1.A Case of Primary Intracranial Malignant Melanoma.
Jae Min PAIK ; Gi Hwan CHOI ; Jae Bok PARK
Journal of Korean Neurosurgical Society 1991;20(10-11):930-936
The primary malignant melanoma arising in the leptomeninges of the central nervous system is extremely rare. We report a case of malignant melanoma, apparently thought to be originated from leptomeninges, with diffuse neoplastic process widely spreaded over the leptomeninges of 42 years old man, who had suffered severe headache, nausea and left hemiparesis. This patient is free of the symptoms for six months after operation. The literature on this subject is briefly reviewed.
Adult
;
Central Nervous System
;
Headache
;
Humans
;
Melanoma*
;
Nausea
;
Paresis
2.Selective termination in multiple pregnancy guided by transvaginal sonography.
Eung Gi MIN ; Seung Jae LEE ; Sung Il ROH ; Jong Min PARK ; Jong Young JUN
Korean Journal of Obstetrics and Gynecology 1993;36(3):312-320
No abstract available.
Female
;
Pregnancy
;
Pregnancy, Multiple*
3.Efficacy of tonsillectomy and adenoidectomy in snoring of children.
Yang Gi MIN ; Myung Koo KANG ; Hyun Min PARK ; Moo Jin CHOO
Korean Journal of Otolaryngology - Head and Neck Surgery 1993;36(2):199-203
No abstract available.
Adenoidectomy*
;
Child*
;
Humans
;
Snoring*
;
Tonsillectomy*
4.Dexmedetomidine Use in Patients with 33degrees C Targeted Temperature Management: Focus on Bradycardia as an Adverse Effect.
Hyo Yeon SEO ; Byoung Joon OH ; Eun Jung PARK ; Young Gi MIN ; Sang Cheon CHOI
Korean Journal of Critical Care Medicine 2015;30(4):272-279
BACKGROUND: This study aimed to investigate bradycardia as an adverse effect after administration of dexmedetomidine during 33degrees C target temperature management. METHODS: A retrospective study was conducted on patients who underwent 33degrees C target temperature management in the emergency department during a 49-month study period. We collected data including age, sex, weight, diagnosis, bradycardia occurrence, target temperature management duration, sedative drug, and several clinical and laboratory results. We conducted logistic regression for an analysis of factors associated with bradycardia. RESULTS: A total of 68 patients were selected. Among them, 39 (57.4%) showed bradycardia, and 56 (82.4%) were treated with dexmedetomidine. The odds ratio for bradycardia in the carbon monoxide poisoning group compared to the cardiac arrest group and in patients with higher body weight were 7.448 (95% confidence interval [CI] 1.834-30.244, p = 0.005) and 1.058 (95% CI 1.002-1.123, p = 0.044), respectively. In the bradycardia with dexmedetomidine group, the infusion rate of dexmedetomidine was 0.41 +/- 0.15 microg/kg/h. Decisions of charged doctor's were 1) slowing infusion rate and 2) stopping infusion or administering atropine for bradycardia. No cases required cardiac pacing or worsened to asystole. CONCLUSIONS: Despite the frequent occurrence of bradycardia after administration of dexmedetomidine during 33degrees C target temperature management, bradycardia was completely recovered after reducing infusion rate or stopping infusion. However, reducing the infusion rate of dexmedetomidine lower than the standard maintenance dose could be necessary to prevent bradycardia from developing in patients with higher body weight or carbon monoxide poisoning during 33degrees C targeted temperature management.
Atropine
;
Body Weight
;
Bradycardia*
;
Carbon Monoxide Poisoning
;
Dexmedetomidine*
;
Diagnosis
;
Emergency Service, Hospital
;
Heart Arrest
;
Humans
;
Hypothermia, Induced
;
Logistic Models
;
Odds Ratio
;
Retrospective Studies
5.A Case of Aplastic Anemia Following Hepattitis.
Jung Sik MIN ; Il Whan KIM ; Yun Ju JUNG ; Hyun Gi JUNG ; Jae Sun PARK
Journal of the Korean Pediatric Society 1985;28(3):293-296
No abstract available.
Anemia, Aplastic*
6.Diagnosis of Budd-Chiari Syndrome by Measuring the Diameter of Azygos-hemiazygos Vein on CT.
Moon Gyu LEE ; Yong Ho AUH ; Cheol Min PARK ; Gi Young KO ; Sang Hee CHOI
Journal of the Korean Radiological Society 1995;32(5):763-767
PURPOSE: The diagnosis of Budd-Chiari syndrome on CT is difficult if CT do not demonstrate obstruction of the IVC or hepatic vein and other parameter is needed for the correct diagnosis. The purpose of our study was to determine the usefulness of measuring the diameter of azygos-hemiazygos vein on CT to differentiate Budd-Chiari syndrome from advanced liver cirrhosis. MATERIALS AND METHODS: Fourteen patients who were proven as Budd-Chiari syndrome on vena cavography were studied for analysis. All patients showed evidence of liver cirrhosis on CT. As a control group fifteen cases of advanced liver cirrhosis who underwent endoscopic sclerotheraphy due to esophageal variceal bleeding were also included for comparison. The largest short axis diameter of azygos-hemiazygos vein was measured in all patients at the level of diaphragm on axial CT and the results were compared in both groups. RESULTS: In patients with Budd-Chiari syndrome the largest short axial diameter of azygos-hemiazygos vein ranged from 0.5cm to 2.5cm(mean ;1.5cm). Only one patient who showed hepatic venous obstruction demonstrated a diameter of less than 1 cm(0. Scm). In contrast, the diameter in patients with advanced liver cirrhosis without obstruction of IVC or hepatic vein was less than 1 cm with a range from 0.2cm to 1 cm(mean ;0.6cm). CONCLUSION: The short axis diameter of azygos-hemiazygos vein was an indicator of IVC obstruction (Budd-Chiari syndrome).
