1.Posterior reversible encephalopathy syndrome following rapid correction of anemia
Soonwoong Hong ; Jin Man Jung ; Hwa Jung Ryu ; Do-Young Kwon ; Moon-Ho Park
Neurology Asia 2013;18(4):423-425
A 49-year-old woman with anemia who developed headache and seizure after blood transfusion was
diagnosed with posterior reversible encephalopathy syndrome (PRES). Magnetic resonance imaging
showed typical PRES findings including lesions in bilateral parieto-occipital subcortical white matter
and overlying cortex. Only a few cases of PRES after transfusion have been reported and this case is
unique in that there was a latent period between infusion and development of PRES. We postulate that
rapid change of hemoglobin level may disrupt cerebral autoregulation and result in delayed PRES. We
suggest that neurological symptoms after blood transfusion should be appropriately investigated.
2.Successful coil embolization of ruptured hepatic artery pseudoaneurysm.
Hee Jung OH ; Ki Nam SHIM ; Jung Hwa RYU ; Tae Hun KIM ; Sung Ae JUNG ; Kwon YOO ; Il Hwan MOON
Korean Journal of Medicine 2005;69(1):117-118
No abstract available.
Aneurysm, False*
;
Embolization, Therapeutic*
;
Hepatic Artery*
3.Dermoscopic Finding of Angioma Serpiginosum and Treatment.
In Hyuk KWON ; Tae Hyung RYU ; Soo Hong SEO ; Hyo Hyun AHN ; Hwa Jung RYU
Korean Journal of Dermatology 2016;54(8):669-670
No abstract available.
Dermoscopy
;
Hemangioma*
;
Lasers, Dye
4.Chest radiographic findings of scrub typhus: An analysis of 160 cases occurred in Ulsan area.
Ok Hwa KIM ; Dong Heon OH ; Ki Sung KIM ; Je Ho WOO ; Jung Hyeok KWON
Journal of the Korean Radiological Society 1993;29(2):205-210
Scrub typhus (Tsutsugamushi disease)is an acute febrile systemic illness caused by Rickettsia tsutsugamushi that is transmitted to humans by the bite of larval-stage trombiculid mites (chiggers). The authors analyzed chest radiographic findings of scrub typhus in 160 patients in Ulsan area. One hundred and eight (67.5%) of160 patients showed abnormal findings which included lung lesions in 108 patients (67.5%), cardiomegaly in 37 patients (23.1%), lymphadenopathy in 25 patients (15.6%) and pleural effusion in 11 patients (6.9%). Among the lung lesions, interstitial patterns were seen in 107 patients (66.9%), mostly fine or medium reticulonodular, and air-space patterns in 14 patients(8.8%) and combined interstitial and air-space patterns in 13 patients (8.1%). Sixty-four patients(40%) had combined chest radiographic findings. The typical chest radiographic findings of scrub typhus would be helpful in evaluation of the causes of acute febrile illness that occur during late fall in the endemic area.
Cardiomegaly
;
Humans
;
Lung
;
Lymphatic Diseases
;
Orientia tsutsugamushi
;
Pleural Effusion
;
Radiography, Thoracic*
;
Scrub Typhus*
;
Thorax*
;
Trombiculidae
;
Ulsan*
5.Evaluation of pneumoreduction in intussusception with sign of frank intestinal obstruction.
Dong Heon OH ; Ok Hwa KIM ; Ki Sung KIM ; Yong Kil KIM ; Jung Hyeok KWON
Journal of the Korean Radiological Society 1993;29(3):553-560
Intussusception is the most common cause of acquired intestinal obstructions during infancy and early childhood. Barium reduction and pneumoreduction have been sued widely as nonsugical method of treatment in radiologic department. In the past, attempts at barium reduction of intussusception were contraindicated in the presence of frank intestinal obstruction, shock, fever, dehydration, bowel perforation, peritonitis and longstanding symptoms. At present, however, there is no agreement on the contraindications, except for shock, peritonitis and bowel perforation. Especially, there is no consensus regarding its application on patient presenting with sign of frank intestinal obstruction. The authors analyzed the effect of pneumoreduction in the intussusception with sign of frank intestinal obstruction. Pneumoreduction was attempted in 53 cases of intussusception with sign of frank intestinal obstruction. Reduction was successful in 43 cases(81%). The mean fluroscopic time was 15.1 minutes and mean maximal pressure was 121.8mmHg in successful reduction. As complications, two cases of bowel perforation were observed, but could be treated surgically without any significant problem. In conclusion, pneumoreduction is a useful substitute for barium reduction in the management of pediatric intussusception with sign of frank intestinal obstruction.
Barium
;
Consensus
;
Dehydration
;
Fever
;
Humans
;
Intestinal Obstruction*
;
Intussusception*
;
Methods
;
Peritonitis
;
Shock
6.Fungal Myositis in Children: Serial Ultrasonographic Findings.
