http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
한승규(Seung-Kyoo Han),전평(Pyoung Jeon) 대한소아신경학회 1999 대한소아신경학회지 Vol.7 No.1
본 저자는 출생 후 정상 발달을 보였고 경련의 과거력이 없었던 3세 환아에서, 임상적으로 약 24시간 동안 의식의 혼탁을 보여 시행한 뇌파 소견상 국소적인 극서파가 지속적으로 관찰되어 복합부분 발작 중첩증으로 진단한 증례를 경험하였기에 문헌 고찰과 함께 보고하는 바이다. Nonconvulsive status epilepticus, which constitutes about 25% of all cases of status, has been subdivided into generalized nonconvulsine(absence) status and complex partial status. We report a case of complex partial status epilepticus in a 3-year-old male patient with altered mental function lasting about 24 hours. The electroencephalographic finding was compatible with complex partial status and the outcome of treatment is excellent, so far.
골다공증성 척추체 압박골절에 대한 경피적 척추성형술시 자기공명영상과 골 주사 검사의 의의
김세혁,이완수,서의교,신용삼,장호열,전평,Kim, Se Hyuk,Lee, Wan Su,Seo, Eui Kyo,Shin, Yong Sam,Zhang, Ho Yeol,Jeon, Pyoung 대한신경외과학회 2001 Journal of Korean neurosurgical society Vol.30 No.7
Objective : Percutaneous vertebroplasty is often complicated by the presence of multiple fractures or non-localizing pain in the patients with osteoporotic vertebral fractures. The purpose of this study is to estimate the value of preoperative radiologic studies in the localization of symptomatic vertebrae and to determine the factors which can influence on the clinical results. Materials and Methods : We retrospectively reviewed the clinical and radiologic data of 57 vertebrae in 30 patients underwent percutaneous vertebroplasty for osteoporotic vertebral compression fractures. Inclusion criteria was severe pain(McGill-Melzack score 3, 4 or 5) associated with the acute vertebral fractures and absence of spinal nerve root or cord compression sign. Acute symptomatic vertebral fracture was determined by the presence of signal change on MR images or increased uptake on whole body bone scan. Results : Pain improvement was obtained immediately in all patients and favorable result was sustained in 26 patients(86.7%) during the mean follow-up duration of 4.7 months(5 complete pain relief, 21 marked pain relief). Those who underwent vertebroplasty for all acute symptomatic vertebrae had significantly better clinical result than those who did not. Further vertebral collapse and eventual bursting fracture occurred in 1 vertebra which showed intradiskal leakage of bone cement and disruption of cortical endplate on postoperative CT scan. Conclusion : Preoperative MR imaging and whole body bone scan are very useful in determining the symptomatic vertebrae, especially in the patients with multiple osteoporotic vertebral fractures. To obtain favorable clinical result, the careful radiologic evaluation as well as clinical assessment is required. Control of PMMA volume seems to be the most critical point for avoiding complications.
홍역의 급성 감염 후 뇌증에서의 고용량 메틸프레드니솔론 투여 치험 2례
김미진(Me Jin Kim),정희정(Hee Jung Chung),전평(Pyoung Jeon) 대한소아신경학회 2002 대한소아신경학회지 Vol.10 No.1
저자들은 홍역에 의한 급성 감염후 뇌척수염 환아에서 조기에 고용량 메틸프레드니솔론을 정주 투여하여 뇌 MRI상 광범위한 백질병변이 있었음에도 불구하고 후유증 없이 완쾌된 예를 경험하였기에 조금 늦게 같은 약제를 투여한 다른 증례와 비교하여, 이 질환에서의 고용량 메틸프레드니솔론 조기 치료를 강조하면서 문헌 고찰과 함께 보고하는 바이다 We treated two patients of measles postinfectious encephalomyelitis with intravenous methylprednisolone pulse therapy(1 g/1.73 m²/day for 5 days) 38 hours and 5 days respectively after the onset of neurologic symptoms. Despite extensive white matter involvement shown in MRI and severe clinical symptoms, the patients recovered from their neurologic symptoms dramatically following intravenous methylprednisolone pulse therapy. Because acute postinfectious encephalomyelitis has been postulated to be immunologically mediated disease, instead of direct viral invasion, ACTH and dexamethasone are widely used and the outcome is variable. This case report of successful recovery from fulminant ADEM with pulse intravenous methylprednisolone therapy, although uncontrolled, suggests that this therapeutic regimen should be studied in other cases.
