1.Clinical Features of Interhemispheric Subdural Hematomas.
Jae Min AHN ; Kyeong Seok LEE ; Jae Hyun SHIM ; Jae Sang OH ; Jai Joon SHIM ; Seok Mann YOON
Korean Journal of Neurotrauma 2017;13(2):103-107
OBJECTIVE: Interhemispheric subdural hematoma (IHSDH) is uncommon, because of their unusual location. However, it is a distinct lesion with its unique characteristics. We investigated clinical features and outcomes of consecutive 42 patients with IHSDH, retrospectively. METHODS: From 2006 to 2015, we treated 105 patients with IHSDH. All patients were diagnosed by computed tomography (CT) or magnetic resonance imaging. We selected 42 patients with thick (3 mm or more) IHSDH. We retrospectively reviewed the clinical and radiological findings, management and outcomes. RESULTS: The male to female ratio was 2:1. Two thirds of the patients were over 60 years old. Slip or fall was the most common cause of trauma. The level of consciousness on admission was Glasgow Coma Scale (GCS) 13 to 15 in 25 patients. The most common symptom was headache. All IHSDH was hyperdense in CT at the time of diagnosis. IHSDH frequently accompanied convexity subdural hematoma. The outcome was favorable in 27 patients, however, six patients were expired. Twenty-two patients were managed conservatively. Surgery was performed in ten patients to remove the concurrent lesion. The outcome was poor in spontaneous one, patients with low GCS, and patients with conservative treatment. CONCLUSION: IHSDH is rare especially the isolated one. The outcome was dependent to the severity of injury. Surgery may be helpful to remove the concurrent mass lesion, however, conservative treatment is generally preferred.
Consciousness
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Craniocerebral Trauma
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Diagnosis
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Female
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Glasgow Coma Scale
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Glasgow Outcome Scale
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Headache
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Hematoma, Subdural*
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Humans
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Magnetic Resonance Imaging
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Male
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Retrospective Studies
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Symptom Assessment
2.A case of distal type of renal tubular acidosis in a neonate.
Sung Sub SHIM ; Young Joon KIM ; Jae Hong PARK ; Soo Yung KIM ; Chan Yung KIM
Journal of the Korean Pediatric Society 1992;35(7):1014-1018
No abstract available.
Acidosis, Renal Tubular*
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Humans
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Infant, Newborn*
3.Surgical resection of double primary cancer in esophagus & stomach.
Hyo Yoon KIM ; Seung Joon PARK ; Jae Ill ZO ; Young Mog SHIM
The Korean Journal of Thoracic and Cardiovascular Surgery 1992;25(10):1087-1092
No abstract available.
Esophagus*
;
Stomach*
4.Surgical treatment of pulmonary aspergillosis.
Seung Dong YEO ; Hyo Yoon KIM ; Seung Joon PARK ; Jae Il ZO ; Young Mog SHIM
The Korean Journal of Thoracic and Cardiovascular Surgery 1992;25(6):611-615
No abstract available.
Pulmonary Aspergillosis*
5.Surgical Treatment of Tarsometatarsal Joint Fracture: Dislocation
Sung Jae KIM ; Dong Kyuen LEE ; Dae Moo SHIM ; Kwang Joon KIM
The Journal of the Korean Orthopaedic Association 1988;23(1):107-113
Injuries to the tarsometatsrsal joint are not common, and the results or treatment are often unsatisfactory. Whatever the severity of the initisl injury, prognosis depends on accurate reduction and its maintenance. 5 cases of fracture and dislocation of the tarsometatarsal joint were treated at Department of Orthopaedic Surgery, Capital Armed Forces General Hospital. The length of follow-up period ranged from 12 months to 18 months, with a mean of 15 months.
Arm
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Dislocations
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Follow-Up Studies
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Hospitals, General
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Joints
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Prognosis
6.Appendiceal Mucocele with Lower Gastrointestinal Bleeding.
