No abstract available.
Brain* ; Neoplasm Metastasis*

It is well known that the mortality rate is very high in the patients with cerebrovascular disease (CVD). The most common cause of death in the ischemic CVD patients is myocardial infarction. The purpose of this study is to evaluate the diagnostic significance of myocardial perfusion SPECT for coronary artery disease (CAD) in ischemic CVD. We studied in 64 patients with transient ischemic attack and ischemic stroke diagnosed by means of the clinical history and brain CT and MRI. Electrocardiography, myocardial perfusion SPECT and coronary angiography were performed. We checked hypertension, diabetes, smoking, alcohol drinking and hyperlipidemia as the risk factors in ischemic CVD and CAD. The myocardial perfusion SPECT was abnormal in 37 out of 64 patients(57.8%) with ischemic CVD. There was a increasing tendency in the prevalence of myocardial perfusion abnormality in the elderly patients (more than 65 years old). The incidence of abnormal myocardial perfusion SPECT was not significantly different among TIA, lacunar infarction, minor infarction and major infarction. The long standing hypertension and hyperlipidemia were siginificant risk factors in the ischemic CVD and CAD as having the abnormal myocardial perfusion SPECT (p<0.05). There were not significantly different between resting EKG and myocardial perfusion SPECT results. Coronary artery stenosis was identified in 5 out of 7 patients receiving coronary arteriography. The results suggested that ischemic stroke is frequently associated with coronary artery disease. So myocardial perfusion SPECT as an active investigation for CAD in Ischemic CVD should be considered in order to optimal management.
Aged ; Alcohol Drinking ; Angiography ; Brain ; Cause of Death ; Coronary Angiography ; Coronary Artery Disease* ; Coronary Stenosis ; Coronary Vessels* ; Diagnosis* ; Electrocardiography ; Humans ; Hyperlipidemias ; Hypertension ; Incidence ; Infarction ; Ischemic Attack, Transient ; Magnetic Resonance Imaging ; Mortality ; Myocardial Infarction ; Perfusion* ; Prevalence ; Risk Factors ; Smoke ; Smoking ; Stroke ; Stroke, Lacunar ; Tomography, Emission-Computed, Single-Photon*

No abstract available.
Lymph Nodes* ; Rectal Neoplasms* ; Rectum*

No abstract available.
Colon* ; Lymphangioma, Cystic*

Twenty seven patients with known rectal cancer were evaluated with CT and CT findings were correlated with surgical and pathologic results on the aspect of perirectal fat infiltration and lymph node involvement. The accuracy in assessment of perirectal fat infiltration was 77.8% (21 of 27); sensitivity, 73.3% (11 of 13); specificity, 83.3% (10 of 12). In the detection of lymph node involvement, lymph nodes were divided into five groups according to the arterial teritories. Overall accuracy in the evaluation of lymph node involvement was 86.7%. Accuracy of peritumoral lymph node involvement was 51.9% (14 of 27); sensitivity, 42.9%(9 of 21); specificity 83.3% (5 of 6). Accuracy of internal iliac lymph node involvement was 88.9% (24 of 27); sensitivity, 85.7% (6 of 7); specificity, 90.0% (18 of 20). Of the common and external iliac lymph node, accuracy was 100% (27 of 27); sensitivity, 100% (2 of 2); specificity, 100% (25 of 25). Of the aortic bifurcation and mid sacral lymph node, accuracy was 92.6% (25 of 27); sensitivity, 50% (2 of 4); specificity, 100% (23 of 23). In regard to the inferior mesenteric lymph node, no lymphadenopathy was found on CT and pathologic results. In conclusion, CT has limited value in evaluating rectal cancer but with the satisfactory outcome in assessment of perirectal fat infiltration and lymph node, involvement except peritumoral node preoperative CT is useful in the evaluation of rectal cancer.
Humans ; Lymph Nodes* ; Lymphatic Diseases ; Rectal Neoplasms* ; Sensitivity and Specificity

Even though the value of computed tomography (CT) used to detect the colon carcinoma with minimal invasion is limited, its usefulnes sin the evaluation of the extent of disease such as hepatic metastasis or distant lymph node invasion has been emphasized. To examine the role of CT in the evaluation of colon carcinoma, CT scans obtained during the past 2 years in 56 patients with surgically proven colon carcinoma were reviewed and the findings correlated with pathologic results. The sensitivity and accuracy of CT for pericolic fat infiltration were 86, 58 and 80% respectively. Those of regional node were 60, 83 and 75% and distant node 67, 100 and 95%. Liver metastases showed sensitivity, specificity and accuracy of 83, 98, 96% and peritoneal metastases 67, 94 and 89% respectively. CT detected local invasion with fair degree of accuracy but the true value of CT lie in the detection of distant invasions such as liver and distant lymph node metastases thereby leading to preclusion of unnecessary procedures and implementation of appropriate precedures.
Colon* ; Humans ; Liver* ; Lymph Nodes* ; Neoplasm Metastasis* ; Sensitivity and Specificity ; Tomography, X-Ray Computed ; Unnecessary Procedures

