1.Neurologic examination for primary care physicians.
Journal of the Korean Academy of Family Medicine 2001;22(4):424-446
No abstract available.
Humans
;
Neurologic Examination*
;
Physicians, Primary Care*
;
Primary Health Care*
2.Treatment of Common Headaches for Primary Care Physicians.
Journal of the Korean Academy of Family Medicine 2000;21(2):113-124
No abstract available.
Headache*
;
Humans
;
Physicians, Primary Care*
;
Primary Health Care*
3.Clinical and electrophysiological studies of subacute combined degeneration.
Hee Joon BAE ; Han Bo LEE ; Kwang Woo LEE
Journal of the Korean Neurological Association 1997;15(5):1085-1096
BACKGROUND & OBJECTIVES: Subacute combined degeneration (SCD) is a disease of spinal cord involving the posterior and lateral column due to vitamin B12 deficiency. The clinical and electrophysiologic findings of SCD are various. METHODS: From 1989 to 1996, 7 patients were diagnosed with SCD in our hospitals. The diagnosis was made by the neurologic and laboratory findings and electrophysiolgic studies such as nerve conduction studies(NCS) and evoked potential(EP). RESULT: Four patients received gastrectomy. Two had chronic atrophic, gastritis; one of them was assumed to have food-cobalamin malabsorrtion. The remaining one was a heavy drinker. The mean duration of neurologic symptoms was 35.7 months. The most common initial complaint was paresthesia (in 4) and impairment of cutaneous sensation was the most common neurologic sign At the time of diagnosis, 5 patients had myelopathy with was supported by EP in 3(60%). There were abnormal NCS findings in 5 f 6 patients with peripheral neuropathy. In one patient, there was no symptom and sign compatible with myelopathy but median nerve SEP showed bilateral central conduction delay. No one had visual symptoms but prolongation of P 100 was detected in 2 patients. Sural nerve biopsy was done in 2 case, which revealed chronic nonspecific neuropatby in one and chronic axonopathy in the other. Megaloblastic anemia was found in 4 cases and improved by cobalamin therapy in all the parents, in which the follow up hematologic data were available. There as a tendency that nonanemic patients had more severe neurologic symptoms than anemic ones. We could not find any relationship between the duration and severity of neurologic menifestations was best in the patients with the shortest duration of neurologic manifestations and hematologic feature festations. CONCLUSIONS: The authors suggest that early detection and treatment is very important for the improvement of symptoms in SCD.
Anemia, Megaloblastic
;
Biopsy
;
Diagnosis
;
Follow-Up Studies
;
Gastrectomy
;
Gastritis
;
Humans
;
Median Nerve
;
Neural Conduction
;
Neurologic Manifestations
;
Parents
;
Paresthesia
;
Peripheral Nervous System Diseases
;
Sensation
;
Spinal Cord
;
Spinal Cord Diseases
;
Subacute Combined Degeneration*
;
Sural Nerve
;
Vitamin B 12
;
Vitamin B 12 Deficiency
4.Erratum: Correction of Affiliation.
Ji Eun KIM ; Young Ran CHO ; Bo Eun CHOI ; Sang Han LEE ; Taek Hoo LEE
Obstetrics & Gynecology Science 2018;61(2):286-286
The affiliations were published incorrectly.
5.Survival rates of acute leukemia patients by FAB classification.
Kae Sook KANG ; Jung Han PARK ; Hae Tae LEE ; Kyu Bo LEE
Korean Journal of Hematology 1992;27(2):239-247
No abstract available.
Classification*
;
Humans
;
Leukemia*
;
Survival Rate*
6.Detection of Brainstem Lesion in Wilson's Disease using Brainstem Auditory Evoke Potential Study.
Journal of the Korean Neurological Association 1992;10(4):485-491
No abstract available.
Brain Stem*
;
Hepatolenticular Degeneration*
7.Clinical Observations on Cerebral Sparganosis.
Han Bo LEE ; Kwang Woo LEE ; Sang Bok LEE ; Ho Jin MYUNG
Journal of the Korean Neurological Association 1987;5(1):64-69
We have met 5 cases of cerebral sparganosis since 1984, including one which was reported by Hong et al. In 1985. We reviewed their medical records and clinical manifestations, possible etiologic histories, findings of brain CT and micro-ELISA done in all cases, and findings of brain biopsy done in 2 cases were discussed. 1. Initial manifestations were seizures (in 4 of 5) or limb weak-nesses (in 4 of 5), which were followed by symptoms and signs due to space occupying effects. 2. Raw snakes or raw frogs were ingested in 3 cases and estimated incubation periods in 2 cases were 2 and 5 years respectively. 3. Brain CT's showed widespread low density, usually in white matter area, ipsilateral ventricular dilatation and/or enhaneing nodules. 4. Micro-EILSA's showed that initial titers of sparganum-specific Ab were above criterion (0.22) except for serum of case 5, and F/U micro-ELISA'S done in 3 cases revealed negative conversion (decrease of Ab titer below criterion) only for CSF of case 5, in which surgical removal was successfully done, and otherwise variable changes of titers. 5. Brain biopsies done in 2 cases showed such findin-gs as degenerating worm, granuloma, tunnel formation, and calcospherules.
Biopsy
;
Brain
;
Dilatation
;
Extremities
;
Granuloma
;
Medical Records
;
Seizures
;
Snakes
;
Sparganosis*
8.Clinical and Electrophysiological Characteristics of Alcoholic Neuropathy.
