No abstract available.
Gait*

Congenital vertical talus associating tarsal coalition, which is a very anomalous condition and causes severe rigid flat foot, is presented with literary reviews. This case was treated with soft tissue release and triple arthrodesis.
Arthrodesis ; Flatfoot ; Talus

No abstract available.
Audiometry, Speech* ; Otitis Media* ; Otitis*

Positron emission tomography (PET) with 2-[F-18]-Fluoro-2-deoxy-D-glucose (FDG) was performed in ninteen patients who had benign musculoskeletal tumors in order to determine if there was a relationship between histologic grade of tumor and FDG uptake of tumor. These patients had been evaluated previously with computed tomography (CT) or magnetic resonance (MR) imaging or both. The diagnoses were confirmed with incisional or excisional biopsy or by radiographic follow-up. Generally high-grade tumors had significantly greater uptake of FDG than low-grade lesions . Benign lesions such as giant cell tumor, fibrous dysplasia, and osteofibrous dysplasia showed significant elevation of SUV (Standardized Uptake Value) above 4.0. On the contrary. The current studies suggest the utility of FDG-PET imaging as an adjunct to CT or MR imaging in the evaluation of benign tumors. And results of PET suggest benign tumors with high SUV are histologically active lesion and tend to be locally aggressive.
Biopsy ; Diagnosis ; Electrons* ; Follow-Up Studies ; Giant Cell Tumors ; Glucose* ; Humans ; Magnetic Resonance Imaging ; Positron-Emission Tomography

The cognitive domain of number processing has been known to be separable from that of language. Further, the number processing consists of Arabic and verbal number systems which could be also separable from each other. We report a 49-year-old woman who showed a dissociation between Arabic and Korean verbal numbers. Her impairment in number processing was characterized by the defective comprehension and expression of Korean verbal umbers, without notable defects in those of Arabic numbers. A follow-up examination revealed a further dissociation within the processing of Korean numbers, showing persistent impairment of number comprehension with improvement of number expression. In dealing with numbers with more than two digits, she showed syntactic errors characterized by uttering a string of single digit numbers(I.e., 365) rather than stating them as a whole number(365). Furthermore, auditory comprehension was also more accurate when the numbers were presented as an array of single digit numbers than a whole number with units. However, these syntactic errors were not observed on an automatic counting task. The evidence of separable representation of Arabic and Korean number system could be drawn from these observations, and therefore we propose the possibility of dual number processing pathways, one for a simple numbering system without semantic mediation and the other for a complex, multidigit numbering with semantic mediation.
Arabs* ; Comprehension ; Female ; Follow-Up Studies ; Humans ; Middle Aged ; Negotiating ; Semantics

The prognosis of severe head injured patients (Glasgow coma scale 3 to 8) was assessed through clinical prognostic factors in 209 cases, retrospectively. Severe head injured patients were 9.1% of all head trauma and 55% of cases were diffuse brain injury. Mechanism of injury were motorvehicle accident, falls, bicycle, and others. The patients with normal pupillary reaction had a significantly higher percentage of good outcome (77%) than the patient with bilateral 3rd nerve palsy (14.2%)(p<0.0001), 79% of good motor responsive patients had a good outcome compared to none of patients with poor motor response(p<0.0001). The patients with short duration of unawareness(within 30days) significantly higher percentage of good outcome(98%) than the patients with long duration of unawaereness(24%)(p<0.0001). The patients with initial high GCS score(6-8 score) had a significantly higher good outcome(58%) than the patients with low GCS score(3-5 score)(p<0.0001), 87% of pediatric patients had a good outcome compared to 38% of adults(p<0.0001). The diffuse head injured patients without basal cistern compression had a significantly hgher percentage of good outcome(83%) than the patients with basal cistern compression(41%)(p<0.0001), 62% of patients with skull fracture had a good outcome compared to 39% of patients without skull fracture(39%)(p<0.0017). Individual prognostic factors affect to patient's outcome and utilize to be powerful tool for assessing the relative efficacy of alternative treatments as well as patient's prognosis.
Brain Injuries ; Coma ; Craniocerebral Trauma ; Head* ; Humans ; Paralysis ; Prognosis ; Retrospective Studies ; Skull ; Skull Fractures

Hamartoma of the bladder is quite a rare entity which is composed of a disorderly admixture of mature cellular elements normally present in the urinary bladder. There is a great controversy regarding the pathogenesis of this lesion. Whether it is a true hamartomatous lesion or metaplastic lesion developed secondary to the inflammatory process. Similar or identical lesions has often been given by other names such as florid examples of cystitis glandularis. We prefer to cell florid examples of cystitis glandularis rather than hamartoma when it was occurred in an old age higher then 50th decade. Here we report a case of hamartoma of the urinary bladder in 44 years old man. Cystoscopic examination revealed a papillary polypoid mass which was attached to the fundus of bladder by long stalk. The mass measured 1.5 cm in greatest diameter. It was composed of epithelial nests resembling von Brunn's nest, cystitis glandularis or cystitis cystica dispersed in a stroma rich in smooth muscle and fibrous tissue.
Hamartoma

The clinical and radiological characteristics of progressing in situ thrombosis of the basilar artery have poorly been described. Patients with such condition present with minor neurologic deficits initially, progress in the hospital over several days, and present poor outcomes. We tried to find the common features of those patients that might have been associated with progression. We investigated the clinical pictures, risk factors, possible triggering factors, managements, and radiological data of seven patients whose basilar artery thrombosis progressed in the hospital after having presented with minor neurological deficits at first. The initial clinical presentations included dysarthria plus hemiparesis in four, vertigo plus ataxia in two, and hypersomnolence without sensorimotor deficits in one. In four patients the neurological progressions were preceded by clinical events that might have caused dehydration. On MR angiography (MRA) performed in five, the basilar artery was barely visible in all. Only one patient was under adequate anticoagulation. Intraarterial thrombolysis was done in two patients with partial improvement in one. In conclusion, poor visualization of the basilar artery on MRA may be a strong indicator of early progression of in situ thrombosis. Since dehydration may play as a trigger, sufficient hydration seems to be the best strategy in addition to adequate anticoagulation when basilar artery thrombosis is suspected clinically and radiologically. Once if clinical progression occurs, Intraarterial thrombolysis may be tried.
Angiography ; Ataxia ; Basilar Artery* ; Dehydration ; Disorders of Excessive Somnolence ; Dysarthria ; Humans ; Neurologic Manifestations ; Paresis ; Risk Factors ; Thrombosis* ; Vertigo