Axis, Cervical Vertebra
;
Budd-Chiari Syndrome*
;
Diagnosis*
;
Diaphragm
;
Esophageal and Gastric Varices
;
Hepatic Veins
;
Humans
;
Liver Cirrhosis
;
Veins*
7.Spontaneous Rupture of A Renal Angiomyolipoma.
Young Gi MIN ; Yoon Seok JUNG ; In Cheol PARK ; Joon Pill CHO
Journal of the Korean Society of Emergency Medicine 2000;11(3):397-400
The case of a patient with acute onset of flank pain is presented. Initial therapy was directed toward relief of pain believed to be caused by renal calculi. The flank pain did not responded to analgesics. An abdominal ultrasonogram showed that multiple hyperechogenic masses were in the parenchyma of both kidney, and an abdominal CT showed that multiple high-density masses, presumed to be angiomyolipomas, were located in both kidneys and in the perirenal hematoma around the left kidney. Vital signs were stable, and there was no evidence of anemia. On the seventh hospital day, angiographic tumor embolization was performed. Cases such as this should remind emergency physicians to carefully consider alternate diagnoses to renal calculi in patients with flank pain who have atypical clinical features or an atypical course.
Analgesics
;
Anemia
;
Angiomyolipoma*
;
Diagnosis
;
Emergencies
;
Flank Pain
;
Hematoma
;
Humans
;
Kidney
;
Kidney Calculi
;
Rupture, Spontaneous*
;
Tomography, X-Ray Computed
;
Ultrasonography
;
Vital Signs
8.Acute Myocardial Infarction after a Bee Sting.
Young Gi MIN ; Yoon Seok JUNG ; In Cheol PARK ; Joon Pil CHO ; Seung Jae TAK
Journal of the Korean Society of Emergency Medicine 2000;11(3):378-384
Acute myocardial infarction after a bee sting is a very rare process. Among proposed mechanisms, vasospasm of the coronary artery is the most probable mechanism. Many mediators are included in the venom of wasps, and those mediators have vasoconstrictive properties and may constrict the coronary artery. Furthemore, those mediators have thrombogenic properties that lead to thrombogenesis in the coronary artery and aggravate myocardial ischemia. Epinephrine, commonly used in the management of anaphylactic shock, may further aggravate myocardial ischemia. We experienced two cases of acute myocardial infarction after a bee sting. In the first case, we could find no underlying abnormalities of the coronary vessel because the patient died during coronary angiography. In the second case, the electrocardiogram showed inferior wall myocardial infarction, but only mild stenosis of the right coronary artery was seen in coronary angiography.
Anaphylaxis
;
Bees*
;
Bites and Stings*
;
Constriction, Pathologic
;
Coronary Angiography
;
Coronary Vessels
;
Electrocardiography
;
Epinephrine
;
Humans
;
Inferior Wall Myocardial Infarction
;
Myocardial Infarction*
;
Myocardial Ischemia
;
Venoms
;
Wasps
9.Objective Criteria for Radiologic Diagnosis of Epiglottitis in Korean Adults.
Young Gi MIN ; Yoon Seok JUNG ; Sang Kyu YOON ; In Cheol PARK ; Joon Pil CHO
Journal of the Korean Society of Emergency Medicine 2000;11(3):321-324
BACKGROUNDs: A retrospective study was performed to define objective radiologic parameters in diagnosing epiglottitis on soft-tissue lateral neck radiographic study. METHODS: Parameters of soft-tissue structures(epiglottis width, third vertebral body width, ratio of epiglottic width to third vertebral body width) in 30 adult patients compared with those of age and sex-matched controls with foreign body in throat whose radiographic reading was normal. RESULTS: Epiglottis width of more than 11mm, ratio of epiglottis width(EW) to the third vertebral body width(C3W) of more than 0.5 were, respectively, found to be 100% sensitive and specific in differentiating between patients with and without epiglottitis. CONCLUSION: These preliminary results suggest that EW/C3W ratio of more than 0.5, EW of more than 11mm, respectively, may be useful in the diagnosis of epiglottitis in adult patients.
Adult*
;
Diagnosis*
;
Epiglottis
;
Epiglottitis*
;
Foreign Bodies
;
Humans
;
Neck
;
Pharynx
;
Retrospective Studies
10.Neuropsychiatric aspects of the patients with seborrheic dermatitis.
Gi Chul LEE ; Jung Ho LEE ; Young Min CHOI ; Hyang Joon PARK
Journal of Korean Neuropsychiatric Association 1993;32(4):500-505
No abstract available.
Dermatitis, Seborrheic*
;
Humans