Spontaneous acute cerebellar hemorrhage is not really a rare lesion and their incidence is greater than is previously appreciated, accounting for ten percent of all spontaneous intracranial hemorrhages. And it is not easy to understand why it is rarely diagnosed clinically and is explosive course in its nature. Therefore, successful management entails early correct recognition, followed by early surgical intervention. In many cases, the cerebellar signs & other neurological signs are of little value in the localization of cerebellar hemorrhage. In such cases, CT scan may prove to be a rapid & reliable method for localizing acute cerebellar hemorrhage. The authors collected three cases of spontaneous acute cerebellar hemorrhage which were diagnosed by computed tomography, admitted to the department of neurosurgery of National Medical Center from June 1979 to October 1980 and all patients received suboccipital craniectomy.
Hemorrhage* ; Humans ; Incidence ; Intracranial Hemorrhages ; Neurosurgery ; Tomography, X-Ray Computed

A benign fibrous histiocytoma is a tumor with 6brohlastic and histiocytic differentiation, most commonly found in soft tissues or adult bones. Its occurrence in the ear is, however, extremely rare, and there hasn't been any report on the case originating from the middle ear. We experienced a case of 37-year old male patient who complained of intermittent otorrhea and hearing loss. The patient had an 1 x 1 cm-sized mass in the right mastoid antrum in the temporal bone CT. Under the impression of cholesteatoma or benign tumor, a mass removal was done. A histopathologic investigation of the resected tumor showed typical features of benign fibrous histiocytoma. We herein report along with a brief literature review a case of benign fibrous histiocytoma arising in the mastoid antrum.
Adult ; Cholesteatoma ; Ear ; Ear, Middle ; Hearing Loss ; Histiocytoma, Benign Fibrous* ; Humans ; Male ; Mastoid* ; Temporal Bone

Lymphocytic interstitial pneumonia(LIP) is characterized by a massive infiltration of the interstitium of the lung by mature lymphocytes, plasma cells and reticuloendothelial cells. LIP may be associated with autoimmune diseases including Sjogrens syndrome, SLE, myasthenia gravis, pernicious anemia, autoimmune hemolytic anemia, and HIV or an EB virus infection. There is a possibility of LIP progressing to a pulmonary or systemic lymphoma. The therapeutic response to corticosteroids and/or immunosuppressive drugs varies. Here we report a case of LIP that was diagnosed by an open lung biopsy and clonality study. The patient was a 36 year-old man without antuimmune disease or HIV infection. He was admitted as a result of severe hypoxemia showing PaO2 of 48.3 mmHg. The patient was treated with corticosteroids after the diagnosis and had fully recovered without a sequalae or relapse.
Adrenal Cortex Hormones ; Anemia, Hemolytic, Autoimmune ; Anemia, Pernicious ; Anoxia ; Autoimmune Diseases ; Biopsy ; Diagnosis ; HIV ; HIV Infections ; Humans ; Lip ; Lung ; Lung Diseases, Interstitial* ; Lymphocytes ; Lymphoma ; Myasthenia Gravis ; Plasma Cells ; Recurrence ; Sjogren's Syndrome

An idiopathic mediastinal fibrosis is a rare disease with an unknown etiology. It is a benign condition in which a fibrosis of the soft tissue and chronic inflammation occurs within the mediastinum. This leads to a constriction and obliteration of the adjacent mediastinal structures, particularly the great veins. This can result in a variety of clinical conditions depending on the anatomic location of the disease. Here, we report a case of an idiopathic mediastinal fibrosis with vocal cord palsy, which was confirmed by a biopsy with a thoracotomy. Postoperative medical treatment using prednisolone and tranilast was performed.
Biopsy ; Constriction ; Fibrosis* ; Inflammation ; Mediastinum ; Prednisolone ; Rare Diseases ; Thoracotomy ; Veins ; Vocal Cord Paralysis* ; Vocal Cords*

No abstract available.
Pancreatitis*

A 35-year-old woman suffered from elementary visual symptom that was confirmed as nonconvulsive simple partial status epilepticus arising from the right occipital lobe. 99mTc-ECD SPECT and 18F-FDG PET were done during the ictal and interictal phase, respectively, which were documented by EEG. Subtraction images of SPECT and PET were overlayed on the MRI by SISCOM to compare the area of metabolic change with that of perfusion change. There was no definite mismatch between the hypermetabolic area and the hyperperfusion area during nonconvulsive status epilepticus.
Adult ; Electroencephalography ; Female ; Fluorodeoxyglucose F18* ; Humans ; Magnetic Resonance Imaging ; Occipital Lobe* ; Perfusion ; Status Epilepticus* ; Tomography, Emission-Computed, Single-Photon*

