No abstract available.
Child* ; Humans ; Visual Acuity*

Five patients with brain tumors have been treated with an afterloaded removable Iridium-192 interstitial brachytherapy using Brown-Roberts-Wells stereotactic system. There were two cases of glioblastoma multiforme, one case of recurrent glioblastoma multiforme, one case of recurrent metastatic brain tumor and one case of recurrent astrocytoma grade II. The patients were treated by combination of surgery or stereotactic biopsy and external radiation previously. Tumor doses ranging from 4100 to 8600 cGy were delivered to these patients. There was no death and 4 patients showed definite tumor regression 3 months following interstitial brachytherapy. The method was safe and appeared to be effective madality to achieve local control of brain tumors.
Astrocytoma ; Biopsy ; Brachytherapy ; Brain Neoplasms ; Brain* ; Glioblastoma ; Humans

No abstract available.
Delivery of Health Care* ; Family Practice* ; Humans ; Inpatients* ; Insurance* ; Korea*

This study is standard surgical measurement of the size of kidney in normal Korean population that might be basic data of renal size in comparison with radiographic and ultrasonographic measurement for clinical implies. The 235 cases of donors for renal transplantation were measured by the length, width, thickness, weight and the outer diameter of renal vessels as well as identification of branches of renal vein at the time of donor nephrectomy. These data were tested to statistically significant by T- test, ANOVA, Pearson correlation analysis and multivariate analysis. The mean values of renal size were 11.6+/-0.87 (9.2-15.4cm) x 6.1+/-0.81 (4.4-10.0cm) x 4.9+/-0.75(2.2-7.1cm) for male 11.7+/-0.77 (9.8-14.0cm) x 6.2+/-0.85 (4.5-10.0cm) x 5.O+/-0.77 (2.8- 7.1cm) and for female 11.4+/-0.96 (9.2-15.4cm) x 6.0+/-0.75 (4.4-8.2cm) x 4.8+/-0.7 (2.2-7.0cm). The mean value of renal weight were 183.1+/-36.92 (115.0-370.0gm) : for male 188.2+/-40.10 (120.0-370.0gm) and for female 177.6+/-32.41 (115.0-300.0gm). The width, thickness and weight of kidney were larger in male than in female (p<0.05). I found out that the age of donors did not affect the renal length, width, thickness and weight (p>0.05). The renal length, width, and weight increased proportional to the body weight (p<0.05). The renal thickness and weight were different in each range of the body height (P<0.05). The body weight had correlation with renal length (r=0.25), thickness (r=0.32), weight (r=0.36, p<0.001) and width (r=0.16, p<0.05). The body height was correlated well with renal length (r=0.20), thickness (r=0.18) and weight (r=0.25, p<0.05). The body weight was the most reliable factor affecting renal size and weight in multivariate analysis (p<0.05). The mean number of branches of renal vein was 0.36+/-0.63 (0.0-2.0) in right kidney and 3.12+/-0.76 (1.0-6.0) in left one. The mean diameter of the renal artery was 0.61+/-0.132 (0.3-1.0cm) and the mean diameter of the renal vein 1.46+/-0.132 (0.50-2.20cm). The radiographic measurement of renal size was larger than our surgical measurement. The mean renal length and width in radiographic measurement(IVP) were 12.1+/-0.70cm in right kidney, 12.1+/-0.65cm in left one and 6.4+/-0.54cm in right kidney, 6.8+/-0.45cm in left one versus 11.6+/-0.87cm, 11.6+/-0.89cm and 6.1+/-0.81cm, 6.1+/-0.84cm in surgical measurement. Surgical measurements of renal size of donors at the time of renal transplantation were real renal size despite of radiographic and ultrasonographic measurement and provided basic standard data for Korean population that might be utilized in approaching renal disease.
Adult* ; Body Height ; Body Weight ; Female ; Humans ; Kidney ; Kidney Transplantation ; Male ; Multivariate Analysis ; Nephrectomy ; Renal Artery ; Renal Veins ; Tissue Donors

It is well-knwon that computed tomography (CT) is useful in detecting accurately the location, extent, erosion and relationshlp of angiofibroma to surrounding structures such as pterygopalatine fossa, It is well-known that computed tomography (CT) is useful in detecting accurately the location, extent, erosion and relatiohship of angiofibroma to surrounding structures such as pterygopalatine fossa, sphenoid slnus, and etc. CT of 20 patients with juvenile angiofibroma, which were examined for 5 years from Feburary, 1979 to May. 1984 at Department of Radiology, Seoul National University Hospital, were retrospectively analized. The results were as follows: 1. AII 20 patients of juvenile angiofibroma had tumors in nasopharynx and posterior nasal cavity showing homogeneously dense.enhancing soft tissue mass on CT. There was extension of the tumor from nasopharyhx and posterior nas.al cavity into Pílranasal sinus (60%, 12/20), pterygopalatine fossa (55%, 11/20), infratemporal fossa (30%, 6/20), posterior orbit (10%, 2/20) and cranial cavity (15%, 3/20). 2. Angiography usually adds Iittle diagnostic information, but is still needed to identify the precise source of blood supply to the tumor, and to perform the pre-operative embolization. The use of CT has deferred angiography until just before surgery, permitting embolization at optimal time. 3. CT is almost always necessary to reveal accurately the full extent of the tumor, especially intracranial space in the axial and coronal planes with contrast enhancement. CT is useful both in diagnosis as a guide to angiography and in planning the adequate thereapy of juvenile angiogibroma.
Angiofibroma ; Angiography ; Diagnosis ; Humans ; Nasal Cavity ; Nasopharynx ; Orbit ; Pterygopalatine Fossa ; Retrospective Studies ; Seoul

