No abstract available.
Osteoma, Osteoid* ; Tetracycline*

No abstract available.
Intervertebral Disc* ; Prevalence* ; Spine*

9p Tetrasomy is rare chromosomal aberration that was described in approximately 30 previous patients in the world and this is the first described in Korea. Here we report a 3 month-old boy who was referred for genetic evaluation because of facial dysmorphism, such as wide fontanells, hypertelorism, bulbous nose, low set ears, cleft lip and palate. He had also psychomotor retardation and hypotonia. He was diagnosed as tetrasomy 9p syndrome by clinical feature and chromosomal study. Thereafter, increased growing of head size compared with body weight and height was observed and brain MRI shows hydrocephaly associated with remarkable hypertrophy of choroid plexus and mild Dandy Walker syndrome.
Body Weight ; Brain ; Choroid Plexus* ; Choroid* ; Chromosome Aberrations ; Cleft Lip ; Dandy-Walker Syndrome ; Ear ; Head ; Humans ; Hydrocephalus* ; Hypertelorism ; Hypertrophy* ; Infant ; Korea ; Magnetic Resonance Imaging ; Male ; Muscle Hypotonia ; Nose ; Palate ; Tetrasomy*

A cDNA of 1.1 kb comprising the gene encoding the peroxiredoxin of Toxoplasma gondii (TgPrx) has been cloned. The open reading frame of 591 bp was translated into a protein of 196 amino acids with a molecular mass of 25 kDa. Conserved 2 cysteine domains of Phe-Val-Cys-Pro and Glu-Val-Cys-Pro indicated TgPrx belonged to 2-Cys Prx families. TgPrx showed the highest homology with that of Arabidopsis thaliana by 53.9% followed by Entamoeba histolytica with 39.5% by the amino acid sequence alignment. Polyclonal antibody against recombinant TgPrx detected 25 kDa band in T. gondii without binding to host cell proteins. TgPrx was located in the cytoplasm of T. gondii extracellularly or intracellularly by immunofluorescence assay. The expression of TgPrx was increased as early as 30 min after the treatment with artemisinin in the intracellular stage, while no changes in those of host Prx I and TgSOD. This result implies that TgPrx may function as an antioxidant protecting the cell from the attack of reactive oxygen intermediates. It is also suggested that TgPrx is a possible target of chemotherapy.
Amino Acid Sequence ; Animals ; Antioxidants ; *Artemisinins ; Base Sequence ; *Cloning, Molecular ; Cysteine/metabolism ; Molecular Sequence Data ; Nucleic Acid Amplification Techniques ; Peroxidases/chemistry/*genetics/physiology ; Sesquiterpenes/pharmacology ; Support, Non-U.S. Gov't ; Toxoplasma/*enzymology

Castleman's disease (angiofollicular lymph node hyperplasia) is a large benign tumor. Most of the lesion are located in mediastinum, but some presents as an isolated retroperitoneal mass radiographically indistinguishable from retroperitoneal malignancy. We report a case of the hyaline-vascular variant of Castleman's disease presenting as a palpable abdominal mass.
Giant Lymph Node Hyperplasia* ; Lymph Nodes ; Mediastinum

PURPOSE: The radial forearm fasciocutaneous free flap is currently considered as the ideal free flap for reconstruction of mucosal and soft tissue defects of the palate. But the availability of stably attached oral and nasal mucosal lining is needed. In addition to this, for better operation field, operating convenience and esthetics, we planned a prelaminated radial forearm free flap. METHODS: A 64-year-old male patient was admitted due to a 4x4.5cm full through defect in the middle of the hard palate caused by peripheral T cell lymphoma with actinomycosis. In the first stage, the radial forearm flap was elevated, tailored to fit the hard palate defect, and then it positioned up-side down with split thickness skin graft. Two weeks later, the prelaminated radial forearm free flap was re-elevated and transferred to the palatal defect. One side covered with grafted skin was used to line the nasal cavity, and the other side(the cutaneous portion of the radial forearm flap) was used to line the oral cavity. RESULTS: The prelamination procedure was relatively easy and useful. The skin graft was well taken to the flap. After 2nd stage operation, the flap survived uneventfully. There was no prolapse of the inset flap into the oral cavity and the cutaneous portion of the flap was mucosalized. The procedure was very successful and the patient can enjoy normal rigid diet and speech. CONCLUSION: The use of prelaminated radial forearm free flap for hard palate reconstruction is an excellent method to restore oral function. Based upon the result of this case, microvascular free flap transfer with prelaminated procedure is a valid alternative to the prosthetic obturator for palatal defect that provides an improved quality of life. It should be considered as an integral component of head and neck cancer therapy and rehabilitation.
Actinomycosis ; Diet ; Esthetics ; Forearm ; Free Tissue Flaps ; Head and Neck Neoplasms ; Humans ; Lymphoma, T-Cell, Peripheral ; Male ; Middle Aged ; Mouth ; Nasal Cavity ; Palate ; Palate, Hard ; Prolapse ; Quality of Life ; Skin ; Transplants

