1.A Clinical Study of Dupuytren's Contracture.
Joon Min SONG ; Dong Wook KIM ; Hee KWON ; Jong Seok PARK ; Soo Kyoon RAH
The Journal of the Korean Orthopaedic Association 1997;32(4):788-795
Dupuytren's contracture is characterized by a proliferative fibroplasia and contracture of the palmar fascia with resultant deformity of hand and finger. It is most common in those of Scandinavian and Celtic origin but it is very rare in the orientals. We experienced 30 hands of 21 patients from January 1985 to December 1995 in Soonchunhyang University Hospital. Among 21 patients, operative treatment was done in 28 hands of 19 patients. Partial fasciectomy was done in 24 hands and complete fasciectomy was done in 4 hands. The longitudinal straight skin incision was done in 14 cases and the transverse or Zig-Zag incision was done in 12 cases. Average follow-up period was 24 months. The results of the operative treatment were classified by Honner's classification. Excellent result was obtained in 16 cases (57%), good in 8 (29%), fair in 3 (11%), poor in 1 (3%). The complications were 5 cases as follows; recurrence 2, skin defect 1, hypoesthesia 2. In conclusion, partial fasciectomy utilizing longitudinal straight incisions overlying diseased area is suggested as one of the good method for the treatment of Dupuytren s contracture.
Classification
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Congenital Abnormalities
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Contracture
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Dupuytren Contracture*
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Fascia
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Fingers
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Follow-Up Studies
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Hand
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Humans
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Hypesthesia
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Recurrence
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Skin
2.A clinical study on neck dissection in cases of head and neck cancer.
Hyuk Dong PARK ; Yoon Sang SHIM ; Kyung Kyoon OH ; Yong Sik LEE
Korean Journal of Otolaryngology - Head and Neck Surgery 1993;36(2):234-242
No abstract available.
Head and Neck Neoplasms*
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Head*
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Neck Dissection*
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Neck*
3.Right Anterior Thalamic Infarction Presenting Only with Cognitive Dysfunction.
Sun Ah PARK ; Dong Chul PARK ; Yeon Wook KANG ; Kyoon HUH
Journal of the Korean Neurological Association 1999;17(6):869-873
A 60 year-old right-handed man developed a sudden inability to find his way home from work. Neurologic examina-tions revealed no focal neurological deficit. Neuropsychological tests showed a memory deficit especially in the visu-ospatial domain along with visuospatial and frontal-executive dysfunction. A brain MRI revealed a small but discrete lesion in the right thalamus. The majority of the lesion was confined to the dorsomedial nucleus. These results suggest that a small unilateral thalamic infarction affecting the anterior area may be sufficient to produce "strategic-infarct dementia" without focal neurological deficit.
Brain
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Dementia
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Humans
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Infarction*
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Magnetic Resonance Imaging
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Mediodorsal Thalamic Nucleus
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Memory
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Memory Disorders
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Middle Aged
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Neuropsychological Tests
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Thalamus
4.Right Anterior Thalamic Infarction Presenting Only with Cognitive Dysfunction.
Sun Ah PARK ; Dong Chul PARK ; Yeon Wook KANG ; Kyoon HUH
Journal of the Korean Neurological Association 1999;17(6):869-873
A 60 year-old right-handed man developed a sudden inability to find his way home from work. Neurologic examina-tions revealed no focal neurological deficit. Neuropsychological tests showed a memory deficit especially in the visu-ospatial domain along with visuospatial and frontal-executive dysfunction. A brain MRI revealed a small but discrete lesion in the right thalamus. The majority of the lesion was confined to the dorsomedial nucleus. These results suggest that a small unilateral thalamic infarction affecting the anterior area may be sufficient to produce "strategic-infarct dementia" without focal neurological deficit.
Brain
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Dementia
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Humans
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Infarction*
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Magnetic Resonance Imaging
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Mediodorsal Thalamic Nucleus
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Memory
;
Memory Disorders
;
Middle Aged
;
Neuropsychological Tests
;
Thalamus
5.Adjustable pulmonary artery banding device.
Hae Kyoon KIM ; Doo Yun LEE ; Dong Kwan KIM ; Kyo Jun LEE ; Jae Hi PARK ; Gyoung Mo GOO
The Korean Journal of Thoracic and Cardiovascular Surgery 1993;26(2):71-74
No abstract available.
Pulmonary Artery*
6.A clinical experience on partial laryngectomy.
Youn Sang SHIM ; Kyung Kyoon OH ; Yong Sik LEE ; Moo Jin CHOO ; Hyuk Dong PARK ; Gi Hwan KIM
Korean Journal of Otolaryngology - Head and Neck Surgery 1991;34(3):576-581
No abstract available.
