No abstract available.
Spondylolisthesis*

Traumatic spondylolisthesis of the axis is the fracture of both pedicles and is called commonly as hangman' s fracture. The fractures with the anterior displacement more than 3mm and the angulation, more than 11 degrees were classified as unstable and the surgical methods were recommended for the treatment of the fractures. As for the surgical methods, anterior C2-3 fusion with plate fixation or transpedicular screw fixation were used. However, the differences between the clinical results of both methods were not reported in the literatures. In order to clarisy the clinical results of both methods, the authors evaluated the clinical results of 11 patients treated by anterior plate fixation and 7 patients treated by transpedicular fixation who were operated on between Mar. 1987 and,Jan: 1992. Minimum follow-up period was 12 months. 1. As the surgical complications, two cases of transient dysphagia in anterior fixation group and three cases of malinserted screw in transpedicular fixation group were observed. 2. Limitation of rotatory neck motion, less than 20 degrees in one direction was observed in four cases of transpedicular fixation group. 3. Anterior angulation, more than 10 degrees was noted in three cases of transpedicular group. 4. Mild intermittent neck pain was observed in two cases of anterior fixation group and two cases of transpedicular fixation group. Constant neck pain was present in three cases of transpedicular fixation group. 5. Over-all clinical results were excellent or good in all of anterior fixation group, and in four of seven transpedicular group. Although the clinical materials were limited in number, method of anterior plate fixation was recommended by the authors in the management of traumatic spondylolisthesis of axis, because of the easier technique and the better clinical results than the transpedicular screw fixation.
Deglutition Disorders ; Follow-Up Studies ; Humans ; Methods ; Neck ; Neck Pain ; Spine ; Spondylolisthesis

Menkes disease is an X-linked recessively inherited neurodegenerative disorder of copper metabolism leading to death in early childhood. This disease is characterized by low serum, liver and brain Cu levels, whereas the Cu content in nearly all other organs is increased. The main clinical features are irregular kinky hair, characteristic face, progresssive degeneration of the central nervous system, bone changes, arterial rupture and thrombosis, and instability of temperature. We have experienced a case of Menkes disease in a eight months old male patient, who manifested by seizure, developmental delay, hypotonia, characteristic hair and face along with low levels of serum copper and ceruloplasmin. We report the characteristic findings of cranial MRI and MR angiography in this Menke's patient. In cranial MRI, he showed progressive brain atrophy with subdural hemorrhage and effusion. MR angiography revealed tortuosity of vessels clearly obviating necessity of more invasive conventional arteriography in diagnosis of this disease. This study suggested that cranial MRI and especially MR angiography might be helpful in making early diagnosis of this disease.
Angiography ; Atrophy ; Brain ; Central Nervous System ; Ceruloplasmin ; Copper ; Diagnosis ; Early Diagnosis ; Hair ; Hematoma, Subdural ; Humans ; Liver ; Magnetic Resonance Imaging ; Male ; Menkes Kinky Hair Syndrome ; Metabolism ; Muscle Hypotonia ; Neurodegenerative Diseases ; Rupture ; Seizures ; Thrombosis

Two kinds or intraprostatic stent (Prostakath and Nissenkorn catheter) were inserted under local anesthesia in 17 patients for 20 times who had benign prostatic hyperplasia. Within 1 month after insertion of the stents. the results are good in 10 of 17 patients. fair in 4 and poor in 3 from the view points of improvements in urine flow and voiding symptoms. Of 9 patients in whom the stents have been inserted longer than 6 months. 4 are good. 2 are fair and 3 are poor in the results of long term insertion. It seems that this method is applicable as s definitive method for benign prostatic hyperplasia if there is a few progressions in the location where this stent is inserted. in the quality or stent material and in the easy way to change the stent.
Anesthesia, Local ; Humans ; Prostatic Hyperplasia* ; Stents

