A rare case of chondrosarcoma of the skull in a 57 year old female is reported. The tumor was located in the right parasella region, extra-dural type. A plain skull showed amorphous calcific densities in the right parasella area. Right carotid angiogram showed a slightly opening of carotid siphon on lateral view. CT brain scan showed a irregular mottled calcific density in the right parasella area. Osteoplastic craniotomy on right frontotemporal area was performed for removal of tumor. Then, patient was improved markedly.
Brain ; Chondrosarcoma* ; Craniotomy ; Female ; Humans ; Middle Aged ; Oculomotor Nerve Diseases ; Skull

A rare case of chondrosarcoma of the skull in a 57 year old female is reported. The tumor was located in the right parasella region, extra-dural type. A plain skull showed amorphous calcific densities in the right parasella area. Right carotid angiogram showed a slightly opening of carotid siphon on lateral view. CT brain scan showed a irregular mottled calcific density in the right parasella area. Osteoplastic craniotomy on right frontotemporal area was performed for removal of tumor. Then, patient was improved markedly.
Brain ; Chondrosarcoma* ; Craniotomy ; Female ; Humans ; Middle Aged ; Oculomotor Nerve Diseases ; Skull

The posterior lumbar interbody fusion not only has the advantage of avoiding collapse of the motion segment, it also accomplishes wide decompression of all neural components and distraction of the interverteral disc space. The modified technique of posterior lumbar interbody fusion with preservation of facet and cortical plate alleviates postoperative slippage and settlement. And also, modern improvements in operative illumination, better control of epidural hemorrhage by proper positioning of the patient, and the use of Surgicel as a tamponade in retracting epidural veins and dura definitely improve the technical feasibility of PLIF. Recently we encountered 3 cases of PLIF and the postoperative results were excellent.
Decompression ; Hemorrhage ; Humans ; Lighting ; Low Back Pain ; Veins

BACKGROUND: Although post operative pain has been reduced significantly since the advent of laparoscopic surgery, many patients still complain of moderate abdominal and shoulder pain after surgery. METHOD: Patients scheduled for elective laparoscopic cholecystectomy were assigned to three groups by simple randomization(12 patients per group). Group I patients(control) had no specific treatment, group II patients had 10 ml of normal saline instillation, and group III patients had 10 ml of 0.5% bupivacaine instillation. Instillation was made directly into the gallbladder bed and right subdiaphragmatic space under direct vision by the surgeon at the end of the procedure and before evacuating the pneumoperitoneum. RESULT: Compared to that of the group I, VAS of group II and III did not show any statistically significant difference. Compared to the group I, group II & III showed no significant difference in numbers of requests of Tiaprofenic acid during the 36hours after the surgery. CONCLUSION: Topical instillation of 0.5% bupivacaine 10 ml to the gallbladder bed and right subdiaphragmatic space after laparoscopic cholecystectomy is not effective for the post operative pain control.
Bupivacaine* ; Cholecystectomy, Laparoscopic* ; Gallbladder ; Humans ; Laparoscopy ; Pain, Postoperative* ; Pneumoperitoneum ; Shoulder Pain

Intracranial tuberculoma may imitate, both clinically and radiologically, the more commonly observed intracranial tumors. A 16 year old female patient was admitted due to exophthalmus(o.d) and headache. Neurologically papilledema was noted on the both fundus and exophthalmometry revealed that exophthalmus(17mm, 13mm). CT brain scan showed slightly high density lesion with surrounding low density in right frontotemporal area, attached to the sphenoid bone. And also hyperostosis was noted at the right sphenoid bone and dense homogeneous enhancement of mass after contrast infusion was seen. This case reports outlines the development of such a lesion masquerading as a typical meningioma of the sphenoid ridge. Discussion of intracranial tuberculoma follows, with special reference to clinical and radiological findings.
Adolescent ; Brain ; Female ; Headache ; Humans ; Hyperostosis ; Intracranial Pressure ; Meningioma* ; Papilledema ; Sphenoid Bone ; Tuberculoma* ; Tuberculoma, Intracranial

Parkinsonism is a clinical syndrome presenting with bradykinesia, tremor, rigidity, and postural instability. Nonmotor symptoms have recently been included in the parkinsonian syndrome, which was traditionally associated with motor symptoms only. Various pathologically distinct and unrelated diseases have the same clinical manifestations as parkinsonism or parkinsonian syndrome. The etiologies of parkinsonism are classified as neurodegenerative diseases related to the accumulation of toxic protein molecules or diseases that are not neurodegenerative. The former class includes Parkinson’s disease (PD), multiple-system atrophy, progressive supranuclear palsy, and corticobasal degeneration. Over the past decade, clinical diagnostic criteria have been validated and updated to improve the accuracy of diagnosing these diseases. The latter class of disorders unrelated to neurodegenerative diseases are classified as secondary parkinsonism, and include drug-induced parkinsonism (DIP), vascular parkinsonism, and idiopathic normal-pressure hydrocephalus (iNPH). DIP and iNPH are regarded as reversible and treatable forms of parkinsonism. However, studies have suggested that the absence of protein accumulation in the nervous system as well as managing the underlying causes do not guarantee recovery. Here we review the differential diagnosis of PD and parkinsonism, mainly focusing on the clinical aspects. In addition, we describe recent updates to the clinical criteria of various disorders sharing clinical symptoms with parkinsonism.

No abstract available.
Ilizarov Technique*

No abstract available.
Hemolytic-Uremic Syndrome* ; Postpartum Period*

Cutaneous metastasis from the ovarian cancer has been found to be exceedingly rare. We report a case of a metastatic ovarian mucinous cystadenocarcinoma, which clinically manifested as the epidermal cyst-like skin nodule on the right upper quadrant of abdomen.
Abdomen ; Cystadenocarcinoma, Mucinous ; Humans ; Neoplasm Metastasis ; Ovarian Neoplasms ; Skin

Eruptive collagenoma is an acquired connective tissue nevus composed predominantly of collagen. We present a case of eruptive collagenoma in a 13-years-old female who had asymptomatic multiple 3 to 9 mm sized flesh colored scattered papules on both limbs. In addition, the differential diagnosis and other types of cutaneous collagenomas are briefly discussed.
Collagen ; Connective Tissue ; Diagnosis, Differential ; Extremities ; Female ; Humans ; Nevus