Laryngectomy*
7.A Clinical Study about the Risk Factors of the Neonatal Clavicular Fracture.
Kyu Hee PARK ; Dong Yeung KIM ; Mun Yeung CHA ; Jeong Sik SEO ; Tae Hwan YOO ; Yong Kyoon CHO ; Hoon CHOI ; Bok Rin KIM ; Hong Kyoon LEE
Korean Journal of Obstetrics and Gynecology 1997;40(12):2848-2852
No abstract available.
Risk Factors*
8.Initial Transient Neurologic Recovery Followed by Delayed Deterioration of Osmotic Demyelination Syndrome: A Case Report.
Hee Sig MUN ; Myong Ho LEE ; Kyung Hwan MIN ; Sang Woong HAN ; Woo Kyoon RHO ; Geun Tae PARK ; Dong Woo PARK ; Young Joo LEE ; Ho Jung KIM
Korean Journal of Nephrology 1998;17(4):614-618
In literatures, most of the studies of severe hyponatremia during or following its treatment has been concentrated with special references to the rate of correction and its neurologic outcomes. But, there is relatively few ones analyzing the diverse clinical manifestations of neurologic symptorns or complications during the course of treating severe hyponatremia. We experienced a catastrophic course related to hyponatremia in a 51 year woman with severe rheumatoid arthritis, who underwent knee joint replacement, and this case revealed the initial transient neurologic recovery for 3 days by the initial rapid correction of hyponatremia, then followed by delayed deterioration of osmotic demyelination syndrome leading to locked-in syndrome. Reported cases with similar clinical course (biphasic course) in the world lituratures were reviewed with special interests in the initial maximum rate of correction of hyponatremia and radiologic findings. This review suggests that clinicians treating the patients with severe symptomatic hyponatremia should be aware of the possibility of delayed neurologic sequelae despite the recovery of neurologic status as well as the degree of hyponatremia in the early treatment course of hyponatremia.
Arthritis, Rheumatoid
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Demyelinating Diseases*
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Female
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Humans
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Hyponatremia
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Knee Joint
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Quadriplegia
9.CT diagnosis of adrenal disease
Yaung Hee PARK ; Dong Ho LEE ; Kee Hyun CHANG ; Jae Hyung PARK ; Man Chung HAN ; Hun Ki MIN ; Chul Kyoon YANG
Journal of the Korean Radiological Society 1982;18(4):828-838
The CT findings of the adrenal disease in a total of 52 patients were analysed. 39 patients of them wereverified at operation and composed of 22 patients of Cushing's syndrome, 11 patients of pheochromocytoma, 6patients of aldosteronism. The remainder was finally diagnosed on the basis of compelling clinical and biochemical evidence. Aldosteronoma is very small (all under 3cm), round or oval mass with homogeneous low density, but pheochromocytoma is relatively large mass (all beyond 3cm) with heterogeneous or isodense comparing to pancreaticdensity. Size and density of Cushing's adenoma has transitional character between aldosteronoma andpheochromocytoma. Overall diagnostic accuracy, sensitivity and specificity of CT in adrenal tumor/adrenal diseaseare 96.2%/87%. 96.4%/78.9% and 95.7%/97.7% respectively. The relative low sensitivity of adrenal disease(78.9%) isdue to inclusion of normal sized bilateral hyperplasia. Of 28 adrenal tumors, 27 were correctly diagnosed by CT,and there were one false positive and one false negative diagnosis. CT is a highly accurate non-invasive method inlocalization of adrenal tumors and differentiation of the tumors from hyperplasia.
Adenoma
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Cushing Syndrome
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Diagnosis
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Humans
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Hyperaldosteronism
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Hyperplasia
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Methods
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Pheochromocytoma
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Sensitivity and Specificity
10.A Case of Tracheal Lipoma.
Dong Gun LEE ; Hyun Seoung LEE ; Seok Chan KIM ; Hui Jung KIM ; So Hyang SONG ; Young Kyoon KIM ; Sung Hak PARK
Korean Journal of Medicine 1997;53(1):117-120
Primary tracheal tumors, especially lipoma, are very rare. Symptoms of tracheal tumor mimic common upper airway diseases. It is important that they may initially be misdiagnosi4 to bronchial asthma, chronic bronchitis, resulting in a delay in diagnosis. We report a case of tracheal lipoma who was found 6 months after first noticing symptoms including dyspnea, foreign body sensation, successfully removed by bronchoscopic polypectomy.
Asthma
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Bronchitis, Chronic
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Diagnosis
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Dyspnea
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Foreign Bodies
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Lipoma*
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Sensation
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Trachea