To evaluate the establishment of Mungyong Saejae Natural Ecology Park located in the northwestern Gyongbuk Province, a scientific survey for the mushroom flora of the park was carried out from May to December of 1999. A checklist of the Aphyllophorales collected from the park was prepared. The list included 67 species of 44 genera belonging to nine families in the Aphyllophorales. Among them, seven species, Antrodia malicola, Ceriporia purpurea, Oligoporus leucospongia, Perenniporia tephropora, Phanerochaete xerophila, Sistotrema diademiferum and Vuilleminia comedens, were confirmed as new to Korea and are registered here as unrecorded species along with descriptions and microscopic drawings.
Agaricales ; Antrodia ; Checklist ; Ecology ; Humans ; Korea ; Phanerochaete ; Polyporales*

We report a 14-months-old infant who had obstructive jaundice caused by idiopathic fibrosing pancreatitis. Ultrasonography and abdominal computed tomography showed dilatation of the intrahepatic ducts, common bile duct, and the pancreatic duct. Diffuse swelling of the pancreas was also noted on CT. At laparotomy, the head portion of the pancreas revealed a stony hard consistency, and proliferation of fibrotic tissue was confirmed pathologically. Idiopathic fibrosing pancreatitis is a very rare disease entity in childhood, but should be considered in the differential diagnosis of obstructive jaundice in children who demonstrate bile duct and pancreatic duct dilatation and/or diffuse pancreas swelling.
Bile Ducts ; Child ; Common Bile Duct ; Diagnosis, Differential ; Dilatation ; Head ; Humans ; Infant ; Jaundice, Obstructive* ; Laparotomy ; Pancreas ; Pancreatic Ducts ; Pancreatitis* ; Rare Diseases ; Ultrasonography

The most feared complication of left ventricular thrombus (LVT) is the occurrence of systemic thromboembolic events, especially in the brain. Herein, we report a patient with severe sepsis who suffered recurrent devastating embolic stroke. Transthoracic echocardiography revealed apical ballooning of the left ventricle with a huge LVT, which had not been observed in chest computed tomography before the stroke. This case emphasizes the importance of serial cardiac evaluation in patients with stroke and severe medical illness.
Brain ; Echocardiography ; Heart Ventricles ; Humans ; Sepsis ; Shock, Septic* ; Stroke* ; Thorax ; Thrombosis*

PURPOSE: Recently, paranasal sinus(PNS) CT has increasingly been used because of the wide applications of a functional endoscopic sinonasal surgery(FESS) as one of the therapeutic modalities of the chronic sinonasal inflammatory disease. MATERIALS AND METHODS: We retrospectively analyzed PNS CT findings in 76 patients with chronic sinonasal inflammatory disease who had undergone the PNS CT from April 1991 to July 1992. RESULTS: There were 5 sinonasal patterns of inflammation ;4 cases of infundibular type(5.3%), 14 cases of ostiomeatal unit(OMU) type(18%), one case of sphenoethmoidal(SER) type(1%), 56 cases of sinonasal polyposis type(74%), and one case of sporadic type(1%). The mucosal abnormality was seen in 74 OMU cases, 71 maxillary sinus cases, 69 ethmoidal sinus cases, 55 frontal sinus cases, 49 SER, and 46 sphenoidal sinus cases. The normal bony variant included ethmoid bulla(25 cases, 335), concha bullosa (20 cases 25%), Hailer cells(10 cases, 13%), paradoxical curvature of middle turbinate (4 cases, 5%), lateral deviation of uncinate process(3 cases, 4%), and deviation of nasal septurn(31 cases, 41%). CONCLUSION: The PNS CT is an excelleht imaging method providing detailed informations about the mucosal abnormality, pathological pattern, the anatomical structure and landmark, and bony variants prior to an operation.
Frontal Sinus ; Humans ; Inflammation ; Maxillary Sinus ; Retrospective Studies ; Turbinates

To evaluate the value of HRCT imaging in middle ear cholesteatoma, we prospectively analysed the CT images in 28 surgically proven cases with cholesteatomas regarding main site of lesion, ossicular change, facial nerve exposure and fistula formation . The most common main site of lesion was the epitympanum (92.8%). The results of sensitivity, positive predictability, and accuracy by CT imagings were as follows: for ossicular involvement, 94.1%, 88.8%, and 86.2% in malleus, 96.0%, 88.8%, and 85.7% in incus, 81.2%, 81.2%, and 78.5% in stapes; for facial verve exposure, 66.6%, 57.1%, and 81.2%; for fistula formation, 100%, 75.0%, and 96.4%, respectively. In conclusion, the temporal bone HRCT imaging is an accurate preoperative method in detecting main lesion site, ossicular involvement, fistula formation. Because of the low sensitivity and positive predictability in detecting facial nerve exposure, it is necessary to correlate the HRCT images with the clinical status.
Cholesteatoma ; Cholesteatoma, Middle Ear* ; Ear, Middle* ; Facial Nerve ; Fistula ; Incus ; Malleus ; Methods ; Prospective Studies ; Stapes ; Temporal Bone* ; Tomography, X-Ray Computed*

