No abstract available.
Diagnosis* ; Epilepsy*

No abstract available.
Diabetic Ketoacidosis* ; Drug Therapy* ; Precursor Cell Lymphoblastic Leukemia-Lymphoma* ; Remission Induction*

Localized fibrous mesothelioma of the liver is very rare benign tumor. It usually manifest large palpable hepatic mass in right upper quadrant area, and the prognosis is excellent by surgical resection. Contrast enhanced CT scan shows well defined hyperattenuating mass and celiac anglogram shows hypervascular mass. Recently we experienced 1 case of localized fibrous mesothelioma of the liver, and we report CT and anglographic findings of this tumor.
Liver* ; Prognosis ; Solitary Fibrous Tumor, Pleural* ; Tomography, X-Ray Computed

Traumatic intracranial lesion has been one of the most frequent and serous problem in neurosurgical pathology. CT made it possible to get prompt diagnosis and surgical intervention of intracranial lesions by its safety, fastiness and accuracy. Computed tomographic scan was carried out on 1309 cases at Soonchunhyang Chunan Hospitalfor 15 months from Oct. 1983 to Dec. 1984. We have reviewed the computed tomographic scans of 264 patients whichshowed traumatic intracranial lesion. The results were as follows: 1. Head trauma was the most frequentlydiagnosed disase using computed tomographic scans(57.8%), and among 264 cases the most frequent mode of injury wastraffic accident (73.9%). 2. Skull fracture was accompained in frequency of 69.7% and it was detected in CT in38.6%: depression fractue was more easily detected in 81%. 3. Countercoup lesion(9.5%) was usually accompained with temporal and occipital fracture, and it appeared in lower incidence among pediatric group. 4. Intracranial lesions of all 264 cases were generalized cerebral swelling(24.6%), subdural hematoma(22.3%), epiduralhematoma(20.8%), intracerebral hematoma(6.1%), and subarachnoid hemorrhage(3.0%). 5. The shape of hematoma wasusually biconvex(92.7%) in acute epidural hematoma and cresentic(100%) in acute subdural hematoma, but the morechronic the cases became, they showed planoconvex and biconvex shapes. 6. Extra-axial hematoma was getting decreased in density as time gone by. 7. Hematoma density was not in direct proportion to serum hemoglobin levelas single factor.
Chungcheongnam-do ; Craniocerebral Trauma ; Depression ; Diagnosis ; Hematoma ; Hematoma, Subdural, Acute ; Humans ; Incidence ; Pathology ; Skull Fractures

PURPOSE: To evaluate the diagnostic role of a three-dimensional MR cholangiopancreatography(MRCP) over endoscopic retrograde cholangio- pancreatography(ERCP) in various extrah-epatic biliary disease. MATERIALS AND METHODS: MRCP and ERCP were performed in 45 consecutive patients with suspected extrahepatic biliary diseases. MRCP was obtained using a reverse fast imaging with a steady-state free precession (reverse FISP : PSIF) sequences, and then images were reconstructed by standard MIP algorithm. The predictability of biliary dilatation and level of obstruction of MRCP was evaluated using ERCP as a gold standard. The accuracy distinguishing malignant from benign lesions, and overall diagnostic accuracy were compared between MRCP and ERCP. RESULTS: The sensitivity, specificity and accuracy of MRCP in predicting biliary dilatation were 94.6%, 75.0% and 91.1%, respectively. The level of obstruction was accurate in 87.0% with MRCP. The sensitivity, specificity and accuracy MRCP and ERCP in distinguishing malignant from benign lesions were 76.2%, 87.5% and 82.2% and 71.4%, 83.3% and 77.8%, respectively. The overall diagnostic accuracy was 60.0% with MRCP and 55.6% with ERCP. CONCLUSION: 3D MRCP shows a good diagnostic value compared to that of ERCP, and can replace a ERCP.
Cholangiopancreatography, Endoscopic Retrograde* ; Dilatation ; Humans ; Sensitivity and Specificity