Jong Soo KIM ; Joon Seong LEE ; Seong Won CHO ; Chan Sup SHIM ; Jae Joon KIM ; Hee YOO ; Dong Hwa LEE
Korean Journal of Gastrointestinal Endoscopy 1987;7(1):59-63
The appendiceal mucocele is very rare disease of 0.2% incidence. About 24% of patients are asymptomatic and symptomatic patients present with pain in the right lower quadrant of abdomen in 64%, plapable maas in the right lower quadrant of abdomen in 50%, and rarely, melena, hematochezia, anemia, diarrhea, malaise, and abdominal distension. The gastrointestinal bleeding may be presented in the patient with intussusception, but the massive bleeding is generally absent. We report a case of appendiceal mucocele accompanying with gastrointestinal bleeding and review of literature.
Abdomen
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Anemia
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Diarrhea
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Gastrointestinal Hemorrhage
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Hemorrhage*
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Humans
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Incidence
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Intussusception
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Melena
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Mucocele*
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Rare Diseases
7.Concurrent Malignant Lymphoma of the Colon and Small Bowel as the Primary Origin.
Joon Seong LEE ; Seong Won CHO ; Chan Sup SHIM ; Jae Joon KIM ; Hee YOO ; Dong Hwa LEE
Korean Journal of Gastrointestinal Endoscopy 1987;7(1):53-57
Primary gastrointestinal lymphoma primarily confined to gastrointestinal tract is relatively rare diaease. Although the lymphoma primarily involved colorectum or small bowel was commonly reported than primary gastric lymphoma in Korea, the concurrent primary lymphoma of colon and small bowel is very rare in reported cases. We report a case of combined primary malignant lymphoma of the jejunum and cecum, who was admitted due to melena and anemia. She had right hemicolectomy and end-to-side ileotransverse colostomy at 2 months ago, due to primary colon lymphoma. The laparotomy was performed and identified hard, 2 x 3 cm sized masses on distal 25 cm, 80 cm and 150 cm from the Treitz ligament. The histology of these small ma showed histiocytic lymphoma as same as cecal specimen. In general, the small bowel lymphoma shaws poor prognosis than gastric or colorectal lymphoma due to diffieulty in diagnosis and late symptoms, but this problem could be resolved through the knowledge about primary gastrointestinal lymphoma and the development of diagnostic methods.
Anemia
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Cecum
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Colon*
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Colostomy
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Diagnosis
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Gastrointestinal Tract
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Jejunum
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Korea
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Laparotomy
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Ligaments
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Lymphoma*
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Lymphoma, Large B-Cell, Diffuse
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Melena
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Prognosis
8.A Case of Intraosseous Dural Arteriovenous Fistulas Involving Diploic Vein Treated with Transarterial Onyx Embolization.
Jae Hyun SHIM ; Seok Mann YOON ; Jai Joon SHIM ; Ra Sun KIM
Journal of Korean Neurosurgical Society 2011;50(3):260-263
Intracranial dural arteriovenous fistulas (DAVFs) are abnormal arteriovenous connections that lie within the dura. Intraosseous DAVFs involving diploic venous system are extremely rare. A 46-year-old woman presented with headache and right pulsatile tinnitus for three weeks. The tinnitus started after yelling. Digital subtraction angiography revealed DAVF within the basal portion of right parietal bone along the middle meningeal artery (MMA) groove. The fistula was fed by frontal branch of right MMA and drained into right transverse sigmoid sinus junction through dilated middle meningeal vein. The intraosseous DAVF involving diploic vein was successfully obliterated with Onyx embolization via transarterial route.
Angiography, Digital Subtraction
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Central Nervous System Vascular Malformations*
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Colon, Sigmoid
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Female
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Fistula
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Headache
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Humans
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Meningeal Arteries
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Middle Aged
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Parietal Bone
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Tinnitus
;
Veins*
9.Primary Cerebral B Cell Lymphoma: A "ghost tumor" case report.