PURPOSE: The purpose of this study was to identify the link between health-related physical fitness level and cardiovascular disease-related risk factors in adult male workers. METHODS: We tested cardiovascular disease- related risk factors (waist circumference, SBP, DPB, fasting glucose, TC, HDL-C, TG, LDL-C) and health-related physical fitness (VO2max, grip, Sit-up, Flexibility, Body fat) and divided health-related physical fitness level of the subjects into 3 groups - A (very good, n=56), B (good, n=59), and C (below-average, n=57) according to the criterion of the Health and Fitness counseling guidelines of KOSHA. The statistical techniques such as standard deviation, one-way ANOVA and multiple regression (p<.05) were used. RESULTS: There were significant differences between group C and group B & A (p<.001) in waist circumference, DBP, Fasting glucose, HDL-C, TG, LDL-C. In TC/HDL-C, TG/HDL-C, LDL-C/HDL-C, Group C was higher than group B and A. CONCLUSION: On the basis of these results, we identified that improvement of health-related physical fitness level positively effects on the decrease of cardiovascular disease-related risk factors.
Adult ; Cardiovascular Diseases ; Counseling ; Fasting ; Glucose ; Hand Strength ; Humans ; Male ; Physical Fitness* ; Pliability ; Risk Factors* ; Waist Circumference

The anorectal function was evaluated in 25 patients with rectal cancer who underwent a low anterior resection (LAR). The result of anorectal manometry was analyzed with respect to the bowel habit. Patients were examined preoperatively and 3, 6, 9, and 12 months postoperatively by both anorectal manometry and interview. The examinations included information on defecation frequency, incontinence, and inability of deferment. The defecation frequency was significantly increased until 6 months postoperatively (p < 0.05). The maximum resting pressure (MRP) was significantly decreased until 1 year after surgery (p < 0.05). However, the maximum squeezing pressure (MSP) and the length of high pressure zone (HPZ) were not significantly decreased postoperatively. There was no significant difference in the sensation of balloon between the preoperative period and the postoperative period. The sensation of fullness was markedly decreased until 6 months postoperatively (p < 0.05). The rectoanal inhibitory reflex (RAIR) was positive in all patients preoperatively, and 24 out of 25 patients showed a positive reflex postoperatively with various sensitivity. The appearance of an external sphincter assist was not correlated with bowel habit. Patients with the lowest anterior resection (LLAR) had a higher incidence of early phase incontinence than patients with the low anterior resection. In conclusion, the increased defecation frequency during the postoperative period appeared to be related with the decreased MRP and the sensation of fullness based on a manometric assessment. Although the manometric finding did not normalize with respect to every manometric factor evaluated, the bowel habit was generally recovered clinically in 12 months postoperatively. We should always consider other variables, such as postoperative rectal mucositis or respective bowel habit, in addition to the result of anorectal manometry for the postoperative evaluation.
Defecation ; Humans ; Incidence ; Manometry ; Mucositis ; Postoperative Period ; Preoperative Period ; Rectal Neoplasms ; Reflex ; Sensation

PURPOSE: Blepharoptosis can result from either congenital or acquired causes. Blow out fracture or facial bone fracture including blow out fracture can be one of the causes. Authors experienced 3 cases of severe blepharoptosis after blow out fracture treated only with observation after reduction of associated fracture. METHODS: Reconstruction of orbital wall was conducted on all cases diagnosed as blow out fracture using 3 dimensional computed tomography, and conservative treatment was done on accompanying severe blepharoptosis. RESULTS: At the time of injury, all cases showed severe blepharoptosis requiring frontalis muscle transfer for correction. But blepharoptosis was recovered in an average of 18 weeks without any surgical procedure except reconstruction of orbital wall. CONCLUSION: Once Blepharoptosis occurred after blow out fracture, thorough evaluation must be done at first. If definitive cause of blepahroptisis cannot be found as authors' cases, injury of oculomotor nerve may result in blepharoptosis. So, as for blepharoptosis after blow out fracture, conservative treatment following reconstruction of fractured orbital wall can be one of good management.
Blepharoptosis ; Facial Bones ; Muscles ; Oculomotor Nerve ; Orbit

Posttraumatic pseudoaneurysm of the superficial temporal artery is very rare and occurs secondary to trauma. Clinical diagnosis is based on past history of trauma and physical examination and can be confirmed by duplex ultrasonogram, digital subtraction angiography, CT and MRI. Ligation of proximal and distal ends of the superficial temporal artery and excision of the pseudoaneurysm has been the standard treatment. Compressive therapy, endovascular coil embolization, percutaneous thrombin injection under ultrasound guidance have been reported as alternative treatment methods. When surgical excision of the superficial temporal artery pseudoaneurysm is performed, surgeon must be concerned about the anatomical relation between superficial temporal artery and temporal branches of the facial nerve. In this article, we report a rare case of superficial temporal artery pseudoaneurysm with some review of the literatures about anatomical relation between superficial temporal artery and temporal branches of facial nerve.
Aneurysm, False ; Angiography, Digital Subtraction ; Facial Nerve ; Ligation ; Physical Examination ; Temporal Arteries ; Thrombin