PURPOSE: To report the effectiveness of Minocin sclerotherapy in the treatment of renal cysts. MATERIALS AND METHODS: We performed minocin sclerotherapy to 19 patients with 21 renal cysts composed of 17 cases of solitary renal cyst and three cases of multiple renal cyst and one case of polycystic kidney comfirmed by ultrasound and CT. After aspiration of cyst fluid, if the amount was less than 50ml, 500mg of minocin was mixed with 3ml of normal saline,if more than 50ml, 1000mg of minocin mixed with 5ml of normal saline were injected, and each case was followed-up over 3 months by ultrasound. RESULTS: Of all 21 renal cysts, 14 cases were followed-up three months after minocin sclerotherapy. In 12 of 14 cases, the size of the cysts decreased by 10% or collapsed completely. Of the remaining two cases, one collapsed after 6 months while the other recurred after 6months. Three cases were followed up after 20 months and only one of them recurred. 19 of all 21 cases(91%) were cured, and two of 21 cases(9%) were recurred. Pain was the only complaint. and four of 10'cases needed analgesics. CONCLUSION: Sclerotherapy with minocin has low recurrence-rate and low complication, and relatively early high cure-rate.
Analgesics ; Cyst Fluid ; Humans ; Minocycline* ; Polycystic Kidney Diseases ; Sclerotherapy* ; Ultrasonography

Fibronectin(FN), a glycoprotein present in plasma and extracellular matrix, has been reported to be effective on various corneal disorders such as persistent epithelial defect, corneal trophic ulcer, herpetic keratitis, etc. We performed the study of the preparation of purified FN from 35 persons' plasma(male: 19, female: 16)by the use of Sepharose 48 Affinity Chromatography and Gel filtration. The prepared FN was pure electrophoretically, and no other plasma proteins were contaminated, and confirmed as pure by multiple methods such as SDS-P AGE, Ouchterlony double gel diffusion and immunoelectro phoresis. Only 40 minutes was taken for preparation. The result showed that FN concentrations in plasma and in prepared solution were 288.9 +/- 72.8 microgram/ml and 294.3 +/- 41.4 microgram/ml respectively. FN concentrations in plasma and FN eyedrops showed no difference between sex, but increased their level with age(p<0.05). The biological activity was better preserved at 4 degrees C(in the refrigerator) than at room temperature till about 4 weeks after preparation. Applicability of this method as a useful preparation of purified FN is recommendable.
Blood Proteins ; Chromatography, Affinity ; Chromatography, Gel ; Diffusion ; Extracellular Matrix ; Female ; Fibronectins* ; Glycoproteins ; Humans* ; Keratitis, Herpetic ; Ophthalmic Solutions ; Plasma* ; Sepharose ; Ulcer

