2.Wernicke's Encephalopathy evoked by Hyperemesis Gravidarum and Hyperthyroidism.
Seung Jin LEE ; Kyung Jae NAM ; Kyung Ho LIM
Journal of Korean Society of Endocrinology 1998;13(3):489-494
Wernickes encephalopathy is an illness characterized by mental disturbance, paralysis of eye movements and ataxia of gait. The specific factor for most, if not all, of these symptoms is a deficiency of thiamine. Wemicke's encephalopathy mostly occurs in developing countries when the patient is in a state such as nutritionally deprived state, anorexia nervosa, stomach cancer, long duration of parenteral nutrition. Wernickes encephalopathy was recognized as a complication of hyperemesis of pregnancy in 1914. Unfortunately, cases continue to occur. We present here a case of Wernickes encephalopathy in a 36-year-old pregnant woman. We discuss the clinical picture, histopathology, radiology, therapeutic management and prognosis with review of the literature.
Adult
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Anorexia Nervosa
;
Developing Countries
;
Eye Movements
;
Female
;
Gait Ataxia
;
Humans
;
Hyperemesis Gravidarum*
;
Hyperthyroidism*
;
Paralysis
;
Parenteral Nutrition
;
Pregnancy
;
Pregnant Women
;
Prognosis
;
Radiation Oncology
;
Stomach Neoplasms
;
Thiamine
;
Wernicke Encephalopathy*
3.Endoscopic Bone Grafting on the Delayed Union of the Femur
Sung Jae KIM ; Nam Hyun KIM ; Woo Suk LEE
The Journal of the Korean Orthopaedic Association 1994;29(2):598-602
Some of the techniques for bone grafting for delayed union or nonunion of the long bone are used currently. In 1991, at arthroscopy workshop in Phoenix, Arizona, Lanny L. Johnson, M.D. reported a case of endoscopic bone grafting for the delayed union on the humerus. He suggested the possibilities of endoscopic bone grafting such as minimal incision, magnified visualization, accurate debridement, accurate graft placement, vascular preservation, outpatient surgery and reduced cost. The author performed endoscopic bone grafting and extra-articular adhesionlysis on the delayed union of femur with extra-articular ankylosis. The patient was a 28 year old housewife with blood type Rh(-). The duration after initial operation was more than 9 months. The result of the graft was satisfactory. In the future endoscopic bone grafting could be performed for nonunion, delayed union and congenital bone defect.
Ambulatory Surgical Procedures
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Ankylosis
;
Arizona
;
Arthroscopy
;
Bone Transplantation
;
Debridement
;
Education
;
Femur
;
Humans
;
Humerus
;
Transplants
4.Malignant Granular Cell Tumor of the Shoulder: A case report.
Jae Hun CHUNG ; Jae Hyuk LEE ; Jong Hee NAM ; Chan CHOI ; Min Cheol LEE
Korean Journal of Pathology 2000;34(6):475-479
A malignant granular cell tumor (MGCT) occurred in the left shoulder of a 62-year-old man. The patient underwent wide marginal excision followed by chemotherapy and radiotherapy. A metastatic tumor was identified in the axillary lymph node 22 months after the excision of the shoulder mass. The primary tumor was a poorly circumscribed mass measuring 5 5 4 cm. On cut section, it was a solid mass with yellowish tan color. Histologically, both primary and metastatic tumor consisted of polygonal cells with abundant granular cytoplasm and a vesicular nucleus with a prominent nucleolus. Two to three mitotic figures per ten high power fields at 200 were counted. Tumor cells were weakly stained with periodic acid-Schiff (PAS) preparation both before and after diastase digestion, and were positive for S-100 protein, neuron-specific enolase (NSE), and vimentin. By electron microscopy, the cytoplasm was filled with numerous autophagolysosomes containing myelin figures, mitochondria, and fragmented rough endoplasmic reticula. Basal laminae and angulated bodies were also noted. These findings suggest schwannian differentiation of this tumor.
