1.Comparison of Renal Function in Spinal cord Injury Patient with and without Reflux.
Hong Ryul CHOI ; Tong Hyun PARK
Korean Journal of Urology 1986;27(6):883-886
The serum creatinine level, excretory urogram, endogenous creatinine clearance value, urine culture and method of drainage of urine of 116 patients with spinal cord injury were examined and compared. The serum creatinine value was found to be poor indicators of renal deterioration in these patients. Combination of bilateral reflux and suprapubic drainage resulted in a greater degree of renal damage, but no reflux with intermittent catheterization group had a good result.
Catheterization
;
Catheters
;
Creatinine
;
Drainage
;
Humans
;
Spinal Cord Injuries*
;
Spinal Cord*
2.Use of Auricular Composite Graft to Repair Nostril Stenosis: A Case Report.
Hong Ryul JIN ; See Ok SHIN ; Young Seok CHOI
Journal of Rhinology 2003;10(1, 2):57-59
Nostril stenosis is a rare disease causing cosmetic problem and nasal airway obstruction. Various etiologies including iatrogenic cause the stenosis. Usually the shortage of internal lining of vestibule initiates secondary intention healing where granulation and contracture results in the stenosis. Many surgical techniques have been used to correct the stenosis. The objective of this article is to present a case of iatrogenic unilateral nostril stenosis which was successfully repaired with the use of auricular composite graft.
Constriction, Pathologic*
;
Contracture
;
Intention
;
Nasal Obstruction
;
Rare Diseases
;
Transplants*
3.A case of peritonitis following colonoscopy in patient on continuous ambulatory peritoneal dialysis.
Hee Seung HONG ; Seung Joon SHIN ; Byung Geun HAN ; Seung Ryul KIM ; Seung Ok CHOI ; Kwang Hoon LEE ; Hyang In KIM
Korean Journal of Nephrology 1993;12(4):711-714
No abstract available.
Colonoscopy*
;
Humans
;
Peritoneal Dialysis, Continuous Ambulatory*
;
Peritonitis*
4.One Case of Xanthogranulomatous Pyelonephritis.
Chang Sik LEE ; Seung Hyun LIM ; Hong Ryul CHOI ; Tong Hyun PARK
Korean Journal of Urology 1986;27(4):569-572
Xanthogranulnmatous pyelonephritis is an unusual chronic renal infection associated with renal calculi, urinary tract infection or obstruction in many cases. It is characterized by orange-yellow nodules of inflamed parenchymal tissue macroscopically and foamy lipid-laden histiocyte microscopically. We report a case of Xanthogranulomatous pyelonephritis in a 74 years old male.
Aged
;
Histiocytes
;
Humans
;
Kidney Calculi
;
Male
;
Pyelonephritis
;
Pyelonephritis, Xanthogranulomatous*
;
Urinary Tract Infections
6.Endoscopic Reduction of Anterior Wall Frontal Sinus Fractures: A Case Report.
Korean Journal of Otolaryngology - Head and Neck Surgery 2008;51(1):92-94
Traditionally, the repair of displaced anterior wall fractures of the frontal sinus has involved open reduction and internal fixation. Recent development of instrument and techniques for endoscopic brow-lifting has allowed access to anterior wall fractures of the frontal sinus without the need for a coronal incision. A 32-year-old man presented with a depressed anterior wall of the frontal sinus and underwent endoscopic reduction of the fracture. Through two small incisions above the hairline, an endoscope and instruments were inserted after the elevation of the forehead skin over the depressed anterior wall. Depressed bone fragments were successfully reduced with a bone hook inserted through a small incision over the forehead. The authors report this case with a brief literature review focusing on the endoscopic reduction of the anterior wall fracture of the frontal sinus.
Adult
;
Endoscopes
;
Forehead
;
Frontal Sinus
;
Humans
;
Skin
7.Evaluation of Health Exams on Local Vibration Illness among Shipyard Workers.
Yeong Su JU ; Hong Ryul CHOI ; Mi Kyung KIM ; Hong SOHN ; Sun Ja JEON ; Sung Il CHO ; Hyong Sik KIM
Korean Journal of Occupational and Environmental Medicine 1998;10(4):413-427
A hand-arm vibration syndrome, local vibration illness, occurs in some workers who use hand held vibration tools. It consists of white fingers, diffusely distributed finger neuropathy, pain in the hand and arm, and a small excess risk of osteoarthritis. This study is aimed to identify effective methods to confirm local vibration illness among various health exams, which are mentioned in worker's special health exam regulation. In addition, this study is aimed to quantitatively assess the daily vibration exposure level as a major determinant of vibration illness. The subjects, 46 vibration workers, were selected according to the results of the first special health exam about vibration hazards at shipbuilding industry in 1997. They all had experiences of work related blanching of fingers. Fifteen controls, who had no vibration exposure at all, were also recruited to compare their test results with the results of vibration workers. We adopted 1 subjective and 6 objective tests to evaluate the effectiveness and feasibility for confirming local vibration illness. These tests were history taking of subjective symptoms according to the Stockholm classification, checking blood pressure of finger, checking grasp power, checking finger skin temperature, nail-bed pressing test, vibration perceptional threshold test, and skin prick test for pain perception. Among these, checking skin temperature, nail-bed pressing test, and vibration perception test included cold water provocations. We also estimated some vibration exposure levels of hand held vibration tools by using previously published data from one automobile company. In conclusion, history taking of subjective symptoms according to the Stockholm classification, nail-bed pressing test, and vibration perceptional threshold test were discovered to be effective to diagnose local vibration illness. Furthermore, vibration perceptional threshold on right fingers showed a dose-response relationship to daily vibration exposure levels. The parameter beta was 0.0005(+/-0.0002), and statistically significant by REM (random effects model).
