No abstract available.
Laryngostenosis*

No abstract available.
Osteochondritis Dissecans* ; Osteochondritis*

Glioblastoma multiforme (GBM) is located most frequently in the cerebral hemispheres. Glioblastoma presenting as an extraaxial mass of cerebellopontine angle (CPA) is very rare in adults. We report a rare case of GBM arising in the CPA. The patient was a 71-year-old female, who complained of progressive gait disturbance and poor memory. Initial magnetic resonance imaging (MRI) revealed a 1.4×1.3 cm mass in the left CPA, with broad base to the petrous bone, showing homogenous enhancement. Follow-up MRI showed a rapid increase in size of mass (2.7×2.2 cm) with a necrotic portion. A stereotactic biopsy was done under the guidance of navigation system, and the histopathologic diagnosis was GBM, World Heath Organization grade IV. Further surgical resection was not performed considering her general condition, and the patient underwent concurrent chemotherapy with radiation therapy. Although rare, the possibility of glioblastoma should be included in the differential diagnosis of atypical CPA tumor.
Adult ; Aged ; Biopsy ; Cerebellopontine Angle* ; Cerebrum ; Diagnosis ; Diagnosis, Differential ; Drug Therapy ; Female ; Follow-Up Studies ; Gait ; Glioblastoma* ; Humans ; Magnetic Resonance Imaging ; Memory ; Petrous Bone

PURPOSE: Inferior oblique palsy is the least commonly isolated extraocular muscle palsy. We describe the clinical features and managements of 2 cases of traumatic inferior oblique palsy. METHODS: Two adult patients were presented with vertical diplopia and head tilt posture after head trauma. The subjects fulfilled the three-step test criteria, with a hypertropia that worsened on side gaze and head tilt away from the affected eye. They showed free forced duction to elevation in adduction. Both were treated by ipsilateral superior oblique tenotomy and contralateral superior rectus recession with adjustable suture technique. RESULTS: During postoperative 7 month observation, both patients demonstrated orthophoria in primary gaze. Our surgical procedures eliminated the diplopia and abnormal head tilt posture, thereby achieving satisfactory results.
Adult ; Craniocerebral Trauma ; Diplopia ; Head ; Humans ; Paralysis* ; Posture ; Strabismus ; Suture Techniques ; Tenotomy

OBJECTIVE: Fibromyalgia (FM) is a rheumatic disorder characterized by widespread bodily pain, tenderness at multiple sites, and fatigue. It has a major impact on the quality of life. However, there has been no report regarding the health-related quality of life (HRQOL) in Korean patients with FM. The objective of this study was to assess the HRQOL and the correlation among each measurement and to identify the predictors for HRQOL in Korean patients with FM. METHODS: The HRQOL and clinical parameters were assessed by Short Form Health Survey-36 (SF-36), EuroQol 5 Dimensions (EQ-5D), time trade off (TTO), standard gamble (SG), Centers for Epidemiologic StudiesDepression (CES-D), social support, self-efficacy scale, Fibromyalgia Impact Questionnaire (FIQ), and tender points, respectively, from 104 outpatients with FM. RESULTS: Of the 104 subjects, 99 (95.2 %) were women with mean (+/-SD) age of 49.2 years (+/-11.1). The mean (+/-SD) years of disease onset was 8.06 (+/-7.38). The mean (+/-SD) scores of SF-36 global, mental component summary (MCS) and physical component summary (PCS) were 41.6 (+/-19.8), 47.4 (+/-25.0), and 43.5 (+/-23.7), respectively. The SF-36 GH, PCS, MCS scores of FM patients were lower than that of healthy controls (p<0.001). The mean (+/-SD) EQ-5D utility and visual analog scale (VAS) were 0.52 (+/-0.32) and 55.6 (+/-19.4). The mean (+/-SD) scores of the TTO and SG were 0.49 (+/-0.44) and 0.47 (+/-0.42). The mean (+/-SD) scores of CES-D, self-efficacy scale, social support and social network were 16.0 (+/-10.2), 55.9 (+/-19.4), 2.37 (+/-0.27), and 2.07 (+/-0.58), respectively. The mean (+/-SD) scores of FIQ was 46.4 (+/-17.7). The FIQ total score was negatively correlated with the scores of SF-36 GH, MCS, PCS, EQ-5D utility and VAS, TTO, SG, social support, social network, and self-efficacy scale (r=-0.63, r=-0.60, r=-0.48, r=-0.59, r=-0.56, r=-0.32, r=-0.27, r=-0.25, r=-0.31, r=-0.54, respectively. all p's<0.001), and positively correlated with the CES-D (r=0.67, p<0.001). In multivariate models, the predicting variables of SF-36 GH and PCS were age, FIQ, and self-efficacy and the predicting variables of SF-36 MCS were income, FIQ, and social support. CONCLUSION: These results suggest that the HRQOL in Korean patients with FM is lower than healthy subjects. In a simple correlation analysis, FIQ, CES-D, social support, and self-efficacy were meaningful variables correlated with HRQOL. In multivariate model, age, FIQ, and self-efficacy were independent variables correlated with HRQOL. Therefore, the efforts to improve HRQOL in Korean patients with FM should be designed to improve the self-efficacy and depression in addition to conventional approach.
Depression ; Fatigue ; Female ; Fibromyalgia* ; Humans ; Outpatients ; Quality of Life* ; Surveys and Questionnaires ; Visual Analog Scale

