1.Clinical Analysis of C.N.S. Cysticercosis.
Soo Ho CHO ; Choong Bae MOON ; Byung Yon CHOI
Yeungnam University Journal of Medicine 1984;1(1):25-34
During last 10 years we experienced 25 cases of C.N.S. cysticercosis. Now clinical analysis and evaluation of our cases were made and the results are followings; 1. Prevalence in man and women are nearly same and about 70% of cases are distributed between 20-50 years old. 2. According to Nieto's classification, mostly are ventricular (44%) and parenchymal type (36%). 3. Clinical manifestations were IICP (92%), focal neurological deficits (68%), seizure (48%), altered mental status (36%) and others listed on table 7. 4. In ventricular type, IICP and cerebellar dysfunction signs were predominated but seizure and focal neurological deficits were commonly seen in parenchymal type. 5. Subcutaneous cysticercus nodules were palpated in 32% of cases. 6. Positive stool ova was observed in 29% of cases. 7. Radiologic studies revealed as followings: 16% of cases showed abnormal findings on plain film, 84% on angiography, 94% on ventriculography and 100% on computed tomography and myelography. Computed tomography looks like most helpful diagnostic method for C.N.S. cysticercosis, they usually revealed lucent cystic lesion, hydrocephalic findings and contrast enhancement. 8. Suboccipital craniectomy, craniotomy with removal of parenchymal cyst or laminectomy were done according to location and types of lesion. 72% of operated cases revealed good results and mortality was 4% of cases.
Angiography
;
Cerebellar Diseases
;
Classification
;
Craniotomy
;
Cysticercosis*
;
Cysticercus
;
Female
;
Humans
;
Laminectomy
;
Methods
;
Mortality
;
Myelography
;
Ovum
;
Prevalence
;
Seizures
2.Pineocytoma.
Choong Bae MOON ; Byung Yearn CHOI ; Soo Ho CHO
Yeungnam University Journal of Medicine 1984;1(1):153-160
The management of pineal region tumor remains controversial. This paper reports a case of pineocytoma which was attempted to improve treatment planning by the use of clinical features, computerized tomography, and markers for germ-cell tumor. A presumptive diagnosis could be made and this tumor less likely to respond to radiotherapy was subjected to primary surgery.
Diagnosis
;
Pinealoma*
;
Radiotherapy
3.Extraosseous Extradural Cervical Tuberculoma.
Soo Ho CHO ; Byung Yearn CHOI ; Choong Bae MOON
Yeungnam University Journal of Medicine 1984;1(1):135-138
A 44-year-old female with cervical cord compression signs had myelographic and computerized tomographic evidence of extradural spinal cord compression without any tuberculous bony lesion or cold abscess. At surgery, cervical spinal cord was compressed by extraosseous extradural granulomatous tissue which was histologically proved a very rare localized extradural tuberculous granuloma.
Abscess
;
Adult
;
Cervical Cord
;
Female
;
Granuloma
;
Humans
;
Spinal Cord Compression
;
Tuberculoma*
4.Organized Expanding Spontaneous Intracerebral Hematoma.
Byung Yearn CHOI ; Choong Bae MOON ; Soo Ho CHO
Yeungnam University Journal of Medicine 1984;1(1):129-134
The authors report a case of massive spontaneous intracerebral hematoma in a infant, caused by bleeding from cryptic vascular malformation associated with vitamin K dependant factor deficiency. The bleeding was initiated by vitamin K dependant factor deficiency, then 3 weeks later hematoma was expanded by rebleeding from malformed vessel after PT and PTT had been returned to normal values. The well circumscribed organized old hematoma with fresh expanded bleeding component within a huge rusty colored cystic fluid cavity was recognized in operative field and pathological ground.
Hematoma*
;
Hemorrhage
;
Humans
;
Infant
;
Reference Values
;
Vascular Malformations
;
Vitamin K
5.A BRW Stereotaxic Biopsy of Brain Stem Glioma.
Seung Chan BEAK ; Byung Yon CHOI ; Choong Bae MOON ; Yong Chul CHI ; Soo Ho CHO
Yeungnam University Journal of Medicine 1986;3(1):343-349
Histopathological diagnosis of brain stem glioma should be performed for the purpose of the determination of its management and clinical course, but its surgical biopsy has been followed by high mortality and morbidity. We performed the tissue sampling for histological examination with BRW stereotaxic system under local anesthesia successfully.
