Chin ; Humans ; Lip ; Witchcraft

No abstract available.

Adrenal cortical carcinoma is a rare disease both in adults and in children. Most of these tumors are functional, especially in children, producing endocrine syndromes such as virilization, Cushing syndrome, hyperaldosteronism or feminization. We experienced a case of adrenal cortical carcinoma in a 7yr old boy who showed features of virilization such as rapid growth rate, penile enlargement, and pubic hair. This case was diagnosed with typical hormonal findings and abdominal MRI and confirmed by pathologic findings. He was successfully treated by total left adrenalectomy and has been followed up without problem over eight months.
Adrenalectomy ; Adrenocortical Carcinoma* ; Adult ; Child ; Cushing Syndrome ; Feminization ; Hair ; Humans ; Hyperaldosteronism ; Magnetic Resonance Imaging ; Male ; Rare Diseases ; Virilism

This paper was prepared to determine the effects of degree of initial angulation and the method of treatment toward the end results, and also to report cases of twenty-one children with a radial neck lowed up more than 12 months. The results are as follows: 1. An average follow up period was 34 months, and were ranged from 12 months to 70 months. 2. Displacement patterns of fracture were angulation in 5 cases, partial translocation in 11cases, and total displacement in 5 cases, and translocated fracture was most frequent. According to the degree of angulation, in 10 cases angulation was minor(below 30 degrees), in 8 cases moderate(30–60 degrees), and in 3 cases severe (above 60 degrees). 3. One case was treated by simple cast immobilization, 9 cases were treated by gentle closed reduction, 3 cases were by percutaneus pin reduction with K-wire, 7 cases were by open reduction and K-wires fixation, and 1 case was by closed reduction and incorporating cast immobilization. 4. The results of 20 cases were excellent in range of motion without specific complication. Without considering about the method of treatment, when angulation was severe, more time was required for recovery(Wilcoxon 2-simple test P < 0.02). When the degree of angulation was less than 60 degree, the functional recovery was faster with closed reduction than with open reduction, but with the angulation more 60 degree, there was no significant difference(Spearman correlation coefficient=0.599, P value < 0.05). In conclusion, the severity of initial displacement and the method of treatment were considered to be factors that could affect the recovery time.
Child ; Follow-Up Studies ; Humans ; Immobilization ; Methods ; Neck ; Range of Motion, Articular

No abstract available.
Funnel Chest*

Background AND PURPOSE: Status epilepticus (SE) is one of the major neurological emergency that requires immediate treatment to avoid significant morbidity and mortality. Thus, understanding the cause, features and prognosis of SE is important for the evaluation and treatment of this condition. We retrospectively reviewed the possible cause and clinical outcome of adult patients treated for SE at the Hallym Univrsity Hospital from 1994 to 1998. METHODS: For the identification of patients, we searched the data bank for patients meetinf criteria of SE who were 18 year or older, and their medical records were reviewed. We also investigated the relationships between cause, response to anticonvulsant therapy and short-term clinical outcome. RESULTS: The selected 127 patients wer 84 males and 43 females, aged 18 to 85 yeats (meen age: 49.5 years). The possible etiologies of SE were withdrawal of AED (n=27, 21.3%), anoxia (n=22, 17.3%), CNS infection (n=20, 15.7%), stroke (n=16, 12.6%), alcohol-related (n=15, 11.8%), metabolic (n=8, 6.3%), unknown (n=7, 5.5%), drug inroxicatio (n=5, 3.9%), trauma (n=4, 3.2%) and cerebral tumor (n=3, 2.4%). in 77 patients (n=77, 60.6%), SE was successfully aborted with first-line therapy, which usually included diazepam with or without phenytoin. The food responders to AEDs occurred in patients with AED withdrawal, alcohol-related, stroke, unknown, and trauma, The poor response related to anoxia, drug intoxication and CNS infection. Seventy nine patients (62.2%) had food outcome, but nineteen patients (14.9) were died. Anoxia, drug intoxication, CNS infection and metabolic abnormalities were associated with particularly poor outcome compared with other etiologies. CONCLUSION: This study indicates that the etiology of SE may help predict both the intial response to drug therapy and short-term clinical outcome.
Adult* ; Anoxia ; Diazepam ; Drug Therapy ; Emergencies ; Female ; Humans ; Male ; Medical Records ; Mortality ; Phenytoin ; Prognosis ; Retrospective Studies ; Status Epilepticus* ; Stroke

Mandibular condylar fracture is common in mandibular fractures. Unlike other facial, skeletal fractures, most of mandibular condylar neck or head fractures are treated with closed reduction and subsequent functional therapy is essential for preventing complications including ankylosis, arthrosis and growth disturbance. From January, 2000 to September, 2002, we have treated 15 cases of mandibular condylar fractures with closed reduction by using functional appliance with bite block. Among these cases, we report a case of 14-year-old female with mandibular condylar neck fracture, resulted in good clinical and radiographic progress.
Adolescent ; Ankylosis ; Female ; Head ; Humans ; Mandibular Fractures ; Neck

No abstract available.
Epidermis* ; Skin Diseases* ; Skin*

OBJECTIVE: To evaluate clinical usefulness of magnetic resonance angiogra phy(MRA) in the diagnosis of moyamoya disease. SUBJECTS AND METHODS: 14 moyamoya patients were included in this study. The machine was a Magnetom 63SP(Siemens) with a static magnetic field of 1.5T. MRA was performed by 3 dimensional time of flight(3D-TOF) method. Upon a total of 28 sides, the degree of stenotic process at the supraclinoid portion of internal carotid artery and the proximal portions of anterior cerebral artery and middle cerebral artery, and the number of moyamoya vessels(MMV) as well as presence of leptomeningeal anastomosis or transdural collaterals were evaluated. The findings of MRA were compared with those of contrast angiography(CA). RESULTS: 1) The degree of stenotic process : Among 28 sides, all but one were abnormal in both MRA and CA. Findings of MRA in the degree of stenosis were exactly correlated with those of CA in 24 sides(89.9%, 24/27) and the degree of stenosis was overestimated by MRA in 3 sides. 2) MMV : MRA visualized MMV in 19 of 27(70.3%) hemispheres, while CA showed basal MMV in 25(93.791) hemispheres. MRA underestimated the number of MMV in 9 hemispheres. 3) Of a total of 29 large leptomeningeal or transdural collateral vessels demonstrated by CA, 15(51.7%) were identified by MRA. CONCLUSION: MRA is considered to be an excellent screening test for the diagnosis of moyamoya disease. However, further studies with another methods or higher field strength machines should be necessary for enhancing diagnostic accuracy, since MRA in this study poorly visualized small-sized arteries such as MMV and other collateral circulations compared to CA.
Anterior Cerebral Artery ; Arteries ; Carotid Artery, Internal ; Collateral Circulation ; Constriction, Pathologic ; Diagnosis* ; Humans ; Magnetic Fields ; Magnetic Resonance Angiography* ; Mass Screening ; Middle Cerebral Artery ; Moyamoya Disease*

No abstract available.
Leiomyoma*