2.Evaluation of Early Neurologic Abnormalities on the Workers Exposed to Acrylamide.
Seong Soon KIM ; Hae Kwan CHEONG ; Yong Wook KWON
Korean Journal of Occupational and Environmental Medicine 2000;12(3):367-383
OBJECTIVES: Acrylamide is a neurotoxin inducing central-peripheral distal axonopathy. The authors evaluated several neurologic tests to screen the early effect of occupational acrylamide exposure. METHODS: Fifty-two males working either in the production of acrylamide monomer or in the handling of acrylamide in Ulsan, Korea, were selected and subcategorized into the high-exposure group (n=10, mean age of 30. 4 years) and the low-exposure group (n=42, mean age of 28.9 years). Twenty-three males (mean age 29.4 years) from medical professionals and students were chosen as a non-exposed reference group. Symptom questionnaire, neurologic examination, electrodiagnostic test, vibrotactile threshold test, and Lanthony desaturated 15 panel test (LD-15D) were done. RESULTS: The high-exposure group showed more number of specific symptoms on questionnaire and more abnormal two point discrimination test. High-exposure group showed a significant difference in the median motor conduction velocity, peroneal nerve motor latency, sensory amplitude of median nerve action potential, and sensory latency of sural nerve. The vibrotactile threshold of the high-exposure group was significantly higher in both hands and feet than that of the low-exposure group and the reference group. Average color confusion index on the LD-15D was significantly higher in the high-exposure group (median 22.7, range 0-135.7) than in the reference group (median 2.4, range 0-33.2). CONCLUSIONS: The symptom questionnaire, vibrotactile threshold test, and color discrimination test are sensitive in detection of the early acrylamide-induced neuropathy, and the combination of these tests would further facilitate the effectiveness of the screening.
Acrylamide*
;
Action Potentials
;
Discrimination (Psychology)
;
Foot
;
Hand
;
Humans
;
Korea
;
Male
;
Mass Screening
;
Median Nerve
;
Neurologic Examination
;
Peroneal Nerve
;
Questionnaires
;
Sural Nerve
;
Ulsan
3.Optimal elecrode placement in facial nerve conduction study.
Tai Ryoon HAN ; Sun Gun CHUNG ; Yong Wook KWON
Journal of the Korean Academy of Rehabilitation Medicine 1993;17(3):306-311
No abstract available.
Facial Nerve*
4.A Case of Annular Pancreas.
Dong Wook KIM ; Sang Taik LEE ; Soo Yong KIM ; Jeong Kwon LEE ; Young Dae KWON
Journal of the Korean Pediatric Society 1986;29(10):99-103
No abstract available.
Pancreas*
5.Clinical patterns of chronic paranasal sinusitis.
Jae Hoon PARK ; Sang Duck LEE ; Yong Wook KWON ; Dong Yong WANG ; Soon Yuhl NAM ; Yong Bae LEE
Korean Journal of Otolaryngology - Head and Neck Surgery 1993;36(6):1214-1220
No abstract available.
Sinusitis*
7.A clinical study of endometriosis.
Seon Je HWANG ; Yong Ho RHO ; Wook Hyeon KWON ; Hee Dong YANG ; Jeong Sang GWAK
Korean Journal of Obstetrics and Gynecology 1993;36(7):3028-3033
No abstract available.
Endometriosis*
;
Female
8.Myositis Ossificans Progressiva: A Case Report.
Journal of the Korean Academy of Rehabilitation Medicine 1997;21(6):1249-1253
Myositis ossificans progressiva, a rare autosomal dominant disorder, is characterized by progressive heterotopic ossification of muscle and connective tissue associated with pain and disability. I have experienced a 15-year-old woman with multiple contracture and deformity in both lower extremities. Clinical features and laboratory findings including electrodiagnostic findings were compatible with myositis ossificans progressiva. I report this case with the review of literature.
Adolescent
;
Congenital Abnormalities
;
Connective Tissue
;
Contracture
;
Female
;
Humans
;
Lower Extremity
;
Myositis Ossificans*
;
Myositis*
;
Ossification, Heterotopic
9.Reiter's Syndrome with Severe Joint Destruction: Case report.
Journal of the Korean Academy of Rehabilitation Medicine 1997;21(2):455-460
Reiter's syndrome is associated with a classic triad of arthritis, conjunctivitis, urethritis, and is the most common type of reactive arthritis. This syndrome is a one type of seronegative arthropathy, requiring differential diagnosis with psoriatic arthritis and ankylosing spondylitis, since it is associated with psoriasis-like skin lesion, sacroilitis, spondylitis. The arthritis of Reiter's syndrome is known to be acute, short-lived, and transient, but with subsequent attacks, it is more likely that it will lead to permanent joint damage or disability. We recently have experienced one case of Reiter's syndrome with severe joint destruction and significant functional disability, so here we report one case with review of literature.
Arthritis
;
Arthritis, Psoriatic
;
Arthritis, Reactive
;
Conjunctivitis
;
Diagnosis, Differential
;
Joints*
;
Skin
;
Spondylitis
;
Spondylitis, Ankylosing
;
Urethritis
10.Cauda Equina Syndrome after Spinal Manipulative Therapy: A case report.
Journal of the Korean Academy of Rehabilitation Medicine 1999;23(2):439-443
Spinal manipulative therapy is frequently prescribed for back and neck pain. Though most persons practicing manipulation insist that spinal manipulative therapy is a safe treatment, serious complications could occur. It is essential to be aware of these complications in prescribing or practicing prreting manipulative therapy. We report one case of cauda equina syndrome caused by spinal manipulative therapy with review of literatures.
Cauda Equina*
;
Humans
;
Musculoskeletal Manipulations*
;
Neck Pain
;
Polyradiculopathy*