nagging pain with occasional radiation to ear, or to a foreign body sensation. Dysphagia and odynophagia may also occur. We successfully treated one case by removal of the elongated styloid process under the gen-eral anesthesia and C2 ganglion block. We then reported the clinical feature of one case of the Eagles syndrome and further researched with the foreign literature
강영선(Yeong Seon Kang),송찬우(Chan Woo Song) 대한통증학회 1996 The Korean Journal of Pain Vol.9 No.1
N/A Localized or radiating pain in the arm and shoulder joint may result after faulty alignment causing compression or tension on nerves, blood vessels, or supporting soft tissues. The critical site of faulty alignment is the quadrangular space in the axilla bounded by the teres major, teres minor, long head of triceps, and humerus. The axillary nerve emerges through this space to supply the deltoid and teres minor. The activity of the trigger point on teres minor compressing the axillary nerve causes pain to develop through the area of sensory distribution of cutaneous branch of the axillary nerve. Relieving compression on the axillary nerve and suprascapular nerve is the key point to re- lieving the pain. Spasm of the supraspinatus and infraspinatus compressing the suprascapular nerve caused pain to develop in the shoulder joint and scapular area. We treated those patients experiencing such pain with local anesthetic infiltration or I-R laser stimulation on the identi- fied trigger points.
Kalaiselvi Duraisamy,하아름(Areum Ha),Jongmun Kim,박애란(Ae Ran Park),김보라(Bora Kim),송찬우(Chan Woo Song),송효학(Hyohak Song),김진철(Jin-Cheol Kim) 한국식물병리학회 2022 Plant Pathology Journal Vol.38 No.3
Turfgrass, the most widely grown ornamental crop, is severely affected by fungal pathogens including Sclerotinia homoeocarpa, Rhizoctonia solani, and Magnaporthe poae. At present, turfgrass fungal disease management predominantly relies on synthetic fungicide treatments. However, the extensive application of fungicides to the soil increases residual detection frequency, raising concerns for the environment and human health. The bacterial volatile compound, 2,3-butanediol (BDO), was found to induce plant resistance. In this study, we evaluated the disease control efficacy of a combination of stereoisomers of 2,3-BDO and commercial fungicides against turfgrass fungal diseases in both growth room and fields. In the growth room experiment, the combination of 0.9% 2R,3R-BDO (levo) soluble liquid (SL) formulation and 9% 2R,3S-BDO (meso) SL with half concentration of fungicides significantly increased the disease control efficacy against dollar spot and summer patch disease when compared to the half concentration of fungicide alone. In field experiments, the disease control efficiency of levo 0.9% and meso 9% SL, in combination with a fungicide, was confirmed against dollar spot and large patch disease. Additionally, the induction of defense-related genes involved in the salicylic acid and jasmonic acid/ethylene signaling pathways and reactive oxygen species detoxification-related genes under Clarireedia sp. infection was confirmed with levo 0.9% and meso 9% SL treatment in creeping bentgrass. Our findings suggest that 2,3-BDO isomer formulations can be combined with chemical fungicides as a new integrated tool to control Clarireedia sp. infection in turfgrass, thereby reducing the use of chemical fungicides.