No abstract available.
Free Tissue Flaps* ; Head* ; Neck*

No abstract available.
Female ; Granulosa Cell Tumor* ; Granulosa Cells* ; Ovary*

A case-control study was conducted to investigate the association between the risk of cancer and selenium concentration in blood and toenails. Seventy three patients and two hundreds eighty three controls were selected at the Yeungnam University Hospital between May and September in 1991. The selected cases were patients who had been hospitalized for stomach or colon cancer at the Department of General Surgery. The controls were people who visited to check physical examination at the Automated Mediscreening Center. The selenium concentration in whole blood and toenails were measured by atomic absorption spectrophotometer equipped with graphite furnace atomizer. The following information was ascertained for all cancer patients and controls: sex, age, body mass index, blood pressure, total serum cholesterol, and history of smoking and drinking. The mean selenium concentration in blood and toenail for all cancer patients were 143.6±10.8 µg/l and 1.04±0.62 µg/g and for the controls. 167.0±14.5 µg/l and 1.15±0.55 µg/g, respectively. The difference in blood and toenail selenium concentrations of the two cancer sites was not statistically significant. Metastasis did not influence the concentration of selenium in blood and toenails. In the multiple logistic regression analysis, the blood selenium concentration (aOR: 0.888, 95% CI: 0.860-0.918), age, BMI and total serum cholesterol were significant variables for risk of cancer, but the selenium concentration in toenail was not shown to be a significant variable in this regression analysis. The coefficient for blood selenium concentration adjusted for age, sex, diastolic blood pressure, total serum cholesterol, body mass index and smoking was -0.1184 (p<0.01). These findings suggest that low selenium concentration is associated with gastrointestinal cancers. Further epidemiologic studies including important variables such as other antioxidant micronutrients will be necessary.
Absorption ; Blood Pressure ; Body Mass Index ; Case-Control Studies ; Cholesterol ; Colonic Neoplasms ; Drinking ; Epidemiologic Studies ; Gastrointestinal Neoplasms ; Graphite ; Humans ; Logistic Models ; Micronutrients ; Nails* ; Nebulizers and Vaporizers ; Neoplasm Metastasis ; Physical Examination ; Selenium* ; Smoke ; Smoking ; Stomach

A 45-years-old woman complained mild right flank pain and easy fatigability. Right abdominal bruit was heard by auscultation. CT and angiography revealed a huge venous dilatation in renal sinus measuring 10.2cm in diameter. And similar findings were shown in MRI. We performed nephrectomy and confirmed arteriovenous fistula in main renal artery and vein.
Angiography ; Arteriovenous Fistula ; Auscultation ; Dilatation* ; Female ; Flank Pain ; Humans ; Magnetic Resonance Imaging ; Nephrectomy ; Renal Artery ; Vascular Malformations ; Veins

Percutaneous biliary dilation was done in 3 patients with benign strictures. The first case was 50-year-oldmale who had multiple intrahepatic stones with biliary stricture. The second 46-year-old female and the third25-year-old male suffered from recurrent cholangitis with benign stricture of anastomotic site aftercholedochojejunostomy. In the first case, a 6mm diameter Grunzig dilatation balloon catheter was introducedthrough the T-tube tract. In the second case, the stricture was dilated with two balloons of 5mm and 8 mm in eachdiameter sequentially thorugh the U-loop tract formed by surgically made jejunostomy and percutaneous transhepaticpuncture. In the third case, the dilatation catheter was introduced through the percutaneous transhepatic tract.Dilatation was made with a pressure of 5 to 10 atmospheres for 1 to 3 minutes duration for 3 times. In all 3cases, the structures were successfully dilated and in second and third cases internal stent was left across thelesion for prevention of restenosis.
Atmosphere ; Catheters ; Cholangitis ; Constriction, Pathologic ; Dilatation ; Female ; Humans ; Jejunostomy ; Male ; Middle Aged ; Stents

No abstract available.
Free Tissue Flaps* ; Mouth* ; Oropharynx* ; Rectus Abdominis*