1.Posterior sagittal anorectoplasty, Secondary procedure, Anorectal malformation.
Dong Soo PARK ; Jin Su PARK ; Soo Young YOO
Journal of the Korean Society of Coloproctology 1998;14(2):291-298
Eleven patients underwent posterior sagittal anorectoplasty(PSARP) as a secondary procedure. Two of them had rectovaginal fistula and another two had rectocutaneous fistula. Six of the rest complained of frequent fecal soiling and the last one had severe anorectal stricture after perineal anoplasty. Five patients had lived with colostomy until the second operations were carried out. The ages at the time of the secondary PSARP were between 7 months and 29 years. Distal colostogram and MRI were taken to evaluate distal colon, position of the rectum and voluntary muscle. All patients had normal sacrum except one who had anorectal stricture. Seven patients, six with fecal incontinence and the other one with rectovaginal fistula had mislocated anorectums. Three patients, two with rectocutaneous fistula, the other one with anorectal stricture, had abdominal approach to obtain enough length of colon for pull-through procedure. With the posterior midsagittal approach, we could manage all the problems, rectovaginal fistulas, rectocutaneous fistulas, strictures and malpositioned rectums, without difficulty. No patients had serious complications except wound infection in one. All patients were satisfied with the results after redo-PSARPs even though normal continence has been achieved in only one patient. Seven patients who had continuous soiling or rectocutaneous fistula, needed no more diapers even though four of them showed fecal staining under stressful condition and the other three showed intermittent fecal leaking less than once a day. The rest three of the patients maintained their continence with support of drugs and/or enemas because of constipation. The PSARP is a popular procedure as a primary operation; however, our results suggested that this procedure also gave us a good opportunity for management of serious complication developed after primary anoplasties.
Colon
;
Colostomy
;
Constipation
;
Constriction, Pathologic
;
Enema
;
Fecal Incontinence
;
Fistula
;
Humans
;
Magnetic Resonance Imaging
;
Muscle, Skeletal
;
Rectovaginal Fistula
;
Rectum
;
Sacrum
;
Soil
;
Wound Infection
2.Intracerebral Hemorrhage in Eclampsia : Two Cases Report.
Dong Yoon NAM ; Soo Jung YOO ; Jong In KIM
Korean Journal of Obstetrics and Gynecology 2000;43(9):1679-1683
No abstract available.
Cerebral Hemorrhage*
;
Eclampsia*
;
Female
;
Pregnancy
3.Changes of c-Fos Protein Expression in Rat Brain Neurons after Formalin Induced Pain.
Kyu Geun HWANG ; Myeong Dong SHIN ; Ki Soo YOO
Journal of the Korean Child Neurology Society 1999;7(1):29-41
PURPOSE: The effects of pain on brain is not well known. Also, differences between somatic and visceral pains have not been fully elucidated. This study was conducted to investigate changes in the expression of c-Fos protein after somatic and visceral pains were induced by formalin. METHODS: Male rats(n=65) were underwent one of three procedures : (i) Control group, rats were left undisturbed in their cages; (ii) Somatic pain group, rats were injected subcutaneously with 0.1 ml of 10% formalin in the plantar surface of right hindpaw; (iii) Visceral pain group, rats were administered with same amount of formalin, as described above, in the rectum. Rats were sacrificed at increasing times(30 minutes, 1 hour, 2 hours, 6 hours, 1 day, 3 days and 7 days) after noxious formalin stimuli to hindpaws and rectums. Rat brains were removed and sliced in rat brain matrix. Brain slices were coronal sectioned at interaural 5.70-6.70mm. Serial sections were immunohistochemically reacted with polyclonal c-Fos antibody. The numbers of c-Fos protein immunoreactive neurons in cingulate cortex, primary somatosensory area, and hippocampus were examined and analyzed statistically with Mann-Whitney U test. RESULTS: 1) The numbers of c-For protein immunoreactive neurons in cingulate cortex, primary somatosensory area and hippocampus peaked at 2 hours after somatic pain stimuli and reached almost normal conditions at 7 days. 2) The numbers of c-Fos protein immunoreactive neurons in cingulate cortex, primary somatosensory area and hippocampus peaked at 1 day after visceral pain stimuli and reached almost normal conditions at 7 days. 3) The numbers of c-Fos protein immunoreactive neurons of somatic pain groups were higher than that of visceral groups at all times and the difference of numbers peaked at 2 hours after pain stimuli. CONCLUSION: Reactions of somatic pain stimuli influenced more changable than visceral pain stimuli to brain. Conduction velocities of somatic pain were more faster than those of visceral pain. Higher numbers of c-Fos protein immunoreactive neurons were found in specific regions. These results provide some basic knowledge in understanding the mechanism and control of pain.
