1.Pneumocephalus after Inadvertent Dural Puncture during Epidural Block: A case report.
Korean Journal of Anesthesiology 1997;33(5):997-1000
Pneumocephalus is a rare complication of anesthetic procedures involving the epidural space. With the loss of resistance technique using air, air may be injected in through the dural puncture site. Epidural blood patch was performed for the treatment of post-lumbar puncture headache, and 10 minutes after the treatment, 8 ml of 0.5% bupivacaine hydrochloride was injected through epidural catheter. Loss of consciousness and apnea were developed about 8 minutes after injection of local anesthetics. Computerized tomographic brain scan revealed the presence of air within intracranial cavity. Pneumocephalus may be symptomatic or asymptomatic. It generally responds well to conservative management. The patient did not complain of a headache. The patient was discharged from the hospital on the seventh day postpartum with no neurologic sequelae.
Anesthetics, Local
;
Apnea
;
Blood Patch, Epidural
;
Brain
;
Bupivacaine
;
Catheters
;
Epidural Space
;
Headache
;
Humans
;
Pneumocephalus*
;
Post-Dural Puncture Headache
;
Postpartum Period
;
Punctures*
;
Unconsciousness
2.Mononeuropathies of the upper extremity in chronic paraplegics.
Byung Kyu PARK ; Kyoung Hee KIM
Journal of the Korean Academy of Rehabilitation Medicine 1993;17(3):459-464
No abstract available.
Mononeuropathies*
;
Upper Extremity*
3.Assessment of fetal gestational age by real-time ultrasound measurement of the femur length and abdominal circumference.
Jung Hee CHIN ; Byung Hee SUH ; Jae Hyun LEE
Korean Journal of Obstetrics and Gynecology 1993;36(12):3865-3876
No abstract available.
Femur*
;
Gestational Age*
;
Ultrasonography*
4.Thyroid Diseases in Childhood.
Joo Hee NA ; Jin CHOI ; Moon Young SONG ; Byung Kyu SUH ; Byung Churl LEE
Journal of Korean Society of Pediatric Endocrinology 1999;4(2):219-225
PURPOSE: Thyroid disease is the most common endocrine disease in childhood. Thyroid hormone has critical effects on growth and development, especially in childhood. We survey the prevalence, sex and age distribution, symptoms and thyroid function states of thyroid diseases in childhood. METHODS: Three hundred ninety one children who were diagnosed as having thyroid disease at department of pediatrics, St. Mary's hospital from Jan. 1987 to Dec. 1998 enrolled in this study. RESULTS: 1) The ratio between male and female patients was 1: 5.3. Age distribution was puberty, school age and infancy in their order of frequency. 2) The results of thyroid function tests showed normal function in 210 cases (53.7%), increased function in 95 cases(24.3%), and decreased function in 86 cases (22%). 3) Simple goiter, Graves disease, and chronic lymphocytic thyroiditis were the most common diseases in euthyroid, hyperthyroid, and acquired hypothyroid state, respectively. 4) The most common sign and symptom was goiter in euthyroid(100%), hyperthyroid(98.8%) and acquired hypothyroid state(96.2%). Forty of 68 cases(58.8%) with congenital hypothyroidism were detected by neonatal screening. CONCLUSION: Simple goiter, chronic lymphocytic thyroiditis and Graves disease were common acquired thyroid diseases in childhood, and goiter is the most common clinical manifestation in acquired thyroid disease. Recently, increasing number of congenital hypothyroidism was detected by neonatal screening test.
Adolescent
;
Age Distribution
;
Child
;
Congenital Hypothyroidism
;
Endocrine System Diseases
;
Female
;
Goiter
;
Graves Disease
;
Growth and Development
;
Hashimoto Disease
;
Humans
;
Infant, Newborn
;
Male
;
Neonatal Screening
;
Pediatrics
;
Prevalence
;
Puberty
;
Thyroid Diseases*
;
Thyroid Function Tests
;
Thyroid Gland*
5.A case of agnogenic myeloid metaplasia.
Byung Jin KIM ; Byung Yeon KIM ; Jung Sik MIN ; Ho SEONG ; Chang Hee CHOI
Journal of the Korean Pediatric Society 1993;36(8):1178-1182
Agnogenic myeloid metaplasia (AMM) is a myeloproliferative disorder characterized by leukoerythroblastosis, tear-drop erythrocytes, extramedullary hematopoiesis with hepatosplenomegaly, and varying degrees of myelofibrosis. The mean age at presentation is about 60 years, and pediatric cases are rare. We experienced a case of AMM in a 9 months old female who was presented with pallor, huge splenomegaly and intermittent fever. Peripheral blood showed leukoerythroblastosis poikilocytosis, and tear drop cells. Bone marrow was difficult to aspirate, and biopsy specimen showed increased reticulin with decreased cellularity, which was compatible with myelofibrosis. We presented a case of AMM with brief review of the literatures.
