No SMPS to be seen on that chassis, so it likely needs an iso xfmr.
You can run a beast like that without one if you disconnect EVERYTHING from it and ensure that the frame is electrically isolated. It will have a hot chassis, then, so don't touch it. If you attempt to run it with anything connected, you may end up with a destructive ground loop. Running a monitor like this without an isolation transformer is asking for trouble no matter how you spin it, so don't do it.
Korean Bemani cabinets are notoriously poorly grounded (usually lacking any form of earth grounding), so there's another safety hazard to be aware of. Japanese Bemani cabinets tend to float everything on the DC power side, so you could theoretically get by without an iso on the monitor (but then all your wiring and sensors would be hot, which is bad), but don't rely on that.
These Korean cabinets often use Ducksan monitors, but I don't recognize this particular unit. Newish Korean PF I've futzed around in had a different monitor.
Have you checked the fuses with a meter? A visual inspection is not 100% reliable.
Someone else may have better ideas, but check for an open somewhere in the horizontal deflection area (bad joint, burned/bum trace, open HOT, etc.). That would cause what you're seeing. If you can find a B+ testpoint or something, check that it's something reasonable (100-150VDC), but don't attempt to adjust without IDing the monitor.