Animals
;
Brain*
;
Formaldehyde*
;
Gyrus Cinguli
;
Hippocampus
;
Humans
;
Male
;
Neurons*
;
Nociceptive Pain
;
Rats*
;
Rectum
;
Visceral Pain
4.Familial Absence of the Patella: A Report of three Members is a Family
Dong Hae KIM ; Kyung Soo YOO ; Kwang Myeung KIM
The Journal of the Korean Orthopaedic Association 1976;11(2):277-280
Bilateral absence of the patella as an isolated congenital abnormality is an extremly rare condition. Three members in a family were found to be afflicted with the condition. Clinical examination failed to reveal any stigmata of hereditary osteo-onychodysplasia.
Christianity
;
Congenital Abnormalities
;
Humans
;
Nail-Patella Syndrome
;
Patella
5.A Case of Atraumatic Aseptic Necrosis of Both Talus: A Case Report
Dong Hae KIM ; Hyun Gyu KIM ; Kyung Soo YOO
The Journal of the Korean Orthopaedic Association 1976;11(2):273-276
We report one case of aseptic necrosis of both talus which has developed without any evidence of previous trauma. Aseptic necrosis of the talus is known to occur after any trauma which result in iterruption the blood supply to talus. Atraumatic aseptic necrosis of talus is extremely rarre condition. Some cases of atraumatic aseptic necrosis of talus were repoted by some authers, in whom Garcia described the first case in 1928. Most of the reported atraumatic aseptic necrosis were due to long term steroid therapy for unrelated medical problems and others were related to Alcoholism, Sepsis and Tuber culosis. ln this case we think for it may be caused or contributed by steroid therapy.
Alcoholism
;
Necrosis
;
Sepsis
;
Talus
6.Leukemia Cutis in a Patient with Acute Lymphocytic Leukemia.
Soo Dong AHU ; Dong Woog YOO ; Hong Jig KIM ; Yong Whan KIM
Korean Journal of Dermatology 1982;20(5):783-788
Leukemia cutis, skin lesions in leukemia, are clinically divided into specific and nonspecific types. Specific skin lesions demonstrate malignant cell infiltrate when the biopsy is done. We have encountered a typical case of specific skin lesions of leukemia cutis associated with acute lymphocytic leukemia in a 18-year-old male patient. There were multiple, pinhead to rice sized, skin colored to lemon yellow colored, discrete papules on the face, neck and trunk. A review of the literature is presented with a brief discussion of this case.
Adolescent
;
Biopsy
;
Humans
;
Leukemia*
;
Male
;
Neck
;
Precursor Cell Lymphoblastic Leukemia-Lymphoma*
;
Skin
7.Clinical predictors of positive computed tomographic scan in headtrauma patient.
Soo Young KIM ; Dong Bae SIN ; Dong Soo LEE ; Ji Ho CHOI ; Tai Woo YOO ; Bong Yul HUH
Journal of the Korean Academy of Family Medicine 1992;13(7):565-573
No abstract available.
Humans
8.Comparative Study of Functional Magnetic Resonance Imaging by Global Scaling Analysis.
