1.Moyamoya disease in Korea.
Kyoung Hwa PARK ; Byoung Ho CHA ; Jun Su LEE ; Chang Jun COE
Journal of the Korean Child Neurology Society 1993;1(2):56-63
No abstract available.
Korea*
;
Moyamoya Disease*
2.A Case of Toxic Epidermal Necrolysis.
Eun Hwa SHIN ; Youn Hong CHOI ; Ju Hong CHA ; Kwang Jun KI ; Kyung Je SUNG
Journal of the Korean Pediatric Society 1988;31(8):1079-1084
No abstract available.
Stevens-Johnson Syndrome*
3.A Case of Kasabach-Merritt Syndrome.
Eun Hwa SHIN ; Youn Hong CHOI ; Ju Hong CHA ; Kwang Jun KIM
Journal of the Korean Pediatric Society 1988;31(7):935-941
No abstract available.
Kasabach-Merritt Syndrome*
4.Anterior Tibial Muscle Hernia Treated with Local Periosteal Rotational Flap: A Case Report.
Jun Ku LEE ; Hyung Ku YOON ; Dong Eun SHIN ; Jae hwa KIM ; Dong Hoon LEE
Journal of the Korean Fracture Society 2012;25(4):331-334
Tibialis anterior muscle hernia is the most common hernia among lower extremity muscles. This condition can be diagnosed by physical examination and radiologic findings, especially by dynamic ultrasonography. There are surgical methods of treatment for muscle hernia, including direct repair, fasciotomy, fascial patch grafting using autologous fascia lata or synthetic mesh. We report a case of tibialis anterior muscle hernia treated with local periosteal rotational flap. Because there are several advantages to the local periosteal rotational flap, such as lack of donor site morbidity, lack of skin irritation, low cost, simplicity, and an easy approach, this technique could be an option for tibialis anterior muscle hernia.
Fascia Lata
;
Hernia
;
Humans
;
Lower Extremity
;
Muscle, Skeletal
;
Muscles
;
Physical Examination
;
Skin
;
Tissue Donors
;
Transplants
5.A young child of anti-NMDA receptor encephalitis presenting with epilepsia partialis continua: the first pediatric case in Korea.
Eun Hee KIM ; Yeo Jin KIM ; Tae Sung KO ; Mi Sun YUM ; Jun Hwa LEE
Korean Journal of Pediatrics 2016;59(Suppl 1):S133-S138
Anti-N-methyl D-aspartate receptor (anti-NMDAR) encephalitis, recently recognized as a form of paraneoplastic encephalitis, is characterized by a prodromal phase of unspecific illness with fever that resembles a viral disease. The prodromal phase is followed by seizures, disturbed consciousness, psychiatric features, prominent abnormal movements, and autonomic imbalance. Here, we report a case of anti-NMDAR encephalitis with initial symptoms of epilepsia partialis continua in the absence of tumor. Briefly, a 3-year-old girl was admitted to the hospital due to right-sided, complex partial seizures without preceding febrile illness. The seizures evolved into epilepsia partialis continua and were accompanied by epileptiform discharges from the left frontal area. Three weeks after admission, the patient's seizures were reduced with antiepileptic drugs; however, she developed sleep disturbances, cognitive decline, noticeable oro-lingual-facial dyskinesia, and choreoathetoid movements. Anti-NMDAR encephalitis was confirmed by positive detection of NMDAR antibodies in the patient's serum and cerebrospinal fluid, and her condition slowly improved with immunoglobulin, methylprednisolone, and rituximab. At present, the patient is no longer taking multiple antiepileptic or antihypertensive drugs. Moreover, the patient showed gradual improvement of motor and cognitive function. This case serves as an example that a diagnosis of anti-NMDAR encephalitis should be considered when children with uncontrolled seizures develop dyskinesias without evidence of malignant tumor. In these cases, aggressive immunotherapies are needed to improve the outcome of anti-NMDAR encephalitis.
Anti-N-Methyl-D-Aspartate Receptor Encephalitis*
;
Antibodies
;
Anticonvulsants
;
Antihypertensive Agents
;
Cerebrospinal Fluid
;
Child*
;
Child, Preschool
;
Cognition
;
Consciousness
;
D-Aspartic Acid
;
Diagnosis
;
Dyskinesias
;
Encephalitis
;
Epilepsia Partialis Continua*
;
Female
;
Fever
;
Humans
;
Immunoglobulins
;
Immunotherapy
;
Korea*
;
Methylprednisolone
;
Rituximab
;
Seizures
;
Virus Diseases
6.Study on Validity and Reliability of the Hayling Test for Korean Older Adults
Kyung Hwa HAN ; Jun Young LEE ; Ju Sun LEE ; Jung Hae YOUN
Journal of Korean Geriatric Psychiatry 2020;24(2):90-98
Objective:
The purpose of this study was to verify the validity and reliability of Korean elderly by translating the Hayling Test, a test that measures semantic inhibition ability among executive functions.