Anesthesia, Local
;
Biopsy*
;
Brain Stem*
;
Brain*
;
Diagnosis
;
Glioma*
;
Mortality
6.The Evaluation of Position of Interventricular Septum Measured by Transitional Zone of EKG.
Young Koo JEE ; Keun Joong KIM ; Shin Bae JOO ; Moon Sung JUNG ; Won PARK ; Un Soo MOON ; Hong Soon LEE ; Hak Choong LEE
Korean Circulation Journal 1990;20(4):763-767
The position of interventricular septum, which was measured by transitional zone of EKG, was compared with that measured by 2-D echocardiography in 51 patient. 1) The position of interventricular septum measured by 2-D echocardiography was very similar to that measured by transitional zone of EKG. 2) Extensive AMI (Anterior Myocardial Infarction) and LBBB showed moderate differences between two method. 3) RBBB and replaced mitral valve state showed severe differences between two methods. Transitional zone of EKG was helpful to define the position of interventricular septum except extensive AMI, bundle branch block and replaced mitral valve state.
Bundle-Branch Block
;
Echocardiography
;
Electrocardiography*
;
Humans
;
Mitral Valve
7.A Study of Influencing Factors of Intracranial Pressure and Prognosis with Continuous Intracranial Pressure Monitoring in Severe Inreacranial Lesions.
Sam Kyu KO ; Jowa Hyuk IHM ; Yong Cheol CHOI ; Choong Bae MOON ; Byung Yearn CHOI ; Soo Ho CHO
Journal of Korean Neurosurgical Society 1987;16(2):411-424
The cranium can be thought of a as shallow, rigid sphere of contrast volume. There are three main components within the intracranial space : brain, cerebrospinal fluid and blood. Intracranial volume and pressure are maintained constantly by Monroe-Kellie doctrine. Also intracranial pressure is influenced by a number of physiologic factors and it will be changed with intracranial lesion. Now we were look for the possible factors that influence the intracranial pressure with continuous intracranial pressure monitoring. At the same time we studied the possibility of the relationship between factors that influence ICP and ADL(Ability of Daily Life) in 43 severe brain lesions(33 cases ; intracerebral hematoma, 10 cases ; head injury). In cases of higher GCS, smaller hematoma, lower amplitude of ICP, lesser frequency of A-wave and lower elastance, the ICP were lowed. Ninety percent of cases that GCS is over 12 was belong to ADL I and II, but only nineteen percent of cases that GCS is under 7 was belong to ADL I and II. No case of internal capsule involved group was belong to ADL I but forty-eight percent of cases whose hematoma volume is under 10ml was belong to ADL I. Fifty percent of cases whose hematoma volume is under 10ml was belong to ADL I and no case that hematoma volume is over 20ml was belong to ADL I. Cases that PCO2 is in the range of 25mmHg-29mmHg were not belong to ADL I. In cases of higher amplitude of ICP, higher frequency of A-wave and higher elastance, the patient's ADL was grave. And in cases of ICP was progressively increased, the prognosis was also grave. Consequently we are able to guess that patient's prognosis will be influenced by initial GCS, internal capsule involvement, hematoma volume, PCO2, amplitude of ICP, frequency of A-Wave, brain elastance and curve of ICP.
Activities of Daily Living
;
Brain
;
Cerebrospinal Fluid
;
Head
;
Hematoma
;
Internal Capsule
;
Intracranial Pressure*
;
Prognosis*
;
Skull
8.Cardiorespiratory Responses of Pilots to Maximal Exercise Loading.
Choong Hwan KWAK ; Jae Hoon BAE ; Tae Hyung MIN ; Hi Myung PARK ; Yoo Jin KIM ; Yoo Young KIM ; Yoo Moon KIM ; Jong Suk KIM
Korean Circulation Journal 1994;24(1):99-104
BACKGROUND: To provide some fundamental physiological basis for the physical training of pilots to improve orthostatic intolerance, cardiorespiratory responses to the symptom-limited maximal exercise loading were studied in pilots and non-pilots, and the results were compared. METHOD: Cardiorespiratory reponses to the symptom-limited maximal exercise loading by Bruce protocol was studied in 11 pilots and 11 matched controls (non-pilots). RESULTS: Comparisons of various data at maximal exercise in the pilots with those in the controls revealed that RR, VE/M2, VE/VO2, VE/VCO2, VT/VC and VE/MVV as well as HR, VO2, O2 pulse and AT showed no significant difference. CONCLUSION: The fact that the aerobic power in the pilots is not superior to that in the controls seems to emphasisze the necessity of aerobic endurance training along with muscular strength training to improve orthostatic tolerance of pilots flying modern high-performance aircrafts.
