1.A Case of Retinal Dysplasia with PHPV.
Journal of the Korean Ophthalmological Society 1995;36(5):885-889
Retinal dysplasia is an abnormal differentiation of the retina at embryonal retina stage with proliferation of its elements into rosettes, fold, and gliosis and it is very difficulat to distinguish between the various types of intraocular disease, especilaly retinoblastoma. We experienced a case of unilateral retinal dysplasia without systemic abnormalities occurring in a 5 months old boy. It was clinically suspected Retinoblastoma, which was proved to be Retinal Dysplasia by histopathologic examination.
Gliosis
;
Humans
;
Infant
;
Male
;
Retina
;
Retinal Dysplasia*
;
Retinaldehyde*
;
Retinoblastoma
2.Disseminated Calcific Cysticerosis of BRain and its Histopathologic Features: A Case Report.
Soon Phil PARK ; Ho Young LIM ; Jong Oung DOH
Journal of Korean Neurosurgical Society 1982;11(3):385-388
We report a case of disseminated calcific cysticercosis of brain, accompanied with marked hydrocephalus. Histopathologically, the calcific spots consisted of mummified scolex and bladder of cysticercus cellulosae with a diffuse calcification, but no area of cystic change were noted. Surrounding brain tissue showed a dense fibrous reaction and gliosis with little foreign body reaction.
Brain*
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Cysticercosis
;
Cysticercus
;
Foreign-Body Reaction
;
Gliosis
;
Hydrocephalus
;
Urinary Bladder
3.A case of Unilateral Retinal Dysplasia.
Yoon Young KIM ; Jin Tae YOO ; Jae Bok PARK ; Si Dong KIM
Journal of the Korean Ophthalmological Society 1993;34(4):357-361
Retinal dysplasia is defined as an abnormal differentiation of the retina with proliferation of its elements into resettes, folds, and gliosis. The clinical presentation is usually bilateral with a variety fo systemic abnormalities. We experienced a case of unilateral retinal dysplasia without systemic abnormalities occurring in a 2-month-old girl who underwent an enucleation of her right eye because of the possibility of retinoblastoma. We reviewed the available literatures regarding this disease.
Female
;
Gliosis
;
Humans
;
Infant
;
Retina
;
Retinal Dysplasia*
;
Retinaldehyde*
;
Retinoblastoma
4.A case of Unilateral Retinal Dysplasia.
Yoon Young KIM ; Jin Tae YOO ; Jae Bok PARK ; Si Dong KIM
Journal of the Korean Ophthalmological Society 1993;34(4):357-361
Retinal dysplasia is defined as an abnormal differentiation of the retina with proliferation of its elements into resettes, folds, and gliosis. The clinical presentation is usually bilateral with a variety fo systemic abnormalities. We experienced a case of unilateral retinal dysplasia without systemic abnormalities occurring in a 2-month-old girl who underwent an enucleation of her right eye because of the possibility of retinoblastoma. We reviewed the available literatures regarding this disease.
Female
;
Gliosis
;
Humans
;
Infant
;
Retina
;
Retinal Dysplasia*
;
Retinaldehyde*
;
Retinoblastoma
5.CT and MR Findings of Meningioangiomatosis.
Man Soo PARK ; Dae Chul SUH ; Woo Suk CHOI ; Sang Youl LEE ; Haingsub R CHUNG ; Sang Jin BAE ; Nam Hyeon KIM ; Seung Mun JUNG ; Dae Sik RYU
Journal of the Korean Radiological Society 1998;39(6):1057-1062
PURPOSE: To characterize the CT and MR findings in patients with meningioangiomatosis(MA). MATERIALS AND METHODS: Four patients (18 to 53 years old, two females and two males) with MA were retrospectively reviewed. CTwas used in four cases and MR in three. Pathologic specimens were obtained from all four. RESULT: All lesions were located in the cortical and subcortical areas and showed spotty(n=1), popcornlike(n=2), or gyral(n=1) calcification. The mass were associated with surrounding edema and gliosis. In two patients, lesions were multiple and were accompanied by eccentric cysts. CONCLUSION: MA is a surgically correctable benign disease. Its radiologic characteristics are cortical or subcortical mass with various calcifications, associated peripheral edema and gliosis.
