Tarsal tunnel syndrom is characterized by pain, paresthesias in the foot in either the entire distribution of the tibial nerve or the distribution of one or two of its major branches and caused by compression of the posterior tibial nerve as it passes posterior and inferior to the medial malleolus. This syndrome is not recognized as readily as its counterpart in the upper extremity, the carpal tunnel syndrome. Anatomically unlike the transv erse carpal ligament the laciniate ligament(flexor retinaculum) has several deep fibrous septa which blend with the periosteum covering the medial side of the calcaneus. The neurovascular bundle in the tarsal tunnel is often attached to some of these septa, rendering itself more liable to minor degrees of traction on movements of the foot. A case of tarsal tunnel syndrome, the patient 24 years old policeman, treated succesfully with surgical release of laciniate ligament is reported.
Calcaneus ; Carpal Tunnel Syndrome ; Foot ; Humans ; Ligaments ; Paresthesia ; Periosteum ; Tarsal Tunnel Syndrome ; Tibial Nerve ; Traction ; Upper Extremity

PURPOSE: Human nucleus pulposus cells from intervertebral disc specimens were cultured to study the effects of TNF-alphaand IL-8 on the FAK expression by these cells. The effect of co-stimulation with dexamethasone on the FAK expression by nucleus pulposus cells was also studied. MATERIALS AND METHODS: The FAK expression in cultured human nucleus pulposus cells relation to TNF-alpha, IL-8 and dexamethasone was assessed by performing western blot. RESULTS: The activated FAK expression was up-regulated by treatments of TNF-alpha and IL-8. Dexamethasone attenuated the cytokine-induced FAK expression. The effects of inflammatory cytokines on the FAK expression were found to be concentration dependent with greater correlation shown by IL-8 than by TNF-alpha. CONCLUSION: The FAK expression of human nucleus pulposus cells was up-regulated by TNF-alpha and IL-8 stimulation and it was attenuated by the co-administration of dexamethasone.
Blotting, Western ; Cytokines ; Dexamethasone* ; Focal Adhesion Protein-Tyrosine Kinases ; Humans* ; Interleukin-8 ; Intervertebral Disc ; Tumor Necrosis Factor-alpha*

MR images of seven patients with histologically documented synovial sarcoma were reviewed to find the suggestive or pathognomonic findings of the disease. MR appearance of the tumor was inhomogeneous, multiseptated mass with various degree of internal septation and infiltrative tumor margin. The signal intensity of the mass was slightly hyperintense relative to muscle on T1-weighted image and hyperintense relative to subcutaneous fatty tissue on T2-weighted image.
Adipose Tissue ; Humans ; Magnetic Resonance Imaging* ; Sarcoma, Synovial*

No abstract available.

No abstract available.
Humans ; Pericardial Effusion* ; Rheumatic Fever*

Neuroblastoma occurs most frequently in children. It, however, may occur in adults. The peripheral neuroblastoma in adult is a primitive neuroectodermal tumor arising from peripheral tumor arising from peripheral nerve. It is exceedingly rare and estimated less than 1% of all malig-peripheral nerve tumors. We report a case of adult peripheral neuroblastoma arising in left lower extremity, who was treated with local excision and radiation.
Adult ; Child ; Humans ; Lower Extremity ; Neuroblastoma ; Neuroectodermal Tumors, Primitive ; Peripheral Nerves

Vibrio vulnificus causes very severe infections. The organism is isolated, for the most part, from the blood, and skin lesions. Isolation from other sources, including the urine, is very rate. Four cases of V. vulnificus septicemia were bacteriologically diagnosed in 1984 and 1985 at Severance Hospital. All of the patients were men, 42 years and older, with preexisting liver disease. All of them showed hypotension and secondary skin lesions, and all expired. The organism was isolated from the blood in all patients, from the peritoneal fluid in one, and from skin lesions in two. From one patient, isolation from a urine speAmen was also accomplished. All of the isolates were typical in their characteristics such as in their forming green colonies on Thiosulfate citrate bile sucrose (TCBS) agar, delayed acid production from lactose, and growth in broth with 6% NaCl.
Adult ; Human ; Middle Age ; Septicemia/diagnosis* ; Vibrio/isolation & purification ; Vibrio Infections/diagnosis*

Multidrug-resistant tuberculosis, resistant to at least isoniazid and rifampicin, continues to present a serious challenge to human health. However, there are no reports addressing multidrug-resistant tuberculous spondylitis in Korea. We report a case of multidrug-resistant tuberculous spondylitis at L2-L3 in a 30-year-old woman.
Adult ; Drug Resistance, Multiple ; Humans ; Isoniazid ; Korea ; Rifampin ; Spondylitis ; Tuberculosis ; Tuberculosis, Multidrug-Resistant

A clinical observation was made on 23 patients with tuberculous non-functioning kidneys who underwent nephrectomy during the period from February 1986 to June 1992. We reviewed these cases according to primary nephrectomy on tuberculous non-functioning kidneys. The following results were obtained. In pathologic findings of the 27 cases in which tuberculous non-functioning kidneys were suspected, 4 cases were no evidence of tuberculosis. Those were xanthoeranulomatous pyelonephritis (2 cases) and chronic pyelonephritis with hydronephrosis (2 cases). Coexisting renal cell carcinoma was found in 1 case. 4 cases (17.1%) were hypertensive at the time of presentation and 3 cases or them had a decrease in blood pressure after nephrectomy. No perioperative mortality occurred and perioperative complications (sinus arrhydrmia, wound infection, wound dehisdence, ileus) were in 4 cases (17.4 %). There was no evidence of recurrence during follow-u periods. (Follow-up mean periods: 18.5 months) Thus, it is concluded that primary nephrectomy is an important adjunct in the comprehensive management of the unilateral, tuberculous non-functioning kidneys, for accurate diagnosis, removal of infection source, early control and prevention of presenting symptoms.
Blood Pressure ; Carcinoma, Renal Cell ; Diagnosis ; Humans ; Hydronephrosis ; Kidney* ; Mortality ; Nephrectomy* ; Pyelonephritis ; Recurrence ; Tuberculosis ; Wound Infection ; Wounds and Injuries

No abstract available.
Blood Donors* ; Chungcheongnam-do* ; Humans