1.Lumbar Spinal Epidural Lipomatosis: Two Cases Report.
Byeong Yeon SEONG ; Chan Ji PARK ; Sung Jun PARK ; Sang Wook KIM ; Taek Gun LEE
Journal of Korean Society of Spine Surgery 1998;5(2):333-341
STUDY DESIGN: We report two cases of symptomatic spinal epidural lipomatosis (SEL) associated with long-term use of steroid medication OBJECTIVES: The purpose of this study was to assess the clinical characteristics, diagnosis and treatment of symptomatic spinal epidural lipomatosis. SUMMARY OF LITERATURE REVIEW: Spinal epidural lipomatosis is a condition in which excess adipose tissue is deposited circumferentially about the spinal cord in the epidural space. It can present neurologic symptoms including back pain, radiculopathy or cauda equina. Magnetic resonance imaging is the most helpful dignostic means and should be used initially if suspected. Treatment is decompressive laminectomy and debulking of fat. MATERIALS AND METHODS: Two cases of lumbar epidural lipomatosis with neurologic symptoms were discussed and evaluated by physical examination, postmyelography CT and MRI. RESULTS: Two cases were treated with decompressive laminectomy and debulking of fat. Increased accumulation of the fatty tissue was seen predominently in posterior and posterolateral epidural space of the spinal canal, displacing and compressing the lumbar spinal cord anteriorly. Both gross and histologic evaluation revealed overgrowth of unencapsulated normal appearing fat consistent with spinal epidural lipomatosis. One case was demonstrated gradual improvement in symtoms after operation but the other was died due to medical problems. CONCLUSION: The authors reviewed the literature and reported the results of operative treatment of patients with lumbago, radicular pain and intermitent claudication caused by epidural lipomatosis of lumbar spine and degenerative spinal stenosis.
Adipose Tissue
;
Back Pain
;
Cauda Equina
;
Diagnosis
;
Epidural Space
;
Humans
;
Laminectomy
;
Lipomatosis*
;
Low Back Pain
;
Magnetic Resonance Imaging
;
Neurologic Manifestations
;
Physical Examination
;
Radiculopathy
;
Spinal Canal
;
Spinal Cord
;
Spinal Stenosis
;
Spine
2.Depression and Anxiety in Korean Patients with Age-Related Macular Degeneration.
Journal of the Korean Ophthalmological Society 2012;53(6):792-800
PURPOSE: To examine the degree of depression and anxiety in Korean patients with age-related macular degeneration (AMD) and to evaluate the influence of mood disturbance on patient's treatment satisfaction and compliance. METHODS: Forty-four patients with AMD and thirty-three controls comprised the study populations. Patients and controls rated themselves on the Korean Beck Depression Inventory (BDI) and Beck Anxiety Inventory (BAI). The effect of mood disturbance on the patient's satisfaction and compliance was evaluated. RESULTS: The depression and anxiety scores were significantly higher in patients with AMD. The mood disturbance was negatively correlated with the patient's satisfaction and compliance. 14 patients (31.8%) were lost to follow-up 1 year later. The depression and anxiety scores of these patients were higher than those of remaining thirty patients. CONCLUSIONS: Depression and anxiety of patients with AMD affect on patient's satisfaction and compliance. So recognition and management of mood disturbance may help improving visual function and maintaining quality of life in patients.
Anxiety
;
Compliance
;
Depression
;
Humans
;
Lost to Follow-Up
;
Macular Degeneration
;
Quality of Life
3.Granular Cell Tumor on the Scalp.
Ji Yeon SHIN ; Hei Sung KIM ; Sang Hyun CHO ; Jeong Deuk LEE
Korean Journal of Dermatology 2012;50(7):658-659
No abstract available.
Granular Cell Tumor
;
Scalp
4.Bloodstream Infections in Children with Cancer between 2005 and 2008 in a Single Center.
Ji Hye KIM ; Hyung Jin KIM ; Yeon Jung LIM ; Young Ho LEE ; Sung Hee OH
Korean Journal of Pediatric Infectious Diseases 2010;17(1):36-48
PURPOSE: In children on anticancer chemotherapy, bloodstream infections (BSIs) are a major cause of morbidity and mortality. We investigated febrile episodes and bloodstream infections in pediatric cancer patients to guide proper selection of empiric antibiotics for febrile pediatric hemato-oncologic patients. METHODS: All febrile episodes treated in the division of hematology-oncology, the department of pediatrics, Hanyang University Hospital, between July 2005 and June 2008 were reviewed. Episodes with and without bloodstream infections were compared. RESULTS: Forty cases (18.9%, 25 patients) of BSI occurred in 212 febrile episodes (63 patients). Thirty-seven cases (23.6%, 22 patients) of BSI occurred in 157 febrile episodes with neutropenia (54 patients). Microorganisms identified in BSI corresponded to 23 gram-positive bacteria (51.2%), 20 gram-negative bacteria (44.5%), and 2 fungi (4.4%). Rates of BSI between those who had received umbilical cord blood transplantation and those who had received transplantation from other source were significantly different (55.0% vs. 7.7%, P=0.001). No differences in mortality rate were observed among organisms in BSI patients. For febrile episodes the rate of BSI was higher among those with Chemoport than those with Hickman catheter (P=0.029) and gram-positive pathogens were more likely to be associated with Chemoport (P=0.001). CONCLUSION: The study showed the rate of BSI, distribution of pathogens with regard to neutropenia, transplantation, central venous catheters, and antimicrobial susceptibility of pathogens in order to help guide in the choice of optimal empiric antibiotics in pediatric febrile neutropenic hemato-oncologic patients.
