1.Pain Control with Continuous Infusion of Epidural Morphine and Bupivacaine after Lumbar Spinal Surgery(A Prospective Study).
Moon Soo SHIN ; Byung Hee LEE ; Hun Kyu CHOI ; Jae Sub NOH ; Jung Young AHN ; Seung Hun SHEEN ; Byung Hee LEE ; Bong Sub CHUNG
Journal of Korean Neurosurgical Society 2000;29(5):604-608
No abstract available.
Bupivacaine*
;
Morphine*
;
Prospective Studies*
2.Delayed Hypoglossal Nerve Palsy Following Fracture of the Occipital Condyle: Case Report.
Hun Kyu CHOI ; Bong Sub CHUNG ; Moon Soo SHIN
Journal of Korean Neurosurgical Society 1998;27(3):403-406
Fracture of the occipital condyle is rare. We report the case of a patient with this fracture who presented with negative plain films and delayed hypoglossal nerve palsy. Diagnosis was estabilished with high resolution computed tomography. In a trauma patient with neck or occipital pain, with or without cranial nerve palsy, this fracture should be considered, even if a plain radiograph is negative.
Cranial Nerve Diseases
;
Diagnosis
;
Humans
;
Hypoglossal Nerve Diseases*
;
Hypoglossal Nerve*
;
Neck
3.A Brown-Sequard Syndrome Resulting from a Ruptured Cervical Disc Herniation: A Case Report.
Moon Soo SHIN ; Bong Sub CHUNG ; Hun Kyu CHOI
Journal of Korean Neurosurgical Society 1996;25(11):2365-2367
We present a case of Brown-Sequard syndrome due to a massive cervical disc herniation at C5/6 level, presenting sings of sudden and severe spinal cord compression. The lesion was diagnosed by MRI and herniated cervical disc was removed under the surgical microscope via anterior route. The result of operation was good. A brief review of the literature is given.
Brown-Sequard Syndrome*
;
Magnetic Resonance Imaging
;
Spinal Cord Compression
4.Aneurysms Presenting with Neural Compression:Response to Treatment with Guglielmi Detachable Coils Embolization.
Jin Young PARK ; Jung Yong AHN ; Ryoong HUH ; Hun Kyu CHOI ; Byung Hee LEE ; Moon Soo SHIN ; Bong Sub CHUNG
Journal of Korean Neurosurgical Society 2000;29(11):1491-1498
No abstract available.
Aneurysm*
5.A clinical study on 24 cases of renal transplantation.
Seung Hun SHIN ; Min Soo JEONG ; Sunn Kgoo RHEE ; Jeong Ho LEE ; Gang Wook YI ; Young Tai SHIN ; Ki Sub SON ; Wan Hee YOON ; Chong Koo SUL
Korean Journal of Nephrology 1991;10(3):401-411
No abstract available.
Kidney Transplantation*
6.The Relationship between the Serum Intercellular Adhesion Molecule-1 Level and the Prognosis of the Disease in Lung Cancer.
Hun Sub SHIN ; Chan Hee JUNG ; Hyun Duk PARK ; Seung Sei LEE
The Korean Journal of Internal Medicine 2004;19(1):48-52
BACKGROUND: Adhesion molecules are related to cell-to-cell interaction and inflammatory interaction. In addition, adhesive interactions between tumor cells and adjacent cells and/or extracellular matrix play important roles in the complex process of tumor growth and development. Among these adhesion molecules, expression of intercellular adhesion molecule-1 (ICAM-1) has been identified in colon cancer, bladder cancer, lung cancer, melanoma, pancreatic cancer and hepatocellular carcinoma. In the current study, we analyzed serum ICAM-1 concentrations to investigate the relationship between the serum ICAM-1 level and prognosis in patients with lung cancer METHODS: Serum ICAM-1 was measured in 84 patients with lung cancer according to the pathologic type and clinical stage using the ICAM-1 ELISA kit. The Kaplan-Meier method was used to analyse survival time. RESULTS: There was no difference in serum ICAM-1 concentration among the different stages of lung cancer. Furthermore, there was no difference observed between histologic tumor type with regard to serum ICAM-1 concentration. Although the difference was not significant, the overall survival times of patients with a low serum ICAM-1 concentration (< 306 ng/mL) was longer than that of patients with a high concentration (> or=306 ng/mL) in non-small cell lung cancer patients. CONCLUSION: These results suggest that high levels of serum ICAM-1 reflect poor prognosis for patients with non-small cell lung cancer.
