No abstract available.
Ear, Middle*

Acute infarcts of the anterior inferior cerebellar artery (AICA) territory are unusual. Furthermore incomplete AICA infarcts are perplexing because of its variations of vascular anatomy and inconsistent clinical features. We present a case with clinical features of AICA infarction, which consist of ipsilateral peripheral-type facial palsy, vertigo, and contralateral facial and upper limb sensory changes without motor weakness. The patient had hypertension and was a current smoker. The high signal intensity on inferior pontine tegmental area was found on MRI and the R2 interneuronal dysfunction was note on Blink reflex. The angiographic findings didn't show any focal vascular lesions, which is contrary to the pathogenesis of AICA infarction published previously. On the clinical ground, the present case reserves to attention in that patients with peripheral-type facial palsy should be properly evaluated and with thorough neurological examination and we could differentiate between the incomplete AICA infarcts such as Gasperini syndrome and Bell's palsy.
Arteries ; Bell Palsy ; Blinking ; Facial Paralysis* ; Humans ; Hypertension ; Infarction ; Interneurons ; Magnetic Resonance Imaging ; Neurologic Examination ; Upper Extremity ; Vertigo

Cholesteatoma of the middle ear and mastoid sometimes destroys the posterior wall of the external auditory canal(EAC), and this phenomenon is termed as "automastoidectomy". During the past two years the authors reviewed the CT features of automastoidectomy in eight patients with middle ear cholesteatoma. There was a variable amount of the cholesteatomatous mass or debris within the mastoid cavity in all patients, of whom air collection was found in four. Interestingly, the site and pattern of the erosion of the EAC were nearly, identical between patients with air in the mastoid cavity and those without it . Air in the mastiod cavity was the only clue of the expulsion of the cholesteatoma. So, we think that the expulsion of the cholesteatoma might be predicted when the erosion of the EAC is present in patients with cholesteatoma in the mastoid cavity. CT clearly depicted associated complications caused by the cholesteatoma, such as ossicular destruction (n=8), the eroion of the facial nerve canal (n=2), the erosion of the lateral semicircular canal (n=2), the erosion of the tegmen (n=1), the erosion of the sigmoid sinus plate(n=1), the erosion of the superior esmicircular canal (n=1), and the erosion of the vestibule (n=1). Although much of the natural history of the middle ear cholesteatoma still remains to be determined, we think that careful evaluation of one type of possible progression of the disease will help us understand its clinical course. Moreover, our findings strongly support the use of CT for evaluation of "automustetomy" seen in many cases of cholesteatoma.es of cholesteatoma.
Cholesteatoma ; Cholesteatoma, Middle Ear ; Colon, Sigmoid ; Ear, Middle ; Facial Nerve ; Humans ; Mastoid ; Natural History ; Semicircular Canals