Arm
;
Automobiles
;
Blood Pressure
;
Classification
;
Fingers
;
Hand
;
Hand Strength
;
Hand-Arm Vibration Syndrome
;
Osteoarthritis
;
Pain Perception
;
Skin
;
Skin Temperature
;
Vibration*
;
Water
8.Two Cases of Thoracic Myelopathy Secondary to Ossification of the Ligamentum Flavum.
Seong Ryul KIM ; Jae Woo KIM ; Sang Ho KIM ; Gab Jin KIM ; Ki Jong CHOI ; Kju Hong KIM
Journal of the Korean Neurological Association 1995;13(4):1001-1006
Hypertrophied ligamentum flavum is not a common cause of myelopathy. Only a minority of cases in the previous reports of myelopathy or radiculopathy secondary to thickening of the ligamentum f lavum had calcification of the ligamentum. We report two cases of thoracic myelopathy caused by ossified ligamentum flavum. One case was a twenty-five year old female who complained of weakness of lower limbs. The other was a fifty-three year old male who complained of tingling sensation on both lower extremities and weakness of right leg. These two patients showed weakness of lower extremities associated with hypesthesia below the level of calcified ligamentum flavum, positive ankle clonus, extensor plantar response, and hyperreflexia. Magnetic resonance imaging (MRI) showed clearly the spinal cord compression at the second to fourth thoracic level by a low-intensity-signal lesion. Metrizamide myelography with computerized tomography showed precise preoperative diagnosis and anatomic localization of the lesion. About one month after laminectomy and removal of the ossified ligaments flava, there was improvement of weakness, hypesthesia and ankle clonus.
Ankle
;
Diagnosis
;
Female
;
Humans
;
Hypesthesia
;
Laminectomy
;
Leg
;
Ligaments
;
Ligamentum Flavum*
;
Lower Extremity
;
Magnetic Resonance Imaging
;
Male
;
Metrizamide
;
Myelography
;
Radiculopathy
;
Reflex, Abnormal
;
Reflex, Babinski
;
Sensation
;
Spinal Cord Compression
;
Spinal Cord Diseases*
9.Multiple Brain Calcification in Chronic Lead Poisoning.
Sung Ryul KIM ; Byoung Gwon KIM ; Young Seoub HONG ; Do Won DAM ; Soon Seob CHOI ; Kap Yull JUNG ; Joon Youn KIM
Korean Journal of Preventive Medicine 1995;28(2):398-405
We experienced a case of occupational lead poisoning employed in a secondary lead smelting plant for 12 years. The patient was 39-year-old male and had been felt dizziness, recent memory impairment and intermittent severe abdominal pain for 2 years. On admission, blood lead level was 92.9 microgram/dl, urinary lead level was 19,9 microgram/l and zinc protoporphyrin level was 226.0 microgram/dl. On the blood test, hemoglobin was 10.6 g/dl and showed normocytic normochromic anemia. There were no abnormal findings in the biochemical and hormonal tests. Decrease of I.Q. and use of words in speaking were found in the psychiatric and psychologic examinations. We observed the finding of motor polyneuropathy in the nerve conduction velocity test. Computed tomographic finding showed calcification lesions in the basal ganglia, dentate nuclei, caudate nuclei, and especially characteristic multiple calcifications were located in the subcortical white matter.
Abdominal Pain
;
Adult
;
Anemia
;
Basal Ganglia
;
Brain*
;
Dizziness
;
Hematologic Tests
;
Humans
;
Lead Poisoning*
;
Male
;
Memory
;
Neural Conduction
;
Osmeriformes
;
Plants
;
Polyneuropathies
;
Zinc
10.5 Cases of Major Complications after Rhinologic Surgery: Avoidable and Unavoidable Cases.
Hong Ryul JIN ; Hyun Seok LEE ; See Ok SHIN ; Young Seok CHOI ; Dong Wook LEE
Journal of Rhinology 2004;11(1, 2):75-82
Otolaryngologists are sometimes confronted with various complications. They may be minor or sometimes they can be major, and rarely fatal. Some complications can be prevented, but some are unavoidable. Five cases of major complications, which occurred during or after routine rhinologic surgery, are presented. Two patients died of toxic shock syndrome: one patient after endoscopic sinus surgery (ESS) and the other patient after closed nasal bone reduction. One patient died of acute myocardial infarction during the recovery of anesthesia after uneventful ESS. One patient had a lidocaine shock, which required treatment in the intensive care unit. One patient had a transient unilateral blindness after intranasal steroid injection. Though the 3rd and 4th cases of complications were unavoidable, the others could have been prevented if precautions had taken place. The presumed pathophysiology, possible prevention measures, and their implications in routine otolaryngologic surgery are discussed.
Anesthesia
;
Blindness
;
Humans
;
Intensive Care Units
;
Lidocaine
;
Myocardial Infarction
;
Nasal Bone
;
Shock
;
Shock, Septic