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김선정,김경민,최원우,용상열,김혁도 대한치료과학회 2024 대한치료과학회지 Vol.16 No.1
A 57-year-old Asian male got crushed by motor vehicle while crossing the street. While evaluating traumatic event including MRI, we found myelopathy involving the whole spinal cord and suspected acute disseminated encephalomyelitis(ADEM). This case report brings curiosity to the unsolved relationship between traumatic events and ADEM. And this is also the first post-traumatic ADEM case in spinal cord.
허재택,이영우 대한신경외과학회 1982 Journal of Korean neurosurgical society Vol.11 No.2
This study was undertaken to determine the cardiovascular response to the spinal cord trauma in cats and to determine the autonomic mechanisms involved. The electrocardiogram and arterial blood pressure were recorded in anesthetized cats after the spinal cord trauma of 500 gm-㎝ at T4-T6 levels. 1. Acute spinal cord trauma caused a wide variety of severe cardiac arrhythmias and acute hypertension. 2. The increase of blood pressure could be prevented by intravenous phenoxybenzamine, an alpha adrenergic blocking agent. The pressor response was mediated by the alpha adrenergic receptor sites of the peripheral nervous system. 3. Tachycardia was occurred by the administration of atropine and bilateral vagotomy before trauma without affecting pressor response. 4. The arrhythmias could be eliminated by the combined administration of propranolol and atropine, but not prevented by the administration of either propranolol or atropine without affecting pressor response. These results suggest that the arrhythmias might be a response of hyperactivity of both sympathetic and parasympathetic divisions of the autonomic nervous system.