1.A Case of Rett Syndrome Observed with Video-EEG Monitoring.
Hyun Mi KIM ; Young Ah LEE ; Tae Sung KO ; Hyung Nam MOON ; Chang Yee HONG
Journal of the Korean Pediatric Society 1994;37(5):718-725
Rett syndrome is progressive neurodegenerative disorder in female patients, characterized by autistic behavior, mental retardation, loss of purposeful hand skills, stereotypic hand movement, breathing dysfunction, severely impaired language, ataxia, and seizure. The diagnosis of Rett syndrome is based on its characteristic clinical manifestation and course. The electroencephalographic (EEG) findings of Rett syndrome are nonspecific, but a progressive deterioration in the EEG, characterized by a slowing of background activity and spike sharp wave discharges, may be observed. We experienced one case of Rett syndrome in a 5 year old girl having mental retardation, loss of purposeful hand skills, stereotypic hand movements (clapping, washing, hand-to-mouth), breathing dysfunction (hyperventilation/apnea). Her EEG findings on Video-EEG monitoring are excessive slowing waves during awake state and frequent spike discharges from left or centrotemporal area during sleeping. We report a case of Rett syndrome with brief review of related literatures.
Ataxia
;
Child, Preschool
;
Diagnosis
;
Electroencephalography
;
Female
;
Hand
;
Humans
;
Intellectual Disability
;
Neurodegenerative Diseases
;
Respiration
;
Rett Syndrome*
;
Seizures
2.Percutaneous Transluminal Balloon Valvuloplasty for Congenital Pulmonary Valve Stenosis.
Heung Jae LEE ; Jae Kon KO ; Woong Heum KIM ; Nam Su KIM ; Chang yee HONG
Journal of the Korean Pediatric Society 1988;31(7):822-832
No abstract available.
Balloon Valvuloplasty*
;
Pulmonary Valve Stenosis*
;
Pulmonary Valve*
3.Prevalence of dementia in the elderly in a Myun area of Yungil county, Kyungpook province.
Jonghan PARK ; Hyo Jin KO ; Jae Chang HA ; Young Nam PARK ; Chul Ho JUNG
Journal of Korean Neuropsychiatric Association 1991;30(6):1121-1129
No abstract available.
Aged*
;
Dementia*
;
Gyeongsangbuk-do*
;
Humans
;
Prevalence*
4.Prevalence of dementia in the elderly in a Myun area of Yungil county, Kyungpook province.
Jonghan PARK ; Hyo Jin KO ; Jae Chang HA ; Young Nam PARK ; Chul Ho JUNG
Journal of Korean Neuropsychiatric Association 1991;30(6):1121-1129
No abstract available.
Aged*
;
Dementia*
;
Gyeongsangbuk-do*
;
Humans
;
Prevalence*
5.A case of fetal meconium peritonitis by antenatal ultrasonography.
Seon Yong KO ; Chang Hoon AHN ; Kae Hyun NAM ; Im Soon LEE ; Kwon Hae LEE ; Tai Ho CHO
Korean Journal of Obstetrics and Gynecology 1992;35(2):281-285
No abstract available.
Meconium*
;
Peritonitis*
;
Ultrasonography*
7.Clinical Analysis of Diverticulosis of the Cecum and Ascending Colon.
Gyu Yeol KIM ; Chang Woo NAM ; Byung Kyun KO ; Hong Rae CHO ; Chan Jin PARK ; Dae Hwan CHOI
Journal of the Korean Society of Coloproctology 1998;14(3):595-604
BACKGROUND: Diverticulosis of the cecum and ascending colon is a rare disease in Western countries, it is more common in the Orient. Making the diagnosis preoperatively could be difficult, and the intraoperative assessment and decision of optimal treatments are difficult. METHODS: Therefore, we reviewed the patient's charts of diverticulosis of the cecum and ascending colon at our hospital from 1992 to 1997. RESULTS: During the past 5 years, a total of 53 cases of diverticulosis of the cecum and ascending colon had been treated at this hospital. Mean age was 41.8 years (range 20-70). The male to female ratio was 1.8 : 1. Frequent complaints were abdominal pain (46 cases, 86.8%), followed by diarrhea (5 cases, 9.3%), indigestion (4 cases, 7.5%), and bowel habits change (2 cases, 3.8%). Mean duration of illness was 3.5 days(range 24 hours~15 days). In non-surgical cases, diagnoses were established with barium enema, CT scan, or ultrasonography. The accuracy of these methods was 91%, 75%, and 25%. In surgical cases, the preoperative diagnoses were appendicitis(13 cases, 50.1%), diverticulitis (7 cases, 31.8%), and abscess (2 cases, 9.1%). Treatments of the cecum and ascending colon diverticulitis were conservative management (3 teases,58.5%) and surgical treatment (22 cases,41.5%). The operative procedures were right hemicolectomies (2 cases), ileocecal resections (2 cases), diverticulectomies (6 cases) and appendectomies only (11 cases). CONCLUSION: These results suggest that correct diagnosis of the diverticulitis of the cecum and ascending colon made before treatment is very important because correct assessment of diverticulitis intraoperatively is difacut. Liberal use of diagnostic modalities could facilitate to make correct diagnosis to set a proper plan for treatment.
Abdominal Pain
;
Abscess
;
Appendectomy
;
Barium
;
Cecum*
;
Colon, Ascending*
;
Diagnosis
;
Diarrhea
;
Diverticulitis
;
Diverticulum*
;
Dyspepsia
;
Enema
;
Female
;
Humans
;
Male
;
Rare Diseases
;
Surgical Procedures, Operative
;
Tomography, X-Ray Computed
;
Ultrasonography
8.Biliary Cystadenocarcinoma with Early Gallbladder Cancer: A Case Report.