Biopsy
;
Bone Marrow
;
Erythrocytes
;
Female
;
Fever
;
Hematopoiesis, Extramedullary
;
Humans
;
Infant
;
Myeloproliferative Disorders
;
Pallor
;
Primary Myelofibrosis*
;
Reticulin
;
Splenomegaly
6.Conservative treatment of unruptured tubal pregnancy.
Hye Young KIM ; Byung Hee SUH ; Jae Hyun LEE
Korean Journal of Obstetrics and Gynecology 1993;36(2):196-199
No abstract available.
Female
;
Pregnancy
;
Pregnancy, Tubal*
7.Soft Tissue Change After Single Jaw(mandible) Surgery in Skeletal Class III Malocclusion.
Kwang Soo PARK ; Hee Kyung LEE ; Byung Rho CHIN
Yeungnam University Journal of Medicine 1997;14(1):197-208
The purpose of this study was to evaluate the amount and interrelationship of the soft and hard tissue change after mandibular setback surgery in skeletal Class III malocclusion. The sample consisted of 25 adult patient (12 male and 13 female) who had severe anteropostrior skeletal discepancy. These patient had received presurgical orthodontic treatment and surgical treatment which is bilateral sagittal split ramus osteotomy. The presurgical and postsurgical lateral cephalograms were evaluated. The computerized statistical analysis was carried out with SPSS/PC program. The result were as follows: 1. After mandibular bilateral sagittal split ramus osteotomy, lower facial soft tissue horizontal posterior changes were high significance value. but vertical soft tissue changes were low significance value. 2. After mandibular bilateral sagittal split ramus osteotomy, relative upper lip protrusion increased(p<0.01) and relative lower lip protrusion decreased(p<0.01) and lower facial soft tissue thickness increased(p<0.01).
Adult
;
Male
;
Female
;
Humans
8.Development of Registry System for the Construction of Coronary Intervention Database.
Se Il OH ; In Ho CHAE ; Byung Hee OH
Korean Circulation Journal 2000;30(5):629-634
BACKGROUND AND OBJECTIVES: The development of coronary intervention registry system is required for analysis of current status and more efficient management of patients with coronary artery disease in Korea. We developed database system and registry system in internet environment to confirm the possibility of nationwide system construction and of useful information providing on coronary intervention. MATERIALS AND METHOD: Database for coronary intervention and web-based registry system were developed and installed on internet server. Data elements consist of demographics, coronary risk factors, initial diagnosis, lesion characteristics, type of interventional procedures, and post-procedure outcomes. RESULTS: Total 734 patients were registed by 12 intervention centers from November 1998 to October 1999. Patients with angina pectoris and myocardial infarction were 78.5% and 21.5%, respectively and 14.6% of all patients had history of previous coronary intervention. Major coronary risk factors of the patients were smoking (38.6%), hypertension (33.8%), and diabetes (18.0%). Proportions of the patients with single-vessel disease, two-vessel disease, and triple-vessel disease were 64.7%, 26.2%, and 9.1%, respectively. Left main disease was detected in 2.0%. Balloon PTCA only was performed in 209 patients and 530 patients underwent coronary stent insertion. CONCLUSION: Multicenter data of coronary intervention were collected via internet-based system, and it was possible to construct intervention database. These web-based systems linked with database will provide status of Korean interventional procedures and be able to support multicenter study efficiently by expanding the participating hospitals and including more detailed database fields.
Angina Pectoris
;
Coronary Artery Disease
;
Demography
;
Diagnosis
;
Humans
;
Hypertension
;
Internet
;
Korea
;
Myocardial Infarction
;
Risk Factors
;
Smoke
;
Smoking
;
Stents
9.Percutaneous drainage of abscesses anf fluid collections in abdominal cavity.
Joon Hee LEE ; Byung Jo BAE ; Jung Wook SUH
Journal of the Korean Surgical Society 1991;40(1):50-60
No abstract available.
Abdominal Cavity*
;
Abscess*
;
Atrial Natriuretic Factor*
;
Drainage*
10.A case of virilizing adrenocortical adenoma.
Seung Hee LEE ; Gwang Goog MIN ; Byung Churl LEE
Journal of the Korean Pediatric Society 1993;36(2):292-297
This is a case report of virilizing adrenal cortical adenoma in 22 month old male patient who was diagnosed by clinical features, endocrinological studies, radiologic studies and pathologic findings. During surgery, a 40gm well-encapsulated tumor was removed from the right adrenal gland. Histologic examination revealed no capsulr invasion and a diagnosis of adrenocortical adenoma was made. He is in well condition without the clinical or laboratory evidence of recurrence at 2 years of follow up.
Adrenal Glands
;
Adrenocortical Adenoma*
;
Diagnosis
;
Follow-Up Studies
;
Humans
;
Infant
;
Male
;
Recurrence