Hye Jae CHO ; Jung Won SHIM ; Sang Keun PARK ; Joon Suk SONG ; Gham HUR ; Hyun Sook SEO
Korean Journal of Pathology 1991;25(1):68-75
Primary non-Hodgkin's lymphoma of the brain is a rare malignancy and there are known to occur almost exclusively in brain parenchyme. Recent immunological advances and immunohistochemical techniques have provided new insights into the pathogenesis and diagnosis of the malignant lymphoma even in the small biopsied tissue and the majority of these CNS tumors is thought to be derived from B lymphocytes. A 22-year old man was admitted due to headack, dizziness and walking difficulty for 2 months. On the initial CT scan, there were two enhancing lesion in the suprasellar area and pineal gland which were completely disappeared with steroid therapy and three new lesions appeared on the follow-up CT and MRI studies in corpus callosum, third ventricle and left cerebral peduncle. The serial cytologic smears of cerebrospinal fluid and a stereotaxic biopsy tissue from the corpus callosum mass showed diffusely homogenous infiltration of neoplastic large noncleaved lymphocytes with focal perivascular arrangement. On the immunocytochemical stains, the reaction was negative for GFAP, positive for LCA and MB2, and negative for MT1. After radiation therapy, the masses completely disappeared on the follow-up CT scan and the patient was discharged free of all the clinical symptoms.
Male
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Humans
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Biopsy
10.Role of Percutaneous Pleural Needle Biopsy in the Diagnosis of Lymphocyte Dominant Pleural Effusion.
Jae Joon YIM ; Woo Jin KIM ; Chul Gyu YOO ; Young Whan KIM ; Sung Koo HAN ; Young Soo SHIM
Tuberculosis and Respiratory Diseases 1997;44(4):899-906
BACKGROUND: The percutaneous pleural needle biopsy have been regarded as cornerstone in the diagnosis of lymphocyte dominant pleural effusions of which acid fast bacilli smear and cytologic exam was negative. However, the complications of percutaneous pleural needle biopsy is not rare arid its diagnostic efficacy is not always satisfactory. Recently, pleural fluid adenosine deaminase (ADA) and carcinoembryonic antigen (CEA) are widely accepted as markers of tuberculous pleurisy arid malignant pleural effusion respectively. We designed this study to re-evaluate the role of percutaneous pleural needle biopsy in the diagnosis of lymphocyte dominant exudative pleural effusions whose APE smear, cytologic exam was negative. METHODS: Retrospective analysis of 73 cases of percutaneous pleural needle biopsy in case of lymphocyte dominant exudative pleural effusions whose AFB smear and cytoloic exam was negative from Jan 1994 to Feb 1996 was done. RESULT: In 35 cases, specific diagnosis was obtained(all cases were tuberculous pleurisy), arid in 3(1 cases specific diagnosis was not obtained in spite of getting adequate pleural tissues, and in the other 8 cases, percutaneous pleural biopsy failed to get pleural tissues. In 9 cases, complications were combined including pneuomothorax and hemothorax. All 49 cases of pleural effusions whose ADA value was higher than 40IU/L and satisfying other categories were finally diagnosed as tuberculous pleurisy, however, the pleural biopsy confirmed only 28 cases as tuberculous pleurisy. In 6 cases of pleural effusions of which CEA value is higher than l0ng/ml, the pleural biopsy made specific diagnosis n no case. Final diagnosis of above 6 cases consisted of 4 malignant of fusions, I malignancy associated effusion and I tuberculous pleurisy. CONCLUSION: In the diagnosis of 73 cases of lymphocyte dominant pleural effusions of which acid fast bacilli smear and cytologic exam was negative, percutaneous pleural biopsy diagnosed only in 35 cases. In the diagnosis of tuberculous pleurisy, the positive predictive value of higher ADA than 40 IU/L in lymphocyte dominant pleural effusion with negative AFB smear and negative cytologic exam was l00%. And the diagnostic efficacy of pleural biopsy was 57%. In cases of effusions with high CEA than 10ng/ml 83% and 0% respectively. Finally, we concluded that percutaneous pleural needle biopsy in the diagnosis of APE smear negative and cytologic exam negative lymphocyte dominant exudative pleural effusion was not obligatory especially in effusions with high ADA and low CEA value.
Adenosine Deaminase
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Biopsy
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Biopsy, Needle*
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Carcinoembryonic Antigen
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Diagnosis*
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Hemothorax
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Hominidae
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Humans
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Lymphocytes*
;
Needles*
;
Pleural Effusion*
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Pleural Effusion, Malignant
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Retrospective Studies
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Tuberculosis, Pleural