We report a case of the top of the basilar syndrome with peduncular hallucinosis in a 58 year old man who showed visual, oculomotor, and behaviorai symptoms and signs. Angiography revealed atherosclerotic stenosis at the junction of vertebral and basilar arteries. Mri showed high-signal lesions in various vertebrobasilar territories including thaiamus and midbrain.
Angiography ; Basilar Artery ; Brain Stem Infarctions ; Constriction, Pathologic ; Humans ; Magnetic Resonance Imaging ; Mesencephalon ; Middle Aged

We report a 60 year-old right-handed woman with left anterior cerebral artery territory infarction who showed the alien hand sign. The patient exhibited a severe disturbance of the right arm motor control characterized by forced grasping. Motor perseveration. And the presence of intermanual conflict that at times the right hand interfered with tasks performed by the left hand. Also, features of a transcortical motor aphasia signs of callosal interruption, urinary incontinence, and weakness of right leg were noted. MRI showed high signal areas in the left medial frontal cortex and anterior corpus callosum.
Anterior Cerebral Artery ; Aphasia, Broca ; Arm ; Corpus Callosum ; Emigrants and Immigrants* ; Female ; Hand Strength ; Hand* ; Humans ; Infarction ; Leg ; Magnetic Resonance Imaging ; Middle Aged ; Urinary Incontinence

No abstract available.
Appendicitis* ; Child* ; Humans

A 69-year-old man presented with annular lichen planus involving both forearms, hand dorsa, wrists, inner sides of the thighs, knees and ankles. He was treated initially with systemic corticosteroids and etretinate, but rernission and recurr ence of the skin lesions were observed. During the follow-up, we found erythrasma on all his toewebs and both soles. After administration of erythromycin for the treatment of erythrasma, lesions of the lichen planus rapidly improved. Five months later, some lesions of lihen planus and erythrasma had recurred. After administration of erythromycin, the lesions of lichen planus improved again. No recurrence was observed for the following 8 months. We suspect that eradication of the chronic focus of infection and the anti-inflammatory effect, of erythromycin may lead to supression of abnormal immunological reactions and resolution of lichen planus.
Acitretin ; Adrenal Cortex Hormones ; Aged ; Ankle ; Erythrasma ; Erythromycin* ; Etretinate ; Follow-Up Studies ; Forearm ; Hand ; Humans ; Knee ; Lichen Planus* ; Lichens* ; Recurrence ; Skin ; Thigh ; Wrist

Percutaneous tansluminal angioplasty(PTA) was done in 38-year-old female patient with membranous obstructionof IVC in the department of Radiology, Seoul National University Hospital. After PTA, pressure gradient between right atrium and IVC was relieved from 16mmHg to 6mmHg. The collateral circulation through hemiazygos vein andreflux into hepatic and right renal vein were disappeared. PTA is suggested to be an effective method in thetreatment of membranous obstruction of IVC.
Adult ; Angioplasty ; Collateral Circulation ; Female ; Heart Atria ; Humans ; Methods ; Renal Veins ; Seoul ; Veins

Kartagener's syndrome is an autosomaly inherited recessive condition characterized by situs inversus, bronchiectasis, and chronic sinusitis. And recently it was recognized as a subclass of dyskinetic cilia syndrome which caused by a defect in mucociliary transport owing to immotile or dyskinetic beating of cilia. Electron microsopy of cilia from sperm tails, nasal and bronchial epithelium of patients reveals the partial or complete absence of dynein arms. Our four patients were diagnosed as a Kartagener's syndrome by classic triad. We carried out electron microscopy of cilia of the nasal mucosa. And many other tests were done. One patient had squamous cell carcinoma of the lung, and another one patient revealed features of adult respiratory distress syndrome at admission. All patients improved with conservative therapy such as physiotherapy, bronchodilater, antibiotics except one patient who mechanical ventilation was required. A brief review of literature was made.
Anti-Bacterial Agents ; Arm ; Bronchiectasis ; Carcinoma, Squamous Cell ; Cilia ; Dyneins ; Epithelium ; Humans ; Kartagener Syndrome* ; Lung ; Microscopy, Electron ; Mucociliary Clearance ; Nasal Mucosa ; Respiration, Artificial ; Respiratory Distress Syndrome, Adult ; Sinusitis ; Situs Inversus ; Sperm Tail

No abstract available.
Cisplatin* ; Humans ; Nausea* ; Vomiting*

No abstract available.
Adenoids* ; Carcinoma, Adenoid Cystic*

No abstract available.
Cystectomy* ; Quality of Life* ; Urinary Diversion*

A 25 year old female patient with hyperemesis gravidarum developed mental confusion, gait disturbance and diplopia. MRI of this patient showed high-signal lesions in thalamus, floor of the fourth ventricle, periaqueductal gray matter, mammillary body, and corpora quadrigemina, The high signal areas correlated well with the anatomical distribution of pathologic lesions in wernicke's encephalopathy previously described.
Adult ; Diplopia ; Female ; Fourth Ventricle ; Gait ; Humans ; Hyperemesis Gravidarum* ; Magnetic Resonance Imaging* ; Mamillary Bodies ; Periaqueductal Gray ; Pregnancy ; Tectum Mesencephali ; Thalamus ; Wernicke Encephalopathy*