1.Multiple System Atrophy Overlaps Stroke: A case report.
Jeong eun LEE ; Jee young CHEONG ; Sang jee LEE ; Hye Sung SHIN ; Tea sik YOON
Journal of the Korean Academy of Rehabilitation Medicine 2002;26(1):94-98
Multiple system atrophy (MSA) is an idiopathic neurodegenerative disorder involving many neuronal structures. It is a heterogeneous system disorder affecting extrapyramidal, cerebellar and autonomic nervous system. Only a minority of MSA patients are diagnosed before reaching the full blown stage. Its autonomic features like orthostatic hypotension, vocal cord paralysis are directly related to mortality. Up to now, rehabilitation of MSA patients had been rarely reported. Early, proper diagnosis and comprehensive rehabilitation for their heterogeneous clinical features are important. We experienced 54 year old hemiplegic paient who overlaps MSA. He showed some improvement in ADL and cerebellar symptoms after comprehensive rehabilitation programs.
Activities of Daily Living
;
Autonomic Nervous System
;
Diagnosis
;
Humans
;
Hypotension, Orthostatic
;
Middle Aged
;
Mortality
;
Multiple System Atrophy*
;
Neurodegenerative Diseases
;
Neurons
;
Rehabilitation
;
Stroke*
;
Vocal Cord Paralysis
2.Causes of the Hemiplegic Shoulder Pain.
Tea Sang YOON ; Dae Hwan KIM ; Jin Woo PARK ; Bum Sun KWON ; Ki Hyung RYU ; Ho Jun LEE ; Nyo Kung PARK ; Jae Hoon SHIM
Journal of the Korean Academy of Rehabilitation Medicine 2010;34(2):158-162
OBJECTIVE: To find out how many causes constitute hemiplegic shoulder pain (HSP) and how they distribute in an individual patient. METHOD: Twenty-three consecutive patients with HSP which had newly developed within 3 months after stroke were enrolled from January 2008 till July, 2008. They all performed a passive range of motion test for adhesive capsulitis, modified Ashworth test for spasticity, simple x-ray for subluxation, ultrasonography for rotator cuff problems and three-phase bone scintigraphy for complex regional pain syndrome (CRPS). The causes of HSP were analyzed in number and distribution. RESULTS: Average 2.26 causes constituted with HSP in an individual patient. Most common causes were adhesive capsulitis and CRPS (respectively 14 patients). Two patients had 4 and eight patients had 3 types of shoulder pathology. CONCLUSION: More than two types of shoulder pathology existed in a patient with HSP. These findings shoulde be carefully considered when treating the patients with HSP.
Bursitis
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Humans
;
Muscle Spasticity
;
Range of Motion, Articular
;
Rotator Cuff
;
Shoulder
;
Shoulder Pain
;
Stroke
3.Gastroduodenal Intussusception Secondary to a Gastric Carcinoma.
Ji Won KIM ; Sang Yoon HAN ; Tea Kyung SOHN ; Ji Woong CHO ; Byung Chun KIM ; Bong Wha CHUNG ; Kyung Suk CHUNG ; Il Hyun BAEK ; Chong Woo YOO
Journal of the Korean Surgical Society 2004;67(5):412-415
Gastroduodenal intussusception is an extremely uncommon condition caused by the prolapse of a gastric tumor into the duodenum, with the subsequent invagination of a portion of the stomach wall. The lead point of the intussusception is usually a benign gastric tumor, with only a small number attributed to gastric carcinomas. Both gastroduodenal intussusception itself and a gastric carcinoma as the lead point are extremely rare. The authors present a case of gastroduodenal intussusception caused by a Borrmann type I gastric carcinoma. This case can be classified as a partial lateral invagination with a grade II internal mechanism.
Duodenum
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Intussusception*
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Prolapse
;
Stomach