Collapsing glomerulopathy (CG) has become an important cause of end-stage renal disease (ESRD). First delineated from other proteinuric glomerular lesions in the 1980s, CG is now recognized as a common, distinct pattern of proliferative parenchymal injury that portends a rapid loss of renal function and poor responses to empirical therapy. The first cases in the literature trace back to human-immunodeficiency-virus (HIV)-negative patients who underwent biopsy in 1979. A 45-year-old male patient complained of hematuria and proteinuria eight years ago. He showed an abrupt serum creatinine increase from 1.75 to 2.65mg/dL in the last preceding months. Afterwards, his serum creatinine progressively increased up to 6.82mg/dL. Moreover, his 24 h urine protein level was determined to have reached 6,171 mg/day, as opposed to 670 mg/day a year earlier. Consequently, renal biopsy was performed, and its result showed collapsing glomerulopathy, compatible with the diagnosis. He has undergone continuous ambulatory peritoneal dialysis as renal replacement therapy. Thus, it is reported herein that a patient clinically diagnosed with chronic kidney disease eight years ago showed a sudden renal-function decrease and was clinicopathologically diagnosed with collapsing glomerulopathy based on the results of his renal biopsy.
Biopsy ; Creatinine ; Glomerulosclerosis, Focal Segmental ; Hematuria ; Humans ; Kidney Failure, Chronic ; Male ; Peritoneal Dialysis, Continuous Ambulatory ; Proteinuria ; Renal Insufficiency, Chronic ; Renal Replacement Therapy

Acinar cell cystadenoma, also known as an acinar cystic transformation of the pancreas, is an exceedingly rare but benign pancreatic lesion. A 51-year-old woman was transferred to Inje University Busan Paik Hospital because of an 8 cm-sized calcified, multiseptated, and multilocular cystic mass in the pancreatic tail observed during abdominal CT performed at another hospital. The patient did not complain of abdominal pain or other symptoms, and her laboratory findings were normal. MRI showed that the cyst was not connected to the main pancreatic duct. A pancreatic serous cystadenoma was suspected, and a laparoscopic distal pancreatectomy was performed. The resected mass was composed of variable sized multilocular cysts with incomplete septa and focally lined by epithelium with acinar differentiation. The patient was diagnosed with acinar cell cystadenoma and is currently being followed up regularly. No complications or recurrences have been observed.

Acinar cell cystadenoma, also known as an acinar cystic transformation of the pancreas, is an exceedingly rare but benign pancreatic lesion. A 51-year-old woman was transferred to Inje University Busan Paik Hospital because of an 8 cm-sized calcified, multiseptated, and multilocular cystic mass in the pancreatic tail observed during abdominal CT performed at another hospital. The patient did not complain of abdominal pain or other symptoms, and her laboratory findings were normal. MRI showed that the cyst was not connected to the main pancreatic duct. A pancreatic serous cystadenoma was suspected, and a laparoscopic distal pancreatectomy was performed. The resected mass was composed of variable sized multilocular cysts with incomplete septa and focally lined by epithelium with acinar differentiation. The patient was diagnosed with acinar cell cystadenoma and is currently being followed up regularly. No complications or recurrences have been observed.

Inflammatory bowel disease can progress to colon cancer. However, there is not much of a causal relationship between intestinal tuberculosis and colon cancer. There have been a few case reports of intestinal tuberculosis in association with colon cancer. We experienced a 59-year-old man who had the collision-like pathology of adenocarcinoma and tuberculous lymphadenitis on the sigmoid colon. He visitied our hospital because of abdominal pain and hematochezia. Colonoscopy showed a mass on the sigmoid colon that was causing luminal obstruction. Therefore, sigmoidectomy was performed and the resected specimen revealed a collision-like appearance; the mass was composed of adenocarcinoma invading the proper muscle layer and caseating granuloma in the serosa and lymph nodes. We report here on a case of collision-like pathology that was composed of adenocarcinoma and tuberculosis on the sigmoid colon, and we review the relevant literature.
Abdominal Pain ; Adenocarcinoma ; Colon, Sigmoid ; Colonic Neoplasms ; Colonoscopy ; Gastrointestinal Hemorrhage ; Granuloma ; Humans ; Inflammatory Bowel Diseases ; Lymph Nodes ; Middle Aged ; Muscles ; Phenobarbital ; Serous Membrane ; Tuberculosis ; Tuberculosis, Lymph Node