1.MR Findings of Tolosa-Hunt Syndrome.
Seoung Oh YANG ; Sun Seob CHOI ; Jung Mi LEE ; Ji Yoon LEE ; Yung II LEE ; Duck Hwan JUNG
Journal of the Korean Radiological Society 1995;32(3):369-373
PURPOSE: To assess the MR findings of Tolosa-Hunt syndrome and to evaluat differential point of cavernous sinus lesions. MATERIALS AND METHODS: Eleven cases of Tolosa-Hunt syndrome were evaluated by MRI with specific regard to the shape of cavernous sinus, signal intensity, and pattern of enhancement. Other associated findings were also anlaysed. RESULTS: Two patients had normal MR features of the cavernous sinus. When compared with the contralateral normal cavernous sinus, the involved cavernous sinus was enlarged in six of the nine patients. The outer dural margin was convex and bulged laterally in 6 cases, flat in 2 cases, and concave in 1 case. Of the nine patients, five had iso-signal intensity and four had low signal intensity relative to gray matter on short TR/short TE. Three had isosignal intensity and 6 were not detectale on long TR/short and long TE pulse sequence. Contrast enhancement was seen in 8 cases ;7 cases showed homogeneous enhancement, 1 case heterogeneous enhancement. CONCLUSION: In the appropriate clinical setting of painful ophthalmoplegia, MR findings of cavernous sinus abnormality that consist of iso to low signal intensity on short TR/short TE images and isointense or undetectale mass on long TR/short TE or long TR/Iong TE images may suggest the dignosis of Tolosa-Hunt syndrome.
Cavernous Sinus
;
Humans
;
Magnetic Resonance Imaging
;
Ophthalmoplegia
;
Tolosa-Hunt Syndrome*
2.Metastatic Malignant Epitheloid Schwannoma: A Case Report
Ga Poong KIM ; Byung Ill LEE ; Yon II KIM ; Chang Uk CHOI ; Tae Jung KWON ; Dong Wha LEE
The Journal of the Korean Orthopaedic Association 1986;21(5):959-964
The malignant schwannoma is the primary malignant tumor, which originating from the schwann cell. The incidence is markedly rare. This malignancy is not uncommonly accompanied by von Recklinghausen's disease with the worse prognosis. Although lung is the common site of the distant metastasis, bone metastasis is extremely rare. Histologically this malignancy is composed mainly of spindle cells, but occasionally the rare type, called malignant epitheloid schwannoma, which is composed of many epitheloid cells and scant spindle cells, is found as in this case. It is difficult to differentiate the malignant epitheloid schwannoma with the amelanotic melanoma histologically. The authors have experienced one case (16 years old female) of malignant epitheloid schwannoma originating from the scalp on the occipital area and metastasizing to the proximal part of the right humerus.
Humerus
;
Incidence
;
Lung
;
Melanoma, Amelanotic
;
Neoplasm Metastasis
;
Neurilemmoma
;
Neurofibromatosis 1
;
Prognosis
;
Scalp
3.Anesthetic Experience with Two Cases of Congenital Diaphragmatic Hernia .
II Soo KYUN ; Moo Kil PARK ; Jung Ung LEE
Korean Journal of Anesthesiology 1973;6(2):91-96
The authors have experienced two cases of general anesthesia for repair of congenital diaphragmatic hernia. Both patients were female (1 year 5 months and 8 months of age) and had left sided Bochdalek hernia. Anesthesia was maintained with halothane-oxygen using nonrebreathing system with Ruben valve, and the patients tolerated the whole procedure very well. The importance of maintaining adequate ventilation with high concentrations of oxygen and avoiding abdominal distension has been stressed.
Anesthesia
;
Anesthesia, General
;
Female
;
Hernia
;
Hernias, Diaphragmatic, Congenital*
;
Humans
;
Oxygen
;
Ventilation
4.Mannitolization during Operation of Patients with Stone .
