No abstract available.
Humans ; Violence*

OBJECTIVE: Base on clinical practice, the authors report a case of tardive dyskinesia arising during the course of treatment with resperidal. METHODS: This article was review and analysis of a case on risperidone-induced tardive dyskinea. RESULTS: Mrs K, a 51-year-old women with a 1-year history of schizophrenic disorder, gradually developed tardive dyskinetic movement of the mouth, lip, and tongue over a 4 month period(From July 1996 to June 1997) while taking risperidone. Initially she was treated with haloperidol and alprazolam. However, the haloperidol was subsequently discontinued because of EPS developed. From 11th March 1997, she was observed to have a severe form of tardive dyskinesia involving her tongue, lip, and mouth. After risperidone was withdrawn at 9th May 1997, her tardive dyskinetic movement was disappeared. CONCLUSIONS: This is, to our knowledge, the first report of the onset of tardive dyskinesia in a patient taking risperidone. However, additional controlled studies of specific questions are needed ; e.g., the dose-response curves for produce tardive dyskinesia and the mechanism of producing risperidone-induced tardive dyskinea and so on.
Alprazolam ; Female ; Haloperidol ; Humans ; Lip ; Middle Aged ; Mouth ; Movement Disorders* ; Risperidone ; Schizophrenia ; Tongue

Though intravenous digital subtraction angiography (IV DSA) has several advantages over conventionalangiography in diagnosis and follow up of various vascular disease, it also has several undesirable problems suchas large volume of the contrast medium and inferior image quality compared to conventional angiography. Sorecently intraarterial digital subtraction angiography (IA DSA) was introduced for better image quality usingsmall amount of contrast medium. The authours had good clinical results IA DSA which were made in 20 patients withour own system, SRM-II, developed by cooperation of Departements of Radiology and Medical engineering, Seoul.National University Hospital. Intraarterial digital substraction angiography was found to have several advantagesover conventional angiography: (a) small amount of contrast medium, (b) reduced need for selective arterialcatheterization,(c) lower film cost, (d) shortened examination time, (e) ability to obtain a “road map”, and (f)easier detection of contrast medium. Also IA DSA has several advantages over IV DSA : (a) less dependency oncardiac output, (b) far less vessel overlapping, (c) reduction in patient motion through less painful procedure byreduced volume of contrast media and shorter imaging time.
Angiography ; Angiography, Digital Subtraction ; Contrast Media ; Diagnosis ; Follow-Up Studies ; Humans ; Vascular Diseases

A relationship between preceding acute paralytic poliomyelitis and the later development of motor neuron disease has only occasionally been suggested since it was first postulated by Charcot in 1875. The authors recently experienced a 20-year-old male who was considered to have postpoliomyelitis muscular atrophy. We report this case in view of its rarity and necessity of differential diagnosis from other neuromuscular disorders. Clinical presentation included slowly progressive muscle wasting of left thigh for 4 years, mild weakness of left arm and both thigh, intermittent fasciculation, and previous history of acute paralytic poliomyelitis. Electromyographic findings showed fibrillation potentials, positive sharp waves, fasciculations, giant motor unit potentials and reduced interference patterns. Muscle biopsy revealed scattered small angulated fibers, individual myofiber degeneration and mild inflammatory cell infiltration.
Arm ; Biopsy ; Diagnosis, Differential ; Fasciculation ; Humans ; Male ; Motor Neuron Disease ; Poliomyelitis ; Postpoliomyelitis Syndrome* ; Thigh ; Young Adult

The authors observed clinically typical case of unilateral coloboma of the optic disc. This patient, 5 years old Korean boy, visited to our clinic with the chief complaints of visual disturbance and intermittant exotropia of left defecting eye. The optic disc was enlarged about 2.5 times of normal optic disc diameter excavated about 7.0 Diopters in depth. The vision of colombomatous left eye was 20/50(n.c.) but the cause of defective vision was not evaluated certainely whether it might be due to coloboma itself or slight posterior subcapsular opacity of the lens.
Child, Preschool ; Coloboma* ; Exotropia ; Humans ; Male ; Optic Nerve*

No abstract available.
Humans

To evaluate characteristic CT findings of orbital pseudotumor and to define differentialpoints from other pathology, the authors retrospectively reviewed CT of 19 patients who were prooen to have orbital pseudotumor by clinical course and, in some cases, biopsy. A variety of CT findings including extraocular muscle thickening(11 cases), streaky infiltration of retroorbital fat(11 cases), mass formation(10 cases), optic nerve thickening (6 cases), conjunctival thickening (5 cases), scleral thickening(4cases), enlarged lacrimal gland(4 cases) and destruction of orbital bone (2 cases) were observed. Thickening of the anterior portion and irregular margin were characteristic findings of extraocular muscle and optic nerve lesions. Mass formation predominantly occurs in the anterior portion of the orbit. In most cases more than two orbital structures are involved by lesion.
Biopsy ; Humans ; Optic Nerve ; Orbit* ; Orbital Pseudotumor* ; Pathology ; Retrospective Studies

