No abstract available.
Hyperplasia*

The present study proposes a method delineating the extent of the anterior displacement of the temporomandibular articular disc through the angle formed by the deepest point in the glenoid fossa, the center of the mandibular condyle and the junction between the end of the posterior band and the retrodiscal tissue. The method was applied to the normal group and TMD group. The TMD group was further divide into 3 groups Group I(little disc displacement), Group II(anterior disc displacement with reduction) and Group III(anterior disc displacement without reduction). The results were as follows. 1. The normal group showed the location of the articular disc within -10-0degree or with a wider allowance, within -10-10degree from the reference line GC. 2. The TMD group showed the disc located within -21.0-125.8degree,with two peaks at 0-100 and 60-800, suggesting that the group may be composed of more than two different subgroups. 3. The threshold point delineating the normal and TMD states was 0degree, because 82.5% of normal group appeared below 0degree and 94.8% of TMD group appeared above 0degree. 4. Since the angular disc displacement tends to increase from Group I to Group III, the angular displacement increases as the overall severiety of the disease increases, and the chance for a reduction of the disc decreases. 5. The normal group, Group I, Group II, and Group III can be categorized into statistically different groups. The normal group and TMD group can be distinguished in reference to 0degree, while the presence-absence of the anterior disc displacement is judged in reference to 10degree, and the probability of the disc reduction can be estimated in reference to 50degree. The present study assesses the location of the articular disc from the sagittal central section offering a supplementary clinical classification. This system provides an additional information concerning the location of the disc, thereby offering an objective mean to evaluate the progress of the disease. Further studies may be needed on the clinical changes according to location of the disc, as well as the relationship between the morphological changes and the anterior or sideways displacement of the disc.
Classification ; Mandibular Condyle ; Temporomandibular Joint Disc ; Temporomandibular Joint*

No abstract available.
Temporomandibular Joint*

We retrospectively reviewed the MRI findings of 100 temporomandibular joints in 78 patients who had complained temporomandibular joint dysfunction. MRI findings were classified according to Wilke's staging criteria. And these findings were compared with arthrographic findings in 22 joints and surgical findings in 44 joints. According to Wilkes's staging. They were classified into 6 stages of abnormality: stage 0 (33 cases), stage I (19 cases), stage II (10 cases), stage III (18 cases), stage IV (6cases), stage V (14 cases). Among the 22 cases in which arthrography and MRI were done, both studies were well correlated in 10 joints. In 7 joints, MRI was superior to arthrography, which correctly demonstrated the meniscal displacement in 2 joints and . Meniscal deformity in 5 joints. In 5 joints, arthrography was superior to MR, which demonstrated the perforation (1 joint), adhesion (2 joint) and recapture of meniscus (2 joints). Compared with surgical findings, MRI correctly demonstrated the displacement of meniscus in all 44 joints. However, in case of the 10 meniscal perforation, MRI demonstrated the meniscal discontinuity in only 4 joints. Retrospective MR findings in 10 proven cases were the defect in posterior attachment in 4, far anterior meniscal displacement without recapture in 8m condylar spur in 4, and close bone to bone contact in 1. In conclusion, MRI as a primary Fiagnostic modality of temporomandibular joint derangment, is superior for the grading of displacement and deformity of meniscus but inferior for the evaluation of perforation, adhesion and recapture of meniscus to conventional arthrography. In case of the suspected meniscal perforation, arthrographic correlation is recommanded preoperatively.
Arthrography ; Congenital Abnormalities ; Humans ; Joints ; Magnetic Resonance Imaging* ; Retrospective Studies ; Temporomandibular Joint*

Acute necrotizing encephalopathy is a recently established disease entity, proposed by Mizuguchi et al in 1995, that shows a characteristic symmetric and multifocal involvement of both thalamus, brainstem tegmentum, cerebral periventricular white matter, and cerebellar medulla. It is known to be prevalent in Japan and other Far Ease countries. The etiology of the acute necrotizing encephalopathy remains unknown. The typical course of acute necrotizing encephalopathy is the development of the irreversible neurologic symptoms related to brain lesions. The diagnosis can be made on the basis of the combination of a typical clinical profile and characteristic radiologic findings. We experienced a first case of acute necrotizing encephalopathy in a 9 month old boy in Korea. We report this case with the brief review of related literatures.
Brain ; Brain Stem ; Diagnosis ; Humans ; Infant ; Japan ; Korea ; Male ; Neurologic Manifestations ; Thalamus

Massive ovarian deema is a tate conditian. It is a benign enlargement of the ovary caused by accumulation of fluid, which is thought to result from intermittent partial toraion of the ovarian pedicle. Histologically, the ovaries were characterized by diffuse edema of medulla and inner cortex. Two cases of massive ovanan edema are reported with brief review of the literatures.
Edema* ; Female ; Ovary

