치료적 맞춤운동, 비타미네, 영성 연구소

beyond reason 쌀을 주식으로 하는 사람들에게서 흔히 부족한 티아민위절제술 후 흔히 부족한 티아민 위절제술 후 보행실조 sensory ataxia, 시력저하(optic neuropathy)가 갑자기 나타나면 티아민 부족이 원인!! <img src="https://t1.daumcdn.net/cfile/cafe/99A1D0495EF12FB20F" class="txc-image" actualwidth="769" hspace="1" vspace="1" border="0" width="769" exif="{}" data-filename="스크린샷 2020-06-23 오전 7.24.18.png" style="clear:none;float:none;" id="A_99A1D0495EF12FB20FFCD8"/> <div class="c-article-header" style="margin: 0px 0px 40px; padding: 0px; caret-color: rgb(34, 34, 34); color: rgb(34, 34, 34); font-family: -apple-system, BlinkMacSystemFont, "Segoe UI", Roboto, Oxygen-Sans, Ubuntu, Cantarell, "Helvetica Neue", sans-serif; font-size: 18px; text-size-adjust: auto;"><header><ul class="c-article-identifiers" data-test="article-identifier" style="margin-top: 0px; margin-right: 0px; margin-bottom: 8px; font-family: -apple-system, BlinkMacSystemFont, "Segoe UI", Roboto, Oxygen-Sans, Ubuntu, Cantarell, "Helvetica Neue", sans-serif; list-style: none; font-size: 1.6rem; line-height: 1.3; display: flex; flex-wrap: wrap; color: rgb(111, 111, 111); padding: 0px;"><li class="c-article-identifiers__item" style="border-right-width: 0px; margin-right: 0px; padding-right: 0px; list-style: none;"><a href="https://www.nature.com/articles/nrneurol.2010.16#article-info" data-track="click" data-track-action="publication date" data-track-label="link" style="vertical-align: baseline; background-color: transparent; color: rgb(0, 102, 153);">Published: <time datetime="2010-03-23" itemprop="datePublished">23 March 2010</time></a></li></ul><h1 class="c-article-title" data-test="article-title" data-article-title="" itemprop="name headline" style="font-size: 3rem; padding: 0px; margin: 0px 0px 16px; font-family: Lora, Palatino, Times, "Times New Roman", serif; line-height: 1.2;">Subacute sensory ataxia and optic neuropathy with thiamine deficiency</h1><ul class="c-author-list js-etal-collapsed js-no-scroll" data-etal="25" data-etal-small="3" data-test="authors-list" data-component-authors-activator="authors-list" style="margin-top: 0px; margin-bottom: 0px; font-size: 1.6rem; font-family: -apple-system, BlinkMacSystemFont, "Segoe UI", Roboto, Oxygen-Sans, Ubuntu, Cantarell, "Helvetica Neue", sans-serif; list-style: none; padding: 0px; width: 602px;"><li class="c-author-list__item" itemprop="author" itemscope="itemscope" itemtype="http://schema.org/Person" style="margin-left: 0px; display: inline; padding-right: 0px;"><a data-test="author-name" data-track="click" data-track-action="open author" data-track-label="link" href="https://www.nature.com/articles/nrneurol.2010.16#auth-1" data-corresp-id="c1" style="vertical-align: baseline; background-color: transparent; color: rgb(0, 102, 153);">Marco Spinazzi<svg width="16" height="16" class="u-icon"><use xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="#global-icon-email"></use></svg></a>, </li><li class="c-author-list__item" itemprop="author" itemscope="itemscope" itemtype="http://schema.org/Person" style="margin-left: 0px; display: inline; padding-right: 0px;"><a data-test="author-name" data-track="click" data-track-action="open author" data-track-label="link" href="https://www.nature.com/articles/nrneurol.2010.16#auth-2" style="vertical-align: baseline; background-color: transparent; color: rgb(0, 102, 153);">Corrado Angelini</a> & </li><li class="c-author-list__item" itemprop="author" itemscope="itemscope" itemtype="http://schema.org/Person" style="margin-left: 0px; display: inline; padding-right: 0px;"><a data-test="author-name" data-track="click" data-track-action="open author" data-track-label="link" href="https://www.nature.com/articles/nrneurol.2010.16#auth-3" style="vertical-align: baseline; background-color: transparent; color: rgb(0, 102, 153);">Cesare Patrini</a> </li></ul><p class="c-article-info-details" data-container-section="info" style="margin-top: 