Langerhans cell histiocytosis of the central nervous system (CNS) usually involves the hypothalamic-pituitary axis, and T1-weighted MR images normally demonstrate infundibular thickening and/or a mass lesion in the hypothalamus and the absence of a posterior pituitary "bright spot". We recently encountered a case of CNS Langerhans cell histiocytosis with no posterior pituitary "bright spot" and with lesions involving the cerebellum and basal ganglia but not the hypothalamic-pituitary axis.
Axis, Cervical Vertebra ; Basal Ganglia ; Central Nervous System* ; Cerebellum ; Histiocytosis ; Histiocytosis, Langerhans-Cell* ; Hypothalamus

OBJECTIVES: To evaluate undergraduate medical education in Korea, we investigated educators' satisfaction. Also analysis of the factors affecting educator satisfaction was intended. SUBJECTS: Of the entire educators(4,683 persons) of all medical schools, 585 persons were sampled systematically, based on the published list of medical educators. Of the sampled target, 275 persons(47.5%) responded. METHODS: We developed the questionnaire, asking educators' satisfaction on six categories of medical education in terms of educational input and process; educator, facilities and equipments, educational contents, educational method and skill, the evaluation of students, and the performance of students. The questionnaire were mailed to each educator and returned back for analysis. RESULTS: Overall satisfaction of educators was rather low. In particular, educators were more dissatisfied with avaliability of assistant personnel and general environment for education. As for the contents of medical education, they were more dissatisfied with the clinical training in bedside setting. Geographically, educators in the 'kangwon' and 'chungcheong' area had more discontent than others. Educators of private schools were more satisfied with the facilities than those of public ones. CONCLUSION: It is necessary to develop continuous program that evaluate and improve the quality of medical education. Among them the clerkship and general environment for education would be focused. Periodic assessment of educators' satisfaction would be a tool to ensure more concern for quality of medical education.
Education ; Education, Medical ; Education, Medical, Undergraduate ; Humans ; Korea ; Postal Service ; Schools, Medical*

Objectives: To evaluate undergraduate medical education in Korea, we aimed at the development of the students' satisfaction questionnaire. Also analysis of the factors affecting student satisfa ction was intended. Subjects: Total students of 33 medical schools in whole country were included as a target population. However, finally 5,452 students from 25 schools participated in the survey. Methods: We developed the questionnaire, asking student satisfaction for six categories of medical education in terms of educational input and process; educator, facility, educational environments. Each school administered questionnaire to their students, and responses with the angle of the distribution of the satisfaction and the factors affecting the satisfaction were analysed by the authors. Results: Overall satisfaction of students was not so high. The older the school, and the larger the students number, the higher the satisfaction level of the students. Students who live in the dormitory were more satisfied with medical education than those live alone. There was no significant correlation between satisfaction level and individual factors of the students such as sex, academic performance level, etc. Conclusion:It is necessary to develop continuous program that evaluate and improve the quality of medical education. Among them measurement in student satisfaction may be one of the useful.
Education, Medical* ; Education, Medical, Undergraduate ; Health Services Needs and Demand ; Humans ; Korea ; Schools, Medical ; Surveys and Questionnaires