Methods:
Total 91 participants were recruited in accordance with inclusion criteria and exclusion criteria for each group. Within them, 34 were normal from Dongjak-gu, Seoul, 29 were mild cognitive impairment (MCI) from clinics located in Seoul, and 28were Alzheimer’s disease (AD) from clinics located in Seoul, respectively. The one-way analysis of covariance, the Bonferroni veri-fication, the receiver operating characteristic (ROC) curve analysis, and the Brain Imaging analysis of voxel-based morphometrywere conducted in order to compare and analyze performance of demographics characteristics of each group, Hayling Test results, and The Continuous Performance Test-X (CPTX) results.
Results:
The comparison analysis showed the Hayling Test is more valid methodology than the CPTX test in discriminating nor-mal, MCI, and AD. Furthermore, ROC curves between normal and AD groups also demonstrated higher sensitivity (88%) and specificity (73%) of Hayling Test, and confirmed its diagnostic validity. In line with the above, brain imaging analysis displays sig-nificant positive correlation between temporal & frontal brain regions through the Hayling Test scores, however, this correlationwas not found for CPTX.
Conclusion
It is expected that the Haling Test, which measures language inhibition function, can be used simply and usefully in diagnosing dementia.
7.Assessment on Quality Improvement of the Abstracts of the Original Research Articles in the Korean Journal of Preventive Medicine.
Chun Bae KIM ; Jun Ho PARK ; Hwa Soon LEE ; Jong Ku PARK ; Bong Suk CHA
Korean Journal of Preventive Medicine 2003;36(2):179-186
OBJECTIVES: To compare the quality improvement of the abstracts of original articles, according to the revised manuscript format, of the Korean Journal of Preventive Medicine (Korean J Pre Med) was adopted in 1999. METHODS: A total 63 abstracts for 1997, and 49 for 2001, were selected as the original articles from the Kor J Pre Med. This study was carried out by the separate-sample pretest-posttest design. The quality of the abstracts was measured by a checklist of Narine' evaluation criteria, and the other information related to the articles were also surveyed by e-mail and fax or telephone using a self-made questionnaire. From the response rate, a total of 62 abstracts for 1997 and 49 for 2001 were finally analyzed. RESULTS: The mean number of words in an abstract decreased from 285 in 1997, to 250 by 2001. The mean number of key words per abstract decreased from 3.9 in 1997, to 3.6 by 2001. The mean number of inappropriate usage of key words per abstract, by the MeSH standard, decreased from 1.9 in 1997, to 0.4 by 2001. Also, the overall mean score of abstract quality increased from 0.54 in 1997 to 0.61 by 2001. The range of scores for the abstract quality was better in 2001 (0.40~0.77) than in 1997 (0.20~0.81). From the multiple regression analyses of the 1997 and 2001 databases, the intervention of the manuscript format's revision, and the number of English words to the quality score of the abstract, were the only statistically significant factors. CONCLUSIONS: In conclusion, the quality of abstracts in the Kor J Pre Med has improved since the revised manuscript format was adopted in 1999. The Korean Society for Preventive Medicine will continuously recommend proposals for more informative abstracts in their journal, and will evaluate the abstracts' content with quality criteria. Future studies should address these issues, and compare the quality of abstracts between different international and domestic journals.
Checklist
;
Electronic Mail
;
Preventive Medicine*
;
Quality Improvement*
;
Telephone
8.Sphenoid Ridge Meningioma Presenting as Acute Cerebral Infarction.
Jun Kyeung KO ; Seung Heon CHA ; Chang Hwa CHOI
Journal of Korean Neurosurgical Society 2014;55(2):99-102
A previously healthy 52-year-old man presented to the emergency room with acute onset left hemiparesis and dysarthria. Brain computed tomography and magnetic resonance examinations revealed acute cerebral infarction in the right middle cerebral artery territory and a sphenoid ridge meningioma encasing the right carotid artery terminus. Cerebral angiography demonstrated complete occlusion of the right proximal M1 portion. A computed tomography perfusion study showed a wide area of perfusion-diffusion mismatch. Over the ensuing 48 hours, left sided weakness deteriorated despite medical treatment. Emergency extracranial-intracranial bypass was performed using a double-barrel technique, leaving the tumor as it was, and subsequently his neurological function was improved dramatically. We present a rare case of sphenoid ridge meningioma causing acute cerebral infarction as a result of middle cerebral artery compression.
Brain
;
Carotid Arteries
;
Cerebral Angiography
;
Cerebral Infarction*
;
Dysarthria
;
Emergencies
;
Emergency Service, Hospital
;
Humans
;
Meningioma*
;
Middle Aged
;
Middle Cerebral Artery
;
Paresis
;
Perfusion
9.Clinical Study of Idiopathic Thrombocytopenic Purpura: Focused on Reticulated Platelet.
