scholarly journals Post-stroke Visual Impairment Treated with Korean Medical Treatment: A Case Series

2021 ◽  
Vol 42 (5) ◽  
pp. 1035-1044
Author(s):  
Young-ung Lee ◽  
Geonhui Kang ◽  
Kwangho Kim ◽  
Cheol-hyun Kim ◽  
Sunny Kang ◽  
...  
Keyword(s):  
Visual Field ◽  
Herbal Medicine ◽  
Medical Treatment ◽  
Visual Impairment ◽  
Parietal Lobe ◽  
Posterior Cerebral Artery ◽  
Case Series ◽  
Left And Right ◽  
The Mean ◽  
The Right

Objective: This study investigated two cases of Korean medical treatment for visual field impairment after stroke: Case 1, a 56-year-old male with a posterior cerebral artery infarction and right homonymous hemianopsia, and Case 2, a 46-year-old male with an intracerebral hemorrhage in the left parietal lobe and right homonymous hemianopsia.Methods: Case 1 was treated with acupuncture, electroacupuncture, and herbal medicine (Mangeum-tang) for two months, and Case 2 was treated with acupuncture, electroacupuncture, and herbal medicine (Oryeong-san) for 40 days.Results: Following treatment, for Case 1, the Humphrey visual field test showed improvement. The visual field indexes (VFIs) for the left and right eyes improved from 44% to 55% and 49% to 64% respectively, and the mean deviations (MDs) for the left and right eyes improved from -21.11 dB to -19.91 dB and -17.45 dB to -13.89 dB, respectively. The mean visual sensitivities (MVSs) of the left and right eyes also improved from 8.67 dB to 11.33 dB and 1.67 dB to 9.67 dB, respectively, with no side effects. For Case 2, the VFI for the left eye improved from 36% to 64% and that for the right eye remained unchanged. The MDs for the left and right eyes also improved from -22.02 dB to -14.47dB and -22.11 dB to -21.34 dB, respectively, with no side effects.Conclusions: This study suggests that Korean medical treatment may improve visual impairment after stroke, but further research is needed.

scholarly journals A Case Report on Treating Post-stroke Visual Impairment with Gami-banhabakchulchunma-tang and Acupuncture

2021 ◽  
Vol 42 (5) ◽  
pp. 1045-1053
Author(s):  
Jeong-hui Kim ◽  
Hae-yoong Kim ◽  
Seo-young Won ◽  
Ju-young Ryu ◽  
Eun-sun Jung ◽  
...  
Keyword(s):  
Visual Field ◽  
Herbal Medicine ◽  
Visual Impairment ◽  
Rating Scale ◽  
Numerical Rating Scale ◽  
Visual Field Defects ◽  
Blurred Vision ◽  
Post Stroke ◽  
Numerical Rating ◽  
Field Defects

Objectives: This study investigated the effectiveness of acupuncture and herbal medicine (Gami-banhabakchulchunma-tang) for post-stroke visual impairment.Methods: A 79-year-old male with headache, dizziness, visual field defects, and blurred vision caused by a posterior cerebral infarction was treated with acupuncture and Gami-banhabakchulchunma-tang for three months. We used the Numerical Rating Scale (NRS) for each symptom and measured the patient’s eye-movement range.Results: Following treatment, the NRS score for headache decreased from 5 to 0, and for dizziness and blurred vision, it decreased from 5 to 1. The NRS score for visual field defects decreased from 5 to 2. The range of the patient’s left and right eye movements both improved, and no adverse side effects were observed during the admission period.Conclusions: Korean medical treatment with acupuncture and herbal medicine (Gami-banhabakchulchunma-tang) could effectively treat post-stoke visual impairment.

scholarly journals The Role of Fine Needle Aspiration of Orbital Lesions: A Case Series

2016 ◽  
Vol 60 (1) ◽  
pp. 31-38 ◽  
Author(s):  
Fabio Pagni ◽  
Marta Jaconi ◽  
Andrew James Smith ◽  
Ambrogio Brenna ◽  
Maria Gabriella Valente ◽  
...  
Keyword(s):  
Case Series ◽  
Needle Aspiration ◽  
Lesion Size ◽  
Fine Needle ◽  
Computed Tomography Scans ◽  
The Mean ◽  
The Right ◽  
First Time ◽  
Orbital Lesions

