No abstract available.
Pyloric Stenosis, Hypertrophic*

No abstract available.
Adhesives*

No abstract available.
Colon, Descending* ; Leiomyosarcoma*

The intracranial arachnoid cysts are benign lesions in nature which thin walled cysts lying in relation to or enclosed by the subarachnoid space, filled with clear fluid. They may be due to developmental defects of the brain or meninges and secondary to inflammation, vascular occlusion or trauma but etiology of a large percentage is not well understood. In general, locations are near primary fissure and cisterns of the cerebral cortex and cerebellum. The clinical features and courses are unusual. Preoperative diagnosis is unlikely to be made but treatment is followed by good result. We had experienced two cases of intracranial arachnoid cysts which occurs in middle cranial fossa, and cerebral hemisphere. Pathologic diagnosis are arachnoid cysts.
Arachnoid Cysts* ; Brain ; Cerebellum ; Cerebral Cortex ; Cerebrum ; Cranial Fossa, Middle ; Deception ; Diagnosis ; Inflammation ; Meninges ; Subarachnoid Space

Of the many potential source of free radial generation, the enzyme xanthine oxidase has been shown to be important in ischemia in non-cerebral tissues. Oxygen-derived free radicals have been implicated in various pathological conditions including ischemia. Xanthine oxidase serve as a source of oxidizing agents such as superoxide radical and hydrogen peroxide. It is investigated that the effect of a specific xanthine oxidase inhibitor, allopurinol, on infarct size in a model of continuous partial cerebral ischemia in rats. Infarct volume was measured by triphenyl tetrazolium chloride staining of brains removed 24 hours after middle cerebral arterial occlusion. Cortical tissue was more effectively protected than basal tissue, especially in allopurinol pretreated group. On histological examinations, hemispheric swelling, PMN cell infiltration and endothelial damage were noted irrespective of allopurinol treatment. It was speculated that free radicals are important in infarction secondary to partial continuous cerebral ischemia and that xanthine oxidase may by the primary source of these radicals.
Allopurinol* ; Animals ; Brain Infarction* ; Brain Ischemia ; Brain* ; Free Radicals ; Hydrogen Peroxide ; Infarction ; Infarction, Middle Cerebral Artery* ; Ischemia ; Middle Cerebral Artery* ; Oxidants ; Rats ; Superoxides ; Xanthine Oxidase

Vascular lesions involving the upper extremities have been treated by different route of upper thoracic sympathectomy with varying success. More recently, the anatomic and physiologic interest for autonomic nervous system has been progressively mounted but the surgical attack has plateau. It may be worthy for academic interest and clinical practice to estimate and to compare with the different surgical method. This paper concerns the treatment of a case suffering from atherosclerotic occlusion whom were treated by upper thoracic sympathetic ganglionectomy through the transaxillary transpleural route. This operation seems to be simpler than other surgical methods with lower morbidity, fewer complication and satisfying results.
Autonomic Nervous System ; Ganglionectomy ; Sympathectomy* ; Upper Extremity

PURPOSE: The purpose of this study was to evaluate the radiological and clinical results of modified scarf osteotomy for hallux valgus with lesser metatarsalgia. MATERIALS AND METHODS: Total 19 patients (24 feet) were reviewed by medical records and radiographs. All patients were female and the mean age at the time of operation was 46.4 years. The mean follow-up time was 14.8 months. We modified original scarf osteotomy by adding the procedure of closing wedge osteotomy at the medial side of distal fragment for achieving of the supination of the first metatarsal head. Additionally, Akin osteotomy of the first proximal phalanx was done in 16 patients (20 feet) and no lesser metatarsal operation was done. First-second intermetatarsal, hallux valgus and distal metatarsal articular angles were analyzed radiologically before and after the operation. And 3-dimensional CT was used to evaluate the supination of the first metatarsal head. Clinical results were assessed by American Orthopaedic Foot and Ankle Society (AOFAS) score and persistence of lesser metatarsalgia. RESULTS: First-second intermetatarsal and hallux valgus angles were reduced from the mean pre-operative values of 14.2degrees and 32.5degrees to 8degrees and 12.5degrees, respectively, 12 months after the operation. And the supination of the first metatarsal head was confirmed by 3-dimensional CT. The mean AOFAS score improved from 41.4 points pre-operatively to 87.2 points at follow-up. Lesser metatarsalgia still remained in 2 patients (2 feet). CONCLUSION: Modified scarf osteotomy would be an effective surgical procedure, especially, for achieving downward displacement and supination of the first metatarsal head in hallux valgus with lesser metatarsalgia.
Animals ; Ankle ; Displacement (Psychology) ; Female ; Follow-Up Studies ; Foot ; Hallux ; Hallux Valgus ; Head ; Humans ; Medical Records ; Metatarsal Bones ; Metatarsalgia ; Osteotomy ; Supination