The authors studied the diagnostic usefulness of the Topographic analysis of EEG, using Topography ststem 700 (San-ei), in evaluation of supratentorial focal cerebral lesions of 27 patients with various etiology, comparing with visual anslysis of EEG. Focal cerebral lesions, which were proven with brain C-T, were 11 cases of cerebral infarction, 6 of intracranial hematoma, 6 of cerebral gliolysis and 4 of others. The topography system displays the spatial distribution of activity in the classic delta, theta, alpha and beta frequency and computed mapping of EEG displays equipotential maps of square of roots of power spectra over each frequency band. For visual analysis of slow waves and background activity changes, Mayo classification system of EEG abnormality was used and for visual evaluation of topographic display, above system was also applied with some modification in order to compare with the data of visual analysis of conventional EEG. The results of the study were as follows; 1. While visual analysis of conventional anlysis of EEGs showed abnormality only in 13 cases (48.1%) of 27, topographic analysis showed abnormality in 22 cases (81.5%). Topographic analysis was more sensitive than than visual analysis of the EEG and topographic analysis was thought to be more sensitive in assessment of local slow waves as well as minor changes, especially slight asymmetry, of background EEG activity. 2. Topographic analysis showed higher concor dance rate (55.6%) to the brain C-T finding in lateralization of supratentorial focal cerbral lesion than that (44.4%) of visual analysis of the conventional EEG.
Bisoprolol ; Brain ; Cerebral Infarction ; Classification ; Electroencephalography* ; Hematoma ; Humans

Background: Correction of secondary cleft nose deformity is one of the most important portions in the management of cleft lip patients. Various techniques have been introduced to achieve adequate shape, balance, and symmetry of anatomical landmarks. None of these methods can claim to universally solve all aspects of the problems encountered in secondary cleft deformity surgery. Some authors overlook the aspect of functional rehabilitation with regard to nasal respiratory pathway problems, which is present in over 90% of the patients. This study aimed to evaluate the aesthetic and functional improvements of the authors’ non-destructive technique. Methods: With over 15 years of experience, open rhinoplasty was performed, which included total remodeling of the deformed lower lateral cartilage using several suture fixation techniques without any graft or implantation with septo-turbinoplasty. A total of 150 questionnaires were sent by e-mail, but 55 completed questionnaires were returned. Surgical outcomes were evaluated using questionnaire responses, and outcomes were divided into five categories each for esthetic and functional analyses. Results: The satisfaction rate ranged from 75 % to 98%, which means “more or less,” “very much,” and “absolutely yes” in the esthetic and functional viewpoints. Conclusion The results of this study strongly recommend performing the suture fixation technique and functional rehabilitation simultaneously for cleft lipose correction.

OBJECT: The family Is one of the major socialization agencies far children. Parents are one of the most important models from whom the child and adolescent acquire a wide variety of behavior patterns, attitudes, values, and norms. The aim of this study was to determine the important factors related to family conflicts on juvenile delinquency and to examine relationship between marital relationship, conjugal dynamics, family violence, character of adolescent and delinquent behavior. METHODS: Data collection was done through questionnaire survey. The subjects for this study consisted of 1,943 adolescents including 707 juvenile delinquents and 1,236 adolescents students in Korea, chosen from Korean student population and adolescent delinquent population confined in juvenile corrective institutions, using proportional stratified random sampling method. sample of 1,863 adolescents aged between 12 and 18 agreed to participate f3r this study, 80 refused to participate. The actual number of cases put into the analysis was 1,863 adolescents including 657 juvenile delinquents and 1,206 adolescents students. Data were analysed by IBM PC using SAS program. In this study, independent variables were marital relationship, conjugal dynamics, sex distinction of adolescent and intermediating variables were family violence and character of adolescent including need satisfaction/frustration, antisocial personality tendency, complaints of psychosomatic symptoms, and dependent variable was delinquent behavior. Statistical methods employed were x2 test, t-test, simple correlation and path analysis. RESULTS: The results of this study were as follows In this study, the two group(delinquent adolescents and student adolescents) of adolescents were seen as quite different with regard to the variables affecting the genesis and consolidation of juvenile delinquent behavior The delinquent adolescents group were reared in the family environment that the significantly higher family violence and the more dysfunctional marital relationship and conjugal dynamic than student adolescents group. And the delinquent adolescent has the high or need frustration and antisocial Personality tendency and the more complaints of psychosomatic symptoms than student adolescents. were antisocial personality tendency(direct effect=0.262, indirect effect=0.103, total effect=0.365) and sex distinction(direct effect=0.336, indirect effect=-0.014, total effect=0.322). Family violence, character of adolescent including the extent of need illustration, complaints of psychosomatic symptoms were assumed a positive influence as direct and/or indirect paths on juvenile delinquent behavior. Marital relationship and conjugal dynamics have indirect influence on delinquent behavior among adolescents and have direct influence on family violence. CONCLUSIONS: The home environment including marital relationship and conjugal dynamics is the basis far genesis and aggravation of delinquent behavior. Maladaptive interactions within the family members and domestic violence will thus have negative consequences on a global scale including character of adolescent and delinquent behavior such as smoking, drinking, substance abuse, physical assaults etc. We suggested the cause-and-effect relationship between familial factors and juvenile delinquency. However, we should mention that this Interaction can occur in di-directions. This implies that therapeutic intervention should deal with the various links in the chain(sociofamilial, personality traits, gender difference etc.) involved in the genesis and consolidation of juvenile delinquent behavior.
Adolescent ; Antisocial Personality Disorder ; Child ; Data Collection ; Domestic Violence* ; Drinking ; Family Conflict ; Frustration ; Humans ; Juvenile Delinquency* ; Korea ; Marriage* ; Parents ; Surveys and Questionnaires ; Smoke ; Smoking ; Socialization ; Substance-Related Disorders