Amylases
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Basement Membrane
;
Cytoplasm
;
Digestion
;
Drug Therapy
;
Granular Cell Tumor*
;
Humans
;
Immunohistochemistry
;
Lymph Nodes
;
Microscopy, Electron
;
Middle Aged
;
Mitochondria
;
Myelin Sheath
;
Phosphopyruvate Hydratase
;
Radiotherapy
;
S100 Proteins
;
Shoulder*
;
Triacetoneamine-N-Oxyl
;
Vimentin
5.A comparison of three methods of assessing inter-observer variation applied to measurement of the symphysis-fundal height.
Jae Hyun NAM ; Hae Heok LEE ; Jae Gun SUNWOO ; Keon Hae LEE ; Tai Ho CHO
Korean Journal of Obstetrics and Gynecology 1991;34(11):1544-1552
No abstract available.
Observer Variation*
6.Percutaneous Transluminal Balloon Valvuloplasty for Congenital Pulmonary Valve Stenosis.
Heung Jae LEE ; Jae Kon KO ; Woong Heum KIM ; Nam Su KIM ; Chang yee HONG
Journal of the Korean Pediatric Society 1988;31(7):822-832
No abstract available.
Balloon Valvuloplasty*
;
Pulmonary Valve Stenosis*
;
Pulmonary Valve*
7.2 Case of Scimitar syndrome.
Jae Kon KO ; Nam Su KIM ; Woong Heum KIM ; Heung Jae LEE ; Shi Joon YOO
Journal of the Korean Pediatric Society 1990;33(2):229-233
No abstract available.
Scimitar Syndrome*
8.A Clinical Study on the Cervical Spine Injuries
Nam Hyun KIM ; In Hee CHUNG ; Kwan Jae YOU ; Hun Jae LEE ; Young Soo KIM
The Journal of the Korean Orthopaedic Association 1980;15(1):18-29
With the development of spinal fusion and internal fixation, rehabilitation mediclne, urinary control and antibiotics, the outlook for patients with cervical spine injuries has brightened considerably, as compared with half a century ago. However, splnal cord injury still remains as one of the most devastating accidents that man can Incur and still survive. There is increasing tendency to stabllize unstable cervical spine injuries surglcally for the benefit of early mobilization,.early rehabilitation, easy nursing care, and rigid stability of the spine. A clinical study was performed on 72 patients with 76 fractures and fracture-dislocatlons of the cervical spine, who were hospitalized and treated at Severance Hospital during the period between January 1970 and December 1978 and the following results were obtained. 1. The prevalent age distribution was between 30 and 50 years of age (59.7%), and the ratio between males and females was 5:1. The most common cause of injury was falling from a height (51.4%). 2. In overall patients, neurologic damage was found at first examination in 69.4%, and among these, complete paralysis below the injured level In 41.7%, incomplete paralysis in 25%, and nerve root injury in 2.7%. 3. The mechanisms of injury included flexion-rotation (50%), extension-distraction (18%), flexion-compression (12.5%), pure flexion (5.5%), axial compression (5.5%), and unclassified (8.3%). 4. Among 72 patients, emergency decompressive laminectomy was performed on 10 patients, anterior interbody fusion on 15 patients, posterior fusion with wiring on 3 patients and the rest of patients were treated conservatively. 5. There was no significant difference in the recovery of neurologic loss between conservatively and surgically treated patients, but it was thought better to stabilize the unstable fracture-dislocations surgically for early mobilization and rehabllitatlon.
Accidental Falls
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Age Distribution
;
Anti-Bacterial Agents
;
Clinical Study
;
Early Ambulation
;
Emergencies
;
Female
;
Humans
;
Laminectomy
;
Male
;
Nursing Care
;
Paralysis
;
Rehabilitation
;
Spinal Fusion
;
Spine
9.A clinical study of the atlantoaxial instability.
Nam Hyun KIM ; Hwan Mo LEE ; Jae In AHN ; Yong Jae LIM
The Journal of the Korean Orthopaedic Association 1991;26(4):1188-1195
No abstract available.
10.The usefulness of tumor markers SCCA and CEA in squamous cell carcinoma of the uterine cervix.
Jung Jae LEE ; Kae Hyun NAM ; Soon Gon LEE ; Kwon Hae LEE ; Tai Ho CHO
Korean Journal of Obstetrics and Gynecology 1993;36(7):1313-1321
No abstract available.
Carcinoma, Squamous Cell*
;
Cervix Uteri*
;
Female
;
Biomarkers, Tumor*