Objective: This paper analyzes a series of ultrasound (US)-guided orbital fine needle aspirations (FNAs) which provide diagnostic information that cytopathologists approaching orbital lesions for the first time can find useful and underlines the importance of teamwork. Study Design: The investigators retrospectively obtained data from 24 consecutive orbital FNAs. For all patients, a complete clinicoradiological database was created. FNAs were performed under US guidance with 25-gauge needles and an aspiration biopsy syringe gun, and sent to the Department of Pathology for examination and data management. Results: The mean age of the patients was 54 years. Imaging studies included US, magnetic resonance imaging and computed tomography scans; 9 lesions involved the right orbit and 15 the left orbit. The mean lesion size was 23.6 ± 7.2 mm. After microscopic examination, 7 smears were labeled as ‘nondiagnostic', while in 17 cases a definitive diagnosis was proposed, which always proved to be correct (70.8%, specificity = 100%). Conclusions: The investigators believe that FNA biopsy of orbital masses is a necessary step; its weaknesses lie in the particularly delicate site of sampling and the extreme heterogeneity of lesions. Nevertheless, when orbital FNA is performed within a well-coordinated multidisciplinary team, it is a powerful tool that can be used to define the most appropriate management of these patients.

Postnatal Development of a Left-Right Atrial Pressure Gradient

1956 ◽  
Vol 186 (3) ◽  
pp. 521-524 ◽  
Author(s):  
A. van Harreveld ◽  
F. E. Russell
Keyword(s):  
Left Ventricle ◽  
Pressure Gradient ◽  
Left Atrium ◽  
Postnatal Development ◽  
Right Atrial ◽  
Left And Right ◽  
The Mean ◽  
The Right ◽  
The Relationship ◽  
Equal Thickness

The mean left and right atrial pressures were measured in six groups of 10 kittens each. One group was examined between the 12th and 24th hour after birth, one group after 3 days, after 1 week, 2 weeks, 1 month and 2 months. The left and right atrial pressures were almost equal in the first group. With age an increasing left to right pressure gradient developed. In the oldest group the pressure in the left atrium was almost twice as great as in the right. Parallel with the pressure gradient a difference developed in the wall thicknesses of the left and right ventricles. At birth the ventricular walls were of about equal thickness; at age 2 months the left ventricle wall was more than twice as thick as the right. The relationship between ventricle wall thicknesses and atrial pressures is discussed.

Left and Right Visual Field Superiority for Letter Classification

1979 ◽  
Vol 31 (3) ◽  
pp. 423-439 ◽  
Author(s):  
John Jonides
Keyword(s):  
Visual Field ◽  
Task Demands ◽  
Perceptual Processing ◽  
Right Visual Field ◽  
Left And Right ◽  
The Right ◽  
Visual Field Superiority

Two letter classification experiments examine the hypothesis that lateral asymmetries in perceptual processing are sensitive to subtle changes in task demands. The first experiment reports a right visual field superiority for an easy letter classification, but a left field superiority for a difficult classification using the same population of stimuli. Experiment II demonstrates that the right field superiority can be reversed if the easy classification trials are embedded among more difficult trials. The implications of these results for theories of hemispheric localization are discussed.

scholarly journals Growth-Related Differences in Maximum Laterotrusion and Retrusion between Children and Adults

2009 ◽  
Vol 79 (2) ◽  
pp. 265-270 ◽  
Author(s):  
Claudia A. Reicheneder ◽  
Peter Proff ◽  
Uwe Baumert ◽  
Tomas Gedrange
Keyword(s):  
Temporomandibular Joint ◽  
Null Hypothesis ◽  
Population Based ◽  
Adult Group ◽  
Population Based Study ◽  
Significant Difference ◽  
Left And Right ◽  
The Mean ◽  
The Right

Abstract Objective: To test the null hypothesis that there are no differences between children and adults in maximum laterotrusion and maximum retrusion on the right and left sides. Materials and Methods: This population-based study included 81 randomly selected children between the ages of 6 and 10 years and 67 adults. Kinematic variables were measured with the ultrasonic JMA-System for registration. Results: The mean maximum laterotrusion of the children's group (10.6 ± 1.5 mm on the left, 11.0 ± 1.7 mm on the right) was significantly smaller than that of the adult group (11.7 ± 2.0 mm on the left, 12.2 ± 1.7 mm on the right). The maximum laterotrusion of the children's group corresponded to about 90% on the left and right sides of that of the adult group. The mean maximum retrusion of the children's group was significantly bigger than that of the adult group. There, the adult values corresponded to 66.7% on the left and 50% on the right side of the children's values. No significant difference in maximum laterotrusion and retrusion was noted on the right and left sides, and no significant differences according to gender specificities were observed in either group. Conclusions: The hypothesis is rejected. In development of the temporomandibular joint, maximum laterotrusion on the right and left sides increases significantly with age, and maximum retrusion decreases significantly with age.

scholarly journals Intra operative assessment of the coronal balance in spinal deformity surgery : a technical note and retrospective study

