No abstract available.
Burns* ; Congenital Abnormalities* ; Free Tissue Flaps*

No abstract available.
Aneurysm* ; Carotid Artery, Internal*

The anterior middle fossa is the most common location of benign intracranial arachnoid cysts. In the adult, headache, temporal bulging, and mild proptosis are the usual presenting complaints, although seizures and contralateral weakness have been described. Bitemporal hemianopsia associated with this lesion has not been noted previously. Herein we describe the patient with bitemporal hemianopsia associated with sylvian fissure arachnoid cyst. Cystoperitoneal shunt was beneficial. The etiology, histology, and suggested therapy of other patient with arachnooid cyst are also discussed.
Adult ; Arachnoid Cysts ; Arachnoid* ; Exophthalmos ; Headache ; Hemianopsia* ; Humans ; Seizures

No abstract available.
Ischemia* ; Skin*

Recent reports have proved that the activity of blood coagulation change in the patients with head injury because of destruction of brain tissue. To evaluate the relationship of the activity of blood coagulation with patient's consciousness level, clinical course, neurological deficit and findings of computed tomography of brain in the patients with head injury and cerebrovascular disease. Coagulation studies(fibrin/fibrinogen degradation product concentration, plasma fibrinogen, prothrombin time, and activated partial thromboplastin time) and computed tomography of brain were in 102 patients with altered consciousness(66 patients of blunt head injury, 36 patients of cerebrovascular disease). Blood specimen were taken for coagulation studies within 24 hours after head injury or attack of cerebrovascular disease because of that, in the first 24 hours after brain injury, activated coagulation was present after injury. Statistical methods employed were Spearman's rank correlation coefficient and Chi-square test. The results were as follows : 1) Among 66 patients of head injury, 26 patients showed abnormal coagulation results(39%). The one patient of them showed increased FDP value, decreased fibrinogen, abnormal prothrobin time and activated partial thromboplastin time, clinically suggested disseminated intravascular coagulation, and remainder of them(25 patients, 37.9%) revealed abnormality only in FDP value. 2) In patients with head injury, the value of FDP had a close relationship with the state of consciousness on admission, the patient's clinical course, and neurological deficits(P<0.005). 3) In patients with head injury, the value of FDP was proportional to the degree of contusion and midline shift shown on computed tomography of brain(P<0.005). 4) It was concluded that some degree of disseminated intravascular coagulation in patients with blunt head injury occurs more often than expected clinically or subclinically and that coagulation studies might have both diagnostic and prognotic values. 5) In patients with cerebrovascular disease, the value of FDP was abnormal in 19.4% only in intracerebral hemorrhage and normal in other cases(other coagulation tests were normal in all cases). 6) In cases of intracerebral hemorrhage, the value of FDP had a meaningful correlation with amount of hematoma and degree of brain stem dsyfunction, but not with other findings. 7) In cases of intracerebral hemorrhage, the clinical course correlated with the site of hemorrhage and it's extension rather than the amount of brain destruction.
Blood Coagulation ; Brain ; Brain Injuries ; Brain Stem ; Cerebral Hemorrhage ; Consciousness* ; Contusions ; Craniocerebral Trauma ; Disseminated Intravascular Coagulation ; Fibrinogen ; Head Injuries, Closed ; Hematoma ; Hemorrhage ; Humans ; Partial Thromboplastin Time ; Plasma ; Prothrombin Time ; Thromboplastin

Lipomas of the heart are benign neoplasms and have rarely been described. Due to the fact that they normally cause no symptoms, diagnosis is often purely accidental. Because of the rarity of these tumors, it seems worthwhile to present an example studied at autopsy. It was associated with the sudden death of a 15-year-old boy. The tumor arose from the wall of the left ventricle and occupied the pericardial cavity, measuring 13x7x6 cm in size. The tumor was whitish-yellow, translucent, and soft. Microscopically, the tumor was composed of mature adipose tissue which extended between muscle fibers. This current case, the giant cardiac lipoma is believed to produce disturbances of the conduction system and distrubances of cardiac filling.

No abstract available.
Lipomatosis*

Syphilitic aneurysm is a rare type aneurysm followed by syphilitic aortitis. Authors present a case ofsyphilitic aneurysm of the ascending aorta and describe radiological findings on chest roentgenogram, aortogramand computed tomogram.
Aneurysm ; Aorta ; Syphilis, Cardiovascular ; Thorax

Wilms' tumor is malignant renal tumor, originated from undifferentiated mesonephric blastema. Adult Wilms' tumor, unlike that of childhood, is a rare disease and a total of l67 cases have been reported in the world medical literature until 1980. Diagnosis of adut Wilms` tumor is very difficult preoperatively and the pathologic hallmark is the presence of abortive or embryonal glomerulotubular structure with an immature spindle cell stroma. The therapeutic guidelines and surgical principles that govern childhood Wilms' tumor should be applied to adult Wilms' tumor. We reported a case of Wilms' tumor developed in 34 year-old male patient complaining of right flank pain with gross hematuria for 2 months.
Adult* ; Diagnosis ; Flank Pain ; Hematuria ; Humans ; Male ; Rare Diseases ; Wilms Tumor*

To date no consensus has been reached regarding the suitability of surgical treatment for spontaneous intracerebral hemorrhage, especially in deep seated cases. With the recent introduction of an alternative to conservative therapy, craniotomy or stereotactic aspiration, it has become even more difficult to determine which therapeutic approaches should be used. We used stereotactic aspiration technique under a local anesthesia instead of craniotomy to treat 48 patients, because we believe that better therapeutic results could be obtained by minimal invasion to the brain. In present study, we analysed the level of consciousness and clinical outcome, location and volume of hematoma, interval of operation from ictus, and rate of hematoma removal. Our series consist of 18 males and 30 females. The most prevalent age group of intracerebral hemorrhage patients were the 6th decades. The hematoma were located at basal ganglia in 75%, thalamus in 15%, pons in 8%, and lobar 2%. The prognosis was favorable in patients with good neurological grade at admission, but was unfavorable in those with large volume although the statistical difference was not significant. Rate of hematoma removal was high in the cases where operations performed after 4 days. The statistical difference between the time interval from hemorrhage to operation and prognosis was not significant. The overall mortality rate was 17%. These results seem to indicate that stereotactic aspiration may play a comparable indices in the treatment of spontaneous intracerebral hemorrhage.
Anesthesia, Local ; Basal Ganglia ; Brain ; Cerebral Hemorrhage* ; Consciousness ; Consensus ; Craniotomy ; Female ; Hematoma ; Hemorrhage ; Humans ; Male ; Mortality ; Pons ; Prognosis ; Thalamus