OBJECTIVES: This paper presents the information on the incidence of cancer from the population-based cancer resistry in Kangwha County. Material and METHODS: This investigation is based on Kangwha cancer registry. The data included cases of cancer diagnosed from 1986 through 1992. The diagnosis of cancer was confirmed by a team of physicians and nurses with the medical records kept in the clinics and hospitals based on the diagnostic criteria recommended by WHO. Home visitings were also made to cancer patients confirmed in every 6 months for the follow up and for the collection of relevant information directly from the patients. RESULTS: A total of 992 cancer cases were registered during 1986 - 1992. The age-adjusted cancer incidence rate of all site is 201.7 in men and 110.7 in women. The most common cancer is the stomach cancer in both sexes. The age-adjusted incidence rate of the stomach cancer is 65.9 in men and 25.0 in women per 100,000 population. The lung cancer(33.8) and liver cancer(27.7) are next common cancers in men. The cervical cancer(21.8) and lung cancer(8.4) are next in women. CONCLUSION: The most common cancer is the stomach cancer in both sexes. The annual age-adjusted incidence rate of the stomach cancer is 65.9 in men and 25.0 in women per 100,000 population.
Diagnosis ; Female ; Follow-Up Studies ; House Calls ; Humans ; Incidence* ; Liver ; Lung ; Male ; Medical Records ; Stomach Neoplasms

Although visible collateral vessels on computed tomography (CT) has been considered as an important finding in superior vena cava (SVC) syndrome, there is no systematical concerning correlation between the CT evidence of collateral vessels and clinical evidence of SVC syndrome. The purpose of this study is to evaluate how accurately we predict the clinical presence of SVC syndrome by the collateral vessels in patients with apparent SVC obstruction on CT. Forty-seven patients having a CT evidence of obstruction or compression of SVC and/or its major tributaries were included in this study. Lung cancer was the most common underlying disease (n=40). The enhanced CT scans were obtained through either arm vein using a combined bolus and drip-infusion technique. Analyzing the CT scans, we particularly paid attention to the site and pattern of venous compromise, presence of collateral vessels, and if present, heir location, without knowing whether symptoms and signs were present or not, and then compared them with clinical data by a thorough review of charts. To verify the frequency of visible collateral vessels in normal subjects, we also evaluated the CT scans of 50 patients without mediastinal disease and clinical SVC syndrome as a control group. On CT, collateral vessels were found in 24 patients, among whom three patients had a single collateral and 21 patients had two or more collateral channels. There were two false positive cases, in which clinically overt SVC syndrome appeared 10days and three months after CT examination respectively, and one false negative case. The presence of collateral vessels on CT, respectively, and one false negative case. The presence of collateral vessels on CT, regardless of the number and location of collateral vessels and the pattern of venous obstruction, was a good clue for predicting the presence of clinical SVC syndrome with the sensitivity and the specificity of 95.7% and 91.7%, respectively. In control group, collateral vessels were seen in three patients (6%). We conclude that the presence of collateral vessels on CT is a highly sensitive and specific sign of clinical SVC syndrome.
Arm ; Humans ; Lung Neoplasms ; Mediastinal Diseases ; Sensitivity and Specificity ; Superior Vena Cava Syndrome* ; Tomography, X-Ray Computed ; Veins ; Vena Cava, Superior*

Although visible collateral vessels on computed tomography (CT) has been considered as an important finding in superior vena cava (SVC) syndrome, there is no systematical concerning correlation between the CT evidence of collateral vessels and clinical evidence of SVC syndrome. The purpose of this study is to evaluate how accurately we predict the clinical presence of SVC syndrome by the collateral vessels in patients with apparent SVC obstruction on CT. Forty-seven patients having a CT evidence of obstruction or compression of SVC and/or its major tributaries were included in this study. Lung cancer was the most common underlying disease (n=40). The enhanced CT scans were obtained through either arm vein using a combined bolus and drip-infusion technique. Analyzing the CT scans, we particularly paid attention to the site and pattern of venous compromise, presence of collateral vessels, and if present, heir location, without knowing whether symptoms and signs were present or not, and then compared them with clinical data by a thorough review of charts. To verify the frequency of visible collateral vessels in normal subjects, we also evaluated the CT scans of 50 patients without mediastinal disease and clinical SVC syndrome as a control group. On CT, collateral vessels were found in 24 patients, among whom three patients had a single collateral and 21 patients had two or more collateral channels. There were two false positive cases, in which clinically overt SVC syndrome appeared 10days and three months after CT examination respectively, and one false negative case. The presence of collateral vessels on CT, respectively, and one false negative case. The presence of collateral vessels on CT, regardless of the number and location of collateral vessels and the pattern of venous obstruction, was a good clue for predicting the presence of clinical SVC syndrome with the sensitivity and the specificity of 95.7% and 91.7%, respectively. In control group, collateral vessels were seen in three patients (6%). We conclude that the presence of collateral vessels on CT is a highly sensitive and specific sign of clinical SVC syndrome.
Arm ; Humans ; Lung Neoplasms ; Mediastinal Diseases ; Sensitivity and Specificity ; Superior Vena Cava Syndrome* ; Tomography, X-Ray Computed ; Veins ; Vena Cava, Superior*

Decompression ; Follow-Up Studies ; Head ; Headache ; Humans ; Incidence ; Inflammation ; Jaw ; Joints ; Mandibular Condyle ; Recurrence ; Synovial Fluid ; Temporomandibular Joint