2021 ◽  
Vol 87 (1) ◽  
pp. 175-179
Author(s):  
Thibault Dewilde ◽  
Sebastiaan Schelfaut ◽  
Sven Bamps ◽  
Matthias Papen ◽  
Pierre Moens
Keyword(s):  
Retrospective Study ◽  
Case Series ◽  
Technical Note ◽  
Coronal Alignment ◽  
Level Of Evidence ◽  
Coronal Balance ◽  
Scoliotic Deformity ◽  
Significant Difference ◽  
The Mean ◽  
The Right

Obtaining a spine that is well balanced after fusion for scoliotic deformity is primordial for the patients’ quality of life. A simple T-shaped instrument combined with standard intraoperative fluoroscopy can be of great help to evaluate the coronal alignment quickly. The aim of this study was to evaluate if a T-shaped device could predict the postoperative coronal balance. Before finalization of the rod fixation, the balance was checked by verifying the relationship between the T-shaped instrument and the upper instrumented vertebra (UIV), and final adjustments were made to correct the coronal balance. A retrospective study was conducted on 48 patients who underwent surgery to correct scoliotic deformity. Intraoperative and postoperative coronal alignment was measured independently by two observers. The mean intraoperative horizontal offset measured between T-shaped instrument and the center of the UIV was 1,69mm to the right with a standard deviation (SD) of 12,43 mm. On postoperative full spine radiographs, the mean offset between the centra sacral vertical line and the center of the UIV was 2,44mm to the left with a SD of 13,10mm. There is no significant difference in coronal balance between both measurements (p=0,12). With this technique we were able to predict the postoperative coronal balance in all but one patient (97,92%). We conclude that the use of a simple T-shaped instrument can provide adequate intraoperative assessment of coronal balance in correcting scoliotic deformity. Level of evidence : IV – case series

Cerebral Lateralization of Global-Local Processing in Left- and Right-Handed People

2005 ◽  
Vol 100 (3) ◽  
pp. 734-742 ◽  
Author(s):  
Mohammad Ali Goodarzi ◽  
Mohammad Reza Taghavi ◽  
Mohammad Reza Zoughi
Keyword(s):  
Visual Field ◽  
Left Visual Field ◽  
Right Hemisphere ◽  
Local Processing ◽  
Cerebral Lateralization ◽  
Left Handed ◽  
Left And Right ◽  
The Right ◽  
Paradigm Analysis ◽  
Local Superiority

Cerebral lateralization of global-local processing of 70 left-handed and 70 right-handed students was compared using a computerized global-local task in a half-visual field paradigm. Analysis showed that left-handed individuals were slower than right-handed individuals in processing Globally Directed stimuli presented to the left visual field (right hemisphere). In addition, left-handed individuals showed smaller local superiority in the left hemisphere to the right-handed individuals. These findings are more consistent with Levy's prediction of spatial inferiority of left-handed individuals than Geschwind and Galaburda's or Annett's hypotheses.

Bias for the Left Visual Field in Rapid Serial Visual Presentation: Effects of Additional Salient Cues Suggest a Critical Role of Attention

2015 ◽  
Vol 27 (2) ◽  
pp. 266-279 ◽  
Author(s):  
Kamila Śmigasiewicz ◽  
Dariusz Asanowicz ◽  
Nicole Westphal ◽  
Rolf Verleger
Keyword(s):  
Visual Field ◽  
Left Visual Field ◽  
Right Hemisphere ◽  
Critical Role ◽  
Visual Presentation ◽  
The Other ◽  
Early Posterior Negativity ◽  
Left And Right ◽  
The Right

Everyday experience suggests that people are equally aware of stimuli in both hemifields. However, when two streams of stimuli are rapidly presented left and right, the second target (T2) is better identified in the left hemifield than in the right hemifield. This left visual field (LVF) advantage may result from differences between hemifields in attracting attention. Therefore, we introduced a visual cue shortly before T2 onset to draw attention to one stream. Thus, to identify T2, attention was correctly positioned with valid cues but had to be redirected to the other stream with invalid ones. If the LVF advantage is caused by differences between hemifields in attracting attention, invalid cues should increase, and valid cues should reduce the LVF advantage as compared with neutral cues. This prediction was confirmed. ERP analysis revealed that cues evoked an early posterior negativity, confirming that attention was attracted by the cue. This negativity was earlier with cues in the LVF, which suggests that responses to salient events are faster in the right hemisphere than in the left hemisphere. Valid cues speeded up, and invalid cues delayed T2-evoked N2pc; in addition, valid cues enlarged T2-evoked P3. After N2pc, right-side T2 evoked more sustained contralateral negativity than left T2, least long-lasting after valid cues. Difficulties in identifying invalidly cued right T2 were reflected in prematurely ending P3 waveforms. Overall, these data provide evidence that the LVF advantage is because of different abilities of the hemispheres in shifting attention to relevant events in their contralateral hemifield.