Self emasculation, defined as autocastration, penile amputation, dr both, is the end result of an unusual psychiatric disorder that falls into the category of self-mutilation, A case of penile and bilateral testicular replantation is reported in which a 25-year-old man suffered a self-inflicted complete penile and bilateral testicular amputation. Replantation of the penis was successful; 2 months after surgery, a urethrogram demonstrated no evidence of urethral stricture, and color duplex ultrasonography showed good blood flow intoboth dorsal arteries and deep dorsal to the amputation site. Although complete erection has not been obtained, no other functional impairments have been encountered in the 4 months since replantation. It was hoped that the testicles would function as a true endocrine organ. Unfortunately, the tissue did not remain viable and was replaced by fibrous tissue. Therefore, he has been given supplementary testosterone.
Adult ; Amputation* ; Arteries ; Hope ; Humans ; Male ; Microsurgery ; Penis ; Replantation* ; Testis ; Testosterone ; Ultrasonography ; Urethral Stricture

Self emasculation, defined as autocastration, penile amputation, dr both, is the end result of an unusual psychiatric disorder that falls into the category of self-mutilation, A case of penile and bilateral testicular replantation is reported in which a 25-year-old man suffered a self-inflicted complete penile and bilateral testicular amputation. Replantation of the penis was successful; 2 months after surgery, a urethrogram demonstrated no evidence of urethral stricture, and color duplex ultrasonography showed good blood flow intoboth dorsal arteries and deep dorsal to the amputation site. Although complete erection has not been obtained, no other functional impairments have been encountered in the 4 months since replantation. It was hoped that the testicles would function as a true endocrine organ. Unfortunately, the tissue did not remain viable and was replaced by fibrous tissue. Therefore, he has been given supplementary testosterone.
Adult ; Amputation* ; Arteries ; Hope ; Humans ; Male ; Microsurgery ; Penis ; Replantation* ; Testis ; Testosterone ; Ultrasonography ; Urethral Stricture

No abstract available.
Adult* ; Humans ; Mass Screening*

Spontaneous spinal epidural hematomas without any risk factors, such as spinal tap, trauma, pregnancy, bleeding diathesis, vascular malformations, hypertension, etc. are relatively rare clinical entities. In addition, the clinical suspicion is quite difficult because there are various clinical symptoms according to the size and location of hematoma. However, the speed of diagnosis and initiation of the appropriate treatment are important because the outcome for patients is usually determined by the location and degree of neurological deficits and the duration of dural compression. We report the diagnosis and treatment of spontaneous spinal epidural hematoma in this case with a review of the relevant literature.
Disease Susceptibility ; Hematoma ; Hematoma, Epidural, Spinal ; Hemorrhage ; Humans ; Hypertension ; Pregnancy ; Risk Factors ; Spinal Puncture ; Vascular Malformations

PURPOSE: To report the clinical outcomes of a volar plate reinforcing technique with free tendon grafts after sesamoid excision for the surgical treatment of subsesamoid arthritis of the metacarpophalangeal (MCP) joint of the thumb. MATERIALS AND METHODS: Eleven consecutive patients that underwent sesamoid excision and volar plate reinforcement using a palmaris longus free tendon graft were enrolled. There were 7 males and 4 females, with an average age of 46 (range, 30-56 years). Post-traumatic arthritis after a hyperextension injury of the thumb was present in 9 patients. Two patients had idiopathic arthritis. All patients were evaluated by objective and subjective criteria, the mean follow-up duration was 19 months (range, 12-35 months). RESULTS: The results were satisfactory overall (3 excellent, 7 good, 1 poor). The mean grip strength and pinch strength significantly improved from 63.0% and 51.3%, respectively, preoperatively, to 84.9% and 88.9%, postoperatively. The mean range of motion for the MCP joint was -5.9/50.9 degrees. The mean DASH and MHQ scores showed significant improvement compared to the preoperative scores. CONCLUSION: The early clinical results suggest that the described technique is a safe and effective option for subsesamoid arthritis of the MCP joint of the thumb.
Arthritis ; Female ; Follow-Up Studies ; Hand Strength ; Humans ; Joints ; Male ; Metacarpophalangeal Joint ; Pinch Strength ; Range of Motion, Articular ; Reinforcement (Psychology) ; Tendons ; Thumb ; Transplants ; Palmar Plate