Aircraft
;
Diptera
;
Orthostatic Intolerance
;
Resistance Training
9.Signal Averaged Electrocardiography Using Holter Tape in Patients without Heart Disease.
Soon Chul BAE ; Seok Jun MOON ; Jae Goo KWON ; Duk Whan JANG ; Chang Won LEE ; Hong Soon LEE ; Soo Woong YOO ; Moo Yong RHEE ; Hak Choong LEE
Korean Circulation Journal 1997;27(1):42-48
BACKGROUND: Ventrlcular tachyarrhythmias are major cause of sudden cardiac death in patients after myocardial infarction and their accurate detection seems to be important in prevention of sudden cardiac death. Clinical findings, treasmill test, holter monitoring and coronary angiography have been used to search for high risk group in sudden cardiac death. Recently electrographysiologic stimulation has been to this, but it is not practical, because of high cost and invasiveness. Signal averaged electrocardiogram(SAECG) may be helpful in prediction of high risk group in sudden cardiac death. So we try to know the values of SAECG in Korean patients without heart disease. RESULTS: 1) The mean value and standard deviation of Time domain analysis is as follows ; fQRS : 106.8+/-12.3ms, RMS : 36.2+/-21.5(micro)V, LAS : 27.2+/-8.1ms. 2) The mean value and standard deviation of Spectral turbulence analysis is a follows ; LSCR : 58.6+/-3.9, ISCM : 95.2+/-0.8, ISCSD : 71.8+/-15.7, SE : 6.9+/-1.8. CONCLUSION: There was no significant difference between male and female. Time domain analysis shows significant differences among each hour but spectral turbulence analysis did not. Spectral turbulence analysis shows high specificity.
Coronary Angiography
;
Death, Sudden, Cardiac
;
Electrocardiography*
;
Electrocardiography, Ambulatory
;
Female
;
Heart Diseases*
;
Heart*
;
Humans
;
Male
;
Myocardial Infarction
;
Sensitivity and Specificity
;
Tachycardia
10.Roles of BRW CT Stereotaxic in Less Accessible Brain Lesions.
Jowa Hyuk IHM ; Yong Chul CHI ; Byung Yeran CHOI ; Choong Bae MOON ; Soo Ho CHO
Journal of Korean Neurosurgical Society 1986;15(4):635-650
With improvement of computerized tomography(CT), stereotaxic surgery has been applied for neurosurgery ; aspiration of deep-seated brain lesions, radiotherapy using a small radiogenic sources, and evacuation of hematoma. And so, a prototype Brown-Roberts-Wells(BRW) CT stereotaxic system has been avaible to us. We report its utilization in evaluation and management of less accessible brain lesions. Surgical exploration was undertaken in 25 patients with various less accessible brain lesions using BRW system : 9 superficial lesions including the motor cortex and multiple lesions, 5 deep-seated lesions, 3 parasellar lesions, 8 brain stem lesions. Histologically, there are 5 gliomas, 4 metastatic cancers, 8 hematomas, 3 brain abscesses, 1 medulloblastoma, 1 malignant melanoma, 1 cryptic AVM, and 2 undiagnosed cases. There are two complications : 1 intratumoral bleeing, 1 rebleeding. The diagnostic rate is 92%. There is no mortality in this series. This BRW CT-guidance stereotaxic approach for less accessible lesions have following advantages ; 1) accurate, simple and safe ; 2) performed under local anesthesia ; 3) less traumatic and low cost ; 4) easily diagnosed ; 5) relatively no limitation in lesion sites.
Anesthesia, Local
;
Brain Abscess
;
Brain Stem
;
Brain*
;
Glioma
;
Hematoma
;
Humans
;
Medulloblastoma
;
Melanoma
;
Mortality
;
Motor Cortex
;
Neurosurgery
;
Radiotherapy