Aged
;
Carcinoma, Non-Small-Cell Lung/*blood/mortality/pathology
;
Carcinoma, Small Cell/*blood/mortality/pathology
;
Female
;
Human
;
Intercellular Adhesion Molecule-1/*blood
;
Lung Neoplasms/*blood/mortality/pathology
;
Male
;
Middle Aged
;
Neoplasm Staging
;
Prognosis
;
Survival Analysis
7.Gastric Wall Shortening in Early Gastric Cancer: Upper Gastrointestinal Series and Pathologic Correlation.
Ho Chul KIM ; Gu KANG ; Hyung Sik SHIN ; Chul Soon CHOI ; Ku Sub YUN ; In Jae KIM ; Kyu Sun KIM ; Sang Hun BAE
Journal of the Korean Radiological Society 1995;32(1):125-130
PURPOSE: To investigate the causes of gastric wall shortening in early gastric cancer, upper gastrointestinal study was correlated with pathologic findings. MATERIALS AND METHODS: We evaluated 41 cases(M :F=1.7:1, average age=49) of early gastric cancer, retrospectively. The gastric wall shortening were classified as Grade I; none, Grade II ;intermediate, and Grade III; prominent. Pathologic findings such as size of lesions, depth of tumor invasion, degree of the submucosal fibrosis, degree of thickness of the submucosa and muscularis propria, and morphologic patterns of lesions including conversing mucosal folds were correlated with the degree of gastric wall shortening on upper gastrointestinal series. RESULTS: Submucosal fibrosis was present in 4 cases in Grade I (n=21), 4 cases in Grade II (n=6) and 8 cases in Grade III (n=10). Positive conversing mucosal folds were seen in 5 cases in Grade I (n=17), 0 case in Grade II (n=2) and 9 cases in Grade III (n=9). Gastric wall shortening was significantly associated with submucosal fibrosis and conversing mucosal folds of early gastric cancer. (p=.0001 and p=.002, respectively) CONCLUSION: Upper gastrointestinal finding of gastric wall protrusion in patients with early gastric cancer should not misinterprete as advanced gastric cancer since the finding could be a result of submucosal fibrosis.
Fibrosis
;
Humans
;
Retrospective Studies
;
Stomach Neoplasms*
8.Gastric Wall Shortening in Early Gastric Cancer: Upper Gastrointestinal Series and Pathologic Correlation.
Ho Chul KIM ; Gu KANG ; Hyung Sik SHIN ; Chul Soon CHOI ; Ku Sub YUN ; In Jae KIM ; Kyu Sun KIM ; Sang Hun BAE
Journal of the Korean Radiological Society 1995;32(1):125-130
PURPOSE: To investigate the causes of gastric wall shortening in early gastric cancer, upper gastrointestinal study was correlated with pathologic findings. MATERIALS AND METHODS: We evaluated 41 cases(M :F=1.7:1, average age=49) of early gastric cancer, retrospectively. The gastric wall shortening were classified as Grade I; none, Grade II ;intermediate, and Grade III; prominent. Pathologic findings such as size of lesions, depth of tumor invasion, degree of the submucosal fibrosis, degree of thickness of the submucosa and muscularis propria, and morphologic patterns of lesions including conversing mucosal folds were correlated with the degree of gastric wall shortening on upper gastrointestinal series. RESULTS: Submucosal fibrosis was present in 4 cases in Grade I (n=21), 4 cases in Grade II (n=6) and 8 cases in Grade III (n=10). Positive conversing mucosal folds were seen in 5 cases in Grade I (n=17), 0 case in Grade II (n=2) and 9 cases in Grade III (n=9). Gastric wall shortening was significantly associated with submucosal fibrosis and conversing mucosal folds of early gastric cancer. (p=.0001 and p=.002, respectively) CONCLUSION: Upper gastrointestinal finding of gastric wall protrusion in patients with early gastric cancer should not misinterprete as advanced gastric cancer since the finding could be a result of submucosal fibrosis.
Fibrosis
;
Humans
;
Retrospective Studies
;
Stomach Neoplasms*
9.Peritumoral Bone Marrow Edema in Benign Giant Cell Tumor.
