Flavimonas oryzihabitans is a gram-negative, glucose non-fermentative bacillus, and is rarely reported as a pathogen in human. In recent years, reports of infection due to F. oryzihabitans, especially in immunocompromised patients with indwelling catheter or peritoneal Tenckhoff catheter have increased. We report two cases of F. oryzihabitans peritonitis in patients undergoing continuous ambulatory peritoneal dialysis (CAPD).
Bacillus ; Catheters ; Catheters, Indwelling ; Glucose ; Humans ; Immunocompromised Host ; Peritoneal Dialysis, Continuous Ambulatory* ; Peritonitis* ; Pseudomonas*

No abstract available.
Echocardiography*

Twelve patients with inflammatory bowel disease had been operated at the department of surgery, Chonnam University Hospital during the period from March 1988 to February 1997. In this study, we report on the operative cases regarding age, sex, symptoms, duration of disease, location of disease, preoperative diagnosis, operative indication, frequency of operation, histopathologic findings and follow up. The results were as follows: 1) The male to female ratio in ulcerative colitis was 1 : 1, and the mean age was 54.5 years. In Crohn's disease, male to female ratio was 2.3 : 1 and the mean age was 42.1 years. 2) The mean duration of symptoms in ulcerative colitis was 39 months and in Crohn's disease was 13.9 months. The common symptoms in ulcerative colitis were abdominal pain, bloody diarrhea, indigestion, weight loss and in Crohn's disease abdominal pain, palpable mass, weight loss, indigestion. Extraintestinal symptoms in Crohn's disease were cholelithiasis like symptom, anal fistula, anal fissure. 3) The involvement site in ulcerative colitis was large bowel only, but in Crohn's disease small bowel (50%), large bowel (20%), small and large bowel (30%) were involved. 4) Preoperative diagnosis in ulcerative colitis was accurate, but in Crohn's disease accurate diagnosis was made only in 20% and the other cases were operated under the impression of different diseases or conditions (intestinal tuberculosis (50%), bowel perforation (20%), mechanical ileus (10%)). 5) The indication of surgery in ulcerative colitis was intractability to medical treatment, on the other hand, in Crohn's disease most operative cases were made under the emergentconditions (bowel perforation, bowel obstruction, enterocutaneous fistula, abdominal mass). The frequency of operation in ulcerative colitis were two times in one case, three times in one cases. In Crohn's disease half of cases experienced two or three times of surgery. The method of operation in ulcerative colitis was total proctocolectomy with J-pouch ileoanal anastomosis. In Crohn's disease resection of diseased bowel segment was performed.
Abdominal Pain ; Cholelithiasis ; Colitis, Ulcerative ; Colonic Pouches ; Crohn Disease ; Diagnosis ; Diarrhea ; Dyspepsia ; Female ; Fissure in Ano ; Follow-Up Studies ; Hand ; Humans ; Ileus ; Inflammatory Bowel Diseases* ; Intestinal Fistula ; Jeollanam-do ; Male ; Rectal Fistula ; Tuberculosis ; Weight Loss

BACKGROUND: Although the poor short-term outcome of antiepileptic drug (AED) treatment may represent long-term AED refractoriness in general, the same hypothesis in temporal lobe epilepsy (TLE) has yet to come up as an important subject to be investigated. We examined to decide early drug intractability and aid treatment plan. METHODS: From a prospective patient cohort of Yonsei Epilepsy Clinic, 121 newly-referred TLE patients were selected to participate in this study. First, we divided the patients into two groups according to their second one-year remission at two year of AED treatment. One group was the remission group (RG) and the other was the non-remission group (NRG). Second, we evaluated clinical characteristics influencing remission between the two groups. RESULTS: Nineteen patients (15.7%) were RG whereas 102 (84.3%) were NRG. The six month remission and terminal remission at the first year of AED treatment and the first one year remission rate in patients with RG was significantly higher than those with NRG (P<0.05). In patients with NRG, the number of complex partial seizures and secondary generalized seizures, the annual frequency of secondary generalized seizures prior to AED treatment, polypharmacy, new drug use, and drug side effects were significantly higher (p<0.05) than RG. CONCLUSIONS: The earlier seizure outcome may influence the later prognosis of AED treatment in non-lesional TLE. The prognosis during the second year of AED treatment is influenced by drug treatment and the number of generalized seizures.
Anticonvulsants ; Cohort Studies ; Epilepsy ; Epilepsy, Temporal Lobe* ; Humans ; Polypharmacy ; Prognosis* ; Prospective Studies ; Seizures ; Temporal Lobe*

No abstract available.