Journal of the Korean Society of Magnetic Resonance in Medicine 2006;10(1):26-31
PURPOSE: To evaluate the effect of global scaling analysis on brain activation for sensory and motor func-tional MR imaging study. MATERIALS AND METHODS: Four normal subjects without abnormal neurological history were included. Arm extension-flexion movement was used for motor function and 1 KHz pure tone stimulation was used for auditory function. Functional magnetic resonance imaging was performed at 3T MRI (GE, Milwaukee, USA) using BOLD-EPI technique and SPM2 was employed for data analysis. On data analysis, the brain activation images were obtained with and without global scaling by fixing other parameters such as motion correction and realignment. RESULTS: The difference in brain activation between no scaling and global scaling was not large in case of right upper extremity movement (p<0.000001). For auditory test, brain activation with global scaling showed larger activation than that of without global scaling (p<0.05). CONCLUSION: A caution must be taken into account when analyzing functional imaging data with global s-caling especially for functional study of small local BOLD signal change.
Arm
;
Brain
;
Magnetic Resonance Imaging*
;
Statistics as Topic
;
Upper Extremity
9.Pilomatricoma in the Eyelid: A Case Report.
Journal of the Korean Radiological Society 2005;53(6):407-410
The pilomatricoma (calcifying epithelioma of Malherbe) is a rare, benign, asymptomatic tumor arising from the hair follicular matrix cells. It is usually a solitary lesion and it is most commonly found on the face and upper extremities. This tumor can occur in patients of any age, but about 60% of pilomatricomas are found in those patients less than twenty years old. The radiologic features of this neoplasm have rarely been described in the literature; in particular, the CT findings of pilomatricoma originating from the eyelid have not been published in Korea. We report here on a case of pilomatricoma that occurred in 69-year-old female; she had a hard subcutaneous mass on her right eyelid with overlying bluish skin.
Aged
;
Carcinoma
;
Eyelids*
;
Female
;
Hair
;
Humans
;
Korea
;
Pilomatrixoma*
;
Skin
;
Upper Extremity
10.Cystic Periventricular Leukomalacia in the Neonate: Analysis of Sequential Sonographic Findings and Neurologic Outcomes.
Journal of the Korean Radiological Society 2003;49(1):57-62
PURPOSE: To analyse the sequential sonographic findings of cystic PVL and to evaluate relationship between sonographic grading of PVL and patterns of neurologic outcomes. MATERIALS AND METHODS: Authors have retrospectively analysed the sequential sonographic findings of 36 cases of PVL in the preterm neonates. Initial sonographic features done within 3 days of life were divided into 3 patterns such as normal, localized, and diffuse hyperechogenic flare. Grading of PVL confirmed by follow-up studies was classified as involvement of one lobe (grade 1), two lobes (grade 2) and more than extent of grade 2(grade 3). The relationship between sonographic grading of leukomalacia and later neurologic outcomes were also analysed. RESULTS: Initial sonographic patterns according to grading of PVL were normal pattern in seven of nine (77.8%) of grade 1, diffuse hyperechogenic flares in five of eight cases of grade 2 and in 13 of 16 cases of grade 3. There was a significant difference bewteen the grades and frequency of pattern of diffuse hyperechoic flare (p=0.021). Average detection timing of cystic PVL was 38.4+/-18.9 days in grade 1, 29.8+/-14 days in grade 2, and 19.1+/-5.6 days in grade 3 with a significant statistical difference between the detection time and grades (p=0.037). Cerebral palsy has occurred in 62.5% of grade 1 and 100% of grade 2 and grade 3 (p=0.043). Frequency of spastic quadriplegia was higher in grade 3 (76.5%) than in grade 1 (25%) and grade 2 (12.5%) (p=0.001). CONCLUSION: Most of grade 1 cystic PVL revealed normal pattern of white matter echogenicity in initial ultrasonography and needed follow up examination over one month period. Spastic quadriplegia occured mainly in patients with grade 3 cystic PVL.
Cerebral Palsy
;
Follow-Up Studies
;
Humans
;
Infant, Newborn
;
Infant, Newborn*
;
Leukomalacia, Periventricular*
;
Quadriplegia
;
Retrospective Studies
;
Ultrasonography*