Edema
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Female
;
Gliosis
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Humans
;
Middle Aged
;
Retrospective Studies
6.Analysis of Inconclusive Diagnostic lesions in Stereotactic Biopsy: Review of Cases in 5 Years.
Journal of Korean Neurosurgical Society 1995;24(8):882-893
While stereotactic biopsy increases the accuracy of obtaining appropriate tissue for precise diagnosis, inconclusive diagnostic lesions can still be observed frequently. We present a review of 43 patients with inconclusive diagnostic samples in stereotactic biopsy between June 1989 and June 1994. inconclusive diagnostic lesions were found in 43 patients(17.9%); the biopsy of these patients showed reactive gliosis in 22, foam cell infiltration and/or demyelination with coagulation necrosis in 8, chronic inflammatory cell infiltration with necrosis, fibrosis in 6, no evidence of tumor in 5, and ganglioglial lesion in 2. The final diagnosis was based on histological findings of permanent paraffin sections after rebiopsy or open surgery, close follow-up CT/MRI scan findings, clinical features and/or history, and serological studies;neoplasm 16, infarction/leukodystrophy 8, infection/inflammation 4, granuloma 1, and no confirmative diagnosis 4, In conclusion, rebiopsy or open surgery is recommended if the lesion is suspected to be a neoplasm, and the patient is closely observed with repeated radiological studies if the lesion is suspected to be benign. This study provides evidence that in some cases an accurate histopathological diagnosis can not be made with stereotactic biopsy and therefore, further investigations are needed in such inconclusive cases.
Biopsy*
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Demyelinating Diseases
;
Diagnosis
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Fibrosis
;
Foam Cells
;
Follow-Up Studies
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Gliosis
;
Granuloma
;
Humans
;
Necrosis
;
Paraffin
7.Surgical Treatment of Postencephalitic Epilepsy.
Dong Hwan KIM ; Hyoung Ihl KIM ; Min Cheol LEE ; Andre PALMINI ; Ha Young CHOI ; Dong Kyu SHIN ; Jae Eun KIM ; Jung Chung LEE
Journal of Korean Neurosurgical Society 1997;26(3):377-383
Encephalitis is often followed by chronic intractable epilepsy. Many of these patients pose significant challenges to the localization of seizure generators and to the strateges for management of intractable epilepsy. The authors analysed 17 patients with postencephalitic epilepsy(PEE), who underwent resective surgeries. Most patients had been accompanied by coma, convulsive status epilepticus, and focal motor deficit at the time of encephalitis. MRI studies showed variable degree of brain damage: hippocampal sclerosis only(n=5), neocortical gliosis only(n=6), and both(n=5). Analysis of ictal semiology revealed a predominant temporo-limbic seizure pattern in 7, a variable extralimbic patterns in 6, and unclassified in 4 patients. Surgical resection includes temporal(n=11), frontal(n=3), centroparietal(n=1), multilobar(n=2), and callosotomy(n=2). Surgical outcome was graded as class 1(n=8), class 2(n=2), class 3(n=4), and class 4(n=3). It is concluded that surgical result was promising despite the traditional concerns about localizing problem in the setting of PEE. Surgical treatment should be, therefore, considered if localizing information is persistent. Intracranial EEG recording was very useful to delineate the area of seizure onset. MRI abnormalities were not always correlated with ictal onset zone in the patients with PEE.
Brain
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Coma
;
Electroencephalography
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Encephalitis
;
Epilepsy*
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Gliosis
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Humans
;
Magnetic Resonance Imaging
;
Sclerosis
;
Seizures
;
Status Epilepticus
8.Significance of Increased Signal Intensity on T2 Weighted MRI in Patients with Cervical Spondylosis.
