1.A Case of Dandy-Walker Syndrome Associated with Multiple Congenital Anomalies.
Gye Weon SHIN ; Chul Ho LEE ; Bo Kyung CHO ; Chung Sik CHUN ; Sung Hun CHO
Journal of the Korean Pediatric Society 1990;33(6):848-853
No abstract available.
Dandy-Walker Syndrome*
2.Pregnancy Outcome According To Elapsing Time After An Immediate Administration Of Antibiotics In A Rabbit Model For The Intrauterine Infection.
Shin Yong MOON ; Bo Hyun YOON ; Hee Chul SYN ; Gyo Hoon PARK
Korean Journal of Obstetrics and Gynecology 1999;42(1):30-40
OBJECTIVE: In a pregnant rabbit model using hysteroscopy-guided inoculation of E. coli, we investigated pregnancy outcome according to elapsing time with immediate antibiotic treatment after E. coli inoculation, and in turn determined which of the maintenance of pregnancy with antibiotic and tocolytic administration or prompt delivery in the management of preterm labor complicated with intrauterine infection offered the improvement of pregnancy outcome. METHODS: Timed-pregnant rabbits underwent hysteroscopy at 20-21 days of gestation(70%). Animals were inoculated with either E. coli(0.2 ml containing 10' cfu/ml) or saline, and administered ampicillin-sulbactam(100 mg/kg/day; Unasyn; Pfizer) in divided doses every 8 hours beginning 30 minutes after microbial inoculation until euthanasia with one of the following; 3 days(n 10), 5 days(n 8), or 7 days(n-8) after hysteroscopy. In the first study, which performed in animals with inoculation of E. coli, pregnancy outcome including fetal survival rate and results of microbial studies and placental pathology were compared among three groups. In second study, which performed in animals with inoculation with saline, pregnancy outcome were compared among three groups for the purpose of elucidating effects of antibiotic administration during inoculation-to-euthanasia interval on pregnancy outcome. RESULTS: Of rabbits inoculated with E. coli and receiving antibiotics immediately, the rate of fetal survival and positive intrauterine cultures in total and live fetuses decreased significantly, and the rate of placental inflammation in total and live fetuses increased significantly with time from intracervical inoculation with E. coli to euthanasia(p<0.05, respectively). Of rabbits inoculated with saline and receiving antibiotics immediately, the rates of fetal survival, positive intrauterine cultures in total and live fetuses, and placental inflammation in total and live fetuses have no difference with time from intracervical inoculation with saline to euthanasia. CONCLUSION: Fetal complications including fetal death could be induced in utero if persistent subclinical intrauterine infection was present in spite of earlier antibiotics administration initiated after inoculation of E, coli. Therefore, when treating with antibiotics in intrauterine infection, it is needed to observe and monitor the presence of persistent intrauterine infection, and if it is persistent, prompt delivery may be better than maintenance of pregnancy with antibiotic and tocolytic administration for the improvement of pregnancy outcome.
Animals
;
Anti-Bacterial Agents*
;
Euthanasia
;
Female
;
Fetal Death
;
Fetus
;
Hysteroscopy
;
Inflammation
;
Obstetric Labor, Premature
;
Pathology
;
Pregnancy
;
Pregnancy Outcome*
;
Pregnancy*
;
Rabbits
;
Survival Rate
4.Growth pattern of the newborn infants by gestational age.
Noh Hyun PARK ; Bo Hyun YOON ; Hee Chul SHIN ; Syng Wook KIM
Korean Journal of Obstetrics and Gynecology 1991;34(3):322-330
No abstract available.
Gestational Age*
;
Humans
;
Infant, Newborn*
5.A case of nonfunctional paraganglioma of retroperitoneum.
Myeong Jun SHIN ; Son Jung LEE ; Min Chul SHIM ; Koing Bo KWUN
Journal of the Korean Surgical Society 1991;40(6):813-818
No abstract available.
Paraganglioma*
6.A case of Petit's hernia.
Myeong Jun SHIN ; Soo Jung LEE ; Min Chul SHIM ; Koing Bo KWUN
Journal of the Korean Surgical Society 1991;40(5):691-695
No abstract available.
Hernia*
7.Transient Global Amnesia Due to Hippocampal Infarction.
Joon Hyun SHIN ; Kyung Ho YU ; Bo Ram LEE ; Byung Chul LEE
Journal of the Korean Geriatrics Society 2000;4(4):288-292
Transient global amnesia(TGA) is not a rare event in the elderly, which is characterized by transient inability to form the new memory traces plus retrograde amnesia with benign prognosis. The etiology is unknown, but suggested causes have included transient ischemic attack, migraine, epilepsy, brain tumor, drug intoxication, other toxic/metabolic disturbances, or hysteria. Especially, TGA associated with ischemic stroke is important on the elderly patients and necessary to be differentiated with other causes, for stroke prevention. As far as we know, the case of TGA due to cerebral infarction confirmed by brain imaging study is extremely rare in the literature. We report the case of 67 year-old female patient with typical TGA showing ischemic lesion on the right temporal area on MRI and discussed its significance as one of the cause of TGA.
