No abstract available.

Birth injury is defined as any condition that affects the fetus adversely during the labor or delivery. Clavicle fracture during the delivery can be found in 0.49-0.95% if all living newborns. The objectives of this study were to identify and prevent the contribution facture during delivery. We obtained 98 patients of the clavicle fracture among the 13,698 neonates delivered at P.M.C from March. 1991 to Feb. 1994. We analysed the 98 patients of the clavicle fracture with 857 control group according to neonatal factors, maternal factors and methods of delivery. The results were as follows ; 1. Of all the cases of the clavicle fracture, the site of the fracture was middle 1/3 of the clavicle and majority of the fracture were displaced(82.5%). 2. Birth injuries which were associated with clavicle fracture were increased than those without clavicle fracture in brachial plexus injuries, scalp and intracranial hemorrhage, and skull fracture. 3. Contributing factors which were increased the fracture of the clavicle during the delivery were as follows; i) Maternal age over 37 years and below 24 years. ii) Gestational age over 40 weeks (especially over 42 weeks) iii) Birth weight over 3500kg. 4. The proportion of the vacuum extraction during the delivery was nearly double times in patient group than in control group.
Birth Injuries ; Birth Weight ; Brachial Plexus ; Clavicle ; Fetus ; Gestational Age ; Humans ; Infant, Newborn ; Intracranial Hemorrhages ; Maternal Age ; Scalp ; Skull Fractures ; Vacuum

Vascular lesions involving the upper extremities have been treated by different route of upper thoracic sympathectomy with varying success. More recently, the anatomic and physiologic interest for autonomic nervous system has been progressively mounted but the surgical attack has plateau. It may be worthy for academic interest and clinical practice to estimate and to compare with the different surgical method. This paper concerns the treatment of a case suffering from atherosclerotic occlusion whom were treated by upper thoracic sympathetic ganglionectomy through the transaxillary transpleural route. This operation seems to be simpler than other surgical methods with lower morbidity, fewer complication and satisfying results.
Autonomic Nervous System ; Ganglionectomy ; Sympathectomy* ; Upper Extremity

We have recently managed three cases of cerebellar hemangioblastomas in adult male in which the vertebral angiograms and C-T scan led us to diagnose the vascular mass lesions involving the right, left lobe and superior vermis respectively. Polycythemia, angiomatosis retinae and familial incidence were not detected but signs of increased intracranial pressure and of cerebellar dysfunction in varying degrees were common to all three cases. The duration of symptoms and signs ranged from weeks to years. The lesion in the right lobe was a fairly large mass harboring multiple small cysts in it and able to removed completely. The mass in the left lobe was paramedian in location and obstructing the 4 th ventricle. It was also large and entirely cystic accompanying a mural nodule in it and easily removed completely. The lesion occupying the cerebellar vermis was a large solid one and extending diffusely up to posterior third ventricle region and could only be removed partially.
Adult ; Cerebellar Diseases ; Hemangioblastoma* ; Humans ; Incidence ; Intracranial Pressure ; Male ; Polycythemia ; Third Ventricle ; von Hippel-Lindau Disease

Eosinophilic granuloma, Hand-Schuler-Christian and Abt-Letterer-Siwe syndrome are considered to be different manifestations of one and the same disease of the reticulohistiocytic system, and are included under the term histiocytosis X, clinical and morphological manifestations are variable. The syndromes can be differentiated according to their course and extent of spread. Eosinophilic granuloma of bone is the mildest form, usually restricted to one or a few foci. This occurs chiefly in children but may occur at any age. The male sex is affected almost twice as often as the female. Cranial vault is most commonly affected site and jaw, humerus, rib and femur are also often affected. Recently we have experienced 2 cases of eosinophilic granuloma of the skull bone. One was 10 years old male with protruding mass on the right frontal bone, and the other was a mass on right parietal bone in 12 years old male. On admission, the patients had headache and local tenderness without any abnormal neurological signs. Histopathologic findings show the fibrocartilagenous tissue and bone. The soft tissue is densely replaced by infiltrations of histiocytes, eosinophils, lymphocytes, plasma cells and multinucleated giants cells. Bone tissue is also infiltrated with identical cells. The differential diagnosis distiction between the cerebral granulomatosis is difficult.
Bone and Bones ; Child ; Diagnosis, Differential ; Eosinophilic Granuloma* ; Eosinophils* ; Female ; Femur ; Frontal Bone ; Headache ; Histiocytes ; Histiocytosis, Langerhans-Cell ; Humans ; Humerus ; Jaw ; Lymphocytes ; Male ; Parietal Bone ; Plasma Cells ; Ribs ; Skull*

No abstract available.
Beclomethasone* ; Budesonide* ; Hydrocortisone*

BACKGROUND: Many types of tricuspid annuloplasty are used in surgical correction of functional tricuspid regurgitation (FTR). We evaluated the mid-term and long-term outcomes in patients treated with a posterior annular plication technique (a modified Davila technique) for FTR. MATERIAL AND METHOD: Between January 1991 and August 2006, 58 adult patients (male, 22; female, 36) with FTR of grade 2/4 or more or with tricuspid annular dilatation of more than 5.0 cm in diameter, even with an FTR of less than grade 2, had received a posterior annular placation. Preoperatively, 26 patients (44.8%) had a grade 3 or more FTR. All patients had received a mitral valve replacement, and 20 (34.5%) had concomitant aortic valve replacement. RESULT: During the mean follow-up period of 101.4+/-51.6 months, FTR disappeared or remained trivial in 28 patients (49.1%), was grade 2~3 (> or =grade 2 and Adult ; Aortic Valve ; Dilatation ; Female ; Follow-Up Studies ; Humans ; Mitral Valve ; Tricuspid Valve ; Tricuspid Valve Insufficiency

No abstract available.
Arthritis* ; Hip* ; Humans ; Infant* ; Infant, Newborn*

The majority of current shunting procedures involve either a ventriculoperitoneal or a ventriculoatrial placement. The ventriculoperitoneal placement have less serious associated morbidity than the atrial placement but revision of the placement is occasionally requested by complications associated with the shunting procedure. A case of ventriculoperitoneal shunt complicated by ascites and hydrothorax was reported, in which the shunting procedure was indicated for relief of hydrocephalus in an infant.
Ascites ; Humans ; Hydrocephalus ; Hydrothorax* ; Infant ; Ventriculoperitoneal Shunt*

The majority of current shunting procedures involve either a ventriculoperitoneal or a ventriculoatrial placement. The ventriculoperitoneal placement have less serious associated morbidity than the atrial placement but revision of the placement is occasionally requested by complications associated with the shunting procedure. A case of ventriculoperitoneal shunt complicated by ascites and hydrothorax was reported, in which the shunting procedure was indicated for relief of hydrocephalus in an infant.
Ascites ; Humans ; Hydrocephalus ; Hydrothorax* ; Infant ; Ventriculoperitoneal Shunt*