The purpose of the study is to evaluate the induced astigmatism after spherical LASIK operations. A total of 36 eyes of 33 patients were treated with a Automated keratome and VISX 20/20 excimer laser. The postoperative 1 month, 3 months, and 6 months astigmatic refractive outcomes were compared with the initial refraction by vector analysis (Alpins and Holladay method). Subjective astigmatic refraction reduced from a mean of 0.48D+/-SD 0.49D(range, 0 to 1.75D) to 0.34D+/-SD 0.54D(range, 0 to 2.0D) at postoperative 6 months.Surgically induced astigmatism(SIA) had a mean of 0.53+/-0.69D(range: 0~2.49D) at 1 month, 0.49+/-0.61D(range: 0~2.79D) at 3 months, 0.62+/-0.72D(range: 0~3.14D) at 6 months follow-up. Mean SIA increased with increasing preoperative astigmatism by 0.45D SIA for every 0.5D of preoperative cylinder(Correlation coefficient: 0.618). The authors show that spherical LASIK corrections can induce significant astigmatic change, particularly if a large amount of preoperative astigmatism is present.
Astigmatism* ; Follow-Up Studies ; Humans ; Keratomileusis, Laser In Situ* ; Lasers, Excimer

Vascularization of the hydroxyapatite sphere is important for many advantages of hydroxyapatite implant. If the rate of vascularization can be increased, the motility hole can be drilled earlier and rapid cosmetic effect and stability can be achieved. Hydroxyapatite orbital implantation procedure for earlier vascularization of the hydroxyapatite ws modified. Twenty-eight patients received modified hydroxyapatite implantation after enucleation and the graft vascularization was evaluated, at various intervals after implantation, with bone scintigraphy. The patients were divided into group I(the interval was 1 month after implantation) 12 eyes, group II(2 months after implantation) 7 eyes, and group III(4 or more months after implanation) 9 eyes, In group I, Perry grade 2 or more was achieved in 11 eyes(91.7%) and mean spect ration was 2.97. In group II and III, Perry frade 2 or more was achieved in 7 eyes(100%), 8 eyes(88.9%) respectively, and mean spect ration was 3.34. and 4.34. We found that there wasearlier vascularization of hydroxyapatite after modified hydroxyapatite implantation. So we expect more rapid cosmetic rehabilitation of the patients with modified hydroxyapatite implantation.
Durapatite* ; Humans ; Orbit* ; Orbital Implants* ; Radionuclide Imaging ; Rehabilitation ; Tomography, Emission-Computed, Single-Photon ; Transplants

No abstract available.
Thorax*

No abstract available.
Hemorrhagic Fever with Renal Syndrome* ; Humans ; Proteinuria*

No abstract available.
Epidermal Cyst*