No abstract available.
Jaundice

The authors reviewed 2,420 pediatric age group patients in the emergency room in Inchon Christian Hospital during 2 years period from Jul. 1974 to Jun. 1976. The results were obtained as follow. 1. Among the patients visting the emergency room, the patients under the 15 years of age were 21.9% of total emergency patients. 2. The male to female ratio was 1.6 :1.3. The patients under the 3years of age among the pediatric age group were occupied 43.7%. 4. Monthly distribution of patients showed high incidence in Jun., aug. and Sep. 5. Most frequent disease was respiratory diseases (26.6%), followed by accident (22.1%), gastrointestinal disease (13.6%) and neurologic disease(11.2%). 6. In the reapiratory diseases, the most frequent disease was URI (57.9%), followed by pneumonia (18.9%) and bronchitis (8.6%), In the accidents, the most frequent disease was traffic accident (28.3%), followed by trauma (24.9%) and burn (15.9%). In the gastroentestinal diseases, the most frequent diseas was diarrhea (47.9%), followed by gastrointerits (26.2%)and dysentery (10.1%). In the neurologic diseases, the most frequent diseas was febrile convulsion (32.3%), followed by tbc. Meningitis (21.3%) and epilepsy (19.5%). In the neonatal diseases, the most frequent disease was aspiration pneumonia (23.1%) and epilepay (19.5%). In the neonatal diseases, the most frequent disease was aspiration pneumonia (23.1%), followed by dehydration fever (17.1%) and prematurity (14.5%). In the poisonings, the most frequent factor was CO gas (37.7%), followed by food poisoning (21.9%)and insecticide (9.6%). In the infectious diseases, the most frequent disease was measles (34.3%), followed by pulmonary tbc. (16.2%) and mumps (12.1%). 7. Most popular time of visiting the emergency room was betwiin 8 : 00 pm to 12 : 00pm, at which time about 33.9% of patients were seen. 8. Admission rate through emergency room was 28.5% of total admitted patients.
Accidents, Traffic ; Bronchitis ; Burns ; Communicable Diseases ; Dehydration ; Diarrhea ; Dysentery ; Emergencies* ; Emergency Service, Hospital* ; Epilepsy ; Female ; Fever ; Foodborne Diseases ; Gastrointestinal Diseases ; Humans ; Incheon ; Incidence ; Male ; Measles ; Meningitis ; Mumps ; Pneumonia ; Pneumonia, Aspiration ; Poisoning ; Seizures, Febrile ; Statistics as Topic*

No abstract available.
Classification* ; Female ; Hydatidiform Mole* ; Pregnancy ; Risk Factors*

No abstract available.
Classification* ; Female ; Hydatidiform Mole* ; Pregnancy ; Risk Factors*

The mesenteric lipoma is rare in chilcren. A 2 years and 8 months old female child was admitted to department of Pediatrics in Inchon Christian Hospital on the 17 th Dec., 1974, because of abdominal distention and dyspnea. Operation revealed a soft yellowish mass, measuring 25x23x19cm. In size and 4,000gm. In weight. The pathologic diagnosis confirmed lipoma of the mesentery. The patient was discharged without any complications on the 8 th postoperative day. A brief review of literatures was made.
Child ; Diagnosis ; Dyspnea ; Female ; Humans ; Incheon ; Infant ; Lipoma* ; Mesentery ; Pediatrics

BACKGROUND AND OBJECTIVES: Otohematoma is a fairly common disease in otolaryngologic clinics. The principle treatment is composed of removal of the hematoma and compression. But this method is inconvenient both to the patient and doctor. To find another alternative that is simple and easy, we tried steroid injection in otohematoma. Steroid is used in various kinds of hemangioma, and if it is effective in hemangioma it also can be speculated that same phenomenon can be happened to otohematoma. MATERIALS AND METHODS: One hundred otohematoma patients were treated with triamcinolone injection on the lesion sites after aspiration of hematoma or seroma. The injection was repeated as necessary. RESULT: Among the 100 otohematoma patients 96 patients(96%) were healed without any complications. The numbers of injection needed were usually within 3 times(81%) : 1 time(42%), 2 times (20%), 3 times(19%). CONCLUSION: Steroid injection is a very good alternative in the treatment of otohematoma. It is easy to perform, convenient to the patients and usually results in complete resolution. The proposed mechanisms are vasoconstricting and anti-inflammatory action of steroid.
Hemangioma ; Hematoma ; Humans ; Seroma ; Triamcinolone

Although potential hematologic complications of carbamazepine (CBZ) have been well known, the cardiac effects of CBZ are not widely appreciated. We report two cases of severe bradyarrhythmia induced by the usual dosage of CBZ. Two elderly patients complained of chest discomfort and dyspnea after CBZ medication. Their EKGs showed sinus bradycardia with junctional escape rhythm. After the discontinuation of CBZ, cardiac conduction abnormality were resolved. Even though cardiac side effect of CBZ is rare, it is potentially lethal in elderly patients.
Aged* ; Arrhythmias, Cardiac ; Bradycardia* ; Carbamazepine* ; Dyspnea ; Electrocardiography ; Humans ; Thorax ; United Nations