Sung Hyun LEE ; Han Bo LEE ; Seong Ho PARK ; Kwang Woo LEE
Journal of the Korean Neurological Association 1995;13(3):528-535
Authors analyzed clinical and electrophysiological features of 35 patients with alcoholic neuropathy who had visited the Boramae City Hospital. All patients were men. Most of the cases drank alcohol everyday. The duration of alcohol consumption is from 2 to 47 years (mean, 17.8 years). Patients with relatively short history of alcohol consumption had a tendency to take more inadequate meals. Clinically we found two distinct separable categories ; one was sensorimotor peripheral neuropathy associated with other alcoholic complications, such as Wemicke and Pellagra disease, delirium tremens, liver disease etc(24 patients). The other had subacutely progressing prominent weakness with sensory change, especially in lower extremities(ll patients). Electrophysiological studies showed decreased amplitudes of sensory or motor compound action potentials with relative preservation of conduction velocity favoring axonal neuropathy. Among the electrophysiological parameters, abnormalities in F-wave(78.3%), H-reflex(86.4%) and sural nerve conduction studies(78.8%) were more frequently observed than in others, which were thought to be more sensitive parameters with early involvement. In terms of electrophysiological pattern there were no definite diffemeces between the two groups.
Action Potentials
;
Alcohol Drinking
;
Alcohol Withdrawal Delirium
;
Alcoholic Neuropathy*
;
Alcoholics*
;
Axons
;
Hospitals, Urban
;
Humans
;
Liver Diseases
;
Male
;
Meals
;
Pellagra
;
Peripheral Nervous System Diseases
;
Sural Nerve
9.The Use of Dual Energy X-ray Absorptiometry in the Prediction of Stone Fragility in Extracorporeal Shock Wave Lithotripsy.
Hee Jong KIM ; Jeong Oh LEE ; Bo Hyun HAN
Korean Journal of Urology 2006;47(11):1210-1219
Purpose: The aim of this study was to determine whether the stone mineral content (SMC) and stone mineral density (SMD), as measured by dual energy X-ray absorptiometry, can predict the stone fragility in extracorporeal shock wave lithotripsy (ESWL). Materials and Methods: In the experimental study, the stone size, weight, SMC and SMD of 111 urinary calculi, obtained by open surgery, were measured. The SMC and SMD were measured using dual energy X-ray absorptiometry, which is the gold standard for measuring the bone mineral content and density. The number of shock waves necessary for full fragmentation was accepted as a measure of the stone fragility in ESWL (EDAP-sonolith Praktis). In the clinical study, the stone size, SMC and SMD were measured in a total of 48 patients with a solitary renal stone of less than 3cm. Prior to ESWL all patients underwent dual energy X-ray absorptiometry to calculate the SMC and SMD. The correlations between the number of total shock waves and the stone size, SMC and SMD were analyzed. Results: In the experimental study, the stone size, stone weight, SMC and SMD values correlated with total shock waves, with a correlation coefficients (R) of 0.79, 0.95, 0.99 and 0.86, respectively (n=111). In the clinical study, the mean stone size, mean MC and MD values differed significantly between the clinically successful and failed ESWL (n=36 and n=12), respectively (p=0.0002, p=0.004, p=0.004). On a simple regression analysis, the SMC (R2=0.74), SMD (R2=0.56) and stone size (R2=0.51) were significant factors in predicting the number of shock waves. Using the receiver operating characteristic curves for comparing the stone size, SMC and SMD in relation to the number of shock waves, the areas under the respective curves were 0.79, 0.84 and 0.81 with cut-off values of 1.8, 1.4 and 1.8. Conclusions: The stone size, SMC and SMD measured by dual energy x-ray absorptiometry may provide a prediction of the outcome of patients prior to ESWL treatment. Patients with high SMC (greater than 1.4gm) could be recommended for percutaneous nephrolithotripsy or another treatment modality, thus, avoiding the unnecessary cost of prior ESWL.
Absorptiometry, Photon*
;
Bone Density
;
Humans
;
Lithotripsy*
;
ROC Curve
;
Shock*
;
Urinary Calculi
10.The Effect on Onset Time of Warming Local Anesthetic for Caudal Block.
Ji Ah LEE ; Soo Jin CHUNG ; Sang Bo HAN ; Tae Ho CHUNG ; Chung Hwan PARK
Korean Journal of Anesthesiology 1997;33(6):1098-1102
BACKGROUND: One of the main disadvantages of caudal block is the long latent period before a satisfactory blockade is obtained. Many investigators have used various preparations of local anesthetic solutions to improve the speed of onset. This study was performed to evaluate the effectiveness of prewarming of lidocaine HCl for caudal block. METHODS: Fifty healthy young patients (ASA I) were allocated into two groups, A and B. In group A, the local anesthetic solution were injected at room temperature (25 degrees C), while in group B, they were injected at 37oC. All the caudal block were performed using 2% lidocaine HCl 20 ml with fentanyl 100ug and epinephrine 1:200,000. The onset time was defined as the period from completion of injection until the patient first noticed loss of sensation to pin-prick on perianal region. Assessment of sensory loss was made at 15 seconds interval. We have compared the onset of sensory blockade between groups. The duration of analgesia and any significant side effects were also recorded. RESULTS: The onset of sensory blockade was significantly faster in group B (3.5 +/- 0.5 minutes) than group A (6.2 +/- 0.9 minutes). The duration of analgesia were not significantly changed between groups. Side effects of urinary retention, pruritus and nausea were noted between both groups but the difference was not significant. CONCLUSIONS: We have found that the onset time was 44% faster with warm lidocaine-fentanyl mixture (37 degrees C) than with the room temperature (25 degrees C). The improved clinical usefulness was achieved with no increase in side effects. The technique is a safe and effective method to reduce the latency of onset.
Analgesia
;
Epinephrine
;
Fentanyl
;
Humans
;
Lidocaine
;
Nausea
;
Pruritus
;
Research Personnel
;
Sensation
;
Urinary Retention