No abstract available.
Humans

BACKGROUND: Depression is found more frequently in epileptic patients and tends to be more severe in those with temporal lobe epilepsy, than in patients with comparable chronic neurologic diseases or physical handicaps. The purposes of this study were to evaluate (1) the characteristics and frequency of depression in group of temporal lobe epileptic out-patients with hippocampal atrophy; (2) the relationship between depression and the laterality of hippocampal atrophy, and (3) the possible correlation between depression and the duration of epilepsy, sex, education, age, occupation, seizure frequency, and other seizure variables. METHODS: We included 40 temporal lobe epilepsy patients with unilateral hippocampal atrophy on MRI study. We used the Beck Depression Inventory to measure the level of depression. The results were compared with those of 50 normal controls. RESULTS: (1) Epilepsy patients with hippocampal atrophy indicated more severe depression than the normal controls. If we consider the cut-off score for depression as being more than 21 points of the Beck Depression Inventory score, then the frequency of depression in TLE with hippocampal atrophy would be 45% compared to the 14% in controls. (2) Occupation and seizure frequencies were factors related to severe depression. However, the age, age of onset, duration of illness, religion, education, and multi-drug therapy, were not related to the severity of depression. (3) Scores on the BDI questions representing mood symptoms were significantly higher in the left TLE group. However, the frequencies of those representing vegetative and somatic symptoms were not different between the two groups. Self-reproach symptoms increased equally in both temporal lobe epilepsy groups. (4) There were no clear associations between depressive disorders and the laterality of epileptic lesions in the TLE patients. CONCLUSIONS: We found no clear association between the affective disorders in epilepsy and the site of epileptic lesions.
Age of Onset ; Atrophy* ; Depression* ; Depressive Disorder ; Education ; Epilepsy ; Epilepsy, Temporal Lobe* ; Humans ; Magnetic Resonance Imaging ; Mood Disorders ; Occupations ; Outpatients ; Seizures ; Temporal Lobe*

No abstract available.
Female ; Humans ; Hysterosalpingography*

BACKGROUND: Anterior temporal lobectomy (ATL) is by far the most commonly performed and successfully achieved surgical treatment available for patients with medically intractable temporal lobe epilepsy. The aim of this study was to find the factors related to the surgical outcome in order to predict the prognosis of ATL in an out-patient clinic (OPD) before surgery. METHODS: We selected 54 patients with medically refractory nonlesional temporal lobe epilepsy who were treated with ATL between 1991 and 1996 in the Yonsei Epilepsy Program and were followed up for at least 2 years. We divided the 54 patients into a favorable prognosis group (Class I-II) (FPG) and an unfavorable prognosis group (Class III-IV) (UPG) according to Engel's classification. We investigated the correlation of the clinical, neu-roimaging, and EEG findings between the two groups, and the predictability of the prognosis by discriminant analysis. RESULTS: Of the 54 patients who had ATL, 43 were FPG and 11 were UPG. Among the various factors, febrile convul-sion, medial temporal sclerosis (MTS) in MRI and localization in scalp interictal EEG were significantly higher in FPG than in UPG (p<0.05). Encephalitis and multifocal epileptiform discharges in EEG were significantly higher in UPG (p<0.05). Age, sex, onset age, seizure duration, aura, automatism, secondary generalization, seizure frequency before surgery, family history, I.Q., neurological deficits, interictal SPECT, PET, and cerebellar atrophy in MRI were not significantly different between FPG and UPG. We were able to predict correct surgical outcomes in 18 patients with 100% predictability by discriminant analysis. CONCLUSIONS: Among the many factors, the past history of febrile convulsion and encephalitis, MTS in MRI, and interictal EEG findings were significantly related to the post-surgical outcome. We can expect correct surgical outcome at OPD before surgery through the evaluation of these various factors.
Age of Onset ; Anterior Temporal Lobectomy* ; Atrophy ; Automatism ; Classification ; Discriminant Analysis* ; Electroencephalography ; Encephalitis ; Epilepsy ; Epilepsy, Temporal Lobe ; Generalization (Psychology) ; Humans ; Magnetic Resonance Imaging ; Outpatients ; Prognosis* ; Scalp ; Sclerosis ; Seizures ; Seizures, Febrile ; Tomography, Emission-Computed, Single-Photon

BACKGROUND: Anterior temporal lobectomy (ATL) is by far the most commonly performed and successfully achieved surgical treatment available for patients with medically intractable temporal lobe epilepsy. The aim of this study was to find the factors related to the surgical outcome in order to predict the prognosis of ATL in an out-patient clinic (OPD) before surgery. METHODS: We selected 54 patients with medically refractory nonlesional temporal lobe epilepsy who were treated with ATL between 1991 and 1996 in the Yonsei Epilepsy Program and were followed up for at least 2 years. We divided the 54 patients into a favorable prognosis group (Class I-II) (FPG) and an unfavorable prognosis group (Class III-IV) (UPG) according to Engel's classification. We investigated the correlation of the clinical, neu-roimaging, and EEG findings between the two groups, and the predictability of the prognosis by discriminant analysis. RESULTS: Of the 54 patients who had ATL, 43 were FPG and 11 were UPG. Among the various factors, febrile convul-sion, medial temporal sclerosis (MTS) in MRI and localization in scalp interictal EEG were significantly higher in FPG than in UPG (p<0.05). Encephalitis and multifocal epileptiform discharges in EEG were significantly higher in UPG (p<0.05). Age, sex, onset age, seizure duration, aura, automatism, secondary generalization, seizure frequency before surgery, family history, I.Q., neurological deficits, interictal SPECT, PET, and cerebellar atrophy in MRI were not significantly different between FPG and UPG. We were able to predict correct surgical outcomes in 18 patients with 100% predictability by discriminant analysis. CONCLUSIONS: Among the many factors, the past history of febrile convulsion and encephalitis, MTS in MRI, and interictal EEG findings were significantly related to the post-surgical outcome. We can expect correct surgical outcome at OPD before surgery through the evaluation of these various factors.
Age of Onset ; Anterior Temporal Lobectomy* ; Atrophy ; Automatism ; Classification ; Discriminant Analysis* ; Electroencephalography ; Encephalitis ; Epilepsy ; Epilepsy, Temporal Lobe ; Generalization (Psychology) ; Humans ; Magnetic Resonance Imaging ; Outpatients ; Prognosis* ; Scalp ; Sclerosis ; Seizures ; Seizures, Febrile ; Tomography, Emission-Computed, Single-Photon