No abstract available.
Alleles* ; Humans

Aqueductal obstruction has been an interesting entity among hydrocephalic patients because of its possible permanent cure by interventriculostomy alone, eliminating the need of external shunt problem. Recently we have experienced four such cases as following. Case 1: A 21 years old female was admitted due to headache and deteriorating visual acuity. Positive neurologic findings were bilateral papilledema and rapidly deteriorating visual acuity. Conray ventriculogram revealed bilateral symmetrical hydrocephalus with obstruction at the distal portion of the aqueduct. Suboccipital craniectomy was performed. Cisterna magna and fourth ventricle were dried. With 3.5cm upwards advancement of Nelaton tube from the orbex, resistence was felt. And with further advancement, giving sensation of membrane was felt. We confirmed good passage of C.S.F. and closed without the tube remained. The patient was discharged two weeks later with much improvement clinically. Case 2: A 20 years old male was admitted due to sudden onset of coma. Positive neurologic findings were bilaterally dilated pupil, increased DTRs, and positive toe signs. Conray ventriculogram revealed marked hydrocephalic pattern with cupping like obstruction at the distal portion of the cerebral aqueduct. Operative findings were the same as in case 1, but rubber catheter was remained in the cerebral aqueduct. Post-operative course revealed high fever due to pneumonia, but much clinical improvement was achieved until discharge. Case 3: A 6 years old girl was admitted due to unsteady gait and headache. Neurologic findings were bilateral papilledema, hyperactive DTRs, positive toe sings and generally disturbed cerebellar function. Radiologic and surgical findings were the same as in case 1, but a tube was remained in situ. Post-operative state revealed satisfactory. Case 4: A 14 years old boy was admitted due to headache and unsteady gait. Positive neurologic findings were hyperactive DTRs, positive toe signs and disturbed it, cerebellar function. Conray ventriculogram revealed marked hydrocephalus and obstruction at the mid-portion of aqueduct. Proximal aqueduct was markedly dilated. Suboccipital craniectomy was performed, when 3.7cm advancement of the tube, resistance was felt, but giving sensation of membrance rupture was not felt. So the tube was remained in situ. Post-operative state revealed drowsy consiousness, right lateral gaze palsy and transient C.S.F. leakage. Surgical mortality was zero, and the complications of case 4 were supposed due to inadequate placement of the tube. From these, we feel that simple membraneous puncture without catheter tube placement may be better if surgeon feels the giving sensation of membrance puncture when the tube advancement to make C.S.F. passage. Otherwise, the catheter may be well left in situ.
Adolescent ; Catheters ; Cerebral Aqueduct* ; Child ; Cisterna Magna ; Coma ; Female ; Fever ; Fourth Ventricle ; Gait Disorders, Neurologic ; Headache ; Humans ; Hydrocephalus ; Male ; Membranes ; Mortality ; Neurologic Manifestations ; Papilledema ; Paralysis ; Pneumonia ; Punctures ; Pupil ; Rubber ; Rupture ; Sensation ; Toes ; Visual Acuity ; Young Adult

Aqueductal obstruction has been an interesting entity among hydrocephalic patients because of its possible permanent cure by interventriculostomy alone, eliminating the need of external shunt problem. Recently we have experienced four such cases as following. Case 1: A 21 years old female was admitted due to headache and deteriorating visual acuity. Positive neurologic findings were bilateral papilledema and rapidly deteriorating visual acuity. Conray ventriculogram revealed bilateral symmetrical hydrocephalus with obstruction at the distal portion of the aqueduct. Suboccipital craniectomy was performed. Cisterna magna and fourth ventricle were dried. With 3.5cm upwards advancement of Nelaton tube from the orbex, resistence was felt. And with further advancement, giving sensation of membrane was felt. We confirmed good passage of C.S.F. and closed without the tube remained. The patient was discharged two weeks later with much improvement clinically. Case 2: A 20 years old male was admitted due to sudden onset of coma. Positive neurologic findings were bilaterally dilated pupil, increased DTRs, and positive toe signs. Conray ventriculogram revealed marked hydrocephalic pattern with cupping like obstruction at the distal portion of the cerebral aqueduct. Operative findings were the same as in case 1, but rubber catheter was remained in the cerebral aqueduct. Post-operative course revealed high fever due to pneumonia, but much clinical improvement was achieved until discharge. Case 3: A 6 years old girl was admitted due to unsteady gait and headache. Neurologic findings were bilateral papilledema, hyperactive DTRs, positive toe sings and generally disturbed cerebellar function. Radiologic and surgical findings were the same as in case 1, but a tube was remained in situ. Post-operative state revealed satisfactory. Case 4: A 14 years old boy was admitted due to headache and unsteady gait. Positive neurologic findings were hyperactive DTRs, positive toe signs and disturbed it, cerebellar function. Conray ventriculogram revealed marked hydrocephalus and obstruction at the mid-portion of aqueduct. Proximal aqueduct was markedly dilated. Suboccipital craniectomy was performed, when 3.7cm advancement of the tube, resistance was felt, but giving sensation of membrance rupture was not felt. So the tube was remained in situ. Post-operative state revealed drowsy consiousness, right lateral gaze palsy and transient C.S.F. leakage. Surgical mortality was zero, and the complications of case 4 were supposed due to inadequate placement of the tube. From these, we feel that simple membraneous puncture without catheter tube placement may be better if surgeon feels the giving sensation of membrance puncture when the tube advancement to make C.S.F. passage. Otherwise, the catheter may be well left in situ.
Adolescent ; Catheters ; Cerebral Aqueduct* ; Child ; Cisterna Magna ; Coma ; Female ; Fever ; Fourth Ventricle ; Gait Disorders, Neurologic ; Headache ; Humans ; Hydrocephalus ; Male ; Membranes ; Mortality ; Neurologic Manifestations ; Papilledema ; Paralysis ; Pneumonia ; Punctures ; Pupil ; Rubber ; Rupture ; Sensation ; Toes ; Visual Acuity ; Young Adult