Chang Woo NAM ; Gyu Yeol KIM ; Hong Rhae CHO ; Dae Hwa CHOI ; Byung Kyun KO
Korean Journal of Hepato-Biliary-Pancreatic Surgery 1999;3(2):191-195
The biliary cystadenocarcinomas are very rare malignant tumor. The etiology is unclear, this tumor may be develop from malignant transformation of begin cystadenoma. The tumor appears typically as a cystic mass which contains papillary projections or internal septations. Papillary projections are seen on the inner surface of the cyst which present numerous papillary protrusion typical to this rare tumor. Excessive mucin secretion produced by the tumor cells and its retention in the common bile duct may cause bile stasis leading to obstructive jaundice. Common presenting symptoms are abdominal fullness, pain, nausea, palpable mass and asymptomatic. The available diagnostic tools are CT and sonography, but histologic examination can be made diagnostic confirm. Surgical resection yields excellent results. We were experienced a cystadecarcinoma with early gallbladder cancer, then report with reference.
Bile
;
Common Bile Duct
;
Cystadenocarcinoma*
;
Cystadenoma
;
Gallbladder Neoplasms*
;
Gallbladder*
;
Jaundice, Obstructive
;
Mucins
;
Nausea
9.Infectious Mononucleosis in Children.
Woong Young MOON ; Sei Ho OH ; Tae Sung KO ; Young Seo PARK ; Hyung Nam MOON ; Chang Yee HONG ; Dae Won KIM
Journal of the Korean Pediatric Society 1994;37(6):822-831
We reviewed the clinical findings of infectious mononucleosis and performed Epstein-Barr virus (EBV) serologic antibody tests in infectious mononucleosis and healthy group. One groupwas 18 cases of children, diagnosed as infectious mononucleosis who had been admitted to the department of Pediatrics, Asan Medical Center for two years and eight months, from November, 1989 to June, 1992. Another group was 20 cases of healthy 5-year old children. @ES The results wereas follows: 1) The age distributions of 18 patients with infectious mononucleosis were as follows: nine patients were less than 5 year old and nine patients (50%)were older than 5 year old. 2) The hematologic findings revealed increased atypicallymphocytes in sixteen patients (88%), leukopenia in one patient (6%), thrombocytopenia in one patient (6%). In addition, we observed transient hepatitis in eight patients (44%) and jaundice in one patient (6%). 3) Hemophagocytic sydrome wasdeveloped in one patient who expired due to meningitis. 4) The heterophil antibody tests werepositive in two cases (11%) out of eighteen infectious mononucleosis patients. 5) EBV serologic antibody tests for IgM antibody to EBV-viral capsid antigen (VCA) in 18 patients were all positive, which implies primary infection. 6) EBV serologic antibody tests for IgG antibody to EBV-VCA and antibody to Epstein-Barr nuclear antigen (EBNA) in helathy 5-year old children were negative in 3 cases (15%) out of 20 cases each other, which suggests primary infection might occur afer five years of age. 7) Recently, more cases of clinically typical infectious mononucleosis are detected and the onset of EBV primary infection is becoming late in Korea, which is thought to be due to economic developments and improvements of environmental hygine. And we recommend EBV serologic antibody test for the confirmative diagnostic test of infectious mononucleosis.
Age Distribution
;
Capsid
;
Child*
;
Child, Preschool
;
Chungcheongnam-do
;
Diagnostic Tests, Routine
;
Hepatitis
;
Herpesvirus 4, Human
;
Humans
;
Immunoglobulin G
;
Immunoglobulin M
;
Infectious Mononucleosis*
;
Jaundice
;
Korea
;
Leukopenia
;
Meningitis
;
Pediatrics
;
Thrombocytopenia
10.Bioavailability of EVA-Coated Metallic Stents Implanted in the Rabbit Iliac Artery.
Sang Woo NAM ; Byung Hyun RHEE ; Jei Keon CHAE ; Eun Kyung KIM ; Chang Ho SONG ; Dong Hun LEE ; Gil Son KHANG ; Won Ho KIM ; Jae Ki KO
Korean Circulation Journal 2003;33(7):614-619
BACKGROUND AND OBJECTIVES: Coronary artery stenting actually shows a high efficacy in the treatment of coronary heart disease, but has the major limitation of restenosis. The ethylene-vinyl acetate copolymer (EVA), a biocompatible nondegradable copolymer, has been employed as a rate-controlling membrane in several drug delivery systems. Herein, the feasibility of an EVA-coated coronary stent was evaluated as a possible route for localized drug delivery. MATERIALS AND METHODS: A total of 15 rabbits were employed in this study. An uncoated stent was implanted into the non-diseased iliac artery in six rabbits, and an EVA-coated stent into a further nine. On the 30th day following the stent implantations, stented segments of the iliac arteries were removed for histological processing and morphometric analysis. RESULTS: The mean neointimal area of the uncoated and coated groups were 1.009 and 1.011 mm2 (p=0.56), respectively. No inflammatory cells were found in coated group. There were no apparent differences between the two groups. CONCLUSION: The results from this study have demonstrated that an EVA-coated coronary stent might be an appropriate method for the controlled-release of a drug.
Biological Availability*
;
Coronary Disease
;
Coronary Vessels
;
Drug Delivery Systems
;
Iliac Artery*
;
Membranes
;
Polyvinyls
;
Rabbits
;
Stents*