A case of arterial priapism was treated by superselective transcatheteric autologous clot embolization of cavernosal artery 25 days after blunt periheal trauma. No immediate improvement was noted but the priapism subsided on 48th day after the procedure. Normal physiclogic erectlie function was achieved on 53rd day after the procedure, and the period of postprocedure impotence was shortened, as compared with previously reported cases. Autologous blood clot embolization may be an effective treatment method even in delayed priapism, and superselective technique is thought to be more effective to shorten the postprocedure erectlie dysfunction
Arteries ; Erectile Dysfunction ; Male ; Priapism*

BACKGROUND: If general anesthesia is used for cesarean section, important considerations include minimizing the duration of general anesthesia. One may think that skin incision should be started immediately after endotracheal intubation. If so, intra-operative awareness and perception of pain may occur due to light anesthesia. Allowing skin incision to be started 5 min after intubaton while administering 50% nitrous oxide and isoflurane 0.75%, we investigated the changes of BIS (bispectral index), and Apgar scores. METHODS: The investigation was carried out on 33 full-term ASA 1 or 2 patients underwent elective cesarean section under general anesthesia. If any fetal abnormalities were found, we excluded those cases. Premedication was omitted. After rapid sequence induction with sodium thiopental 4 mg/kg, succinylcholine 1 mg/kg, we made skin incision immediately after intubation in control group (n = 18) and 5 min after intubation in experimental group while administering 50% nitrous oxide and isoflurane 0.75%. Muscle relaxation was maintained with intravenous administration of atracurium 0.5 mg/kg. We measured BIS, mean arterial pressure (MAP), heart rate in 1 min interval from preinduction period to delivery and recorded Apgar scores 1 and 5 min after delivery, skin incision to delivery time and uterine incision to delivery time. And we counted the number of patients whose BIS values had been below 60 and 70 from skin incision to delivery in each group. RESULT: Apgar scores recorded 1 and 5 min after delivery did not show significant differences between control and experimental group. During the periods of abdominal wall traction, uterine incision and delivery, BIS values of experimental group were significantly lower than control group and moreover, tended to remain below 60 while those of control group during the same periods tended to be above 60 (P < 0.05). The number of patients of experimental group, whose BIS values had been below 60 from skin incision to delivery, was twice as much as that of control group (P < 0.05), but in case of BIS value below 70, there was no significant difference between control and experimental group. During the periods of skin incision and abdominal wall traction, the MAP's of experimental group were significantly lower than control group (P < 0.05). In cases of heart rate, skin incision to delivery time and uterine incision to delivery time, there were no significant differences between control and experimental group. CONCLUSION: Allowing the skin incision to be started 5 min after intubation while administering 50% nitrous oxide and isoflurane 0.75%, BIS values remained below 60 from abdominal wall traction to delivery, and anesthetics-induced fetal depression did not occur.
Abdominal Wall ; Administration, Intravenous ; Anesthesia ; Anesthesia, General ; Arterial Pressure ; Atracurium ; Cesarean Section* ; Depression ; Female ; Heart Rate ; Humans ; Intubation* ; Intubation, Intratracheal ; Isoflurane ; Muscle Relaxation ; Nitrous Oxide ; Pregnancy ; Premedication ; Skin ; Sodium ; Succinylcholine ; Thiopental ; Traction

Microvascular tissue transfers have facilitated primary closure of various complex defects after radical ablation of head and neck cancers. From Oct 1991 to Feb 1992, we used forearm free flap in two patients and delto-pectoral flap in one patient who had preoperative irradiation for pharyngoesophageal reconstruction. The stricture and fistula formation were most troublesome complication in forearm free flap, so we designed as lazy S shape in distal flap margin to prevent circular contraction and longitudinal margin was deepithelialized (5 mm) and sutured double layer to withstand fistular formation and this can be considered useful in place of a free jejuna transfer.
Constriction, Pathologic ; Fistula ; Forearm ; Free Tissue Flaps ; Head ; Humans ; Neck

No abstract available.
Thumb*

No abstract available.
Child* ; Humans ; Interleukin-6* ; Nephritis* ; Purpura, Schoenlein-Henoch*