16px; margin-bottom: 8px; font-size: 1.6rem; font-family: -apple-system, BlinkMacSystemFont, "Segoe UI", Roboto, Oxygen-Sans, Ubuntu, Cantarell, "Helvetica Neue", sans-serif;"><a data-test="journal-link" href="https://www.nature.com/nrneurol" style="vertical-align: baseline; background-color: transparent; color: rgb(0, 102, 153);">Nature Reviews Neurology</a> <span class="u-visually-hidden" style="border: 0px; clip: rect(0px, 0px, 0px, 0px); height: 1px; margin: -602px; overflow: hidden; padding: 0px; width: 1px; position: absolute !important; font-family: Batang, 바탕, serif; font-size: 11pt;">volume 6, <span class="u-visually-hidden" style="border: 0px; clip: rect(0px, 0px, 0px, 0px); height: 1px; margin: -602px; overflow: hidden; padding: 0px; width: 1px; position: absolute !important; font-family: Batang, 바탕, serif; font-size: 11pt;">pages288–293(2010)<a href="https://www.nature.com/articles/nrneurol.2010.16#citeas" class="c-article-info-details__cite-as u-hide-print" data-track="click" data-track-action="cite this article" data-track-label="link" style="vertical-align: baseline; background-color: transparent; color: rgb(0, 102, 153); border-left: 1px solid rgb(111, 111, 111); margin-left: 8px; padding-left: 8px;">Cite this article</a><div class="c-article-metrics-bar__wrapper u-clear-both" style="margin: 0px; padding: 0px;"><ul class="c-article-metrics-bar u-list-reset" style="margin-top: 0px; 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background-color: transparent; color: rgb(0, 102, 153);">Metrics <span class="u-visually-hidden" style="border: 0px; clip: rect(0px, 0px, 0px, 0px); height: 1px; margin: -602px; overflow: hidden; padding: 0px; width: 1px; position: absolute !important; font-family: Batang, 바탕, serif; font-size: 11pt;">details</a></li></ul></div></header></div><div class="c-article-body" style="margin: 0px; padding: 0px; clear: both; caret-color: rgb(34, 34, 34); color: rgb(34, 34, 34); font-family: -apple-system, BlinkMacSystemFont, "Segoe UI", Roboto, Oxygen-Sans, Ubuntu, Cantarell, "Helvetica Neue", sans-serif; font-size: 18px; text-size-adjust: auto;"><section aria-labelledby="Abs2" lang="en"><div class="c-article-section" id="Abs2-section" style="margin: 0px; padding: 0px; font-family: Lora, Palatino, Times, "Times New Roman", serif; clear: both;"><h2 class="c-article-section__title js-section-title js-c-reading-companion-sections-item" id="Abs2" style="font-size: 2.4rem; padding: 0px 0px 8px; margin: 0px 0px 8px; border-bottom: 2px solid rgb(213, 213, 213); line-height: 1.24;">Abstract</h2><div class="c-article-section__content" id="Abs2-content" style="margin: 0px 0px 40px; padding: 0px;">Background. A 71 year-old man with a history of partial gastrectomy presented to the emergency department with subacute gait instability associated with painful dysesthesias and clumsiness in both hands. 10 years before presentation he had received a diagnosis of megaloblastic anemia, with no neurological involvement, as a result of vitamin B12 and folate deficiency, for which he was receiving regular supplements.Investigations. Neurological examination; routine laboratory testing; MRI of the spine and brain; lumbar puncture; electromyography; sensory, motor and visual evoked potentials, optic nerve optical coherence tomography; immunoelectrophoresis; cryoglobulins; immunological and infection tests; screening for onconeural antibodies; measurement of serum metabolic values, including vitamins B12 and E, folates, homocysteine, copper, zinc and pyruvic acid; transketolase activity; gastrointestinal endoscopies; and the glucose breath test.Diagnosis. Subacute sensory ataxia with bilateral optic neuropathy related to thiamine deficiency resulting from remote partial gastrectomy.Management. Parenteral thiamine supplementation followed by chronic oral thiamine and short-term, low-dose multivitamins.</div></div></section></div>