No abstract available.
Empyema*

Behcet syndrom is a chronic systemic disease developing recurrent oral and genital ulceration, ocular inflammation, arthritis and neurological manifestations. Anterior uveitis and occlusive retinal vasculitis are the most commom ocular manifestation of Behcet syndrome. A 29 years old Korean male with abducens palsy (6th cranial nerve palsy) was found to have oral aphthae, genital ulcer, skin lesion and other neurological manifestations (weakness and sensory loss of lower extremeties, ataxic gait, speech disturbance and urinary difficulty), but he had neither ocular manifestation such as uveitis nor retinal vasculitis.
Adult ; Arthritis ; Behcet Syndrome ; Cranial Nerves ; Gait ; Humans ; Inflammation ; Male ; Neurologic Manifestations ; Paralysis* ; Retinal Vasculitis ; Skin Ulcer ; Stomatitis, Aphthous ; Ulcer ; Uveitis ; Uveitis, Anterior

It is well-known that multiple sclerosis (MS) has a higher prevalence rate in occidental countries than in Asia and Africa. In addition to their lower prevalence rate of MS, oriental countries may have different clinical characteristics. It has been shown in the previous studies performed in Japan that there is more frequent involvement of optic nerve and spinal cord during the course of disease. These results were also confirmed by the study of MS in Hawaii which compared orientals with caucasians in their clinical features. In Korea, there has been no estimate for clinical features and prevalence rate of MS except two studies. We performed this study to evaluate the clinical features and estimated prevalence rate based on a series of 50 consecutive cases of MS seen over 8 and a half year-period in the Seoul National University Hospital.
Africa ; Asia ; Hawaii ; Japan ; Korea* ; Multiple Sclerosis* ; Optic Nerve ; Prevalence* ; Seoul ; Spinal Cord

Altacyn was administered to 22 cases of genito-urinary tract infection. Excellent result was obtained in 7 cases which were mainly acute and chronic non-gonococcal urethritis, acute cystitis and epididymitis, Some improvement was seen in II cases. Altacyn was most sensitive in sensitivity test for bacteria, and Altacyn. 90.6%; kanamycin 87.5 %; chloramphenicol 62.5% ; erythromycin. 56.3%; sigmamycin, 50%; terramycin, 50%; streptomycin, 40.6%; and penicillin (28.2%) were the results of sensitivity. Eighty two percent of clinical effect was obtained in genito-urinary tract infection. Slight side reaction was observed in 7 cases out of 22 cases. It is our belief that altacyn is an effective drug for genito-urinary tract infection.
Bacteria ; Chloramphenicol ; Cystitis ; Epididymitis ; Erythromycin ; Kanamycin ; Male ; Oxytetracycline ; Penicillins ; Streptomycin ; Urethritis

We analyzed interictal spikes of complex partial seizure by two parameters of sleep structure. They are macrostrure and microstructure of sleep. The macrostructure of sleep is traditional parameter and includes REM and NREM sleep. The microstructure of sleep is recently identified modalities of arousal control during NREM sleep: (a) the cyclic alternating pattern (CAP) expressed by alternating and successive phasic fluctuation of sleep; and (b) non-CAP(NCAP) characterized by prolonged stable periods of EEG. We performed polygraphical analysis of extended daytime-sleep of eight patients with complex partial seizure. The mean spike index(SI) was 4.9+3.6. The percentage of CAP time in total NREM was 50.7+5.8 and phase A in CAP time was 32.5+4.2. Significant increase in discharge rates was observed in NREM compared with REM sleep (pO. 05). Spiking activities were significantly enhanced during CAP sleep. Patients showed significant SI differences between CAP and NCAP sleep (p Arousal ; Electroencephalography ; Humans ; Seizures* ; Sleep, REM

We studied 249 patients with risk factors of retinopathy of prematurity and the results were as follows: 1. Among 249 patients, retinopathy of prematurity(ROP) developed in 36 patients(14.5%). 19 patients(528%) were stage 1, 4(11.1%) patients were stage 2, 11 patients(30.6%) were stage 3, 2 patients(56%) were stage 4 and there was no stage 5 ROP patient. 2. In gestational age, there was not statistically significant difference between normal lnfants and under-prethreshold stage group, but there were statistically significant differences between normal or under-pretheshold stage group and pretheshold or theshold stage group and was not stastically significant difference between prethreshold stage and threshold stage. 3. In birth weight, there was statistically significant difference between normal group and under-prethreshold stage group and also be statistically significant differences between normal or under-prethreshold stage and pretheshold or threshold stage group but there was not statistically significant difference between prethreshold stage and threshold stge. 4. In duration of oxygen therapy, there were no statistically Significant differences among each group.
Birth Weight ; Gestational Age ; Humans ; Oxygen ; Retinopathy of Prematurity* ; Risk Factors

No abstract available.
Stomach Neoplasms*

Podophyllin is known as a neurotoxin, We recently observed a 34-year-old woman with podophyllin induced peripheral neuropathy. She was treated with topical podophyllin for perianal multiple condyloma acuminata. One day after application, she complained of G-I symptoms ( abdominal pain, nausea, vomiting, diarrhea), followed by tingling sensation on all extremities. We confirmed peripheral neuropathy with electrophysiologic study and sural nerve biopsy. She has improved on follow-up.
Abdominal Pain ; Adult ; Biopsy ; Extremities ; Female ; Follow-Up Studies ; Humans ; Nausea ; Peripheral Nervous System Diseases* ; Podophyllin* ; Sensation ; Sural Nerve ; Vomiting

Adie's tonic pupil usually consists of mydriasis, defect in accommodation. Poor or absent light reflex, and tonic near reflex, It is usually unilateral, but rarelY observed bilaterally. The pupillary abnormalities often accompany areflexia, which is called Adie syndrome collechvely, Other autonomic dysfunction especially hypohidrosis. Are rarely reported in association with Adie syndrome. We recently experienced 2 cases of bilateral Adie's pupils in 2 women, one of whom had hypohidrosis, and the other had areflexia. So we report 2 cases with bilateral Adie's pupils with a review of literature.
Adie Syndrome ; Female ; Humans ; Hypohidrosis ; Mydriasis ; Reflex ; Tonic Pupil*

Unverricht-Lundborg disease(Baltic myoclonus) is one of the major causes of progressive myoclonus epilepsy. It is characterized by stimulus sensitive myoclonic seizure, generaized tonic-clonic seizure, generally synchronous polyspike and wave discharges on EEG and absence of severe or early dementia. It has usually been described in the countries around the Baltic area. But recently, it is regarded as the most common form of progressive myoclonus epilepsy in the other countries as well. We report, with the review of the literature, two patients who showed the typical features of this disorder.
Dementia ; Electroencephalography ; Humans ; Myoclonic Epilepsies, Progressive ; Seizures ; Unverricht-Lundborg Syndrome*