A 36-year old man with neck pain developed an acute cervical prevertebral hematoma after acupuncture therapy at an oriental medicine hospital. MR imaging demonstrated a fluid collection, and this suggested a diagnosis of retropharyngeal hematoma, and the patient was managed conservatively. We report here on a case of a retropharyngeal hematoma following acupuncture therapy and we review the relevant literature.
Acupuncture ; Acupuncture Therapy ; Hematoma ; Humans ; Medicine, East Asian Traditional ; Neck Pain

Correction of funding statement.

Correction of funding statement.

No abstract available.

No abstract available.
Suicide, Attempted*

Recently halothane and enflurane are commonly used inhalational anesthetic agents in our country. However, it is a controversial matter whether these agents are a potential threat to the liver. Therefore, in order to evaluate the effects of halothane and enflurane on the hepatic function, we divided a anesthetized patients into the following 4 groups. 1st group; low spinal anesthesia. 2nd group; single inhalational anesthesia with halothane.3rd group; repeated secondary inhalational anesthesia with halothane. 4th group; secondary inhalational anesthesia with enflurane following halothane. On postoperative 1st, 3rd, 5th, 7th, 10th day, we checked the levels of SGOT, SGPT and ALP. The results are as follows. group 1. Low spinal anesthesia(10 cases) ;SGOT and SGPT levels-no change or recovered in 9 cases (90%) ALP level-no change in all cases. group 2. Single inhalational anesthesia with halothane (14 cases) ;SGOT and SGPT levels-no change or recovered in 13 cases(92%) severely changed in 1 case. ALP level-no change or recovered in 13 cases (92%) group 3. Repeat 2ndary halothane anesthesia following previous halothane anesthesia. (14cases) ; SGOT level-no-change or recovered in 11 cases (79%), severely changed in 2 cases. SGPT level-no-change or recovered in 11 cases (79%), severely changed in 3 cases. ALP level-no-change or recovered in 11 cases (79%), severely changed in 1 case group 4. Repeated 2ndary enflurane anesthesia following previous halothane anesthesia. (11 cases) ; SGOT level-no-change or recovered in 8 cases (72%), severely changed in 2 cases SGPT level-no-change or recovered in 8 cases (63%), severely changed in 2 cases ALP level-no-change or recovered in 5 cases (45%), severely changed in 1 case From the above results, more cases of elevated SGOT, SGPT and ALP levels and slower recovery rate were noted in the repeated anesthesia group than in the one time anesthesia group. Not only the anesthetics themselves but also other variables such as disease severity coincidental illness, transfusion, duration of operation and so on are probably responsible for these alterations.
Alanine Transaminase* ; Anesthesia* ; Anesthesia, Spinal ; Anesthetics ; Aspartate Aminotransferases* ; Enflurane ; Halothane ; Humans ; Liver

This 51 years old Korean house wife has been suffered from bullous and erosive eruptions on the abdomen, back, both thigh and legs, duration of three days with sudden onset Prior to admission she has had a erosion on the oral mucosa for one year. The diagnosis of pemphigus vulgaris was confirmed by histopathology and immunoelectrophoresis. This patient was improved with treatment of prednisolone bu Lever's "Logarithmic fashion" and used the maintenance dose of prednisolone without recurrence.
Abdomen ; Diagnosis ; Humans ; Immunoelectrophoresis ; Leg ; Middle Aged ; Mouth Mucosa ; Pemphigus* ; Prednisolone ; Recurrence ; Spouses ; Thigh

No abstract available.
Humans ; Muscular Dystrophies*

OBJECTIVES: In order to standardize the CRP, ESR and WBC count after three types of spinal surgery and get clinical usefulness from these laboratory dadas after spinal surgery and clincal usefulness of laboratory datas. MATERIAL AND METHODS: Three groups of patients(microdisectomy, anterior and posterior fusion) were chosen for the study. CRP, ESR and WBC levels were prospectively determined before surgery and at days 1-5, 10, 14,21 and 42 after surgery. RESULTS: In all patients, preoperative normal CRP level(<10mg/L) increased, reaching peak levels on the second day after anterior fusion(84.6mg/L), and at the third day after microdiscectomy(54.5mg/L) and posterolateral intercorporal fusion(152.2mg/L), with normalization in 5-10 days. Preoperative normal ESR level increased to peak level on the forth day after microdiscectomy(33.0mm/hr), and increased double peak levels after anterior(postoperative days 2&5) and posterolateral intercorporal fusion(postoperative days 3&5). ESR followed by a slow and irregular decrease, and at 42 days after surgery often remained elevated. WBC increased to variable peak level within normal limit in all patients. CONCLUSIONS: The rapid decline in CRP will probably be interrupted by a second rise or persisting elevation if infection occurs. CRP is presumably a better test than ESR for early detection of postoperative infection.
Blood Sedimentation* ; C-Reactive Protein* ; Erythrocytes* ; Humans ; Prospective Studies

No abstract available.