Models of Response Time to Peripheral Stimuli

1974 ◽  
Vol 18 (5) ◽  
pp. 533-533
Author(s):  
D.S. Kochhar ◽  
T.M. Fraser
Keyword(s):  
Visual Field ◽  
Response Time ◽  
Visual Fields ◽  
Stimulus Location ◽  
Stimulus Size ◽  
Tracking Task ◽  
Right Visual Field ◽  
Simulated Driving ◽  
Left And Right ◽  
The Right

The variable contribution of peripherally presented stimuli in a A sensory motor task has been explored in terms of stimulus and environmental variables. A simulated driving task was chosen as being a representative compensatory tracking task. Empirical models have been developed using response surface methodology, statistical design and data collected on a simulator with a 240° wrap-around screen and projection systems very much like cinerama. In this research, seven factors were isolated for a study of their effects on detection latency to peripherally presented stimuli when the subject was ‘driving’. These factors were stimulus size (circular stimuli between 18′ and 60′), stimulus color (red, white and green), stimulus-background contrast (background luminance 1ft.L and stimulus luminance of 30, 60 and 90 ft.L), stimulus location along the horizontal (between ± 90°) and vertical meridians (between ± 26°), intensity of continuous white noise (between 52 and 100 dbA), and complexity of the continuous central tracking task measured in terms of the simulated driving speed. Three levels of each variable were selected in a 7 factor Box-Behnken design. Twenty undergraduates between the ages 19 and 26 participated in the experiment. It was found that, in this multivariable environment when all seven factors were simultaneously varied, the effects of noise, stimulus location in the visual field and stimulus size were the more important determinants of response latency. In addition, marked differences for the left and right visual fields were observed for the right-handed subject population. Four models have been developed: two for the left visual field, with and without the continuous central task (CCT), and two for the right visual field for the same conditions. The response was found to be of the form 1/Yr = f (xi); i= 1,2,… 7 for both the left and right visual fields in the presence of the CCT. In the absence of the CCT the model was of the form Yr = f (xr) for the left and 1/2 = f (xi) for the right visual field where Yr = response time in millisec. and Yr xi = variables in equations. Response curves have been presented to illustrate the variation of response time with each of the seven variables for regions where response time may be expected to be a minimum. The implications of these curves and the models on which they are based have been examined from the design point of view.

Depth perception and evoked brain activity: The influence of horizontal disparity and visual field location

1997 ◽  
Vol 14 (3) ◽  
pp. 527-532 ◽  
Author(s):  
Wolfgang Skrandies
Keyword(s):  
Visual Field ◽  
Visual Information ◽  
Evoked Potential ◽  
Brain Activity ◽  
Right Visual Field ◽  
Functional Difference ◽  
Horizontal Disparity ◽  
Random Dot Stereograms ◽  
Left And Right ◽  
The Right

AbstractThe perception of dynamic random-dot stereograms (RDS) depends on the physiological fusion of horizontally disparate binocular visual input. Thus, the use of RDS offers the possibility to study selectively cortical processing of visual information in man. We investigated the influence of horizontal disparity on the scalp topography of RDS evoked brain activity in 33 healthy subjects. Stereoscopic checkerboard patterns were presented in the center or lateralized in the left or right visual field with horizontal disparities changing at temporal frequencies of six or eight depth reversals/s using different disparity values ranging from 3.5 to 28 min of arc. In 11 subjects evoked potential fields were recorded from 16 electrodes, and 21 subjects participated in 30-channel recordings with electrodes located over the parietal and occipital brain areas. Stimulation frequency-related brain activity was obtained with all disparity values; however, with large or small disparities the potential field strength decreased significantly while largest responses were obtained with intermediate disparities. Significant differences were observed in RDS evoked brain activity when central and lateralized stimulus locations were compared. With lateral stimuli (extending from the fovea to 17.1-deg eccentricity) maximal amplitudes were obtained at larger disparities than with central stimuli. In addition there were pronounced differences between brain activity evoked with stimuli presented in the left or right visual field; however, there were very similar evoked potential signals recorded from electrodes located over the left and right hemispheres. Our findings indicate that the processing of disparity information with lateralized stimuli is different from the processing in the center of the visual field. In addition, lateralized stimulation yields a significant disparity tuning mainly with stereoscopic targets occurring to the right from the fixation point (but not with stimuli to the left) suggesting a functional difference between the visual half-fields.

Sign in / Sign up

Export Citation Format

Share Document