Nan Sook KIM ; Kyung Ja LEE ; Chan II KIL ; Jung Soon SHIN
Korean Journal of Anesthesiology 1977;10(2):215-220
It is well known that general anesthesia and surgery cause acute depression of renal function. Also, the occurrence of frank bleeding from the urinary tract can form a blood clot which may block an indwelling catheter or even a normal urethra with development of urinary infection. Many studies have reported that prophylactic use of hypertonic mannitol will prevent acute functional renal impairement during general anesthesia and surgery, and reduce the incidence of clot formation and acute pyelonephritis. We believe that diuresis itself is a reneprotective mechanism and polyuria may yield two other advantages; 1. Fewer plugged catheters by decreasing the incidence of clots. 2. Decreased incidence of acute pyelonephritis by preventing stasis and washing out bacteria. since 1972, in our hospital, 100cc or 200cc of 20% mannitol was used for increasing the urine output during operation of urinary stone in 33 patients, We have shown that the prognosis of patients was good.
Anesthesia, General
;
Bacteria
;
Catheters
;
Catheters, Indwelling
;
Depression
;
Diuresis
;
Hemorrhage
;
Humans
;
Incidence
;
Mannitol*
;
Polyuria
;
Prognosis
;
Pyelonephritis
;
Urethra
;
Urinary Calculi
;
Urinary Tract
6.Adrenaline induced Cardiac Arrest and Pulmonary Edema: Two cases report.
Kyung Ja LEE ; Chan II GIL ; Nan Sook KIM ; Chung Ho SUH ; Jung Soon SHIN
Korean Journal of Anesthesiology 1976;9(1):51-55
A 13-year-old male developed cardiac arrest and pulmonary edema during an elective surgery for chronic mastoiditis following a local injection of 0. 1 ml of 1: 1000 adrenaline under general anesthesia. After several days, 14-year-old male developed same episode during tonsillectomy under local anesthesia at ENT out patient department. They showed an immediate and favorable response to treatment with CPPB, rapid digitalization, fluid therapy, etc. The clinical course and pathophysiology of adrenaline induced pulmonary edema will be discussed.
Adolescent
;
Anesthesia, General
;
Anesthesia, Local
;
Epinephrine*
;
Fluid Therapy
;
Heart Arrest
;
Heart Arrest, Induced*
;
Humans
;
Male
;
Mastoid
;
Mastoiditis
;
Pulmonary Edema*
;
Tonsillectomy
7.Clinical Analysis of Traumatic carotid Cavernous Fistula.
Hong Bo SIM ; Byung Ook CHOI ; Sun II LEE ; Yong Tae JUNG ; Soo Chun KIM ; Jae Hong SIM
Journal of Korean Neurosurgical Society 1996;25(4):720-734
We analyzed 20 cases of traumatic carotid cavernous fistula(CCF) during the recent 10 years The results are summarized as follows: 1) In 18 cases(90%), the clinical symptoms & signs of CCF occurred within 2 months after trauma. 2) The sites of fistulae were common in horizontal segment(40%) and at the junction(30%) between horizontal segment and posterior ascending segment of cavernous portion of internal carotid artery. 3) The main draining veins of CCF were the superior ophthalmic vein(90%) and the inferior petrosal sinus(70%). 4) The methods of treatment were occlusion of fistula with balloon(9 cases), occlusion of cavernous ICA with balloon(2 cases), ligation of cervical ICA with Poppen's clamp(4 cases) and trapping(2 cases). Two patients were not treated and another patient was healed spontaneously. 5) The frequency and severity of complication was significantly decreased in cases treated by detachable balloon occlusion than by direct cervical ICA ligation or trapping procedures. 6) The procedure using the self-sealed goldvalve balloon was simple, but had a risk of premature separation and premature deflation.
Balloon Occlusion
;
Carotid Artery, Internal
;
Fistula*
;
Humans
;
Ligation
;
Veins
8.Extracorporeal Shock Wave Lithotripsy in 17 Children.
