PURPOSE: To evaluate the change of corneal endothelial cell following acute angle closure glaucoma attack, the central endothelial cell between the affected and the fellow eye was compared. METHODS: Twelve patients with uniocular acute angle closure glaucoma were enrolled. After acute attacks were resolved with medical treatment, 12 affected and 12 fellow eyes received laser peripheral iridotomy. The central endothelial cell counts of the affected and the fellow eyes were measured with specular microscope. RESULTS: While the mean central endothelial cell count of the affected eye was 1758.67+/-794.33 cells/mm2, that of the fellow eye was 2727.17+/-355.20 cells/mm2. The average difference of endothelial cell count between the affected and the fellow eye was 968.5 cells/mm2. It showed a mean decrease in cell density of 35.51% (p=0.000). There was a clear correlation between the duration of elevated pressure and the number of central corneal endothelial cells lost (p=0.014). CONCLUSIONS: Even if the intraocular pressure was well controlled after acute angle closure glaucoma attack, the endothelial cell count of cornea can be decreased. Therefore, if acute angle closure glaucoma attack occurs, intraocular pressure should be reduced immediately. If the eye attacked by acute angle closure glaucoma is to have intraocular surgery, there clearly needs to be care not to injure the endothelium and measure the endothelial cell count preoperatively.
Cell Count ; Cornea ; Endothelial Cells* ; Endothelium ; Glaucoma, Angle-Closure* ; Humans ; Intraocular Pressure

No abstract available.
Child* ; Emergencies* ; Emergency Service, Hospital* ; Humans ; Infant* ; Poisoning*

No abstract available.
Spondylolysis*

No abstract available.
Ankle* ; Dislocations* ; Tendons*

The authors report a case of malignant meningioma presented with spontaneous intracerebral hemorrhage(ICH). The 65-year-old woman presented with sudden severe headache and vomiting. She suffered from diabetes mellitus and hypertension for 3 years. Neurologic examination showed left hemiparesis and homonymous hemianopsia. Computed tomography and magnetic resonance images revealed hematoma in variable stages with surrounding edema in right parieto-occipital area. Cerebral angiogrpahy showed no vascular lesion. Under the impression of hypertensive ICH, total removal of mass was done. Histologic diagnosis was malignant meningioma with hemorrhage. Malignant meningioma presented with ICH is lacking in previous report. Prtinent literature review of meningioma presenting with hemorrhage is also performed.
Aged ; Brain Neoplasms ; Cerebral Hemorrhage* ; Diabetes Mellitus ; Diagnosis ; Edema ; Female ; Headache ; Hematoma ; Hemianopsia ; Hemorrhage ; Humans ; Hypertension ; Meningioma* ; Neurologic Examination ; Paresis ; Vomiting

Peripheral facial palsy is often reported after surgery for head or neck tumors and otolaryngologic surgery, but the occurrence of facial nerve palsy after dental procedures is very rare. A 29-year-old man visited our clinic with right-side facial asymmetry and right facial weakness 7 days before. The patient underwent dental treatment 8 days ago. He exhibited weakness of the right side of his face and was unable to close his right eye. He was diagnosed with right-sided peripheral type facial nerve paralysis and treated with an antiviral agent and prednisolone, and the symptoms gradually improved. Facial nerve palsies after dental procedures have been reported in foreign countries, but these cases have been very rarely reported in Korea. We also reported on the efficacy of the conventional treatment of facial nerve palsy after a dental procedure.