Hyung Doo KIM ; Young Jin LIM ; Tae Sung LIM ; Gook Ki KIM ; Bong Arm RHEE ; Won LEEM
Journal of Korean Neurosurgical Society 1994;23(6):669-680
The cases of 33 patients with cervical spondylosis, who had preoperative magnetic resonance imaging(MRI) and surgical intervention, were reviewed. There were areas of increased signal intensity on T2 weighted image in 13 patients out of 33 patients, whereas there were none in the other 20. The pre- and postoperative clinical condition, severity of cord compression and preoperative value of somatosensory evoked potentials(SSEP) of patients whose preoperative MRI showed areas of increased signal intensity in the spinal cord on T2 weighted image were worse than that of the patients who did not have areas of increased signal intensity. The areas of increased signal intensity on T2 weighted image in spinal cord might be edema, cord gliosis, demyelination, or microcavities.
Demyelinating Diseases
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Edema
;
Evoked Potentials, Somatosensory
;
Gliosis
;
Humans
;
Magnetic Resonance Imaging*
;
Spinal Cord
;
Spondylosis*
9.Experimental Study on Cerebral Cysticercosis.
Hoon Kap LEE ; Sung Hak KIM ; Ki Chang LEE ; Jeong Wha CHU
Journal of Korean Neurosurgical Society 1980;9(1):123-130
Cerebral cysticercosis may produce many complications and various types of tissue reactions to the parenchyma of the brain. The purpose of the present investigation was to study the nature of the reactions of the brain tissue responding to a direct contract with the fluid contents of cysticercus cyst. The experiments were performed in 15 albino rats in which the brain lesions were made on the frontal region by injecting the fluid contents which was obtained from subcutaneous nodules of human patient with cysticercosis. The fluid contents, 0.5 ml for each animal, was injected with 26 gauge hypodermal needle into the left cerebral hemisphere beneath the cortex for experimental group, and same amount of normal saline into the right hemisphere indentical to the region of the left for the control group. Histopathological studies were carried out on the brain lesions at interval of 3 days, 7 days and 15 days following injection of the contents and normal saline. Findings of generalized and regional edema of the brain were observed in varying degrees, which were evident and severe in 3-day and 7-day experimental groups and decreasing in severity thereafter. In the group of normal saline injection, the microscopic findings of the lesions were mainly of a mild inflammatory reactions with scattered fibroblast or condensation of the nervous tissue. In 3-day experimental group, there were pleomorphic infiltration of neutrophils and histiocytes. In 7-day experimental group, there were prominent cellular reaction, gliosis and vascular proliferation more than those observed in 3-day group. In 15-day experimental group, inflammatory cells and gliosis were reduced in number and degree, but definitive granuloma with proliferation of vascular fibroblast in its outer layer was developed.
Animals
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Brain
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Cerebrum
;
Cysticercosis*
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Cysticercus
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Edema
;
Fibroblasts
;
Gliosis
;
Granuloma
;
Histiocytes
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Humans
;
Needles
;
Neutrophils
;
Rats
10.A Case Report of Progressive Subcortical Gliosis.
Sang Yun KIM ; Duk Lyul LA ; Seong Ho PARK ; Hae Soo KOO ; Je Geun CHI
Journal of the Korean Neurological Association 1995;13(3):696-702
A patient presenting with the characteristic clinical features of the dementia of Pick's type is described, in whom neuropathological examination of brain biopsy material revealed atypical features, including extensive subcotical gliosis with mild cortical neuronal loss and without any neuronal cytoskeletal inclusions (Pick bodies, neurofibrillary tangles, and Lewy bodies) and amyloid deposits (senile plaques). And she has the suggestive family history of the same clinical features in her two brothers. So, the clinical and pathological features are discussed with particular reference to typical Alzheimer's disease and Pick's disease, and it is proposed that the case should be classified as familial progressive subcortical gliosis.
Alzheimer Disease
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Biopsy
;
Brain
;
Dementia
;
Gliosis*
;
Humans
;
Neurofibrillary Tangles
;
Neurons
;
Pick Disease of the Brain
;
Plaque, Amyloid
;
Siblings