Heon Seong LEE ; Jse II JUNG ; Hwan Sik CHOI ; Se Jong SHIN ; Sung Hyup CHOI
Korean Journal of Urology 1994;35(3):277-282
A total of 17 children with 24 renoureteral units underwent 58 treatment with EDAP LT-01 extracorporeal shock wave lithotripsy for urinary tract stones between January 4, 1989 and January 30, 1993. The patients were followed for over two months. The results were obtained as follows ; 1. The distribution of sex was 9(53%) in male and 8(47%) in female. The average patient age was 7 years with a range of 6 months to 16 years. 2. The location of stones were kidney in l8 cases( 75.0%) ; calyx in 10 (41.7% ) and renal pelvis in 8(33.3% ) and ureter in 6(25.0%) ; upper ureter in 2(8.3%) and lower ureter in 4( 16.7%). There were multiple renal stone in 4 and bilateral renal stone in 2. The average stone length was 9mm with a range of 3 to 10mm. 3. Of the 13 patients whose age was less than 10 years, 11(84.6%) required intravenous Ketamine anesthesia. Two patients whose age was more than 10 years and two patients less than 10 years were treated without any type of anesthesia. 4. The average numbers of treatment were 2.1 session and the average storage required was 19.4 in one session The average treatment time was 39.7 minutes. 5. The total average success rate was 87.5% 6. All of the patients were not the pre- and post- ESWL additional manipulation. ESWL complications did not require admission and surgical management. Therefore, we conclude that EDAP LT-01 is an effective and easy procedure for treatment of urinary stones in children.
Anesthesia
;
Child*
;
Female
;
Humans
;
Ketamine
;
Kidney
;
Kidney Pelvis
;
Lithotripsy*
;
Male
;
Shock*
;
Ureter
;
Urinary Calculi
9.The Comparison of Medical and Surgical Treatment for Gallbladder Dyskinesia.
Yong II JUNG ; Byeong Yul AHN ; Ho Yeong JO ; Jun Hyuk LEE ; Hyang Hee CHOI ; Byung Wook KIM
Korean Journal of Hepato-Biliary-Pancreatic Surgery 2010;14(2):110-115
PURPOSE: The purpose of this study was to compare outcomes for surgical treatment with those for medical treatment of GB dyskinesia. METHODS: Retrospective analysis of medical records and telephone interviews of 67 patients diagnosed with GB dyskinesia was done at Pohang St. Mary's Hospital between January 2004 and December 2009. Group 1 (n=18) patients received laparoscopic cholecystectomy. Group 2 (n=49) patients received medical treatment. GB dyskinesia was the diagnosis if the patient had typical biliary colic symptoms without GB stones or other GI disease, and if the ejection fraction was less than 35% on Tc-99m-DISIDA scans. RESULTS: The average age of patients diagnosed with GB dyskinesia was 45.8 years old. The sex ratio was 15:52 (male:female). The average symptom duration was 25.4 days. All had RUQ and, or epigastric pain. There were no significant between group differences in age, sex ratio, symptom duration, symptoms, follow up period, and ejection fraction. In group 1, patient symptoms improved after treatment in 16 cases (88.9%); in group 2, patient symptoms improved in 19 cases (38.8%). Surgical treatment was significantly more effective than medical treatment. The reasons for choosing medical treatment were predominantly the preference of the doctors. CONCLUSION: Surgical treatment is a more effective treatment for GB dyskinesia than medical treatment. Therefore, laparoscopic cholecystectomy should be considered as the 1st line treatment of choice for GB dyskinesia.
Biliary Dyskinesia
;
Cholecystectomy, Laparoscopic
;
Colic
;
Dyskinesias
;
Follow-Up Studies
;
Gallbladder
;
Humans
;
Interviews as Topic
;
Medical Records
;
Retrospective Studies
;
Sex Ratio
10.Anaplastic Astrocytoma Mimicking Herpes Simplex Encephalitis.
Soon Won PARK ; Gha Hyun LEE ; Seung Heon CHA ; Dae Soo JUNG
Journal of the Korean Neurological Association 2016;34(5):394-396
No abstract available.
Astrocytoma*
;
Encephalitis, Herpes Simplex*
;
Herpes Simplex*