PURPOSE: To determine the MR and CT imaging findings of inflammatory pseudotumor of the extraorbital head and neck. MATERIALS AND METHODS: We reviewed the MR (n=10) and CT (n=9) imaging studies of 11 patients with this condition (M:F=5:6, age range: 35-75 years), analysing each case in terms of location, occupying space, signal intensity, intracranial involvement, degree of contrast enhancement and adjacent bone change. Follow-up images were obtained in nine cases, and the response of each patient to steroid treatment was reviewed. RESULTS: Lesions involved the masticator space (n=8), the buccal space (n=6), the nasopharynx (n=5), the paranasal sinus (n=4), the parapharyngeal space (n=3), the prevertebral space (n=2), the orbit (n=2), the carotid space (n=2), the paravertebral space (n=1), parotid space (n=1), and the oral cavity (n=1). In ten of eleven cases, there was adjacent bone change. In three cases, the cavernous sinus was involved, and in two, the dura. One case involved both of them. At T2-weighted imaging, the lesions showed hypointensity in nine of ten cases; in four of nine, signal intensity was markedly low, and in no case was it diffusely high. In five of nine cases, the mass decreased in size after steroid therapy. CONCLUSION: Inflammatory pseudotumor showed iso-to hypointensity at T2-weighted imaging. Lymphadenopathy was not apparent.
Cavernous Sinus ; Follow-Up Studies ; Granuloma, Plasma Cell* ; Head* ; Humans ; Lymphatic Diseases ; Magnetic Resonance Imaging* ; Mouth ; Nasopharynx ; Neck* ; Orbit

While intussusception can occur at any age, the disease is most often seen in children and no etiologic factor can be seen in most cases of childhood intussusception. In contrast, the adult intussusception is rare and usually has an identifiable causes such as benign tumor, malignant tumor, sarcoma, Meckel's diverticulum and congenital anomaly. Especially, adult intussusception due to primary malignant lymphoma of small intestine is rare clinical condition. Here, we describe the case of a 49-year-old male patient with ileo-ileo-colic intussusception due to primary malignant lymphoma of the small intestine. The clinical, radiographic and pathologic findings are described with brief review of the literature.
Adult* ; Child ; Humans ; Intestine, Small* ; Intussusception* ; Lymphoma* ; Male ; Meckel Diverticulum ; Middle Aged ; Sarcoma

OBJECTIVE: The authors perform a retrospective analysis in order to evaluate long-term outcome results after surgical treatment of giant pituitary adenoma (PA) and to suggest the optimal treatment strategies. METHODS: From 1990 to 2001, we experienced 61 cases of giant PA, the mean size was 4.8cm. The mean follow-up period was 47 months. There were 30 cases of functioning PA and 43 of invasive adenomas. Transsphenoidal approach (TSA) was performed in 47 patients, craniotomy in 6, and a staged operation (TSA followed by craniotomy) in 8. Gross total/near total removal (over 95% removal) was performed in 9 patients (TSA in 8 and craniotomy in one) and subtotal removal (over 50% and less than 95%) in the others. Post-operative radiotherapy (RTx) was performed in thirty-six patients. Treatment results were classified as controlled and non-controlled group. Controlled group was defined as patients with no evidence of mass growth, improvement of mass effect, and endocrinological normalization. RESULTS: Tumor control was possible in 58% and mass control only was observed in 91%. Additive radiotherapy showed a significant benefit on tumor control (p=0.013) in the subtotal removal group. In patients with functioning PA, endocrinological improvement (normalization 32%) was shown in 92% (Radiotherapy, 20 cases). CONCLUSION: Total removal of giant PAs through TSA or craniotomy is not always feasible and often risky. Subtotal resection of giant PAs by TSA with or without subsequent RTx may provide a good local tumor control.
Adenoma ; Craniotomy ; Follow-Up Studies ; Humans ; Pituitary Neoplasms* ; Radiotherapy ; Retrospective Studies

The main complications associated endoscopic mucosal resection are bleeding and perforation and the rate of complication is increasing in larger size of mucosal resection. We used a new method of endoscopic clipping technique for ligation on the large mucosal defect after endoscopic mucosal resection. A 53-year-old female patient visited our hospital because of epigastric pain. Endoscopic examination revealed a type IIa EGC(early gastric cancer) below angle. The endoscopic mucosal resection was performed and the size of resected specimen was 2.7x2.5cm. The mucosal defect was ligated with 6 hemoclips(Olympus, MD-850) after approximation of both resected margins by grasping forceps(Olympus, FG-4L). Follow up endoscopic examination revealed good quality of ulcer healing. The Endoscopic clipping technique might also be useful for treatment of minor perforation.
Female ; Follow-Up Studies ; Hand Strength ; Hemorrhage ; Humans ; Ligation* ; Middle Aged ; Stomach Neoplasms ; Ulcer