No abstract available.
Pancreaticoduodenectomy*

Cerebellar degeneration is a group of diseases that manifests as progressive ataxia, that finally led to death without specific treatment. We report here two patients with cerebellar degeneration, who had shown an improvement and less progressive course, which is associated with panax ginseng intake. Patient 1 was a 60-year-old woman with multisystem atrophy (MSA) type C with 5 year history of ginseng ingestion. Patient 2 was a 54-year-old woman with spinocerebellar ataxia (SCA) type 6, who had a history of ginseng intake for 30 months. Both the patients showed atrophic change in the cerebellum by brain magnetic resonance imaging. Cerebellar functions had been semi-quantified by International Cooperative Ataxia Rating Scale (ICARS) and monitored before and after the ginseng ingestion every 6 to 12 months. In Patient 1 with MSA type C, ICARS had improved from 21 to 17.5 ± 1.8 in the following 5 years. In Patient 2 with SCA, ICARS also showed an improvement from 22 to 6.0 ± 1.0 over 30 months. However, when she stopped taking ginseng, it progressed up to 13 points in two years. These observations provide a potential disease-modifying effect of ginseng on patients with cerebellar degeneration.
Cerebellar Ataxia ; Cerebellar Diseases

Nasal dermoids are congenital midline nasal lesions that occur along with encephaloceles and gliomas. They can cause both deformity of nasal structure and intracranial infection as they grow. Treatment for these lesions is be concerned with two aspects, the complete removal of the lesions and making the surgical scar cosmetically acceptable. To that goal, many surgical approaches such as vertical incision, transverse incision, lateral rhinotomy and open rhinoplasty have been introduced. A 12-month male child presented with palpable mass at nasal root. The mass was easily movable, non-compressible and did not present fistula. A well-defined cystic mass without intracranial extension was found on the computerized tomography scans. Open rhinoplasty approach was opted for according to the guardians’ preference to avoid visible facial scar, and the lesions were completely resected. The pathologic examination confirmed the lesion to be nasal dermoids. The columellar scar was negligible and there was no recurrence at 5 year-follow up after surgery.

Nasal dermoids are congenital midline nasal lesions that occur along with encephaloceles and gliomas. They can cause both deformity of nasal structure and intracranial infection as they grow. Treatment for these lesions is be concerned with two aspects, the complete removal of the lesions and making the surgical scar cosmetically acceptable. To that goal, many surgical approaches such as vertical incision, transverse incision, lateral rhinotomy and open rhinoplasty have been introduced. A 12-month male child presented with palpable mass at nasal root. The mass was easily movable, non-compressible and did not present fistula. A well-defined cystic mass without intracranial extension was found on the computerized tomography scans. Open rhinoplasty approach was opted for according to the guardians’ preference to avoid visible facial scar, and the lesions were completely resected. The pathologic examination confirmed the lesion to be nasal dermoids. The columellar scar was negligible and there was no recurrence at 5 year-follow up after surgery.

Nasal dermoids are congenital midline nasal lesions that occur along with encephaloceles and gliomas. They can cause both deformity of nasal structure and intracranial infection as they grow. Treatment for these lesions is be concerned with two aspects, the complete removal of the lesions and making the surgical scar cosmetically acceptable. To that goal, many surgical approaches such as vertical incision, transverse incision, lateral rhinotomy and open rhinoplasty have been introduced. A 12-month male child presented with palpable mass at nasal root. The mass was easily movable, non-compressible and did not present fistula. A well-defined cystic mass without intracranial extension was found on the computerized tomography scans. Open rhinoplasty approach was opted for according to the guardians’ preference to avoid visible facial scar, and the lesions were completely resected. The pathologic examination confirmed the lesion to be nasal dermoids. The columellar scar was negligible and there was no recurrence at 5 year-follow up after surgery.

Nasal dermoids are congenital midline nasal lesions that occur along with encephaloceles and gliomas. They can cause both deformity of nasal structure and intracranial infection as they grow. Treatment for these lesions is be concerned with two aspects, the complete removal of the lesions and making the surgical scar cosmetically acceptable. To that goal, many surgical approaches such as vertical incision, transverse incision, lateral rhinotomy and open rhinoplasty have been introduced. A 12-month male child presented with palpable mass at nasal root. The mass was easily movable, non-compressible and did not present fistula. A well-defined cystic mass without intracranial extension was found on the computerized tomography scans. Open rhinoplasty approach was opted for according to the guardians’ preference to avoid visible facial scar, and the lesions were completely resected. The pathologic examination confirmed the lesion to be nasal dermoids. The columellar scar was negligible and there was no recurrence at 5 year-follow up after surgery.