Sung Hun KIM ; Jeong Mi PARK ; Ji Yong KIM ; Won Hee GI ; Mi Suk SUNG ; Jae Mun LEE ; Kyung Sub SHIN
Journal of the Korean Radiological Society 1998;39(4):793-799
PURPOSE: To evaluate the frequency of peritumoral bone marrow(BM) edema accompanying benign giant celltumor(GCT) of the appendicular bone by magnetic resonance(MR) imaging and to correlate MRI findings with those ofplain radiography and bone scintigraphy. MATERIALS AND METHODS: Eighteen cases of pathologically proven benignGCT of the appendicular bone were retrospectively analyzed using MR images, plain radiographs and bonescintigrams. A plain radiograph was available in 15 cases, and a scintigram in six. Marrow edema was defined asperitumoral signal changes which were of homogeneous intermediate or low signal intensity(SI) on T1WI and high SIon T2WI, relative to the SI of normal BM, and homogeneous enhancement on Gd-DTPA-enhanced T1WI. The transitionzone, sclerotic margin and aggressiveness of the lesion were assessed on the basis of plain radiographs. BM edemaseen on MR images was correlated with plain radiographic and scintigraphic findings. RESULTS: 1. Peritumoral BMedema was seen on MR images in 10 of 18 cases (55.5%). 2. In 8 of 15 cases for which plain radiographs wereavailable, MR imaging revealed BM edema. In six of these eight, transition zone was wide, while in two it wasnarrow. Six of seven patients without marrow edema showed a wide transition zone, and in one this was narrow.There was significant correlation between BM edema shown by MR imaging and the transition zone seen on plainradiographs (x2, p<0.05). But The aggressiveness shown by plain radiographs correlated only marginally, while thepresence of sclerotic rim did not correlate. 3. All six cases for which a bone scintigram was available showed anextended uptake pattern. In five of the six, MR imaging revealed edema. CONCLUSION: Peritumoral BM edema wasfrequently seen (55.5%) in the GCTs of appendicular bone ; it was more often shown in association with a widetransition zone by plain radiographs.
Bone Marrow*
;
Edema*
;
Giant Cell Tumors*
;
Giant Cells*
;
Humans
;
Magnetic Resonance Imaging
;
Radiography
;
Radionuclide Imaging
;
Retrospective Studies
10.The Relationship between the serum intercellular adhesion molecule-1 level and the prognosis of the disease in lung cancer.
Hun Sub SHIN ; Chan Hee JUNG ; Hyun Duk PARK ; Seung Sei LEE
Korean Journal of Medicine 2003;64(4):429-434
BACKGROUND: Adhesion molecule is related to cell-cell interaction and inflammatory interaction. In addition, adhesive interactions between tumor cells and adjacent cells and/or extracellular matrix are important role in the complex process of tumor growth and develpment. Of these adhesion molecules, expression of intercellular adhesion molecule-1 (ICAM-1) have been identified in colon cancer, bladder cancer, lung cancer, melanoma, pancreatic cancer, hepatocellular carcinoma. In the current study, we analyzed serum ICAM-1 concentrations to investigate the relationship between the sICAM-1 level and the prognosis of the disease in patients with lung cancer METHODS: Serum sICAM-1 was measured in 84 patients with lung cancer according to the pathologic types and clinical staging using ICAM-1 ELISA kit. The Kaplan-Meier method was used to analyse survival time. RESULTS: There was no difference in sICAM-1 concentration among the stage of lung cancer. And no difference was observed among histologic tumor types with regard to sICAM-1 concentration. The overall survival of patients with low sICAM-1 concentration (<306 ng/mL) were longer than that of patients with high concentration (>or=306 ng/mL) in non-small cell lung cancer patients, but no difference was observed in small cell lung cancer patients. CONCLUSION: These results suggest that high levels of sICAM-1 reflect the poor prognosis of patients with non-small cell lung cancer.
Adhesives
;
Carcinoma, Hepatocellular
;
Carcinoma, Non-Small-Cell Lung
;
Colonic Neoplasms
;
Enzyme-Linked Immunosorbent Assay
;
Extracellular Matrix
;
Humans
;
Intercellular Adhesion Molecule-1*
;
Lung Neoplasms*
;
Lung*
;
Melanoma
;
Pancreatic Neoplasms
;
Prognosis*
;
Small Cell Lung Carcinoma
;
Urinary Bladder Neoplasms