Anti-Bacterial Agents
;
Bacteremia
;
Catheters
;
Central Venous Catheters
;
Child
;
Fetal Blood
;
Fever
;
Fungi
;
Gram-Negative Bacteria
;
Gram-Positive Bacteria
;
Humans
;
Neutropenia
;
Pediatrics
;
Transplants
5.Clinical study of group B streptococcal infection in infants less than two months of age.
Hee Jeong AHN ; Ji Yeon LIM ; Sung Hee OH ; In Joon SEOL ; Soo Jee MOON ; Hahng LEE
Journal of the Korean Pediatric Society 1992;35(1):17-25
No abstract available.
Humans
;
Infant*
;
Streptococcal Infections*
6.The major aortopulmonary collateral arteries in pulmonary atresia with ventricular septal defect: chest radiologic findings.
Sung Jin KIM ; Yeon Hyeon CHOE ; Ji Eun KIM ; Kil Sun PARK ; Dae Yeong KIM
Journal of the Korean Radiological Society 1992;28(6):875-880
The chest radiographs and angiograms were retrospectively evaluated in 47 patients with pulmonary atresia (PA) and ventricular septal defect (VSD) to determine the characteristic findings of major aortopulmonary collateral arteries (MAPCSs) on the chest radiographs. Of 47 patients, 23 had MAPCAs and 24 had only PDA for blood supply of whole right and left lung. Chest radiographs enabled identification of 16 of 23 patients with MAPCAs. The most common finding of MAPCAs was inappropriately large peripheral pulmonary vasculature (n=16, 69.6%). The other findings were tortuosity of pulmonary vasculature (n=12, 52.2%), focal unevendistribution of pulmonary vasculature (n=12, 52.2%), and two descending pulmonary arteries (n=4, 17.4%). When chest radiographs showed two or more findings of MAPCAs, MAPCAs could be differentiated from PDA with statistical significance (p<0.005). It is concluded that chest radiographs may help to identify MAPCAs before angiography if two-dimensional echo ardiography suggests PA with VSD.
Angiography
;
Arteries*
;
Heart Septal Defects, Ventricular*
;
Humans
;
Lung
;
Pulmonary Artery
;
Pulmonary Atresia*
;
Radiography, Thoracic
;
Retrospective Studies
;
Thorax*
7.A Clinical Study of Tsutsugamushi Disease in Children.
Jee Yeon SONG ; Ji Whan HAN ; Sung Soo HWANG ; Kyung Yil LEE ; Kyong Su LEE
Journal of the Korean Pediatric Society 1995;38(5):641-648
No abstract available.
Child*
;
Humans
;
Scrub Typhus*
8.The Comparison of the Effect of Enflurane and Propofol on Arterial Oxygenation during One-Lung Ventilation.
Sung Sik KANG ; In Chul CHOI ; Jin Mee JOUNG ; Ji Yeon SHIN ; Myung Won CHO
Korean Journal of Anesthesiology 1997;33(6):1121-1128
BACKGROUND: Controversy exists as to whether or not inhalation anesthetics and intravenous anesthetics impair arterial oxygenation (PaO2) during one lung ventilation (OLV). Accordingly, we examined the effect of enflurane and propofol on PaO2 and pulmonary vascular resistance (PVR) during OLV. METHODS: Forty patients, who had prolonged periods of OLV anesthesia with minimal trauma to the nonventilated lung were studied in a cross over design. Patients were randomized to four groups; Group 1 received 1 MAC of enflurane and oxygen from induction until the first 20 min after complete lung collapse, then were switched to propofol 100 g/kg/min (P100). In group 2, the order of the anesthetics was reversed. Group 3, Group 4 received the same order of the anesthetics as Group 1, Group 2, respectively but received propofol 200 g/kg/min (P200). RESULTS: During OLV, the PaO2 values were lower than those with two lung ventilation (TLV), there were no significant differences among each groups and between propofol and enflurane in PaO2, but in the selected patients (n=10, PaO2<120 mmHg during OLV), PaO2 in propofol group was higher than that of enflurane group (p<0.05). Conversion from TLV to OLV caused a significant increase in PVR, but there were no difference in PVR between propofol and enflurane group. CONCLUSIONS: These results suggest that the usual clinical dose of propofol affords no advantage over 1 MAC of enflurane anesthesia except low PaO2 patients during OLV. Propofol might be of value in risk patients of hypoxemia during thoracic surgery when OLV is planned.
Anesthesia
;
Anesthetics
;
Anesthetics, Inhalation
;
Anesthetics, Intravenous
;
Anoxia
;
Cross-Over Studies
;
Enflurane*
;
Humans
;
Lung
;
One-Lung Ventilation*
;
Oxygen*
;
Propofol*
;
Pulmonary Atelectasis
;
Thoracic Surgery
;
Vascular Resistance
;
Ventilation
9.Erratum: Correction of Acknowledgements.
Se Yeon WON ; Hannah KIM ; Woo Sik LEE ; Ji Won KIM ; Sung Han SHIM
Obstetrics & Gynecology Science 2018;61(2):287-287
The Acknowledgements was published incorrectly.