PURPOSE: The purpose of the study was to evaluate the relationship between the location of bone signalabnormality and associated injury, as seen on MR, in patients with acute knee joint injury. MATERIALS AND METHODS: Thirty-six patients with acute knee injury and bone signal abnormalities on MR were included in this study. Thefemur and tibia were each divided into six compartments, namely the anteromedial, medial, posteromedial,anterolateral, lateral, and posterolateral ; these were obtained in each knee joint. We evaluated the location ofbone signal abnormality and the corresponding arthroscopic or operative findings of injury to ligaments andmenisci. Cases with signal abnormalities involving more than three compartments were excluded. RESULT: Bonesignal abnormalities were demonstrated in 51 compartments. Most(84%, 43/51) were noted in the lateral half of theknee joint, the most common location being the tibio- posterolateral compartment(13/51). The femoro-lateral(11/51) and tibio- anterolateral compartment(8/51) were the next most common locations. All cases(13/13)with bone signal abnormality in the tibio- posterolateral compartment had tears at the anterior cruciate ligament,while 9 of 11 cases(81%) with abnormality in the femoro- lateral compartment had tears at the anterior cruciateligament. Six of eight cases(75%) with signal abnormality in the tibio- anterolateral compartment had tears at theposterior cruciate ligament ; 31 of 43 cases (72%) with abnormality in the lateral half of the knee joint hadtears at the medial collateral ligament. Six of eight cases(75%) with signal abnormality in the medial half of theknee joint had tears at the medial meniscus, but no lateral meniscal tear was found. Among patients with signalabnormality in the lateral half of the knee joint, the tear was lateral meniscal in nine of 43 cases(21%) andmedial meniscal in six of 43(14%). CONCLUSION: The location of bone signal abnormality, as seen on knee MR, inpatients with acute knee joint injury could be an important finding suggesting associated injury.
Collateral Ligaments ; Humans ; Inpatients ; Joints ; Knee Injuries ; Knee Joint* ; Knee* ; Ligaments ; Magnetic Resonance Imaging* ; Menisci, Tibial ; Tibia

BACKGROUND AND OBJECTIVES: The supporting cells in the organ of Corti help to maintain the structural integrity of the organ, but it has been suggested that they also actively participate in regulating sound transduction. The existence of neural control was implied by the finding of efferent synapses in Deiters' cells, and the fact that the intracellular Ca2+ concentration was increased by the application of neurotransmitters, such as ATP (adenosine triphosphate) and Ach (acetylcholine), resulting in movement of the phalangeal processes of the Deiters' cells. This study investigated the effects of neurotransmitters on the ion channels in Deiters' cells. MATERIALS AND METHOD: Deiters' cells were isolated from guinea pig organs of Corti using collagenase and pipettes. Whole-cell patch clamps were performed under an inverted microscope and the current was measured with pClamp 8.0.2 software. RESULTS: The resting membrane potential was -21.1+/-3.5 mV. ATP (100 microM) treatment depolarized the potential to -3.1+/-1.1 mV, while the same concentration of Ach had no effect on the resting potential. In the voltage-clamping condition, the holding potential was 0 mV, and then a -80 mV pre-pulse was applied for 500 ms, followed by step pulses from -140 to +10 mV. Under these conditions, 10 microM ATP increased the inward current from -14.9+/-1.9 to -163.5+/-14.9 pA/pF at the maximal stimulus of -140 mV (n=4). In the current-voltage curve, the reversal potential was around -20 mV. Neither Ach nor carbachol induced current responses. The co-application of suramin (30 microM) and ATP (10 microM) suppressed the ATP-induced currents by 50%, and 30 microM of PPADS (pyridoxal-phosphate- 6-azophenyl-2, 4-disulphonic acid) inhibited the current almost to the level of the control. The purinoceptor-agonist, alpha, beta-meATP (alpha, beta-methylene adenosine triphosphate), 30 microM increased the inward current from -16.2+/-2.9 to -27.7+/-3.8 pA/pF, which was much smaller than the ATP-induced change. CONCLUSION: ATP-gated purinergic receptors may play an important role in regulating sound transduction by inducing an inward current and depolarizing the Deiters' cell membrane.
Adenosine ; Adenosine Triphosphate ; Animals ; Carbachol ; Cell Membrane ; Cochlea* ; Collagenases ; Guinea Pigs* ; Guinea* ; Ion Channels* ; Labyrinth Supporting Cells ; Membrane Potentials ; Neurotransmitter Agents* ; Organ of Corti ; Receptors, Purinergic ; Suramin ; Synapses

BACKGROUND AND OBJECTIVES: It has generally been accepted that closed reduction is the management of nasal fracture in children. But proper management is still confusing and clinical and radiological evaluation about long term results have yet to be determined. The purpose of this study is to determine which closed reduction method for nasal bone fractures in children is effective when considering clinical and radiological aspects. MATERIALS AND METHOD: We analysed the medical records of 35 children with nasal bone fractures up to the age of 15, who were operated by closed reduction between 2000 and 2002. We evaluated postoperative satisfaction of doctors and patients and postoperative CT scan score (Motomura et al 2001) of 14 children over more than at least 2 postoperative years. RESULTS: A peak incidence ages ranged from 13 to 15 years. The most frequent cause was sports injuries. The degree of postoperative satisfaction and postoperative CT scan score was favorable. CONCLUSION: In management of nasal fracture in children, closed reduction is effective and satisfactory when clinical and radiological aspects are considered.
Athletic Injuries ; Child* ; Humans ; Incidence ; Medical Records ; Nasal Bone* ; Tomography, X-Ray Computed

Carcinoma of the fallopian tube account for less than 1% of all cancers of the female genital tract. Central nerve system involvement by tubal cancer is considered an uncommon event. Attention should be paid to the possibility of distant metastasis associated the tubal carcinoma in order to treat these patients promptly. We have experienced one case of fallopian tube cancer with cerebellar metastasis and reported with brief review of literature.
Brain* ; Fallopian Tube Neoplasms ; Fallopian Tubes* ; Female ; Humans ; Neoplasm Metastasis*