Aged
;
Amnesia, Retrograde
;
Amnesia, Transient Global*
;
Brain Neoplasms
;
Cerebral Infarction
;
Epilepsy
;
Female
;
Humans
;
Hysteria
;
Infarction*
;
Ischemic Attack, Transient
;
Magnetic Resonance Imaging
;
Memory
;
Migraine Disorders
;
Neuroimaging
;
Prognosis
;
Stroke
8.Metastatic Alveolar Soft Part Sarcoma.
Se Hyuck PARK ; Kyu Ho LEE ; Hyo Keun RHIM ; Kil Woo LEE ; Hyung Sik SHIN ; Gu KANG ; Bo Chul SHIN
Journal of Korean Neurosurgical Society 1991;20(1-3):116-123
A case of metastatic alveolar soft part sarcoma is presented with clincal, pathological and radiological features. Alveolar soft part sarcoma is a rare soft-tissue neoplasm that is malignant and invariably fatal. It was first described and named by Christopherson, et al. in 1952. Since 1952 numerous examples of this tumor have been reported and have been studied with the electron microscope, but there is still considerable uncertainty as to the exact histogenesis of the tumor. Most cases occur in young females involving the lower extrimities especially in the right side. The most initial presenting symptom is a slowgrowing painless mass and the principal metastatic sites are the lungs, followed by the brain and skeleton. Cerebral metastasis, in fact, may be the first manifestation of the disease. Treatment is radical surgical excision but radiotherapy and chemotherapy are less effective. We present the reported case of metastatic alveolar soft pat sarcoma with electron microscopic findings.
Brain
;
Drug Therapy
;
Female
;
Humans
;
Lung
;
Neoplasm Metastasis
;
Radiotherapy
;
Sarcoma
;
Sarcoma, Alveolar Soft Part*
;
Skeleton
;
Uncertainty
9.Clinical Mnaifestations, Management and Obstetrical Outcome of the Pregnant Women with Aplastin Anemia.
Jong Kwan JUN ; Joong Shin PARK ; Bo Hyun YOON ; Hee Chul SHIN ; En Kyung KIM ; Won Suk SEO ; Bae Hoon LEE ; Joo Chul KIM ; Young Ah KIM
Korean Journal of Perinatology 1998;9(3):252-262
BACKGROUND: Aplastic anemia is an uncommon disease characterized by marrow hypocellularity, resulting in a reduction of the counts of circulating red blood cells, neutrophils, and platelets. The etiology of aplastic anemia remains unknown in the majority of cases. An association of aplastic anemia with pregnancy has been reported but the strength of such a relationship remains somewhat controversial. OBJECTIVE: To evaluate the association of aplastic anemia with pregnancy and the optimal management of patients with aplastic anemia during pregnancy. METHODS: This retrospective study was done by review of medical records of 18 patients with aplastic anemia, of whom 8 patients were diagnosed before pregnancy and 10 patients were diagnosed during pregnancy, who had a total of 25 pregnancies after the diagnosis from January, 1990 to October, 1997 at the Seoul National University Hospital, RESULTS: The incidence of aplastic anemia during pregnancy was one in 806 persons(18/14, 507) in this study. During pregnancy, the circulating blood cell levels decreased in all pregnancies. In all 7 cases that showed a relapse during pregnancy the remission occurred following the termination of pregnancy. 12 patients presenting with severe aplastic anemia during pregnancy had poorer hematological improvement than patients with mild aplastic anemia after termination of pregnancy. CONCLUSION: In all patients with aplastic anemia during pregnancy the circulating blood cell levels decreased. The successful outcome in these cases illustrates the benefit of modern supportive care in the management of such patients. The present observations suggest that a pregnancy which occurs during the long-term remission of aplastic anemia may be allowed to progress to birth.
Anemia*
;
Anemia, Aplastic
;
Blood Cells
;
Bone Marrow
;
Diagnosis
;
Erythrocytes
;
Female
;
Humans
;
Incidence
;
Medical Records
;
Neutrophils
;
Parturition
;
Pregnancy
;
Pregnant Women*
;
Recurrence
;
Retrospective Studies
;
Seoul
10.Renal protection for ischemic and reperfusional injury in rats.
Sung Su YUN ; Myeong Jun SHIN ; Sun Kyo SONG ; Hong Jin KIM ; Minn Chul SHIM ; Koing Bo KWUN
Journal of the Korean Surgical Society 1991;41(5):628-634
No abstract available.
Animals
;
Rats*
;
Reperfusion*