Jung Hwa KWON ; Hee Jung LEE ; Jin Soo CHOI
Journal of the Korean Radiological Society 2003;49(2):131-135
PURPOSE: To evaluate serial ultrasonographic findings of fungal myositis in children. MATERIALS AND METHODS: Eleven lesions caused by fungal myositis and occurring in six children were included in this study. Eight lesions in five children were histopathologically proven and the other three were clinically diagnosed. Serial ultrasonographic findings were retrospectively evaluated in terms of size, location, margin, internal echotexture and adjacent cortical change occurring during the follow-up period ranging from five days to two months. RESULTS: Three patients (50%) had multiple lesions. The sites of involvment were the thigh (n=4), calf (n=3), chest wall (n=2), abdominal wall (n=1) and forearm (n=1). Initially, diffuse muscular swelling was revealed, with ill-defined hypoechoic lesions confined to the muscle layer (n=8). Follow-up examination of eight lesions over a period of 5-10 days showed that round central echogenic lesions were surrounded by previous slightly echogenic lesions (n=6, 75%). Long-term follow-up of five lesions over a two-month period revealed periosteal thickening in one case (20%), and the peristence of echogenic solid nodules in four (80%). Pathologic examination showed that the central lesions correlated with a fungus ball and the peripheral slightly echogenic lesions corresponded to hematoma and necrosis. CONCLUSION: Serial ultrasonographic findings of fungal myositis in children revealed relatively constant features in each case. In particular, the findings of muscular necrosis and a fungus ball over a period of 5-14 days were thought to be characteristic.
Abdominal Wall
;
Child*
;
Follow-Up Studies
;
Forearm
;
Fungi
;
Hematoma
;
Humans
;
Myositis*
;
Necrosis
;
Retrospective Studies
;
Thigh
;
Thoracic Wall
7.MR Arthrography of the Labral-Capsular-Ligamentous Complex: Normal Anatomy, Anatomic Variations, and Pitfalls - Preliminary Study.
Ji Yean LEE ; Jung Ho KWON ; Jung Eun KIM ; Jong Hwa LEE ; Yang Hee PARK ; Jin Gyoon PARK
Journal of the Korean Radiological Society 1997;36(1):141-147
PURPOSE: To evaluate anatomic variations and pitfalls of the labral-capsular-ligamentous complex in the shoulder joint for the proper interpretation of magnetic reasonance arthrographic images. MATERIALS AND METHODS:To determine the presence of sublabral sulci, undercutting of the base of the glenoid labrum by the articular cartilage, and the proximity of the middle glenohumeral ligament to the anterior glenoid labrum, 56 MR arthrograms of 41 asymptomatic volunteers were prospectively evalvated for labral shape and capsular insertion. We also evaluated the axillary fold, which was often confused with a loose body. RESULTS: The anterior and posterior parts of the labra, varied but their shape showed several dominant features; triangular(72%, 36%, respectively), rounded(13%, 35%), cleaved(8%, 1%), notched(2%, 0%), flat(5%, 24%), and absent(0%, 4%). Anterior capsular insertion was type 1 in 82% of cases, type 2 in 13% and type 3 in 5%, whereas posterior insertion was type 1 in 62%, type 2 in 36% and type 3 in 2%. We could also detect many pitfalls, such as undercutting of the base of theglenoid labrum by the articular cartilage(29%), sublabral sulci(25%), a prominent axillary fold(38%), and the middle glenohumeral ligament in proximity to the anterior labrum(5%). CONCLUSION: Our study revealed wide variability in the MR arthrographic appearance of the labral-capsular-ligamentous complex in asymptomatic shoulders. A good understanding of normal variation and pitfalls of the normal shoulder may be helpful pathologic condition in case of glenouhumeral instability.
Arthrography*
;
Cartilage, Articular
;
Ligaments
;
Prospective Studies
;
Shoulder
;
Shoulder Joint
;
Volunteers
8.Epidemiologic study of mumps in a part of large city.
Byung Hwa KEUM ; Jung Wan KWON ; Jong Han LIM ; Mi Kyung OH ; Sang Hwa LEE ; Youn Jin KIM ; Hye Ree LEE ; Bang Bu YOUN
Journal of the Korean Academy of Family Medicine 1991;12(8):65-71
No abstract available.
Epidemiologic Studies*
;
Mumps*
9.A survey of knowledge, attitude and practice on early detection of breast cancer.
Jung Wan KWON ; Beong Hwa KEUM ; Yong June KANG ; Mee Koung OH ; Hye Ree LEE ; Bang Bu YOUN
Journal of the Korean Academy of Family Medicine 1991;12(11):44-55
No abstract available.
Breast Neoplasms*
;
Breast*
10.Lipid Profiles in Hypertension and Cerebrovascular Diseases.
In Kwon HAN ; Chung Ki PARK ; Myung Sik KIM ; Myung Ho KIM ; Jong Hwa BAI ; Jung Sang SONG
Korean Circulation Journal 1982;12(2):21-30
Serum lipids and lipoproteins were determined in 70 patients with hypertension, 40 patients with cerebral infarctions, and 41 patients with cerebral hemorrhage. The results were compared with findings in 64 healthy controls. The results are as follows; 1) Total cholesterol, VLDL-cholesterol, LDL cholesterol and total cholesterol/HDL-cholesterol ratio were significantly higher in patients with hypertension or cerebral infarction than in control group, but HDL-cholesterol showed no significant difference. 2) In Patients with cerebral hemorrhage, total cholesterol, LDL-cholesterol and HDL-cholesterol were higher than in normal controls. Total cholesterol/HDL-cholesterol ratio was within the limits of normal. It is possible that the susceptibility to cerebral infarction is the result of high total cholesterol/HDL cholesterol ratio rather than low HDL cholesterol. But our study suggests that hyperlipoproteinemia plays a minor role in the development of cerebral hemorrhage.
Cerebral Hemorrhage
;
Cerebral Infarction
;
Cholesterol
;
Cholesterol, HDL
;
Cholesterol, LDL
;
Humans
;
Hyperlipoproteinemias
;
Hypertension*
;
Lipoproteins