Cerebral cysticercosis, is unfortunately, a frequent disease in Korea. Cysticercosis in man is exclusively due to the development of Taenia solium larvae, called Cysticercus cellulosae, which is a frequent parasite in the pig. The clinical symptoms which are varied and similar to those of any other tumor of the brain, are depent on the location, number of parasite, intensity of infestation and susceptibility of the host. The headache, vertigo, nausea and vomiting, appearing periodically, and chiefly after a rapid change in the position of the head, were indicative of a cysticercus lying free in the fourth ventricle. We have recently experienced a case of cerebral cysticercosis which involved the 4th ventricle. A forty-year-old man was aditted to the Department of Neurosurgery, College of Medicine, Korea University in June, 1978 because of severe headache, repeated vomiting and diplopia which progressed gradually for two months previous to admission. On admission, there were no specific localizing and lateralizing neurological abnormalities except for signs of mild cerebellar dysfunction and signs of increased intracranial pressure accompanying with bilateral optic papilledema. Conray ventriculogram disclosed the dilation of proximal portion of the 4 th ventricle and smoothly rounded central filling defect of the 4 th ventricle. Brain C-T Scan demonstrated the marked dilation of 4 th ventricle in found shape without evidence of midline shift or compression. This enlarged 4 th ventricle with water density was shown no evidence of the contrast enhancement. Suboccipital craniectomy was performed and a cystic mass was removed from the fourth ventricle. Pathological diagnosis of the specimen was cysticercosis. Following surgery, the patient's symptoms cleared up and neurological deficits and papilledema improved gradually.
Brain ; Cerebellar Diseases ; Cysticercosis* ; Cysticercus ; Deception ; Diagnosis ; Diplopia ; Fourth Ventricle ; Head ; Headache ; Intracranial Pressure ; Korea ; Larva ; Nausea ; Neurosurgery ; Papilledema ; Parasites ; Taenia solium ; Vertigo ; Vomiting ; Water

We have recently experienced a case of intramedullary ependymoma in the upper thoracic spinal cord. A 46 years old man was admitted to our Department of Neurosurgery because of spastic paraplegia and disturbance of urination since 6 years ago when the disability developed rather abruptly. Myelogram showed a subtotal block of the dye column at the level of T-3 intervertebral space about where a fusiform enlargement of the cord was shadowed. Opening the duramater after total laminectomy performd through C7 to T3, a markedly swallen and enlarged spinal cord was under a great pressure. Spinal cord was paper thin and fully filled with a massive tumor inside of it. The intrameduallary tumor was mushroomed out on dorsal myelotomy. Histological study was verified to be ependymoma. The patient has not shown any improvement of neurological deficits in postoperative period.
Agaricales ; Ependymoma* ; Humans ; Laminectomy ; Middle Aged ; Neurosurgery ; Paraplegia ; Postoperative Period ; Spinal Cord* ; Urination

A 35-year-old male patient with hydrocephalus due to spontaneous subarachnoid hemorrhage secondary to brain tumor were treated with ventriculo-peritoneal shunt. Subsequently an unusual liver abscess developed at right lobe of liver which was drained successfully through the percutaneous puncture method. The liver abscess and ventriculitis was controlled with systemic, intrathecal and intraventricular antibiotics administrations. The authors have never seen a report of liver abscess after the ventriculoperitoneal shunt. The computed tomographic findings, managements of infection and a review of the literature is presented.
Adult ; Anti-Bacterial Agents ; Brain Neoplasms ; Humans ; Hydrocephalus ; Klebsiella oxytoca ; Liver Abscess* ; Liver* ; Male ; Punctures ; Subarachnoid Hemorrhage ; Ventriculoperitoneal Shunt