Hwa Jun YUN ; Hee Weon CHOI ; Seok Won PARK ; Byung Ho CHA ; Hwang Min KIM
Korean Journal of Pediatric Hematology-Oncology 2002;9(1):1-8
PURPOSE: Immune thrombocytopenic purpura (ITP) is divided into acute and chronic forms. Unfortunately, there have been no known specific laboratory or clinical predictors for the diagnosis of chronic ITP. This study was performed to elucidate the prognostic significance of various clinical and laboratory parameters, including reticulated platelet percentage. METHODS: We retrospectively analyzed 60 patients who were diagnosed as ITP at the Department of Pediatrics, Wonju Christian Hospital from January, 1989 to January, 2001. Various kind of clinical parameters such as age, sex, symptom duration, prior URI history, response to treatment, and laboratory parameters like platelet count at initial presentation, lowest platelet count, duration of thrombocytopenia, initial reticulated platelet percentage, antiplatelet antibody IgG and IgM, antinuclear antibody (ANA), direct and indirect Coombs' test were compared between acute and chronic ITP. RESULTS: Fifteen % of patients (9/60) was chronic ITP. The peak age incidence was from 1 to 3 year of age in both acute (29.4%) and chronic ITP (22.2%). The acute ITP was prevalent in spring season, May and June. There was no difference in the incidence of prior URI history between acute and chronic ITP. Higher proportion of chronic ITP patients (5/9; 55.5%) than acute ITP patients (7/51; 13%) had symptom duration longer than 1 month (P <0.05). Increased initial reticulated platelet percentage (more than 8%) was noted in 55.3% (21/38) of acute ITP and in 40% (2/5) of chronic ITP. There were no significant differences in initial platelet count, lowest platelet count, antiplatelet IgM, antiplatelet IgG, ANA and Coombs' test between two groups. The response to initial treatment were excellent in acute and chronic ITP. Six cases of acute ITP relapsed within 1 month from initial presentation. Eight cases of chronic ITP relapsed, among them 5 cases relapsed after 2 months from initial presentation. CONCLUSION: We suggest that patients with > or =1 months duration of presenting symptoms and relapse after 2 months from initial presentation have the propensity of developing chronic ITP. Reticulated platelet percentage could not discriminate acute and chronic ITP. A more accurate detection method should be developed for reticulated platelets.
Antibodies, Antinuclear
;
Blood Platelets*
;
Coombs Test
;
Diagnosis
;
Gangwon-do
;
Humans
;
Immunoglobulin G
;
Immunoglobulin M
;
Incidence
;
Pediatrics
;
Platelet Count
;
Purpura, Thrombocytopenic, Idiopathic*
;
Recurrence
;
Retrospective Studies
;
Seasons
;
Thrombocytopenia
10.Intramedullary Spinal Cord Metastasis of Choriocarcinoma.
Jun Kyeung KO ; Seung Heon CHA ; Jung Hwan LEE ; Chang Hwa CHOI
Journal of Korean Neurosurgical Society 2012;51(3):141-143
The authors describe a case of choriocarcinoma that metastasized to the cerebral cortex, vertebral body, and intramedullary spinal cord. A 21-year-old woman presented with sudden headache, vomiting and a visual field defect. Brain computed tomography and magnetic resonance examinations revealed an intracranial hemorrhage in the left temporo-parietal lobe and two enhancing nodules in the left temporal and right frontal lobe. After several days, the size of the hemorrhage increased, and a new hemorrhage was identified in the right frontal lobe. The hematoma and enhancing mass in the left temporo-parietal lobe were surgically removed. Choriocarcinoma was diagnosed after histological examination. At 6 days after the operation, her consciousness had worsened and she was in a state of stupor. The size of the hematoma in the right frontal lobe was enlarged. We performed an emergency operation to remove the hematoma and enhancing mass. Her mental status recovered slowly. Two months thereafter, she complained of paraplegia with sensory loss below the nipples. Whole spine magnetic resonance imaging revealed a well-enhancing mass in the thoracic intramedullary spinal cord and L2 vertebral body. Despite chemotherapy and radiotherapy, the patient died 13 months after the diagnosis.
Brain
;
Cerebral Cortex
;
Choriocarcinoma
;
Consciousness
;
Emergencies
;
Female
;
Frontal Lobe
;
Headache
;
Hematoma
;
Hemorrhage
;
Humans
;
Intracranial Hemorrhages
;
Magnetic Resonance Imaging
;
Magnetic Resonance Spectroscopy
;
Neoplasm Metastasis
;
Nipples
;
Paraplegia
;
Pregnancy
;
Spinal Cord
;
Spine
;
Stupor
;
Visual Fields
;
Vomiting
;
Young Adult