Nasal dermoids are congenital midline nasal lesions that occur along with encephaloceles and gliomas. They can cause both deformity of nasal structure and intracranial infection as they grow. Treatment for these lesions is be concerned with two aspects, the complete removal of the lesions and making the surgical scar cosmetically acceptable. To that goal, many surgical approaches such as vertical incision, transverse incision, lateral rhinotomy and open rhinoplasty have been introduced. A 12-month male child presented with palpable mass at nasal root. The mass was easily movable, non-compressible and did not present fistula. A well-defined cystic mass without intracranial extension was found on the computerized tomography scans. Open rhinoplasty approach was opted for according to the guardians’ preference to avoid visible facial scar, and the lesions were completely resected. The pathologic examination confirmed the lesion to be nasal dermoids. The columellar scar was negligible and there was no recurrence at 5 year-follow up after surgery.

No abstract available.
Animals ; Horns* ; Pregnancy*

PURPOSE: The objective of augmentation mammoplasty includes reconstruction and cosmesis after breast surgery Increasing frequency of the procedure has been related with increased complications. Authors evaluated the value of breast MRI in the diagnosis of complications after augmentation mammoplasty. MATERIALS AND METHODS: Authors studied 42 breasts of 24 patients, who had undertaken augmentation mammoplasty. We evaluated findings of mammography, ultrasonography, and breast MRI in all patients. We used variable MRI sequences for better evaluation of implant status. The results were compared with the findings in surgical field. RESULTS: In all imaging studies, nodule or mass was indentifiable in the cases of interstitial paraffine injection(8 breasts), interstitial silicon injection(7 breasts), and herb medication(2 breasts). However, the differentitation between malignant and benign nodule was only possible at dynamic breast MRI. Mammogram was not helpful in the evaluation of extracapsular rupture in the cases of silastic bag insertion. In sonogram, identification of echogenic material was possible, although, false negative and false positive rate were high. MRI was able to visualize contour of entire implant and it was able to easily recognize low signal internal structure. CONCLUSION: MRI was the most accurate diagnostic tool in the evaluation of the character of the palpable mass after augmentation mammoplasty and early detection of breast implant rupture.
Breast ; Breast Implants ; Diagnosis ; Female ; Humans ; Magnetic Resonance Imaging* ; Mammaplasty* ; Mammography ; Paraffin ; Rupture ; Silicones ; Ultrasonography

PURPOSE: The objective of augmentation mammoplasty includes reconstruction and cosmesis after breast surgery Increasing frequency of the procedure has been related with increased complications. Authors evaluated the value of breast MRI in the diagnosis of complications after augmentation mammoplasty. MATERIALS AND METHODS: Authors studied 42 breasts of 24 patients, who had undertaken augmentation mammoplasty. We evaluated findings of mammography, ultrasonography, and breast MRI in all patients. We used variable MRI sequences for better evaluation of implant status. The results were compared with the findings in surgical field. RESULTS: In all imaging studies, nodule or mass was indentifiable in the cases of interstitial paraffine injection(8 breasts), interstitial silicon injection(7 breasts), and herb medication(2 breasts). However, the differentitation between malignant and benign nodule was only possible at dynamic breast MRI. Mammogram was not helpful in the evaluation of extracapsular rupture in the cases of silastic bag insertion. In sonogram, identification of echogenic material was possible, although, false negative and false positive rate were high. MRI was able to visualize contour of entire implant and it was able to easily recognize low signal internal structure. CONCLUSION: MRI was the most accurate diagnostic tool in the evaluation of the character of the palpable mass after augmentation mammoplasty and early detection of breast implant rupture.
Breast ; Breast Implants ; Diagnosis ; Female ; Humans ; Magnetic Resonance Imaging* ; Mammaplasty* ; Mammography ; Paraffin ; Rupture ; Silicones ; Ultrasonography