No abstract available.
Humans

No abstract available.
Humans ; Mucocutaneous Lymph Node Syndrome*

The majority of the crab louse is found in pubic hairs, but some of them will colonize axillary hairs, eyelashes, eyebrows and occasionally scalp hairs. In children crab louse may colonize the eyelashes and scalp hairs. The authors found a crab louse, Phthirus pubis and their nits on the eyelashes and scalp hiars of 25-months-old female who complained of foreign body and itching sensation of her right upper lid. Treatment is accomplished by careful mechanical removal of the louse and nits followed by the epilation and application of antibiotic eyedrops or ointments. We report a case of Phthiriasis palpebrarum in children.
Child* ; Colon ; Eyebrows ; Eyelashes ; Female ; Foreign Bodies ; Hair ; Hair Removal ; Humans ; Ointments ; Ophthalmic Solutions ; Pediculus ; Phthiraptera ; Phthirus ; Pruritus ; Scalp ; Sensation

The application of stereotactic techniques and endoscopy dates back to the beginning of this century and is almost as old as neurosurgery itself. However, endoscopic techniques progressed slowly for several reasons. A reappraisal of endoscopic techniques become popular about 1985. The major indication of endoscope in neurosurgical field is intraventricular procedures. Recently it can be used selectively in the intraaxial mass lesion associated cavity. For example, cystic mass, with liquefied necrosis, blood clot can be approached with endoscope. Authors present its intraaxial application in basal ganglionic hematoma in three patients. Conventional stereotactic guidance of neuroendoscope was done and the hematoma was gently removed through continuous irrigation and suction under video-guidance. The clinical course was uneventful. Brief overview is given of this intraaxial neuroendoscopic procedure.
Endoscopes ; Endoscopy ; Ganglion Cysts* ; Hematoma* ; Humans ; Necrosis ; Neuroendoscopes ; Neurosurgery ; Stereotaxic Techniques ; Suction

PURPOSE: Angiofibroma usually affects the nasopharynx, but primarily developed angiofibroma in the orbit has not yet been reported in Korea. Thereby we report a case of angiofibroma in the orbit. METHODS: A-5-year-old girl, who had been followed up for intraorbital mass which was incidentally detected, was operated with superior orbitotomy approach due to progressive proptosis and dislocated eyeball. RESULTS: The patient was diagnosed angiofibroma in the orbit with light microscopy and immunochemistry. The symptom was improved and she wore the artificial eye due to corneal opacity 6 months after the operation. CONCLUSIONS: We diagnosed and managed the primary angiofibroma in the orbit of a young girl. In diagnosing the orbital tumor, the possibility of angiofibroma should be considered.
Angiofibroma* ; Corneal Opacity ; Exophthalmos ; Eye, Artificial ; Female ; Humans ; Immunochemistry ; Korea ; Microscopy ; Nasopharynx ; Orbit*

No abstract available.

We have recently operated directly on two patients with multiple aneurysms including cavernous carotid artery aneurysms(CCAAS). The pterional extradural transclinoidal and intradural transcavernous approach was used for CCAAS in two patients. Both two CCAAS could be clipped in Dolenc's anteromedial triangle between the optic nerve and the IIIrd nerve. There was no surgical mortality and morbidity was minimal. The combined extradural and intradural transcavernous approach was very useful and safe for direct clipping of CCAAS.
Aneurysm* ; Carotid Arteries* ; Humans ; Mortality ; Optic Nerve

Scurvy is a manifestation of deficiency of vitamin C, which was characterized by follicular hyperkeratosis, hemorrhagic manifestation, fatigue, muscular ache and pains, swollen jonts, swollen bleeding gums, and peripheral edema. Rescently we experienced a cases of scurvy in 13 month old boy who had been nourished by artificial feedings with ricegruel without additional vitamin C. Rentgenographic findings of bone revealed rosaries in all costochondral junctions and typical scorvutic changes in both femur. Scury is very rare disease in korea now. A brief review of literature was done.
Ascorbic Acid ; Edema ; Femur ; Gingiva ; Hemorrhage ; Humans ; Infant ; Korea ; Male ; Muscle Fatigue ; Rare Diseases ; Scurvy*

Using the 3-D TOF technique of MR angiography, the main intracranial and extracranial vessels of 46 normal controls and 37 patients with ischemic stroke were evaluated. In controls 1 the visibility of internal carotid artery and vertebrobasilar artery was ninety-one percent, and that of the first division of the middle cerebral artery was ninety-four percent. In patient groups, compared with the contrast angiographic findings, the sensitivity of MR angiography in detecting vascular occlusive lesions was 100.0% in anterior circulations, and 80.0% in posterior circulations. But several false positive cases were detected. Which were mainly associated with tortous tuming points of the vessels, and MIP artifacts. In spite of the high sensitivity of MR angiography in detecting vascular abnormalities, the degree of occlusive vascular lesions were more accentuated in MR angiography probably due to MIP artifact. The overestimated rate of vascular stenosis was about 24.6 percent compared with the contrast angiography.
Angiography* ; Arteries ; Artifacts ; Carotid Artery, Internal ; Constriction, Pathologic ; Humans ; Middle Cerebral Artery ; Stroke*

The Fanconi syndrome is a complex tubulopathy, which is characterized by urinary hyperexcretion of amino acids of all classes, phosphate, glucose, bicarbonate, calkium, potassium, and otherions, and proteins with molecular weights under 50,000 daltons. This metabolic disease leads to hypophospatemia, hypokalemia, growth failure, metabolic acidasis, and rickets/osteomalacia. Fanconi syndrome may be inherited or acqulred. Most cases of adult Fanconi syndrome are acquired, and the acquired syndrome is associated with thermal burns, exposure to heavy metals or drugs, vitmnin D deficiency, renal transplantation, or light chain deposition. The most common cause of adult Fanconi syndrome is multiple myeloma. We ribe here a case of adult Fanconi syndrome and osteomalacia associated with x-light chain monoclonal gammopathy. A 47-year-old woman presented with multiple bane pain and proximal muscle weakness for 2 years. Laboratory findmgs showed hypophosphatemia, mild hypocalcemia, marked elevation of serum alkaline phosphatase, metabolic acidosis, low 25-OH- vitamm D level and secondary hyperparathyroidism. Urinary excretion of protein, uric acid, phosphate, and glucose was mcreased, and tubular reabsorption of phosphate was decreased to 50%. Protein immunofixation electrophoresis of serum and urine showed x-light chain type monoclonal gammopathy. Bone marrow examination was normal except moderate elevation of plasma cell component(8.8%). The skeletal radiography showed fractures of both lower ribs and pseudofracture in right femoral lesser trochanter. We treated the patient with calcium, 1.25-(OH)2-vitamin D, phosphorus, bicarbonate, and potassium, and her clinical symptoms were gradually relieved.
Acidosis ; Adult* ; Alkaline Phosphatase ; Amino Acids ; Bone Marrow Examination ; Burns ; Calcium ; Electrophoresis ; Fanconi Syndrome* ; Female ; Femur ; Glucose ; Humans ; Hyperparathyroidism, Secondary ; Hypocalcemia ; Hypokalemia ; Hypophosphatemia ; Kidney Transplantation ; Metabolic Diseases ; Metals, Heavy ; Middle Aged ; Molecular Weight ; Multiple Myeloma ; Muscle Weakness ; Osteomalacia* ; Paraproteinemias* ; Phosphorus ; Plasma Cells ; Potassium ; Radiography ; Ribes ; Ribs ; Uric Acid