타카야수 혈관염 환자에서 발생한 관상동맥-쇄골하동맥 도류증후군
김민선 ( Min Sun Kim ),백남영 ( Nam Young Paik ),최승혁 ( Seung Hyuk Choi ),김욱성 ( Wook Sung Kim ),김성목 ( Sung Mok Kim ),전평 ( Pyoung Jeon ),김덕경 ( Duk-kyung Kim ) 대한내과학회 2016 대한내과학회지 Vol.91 No.1
A 37-year-old woman who had undergone coronary artery bypass grafting (CABG) surgery for left main and right coronary ostial lesions 2 years prior presented with angina and transient visual dimness. Computed tomography angiography showed a patent left internal mammary artery (LIMA) bypass graft and concentric narrowing with perivascular thickening around the arch vessels. The patient was diagnosed with Takayasu arteritis with coronary subclavian steal syndrome (CSSS). Thoracic angiography revealed severe stenosis of the left proximal subclavian artery (SCA) and reverse flow from the coronary artery to the distal left SCA via the LIMA graft. Successful percutaneous stenting of the left SCA was performed together with stenting of the right common carotid artery (CCA). The patient’s symptoms were completely resolved. This case is informative since it shows that Takayasu arteritis can manifest as angina due to coronary ostial lesions and then can involve arch vessels, which can lead to CSSS in patients with CABG. (Korean J Med 2016;91:37-41)
경동맥 내막절제술 후 조기 합병증(<30일) 발생에 대한 고찰 및 술 후 뇌경색 발생 위험인자 분석
이경복(Kyung-Bok Lee),이광호(Kwang-Ho Lee),정진상(Chin-Sang Chung),김경문(Gyeong-Moon Kim),변홍식(Hong-Sik Byun),전평(Pyoung Jeon),김건하(Keon-Ha Kim),김동익(Dong-Ik Kim),김영욱(Young-Wook Kim) 대한외과학회 2009 Annals of Surgical Treatment and Research(ASRT) Vol.77 No.3
Purpose: We aimed to evaluate the early (<30 days) results and to analyze risk factors for the development of stroke and new brain infarction (NBI) after carotid endarterectomy (CEA). Methods: From September 2003 to August 2008, 233 CEAs were performed on 222 patients with critical internal carotid artery (ICA) stenosis in a single center. Patient characteristics, history of neurological symptoms, procedural details, and postoperative complications were examined based on the medical records. The incidence and risk factors for early postoperative stroke were evaluated. After excluding CEAs without performing diffusion-weighted brain MRI, 128 CEAs were investigated for frequency and the risk factors of NBI were analyzed. Chi-square test, Fisher’s exact test, Student T-test, and logistic regression model were used for statistical analysis. Results: Of a total of 233 CEAs, any and ipsilateral stroke rates were 1.3% and 0.4%, respectively. There was no early postoperative mortality. Early postoperative complications included 4.3% in transient cranial nerve injury, 1.7% in myocardial infarction, and 3.4% in hematoma. In univariate analysis, the significant risk factor for stroke was plaque ulceration (P=0.04). The frequency of NBI and ipsilateral NBI were 8.4% and 3.1%, respectively. The ulceration on ipsilateral ICA revealed statistically significant risk factors for the development of NBI (RR, 5.29; 95% CI, 1.024∼27.325; P=0.04). Conclusion: Our study showed a lower incidence of stroke and NBI after carotid endarterectomy and that it is safe procedure for the treatment of patients with severe (>70%) carotid stenosis. We also found that plaque with ulceration was a significant risk factor for the development of postoperative NBI.