The purpose of the present study was focused the anthropometric charateristics of normal Korean eyes, including inclination, height, width, epicanthus and upper eyelid crease. The author measured normal eyes and investigated incidence of epicanthal fold and upper eyelid crease in 774 males and 658 females with photographs. The epicanthus were classified by three types and the upper eyelid crease were classified by four types. The angle of inclination of eyes was larger in females than males and in young ages than old ages. Incidence of the slanting eye over 10 degree was 34.1 % in males and 41.0% in females. Incidence of the epicanthal fold was 57.0%, and there was no difference between males and females. The most common type of the epicanthal fold was type I. Incidence of the upper eyelid crease was 30.9% in males, 47.2% in females. The most common type of the upper eyelid crease was parallel (or floating) type. In conclusion, the anthropometric characteristics of normal Korean or oriental eyes are apart each other and slanting eyes in addition to puffy eyelid, narrow palpebral fissure, presence of epicanthal fold and absence of upper eyelid crease.
Eyelids ; Female ; Humans ; Incidence ; Male

BACKGROUND: Centrotemporal spikes (CTS) are the hallmark of the syndrome of benign childhood epilepsy with centrotemporal spikes or Rolandic seizures. However, they also can be encountered in other symptomatic epilepsies or may incidentally be found in non-epileptic children with or without neurological symptoms. We investigated clinical and electroencephalographic characteristics of children with CTS on EEG. METHODS: A 7 year material of children with CTS on EEG were reviewed. Sixty-eight children were found. RESULTS: Among them, 55 patients exhibited recurrent rolandic seizures of benign course (so-called benign rolandic epilepsy ; BRE), 9 children suffered from chronic headache without clinical seizure, three patients showed multiple types of seizures or rolandic seizures with some degree of mental retardation, and one child was asymptomatic. In 55 BRE cases, seven children (13%) had a preceding history of febrile convulsions, and a positive family history of epilepsy was found in 9 patients. Generalized spike and wave discharges were observed in 9 patients (16.7%), but none of them experienced clinical absence seizure. In 25 of 29 BRE patients who showed overt lateralized ictal manifestations on history, symptoms were correlated with the main foci of spike discharges. Of the nine children, found to have CTS during evaluation of chronic intermittent or daily headache, the headache was successfully controlled by antiepileptic drugs in two cases. CONCLUSION: Most children with CTS were compatible to the BRE without any causative lesional factor. However, nonepileptic cases were not uncommon and, though rare, atypical cases were also present in children with CTS on EEG.
Anticonvulsants ; Child* ; Electroencephalography* ; Epilepsy ; Epilepsy, Absence ; Epilepsy, Rolandic ; Headache ; Headache Disorders ; Humans ; Intellectual Disability ; Seizures ; Seizures, Febrile

In this study, the origin of anatomical terms, the process by which international anatomical terms were made, and the making principles of international anatomical terminology were confirmed. We also describe the process in which the Japanese anatomy terminology (Termonologia Anatomica Japonica), which has been influential in Korea, has developed. Most of the past Korean anatomical terminology used the Japanese term. However, the Korean association of anatomists gradually recognized the necessity of own terminology and decided to refine the terms by forming a terminology committee. The terminology committee first laid down the direction for refining terms and made the basic principles of revising them. Through many meetings, the terms were refined and made into terminology book (Korean anatomical terminology). The Korean anatomical terminology has been revised five times since its first edition in 1979 to the sixth edition in 2014. Here, we illustrate the difference between Japanese terms and Korean terms and the process of refining Korean terms using examples.
Anatomists ; Asian Continental Ancestry Group ; Humans ; Korea

This study was designed for the facial reconstruction of Father Dae -Gun (Andrea) Kim, who is the first priest in Korea. The study was entrusted by Seoul great parish, Myeongdong Cathedral and was conducted during 15 months from September 1999. To reconstruct the face of Father Dae -Gun (Andrea) Kim, we used photographs and metric data of Father Dae -Gun (Andrea) Kim's skull, which was measured by Department of Anatomy, Catholic Medical College at 1971. Based on above data, we found a skull similar to Father Dae -Gun (Andrea) Kim, replicated it, and modified it to be consistent with that of Father Dae -Gun (Andrea) Kim measured at 1971. The face of Father Dae -Gun (Andrea) Kim was reconstructed on the modified replica of Father Dae -Gun (Andrea) Kim's skull using the forensic anthropological data about the average skin depth and the relationships of skull morphology to facial features of Korean. The average skin depth of Korean face was obtained from direct measurement of cadavers and indirect measurement of live Korean using ultrasonography. The result of facial reconstruction of Father Dae -Gun (Andrea) Kim was made as the bronze bust. The forensic anthropologic method such as facial reconstruction is one of the methods to identify unidentified -skull. This study is the first facial reconstruction on the base of Korean physical anthropological data and is thought to be helpful to the facial reconstruction for identification.
Cadaver ; Fathers* ; Forensic Anthropology ; Humans ; Korea ; Seoul ; Skin ; Skull ; Ultrasonography

Seizure induced transient brain CT or MRI abnormalities following status epilepticus have previously been reported. However, focal transient imaging abnormalities involving hippocampus or mesial temporal lobe as a consequence of seizure are rare findings. We report 2 patients with transient mesial temporal abnormalities on MRI associated with partial seizure of temporal lobe origin. A 59-year-old man with a 4-month history of occasional epigastric rising sensation had developed frequent olfactory hallucination 7 days prior to presentation. On brain MRI, T2 signal was increased in the right mesial temporal region, and the lesion showed mild mass effects and partial enhancement after gadolinium injection. Interictal spikes were noted from right nasopharyngeal electrode, but there was no clinical or electrical evidence of status epilepticus during prolonged scalp/sphenoidal EEG monitoring. His seizures were successfully controlled by phenytoin. T2 high signal was markedly decreased and prior enhancement was no longer seen on brain MRI done 5 weeks later. A 33-year old woman with a 6 month history of occasional vacant staring and oral automatism with amnesia complained progressive memory impairment. Right amygdala and hippocampal head was enlarged and showed T2 high signal without contrast enhancement. EEG with sphenoidal electrodes showed right sphenoidal spikes. Her seizures were controlled by carbamazepine and brain MRI became unremarkable 6 weeks later. Suggested mechanisms and significance of the transient imaging abnormalities following seizures will be briefly reviewed.
Adult ; Amnesia ; Amygdala ; Automatism ; Brain ; Carbamazepine ; Electrodes ; Electroencephalography ; Female ; Gadolinium ; Hallucinations ; Head ; Hippocampus ; Humans ; Magnetic Resonance Imaging ; Memory ; Middle Aged ; Phenytoin ; Seizures* ; Sensation ; Status Epilepticus ; Temporal Lobe*

The muscular branches of the ophthalmic artery have been described as the superior muscular artery and the inferior muscular artery. However, the definition of the muscluar arteries and their distribution has not been clarified. Therefore, the muscular branches of the ophthalmic artery in 80 orbits of Korean adults were observed under the surgical microscope. The inferior muscular artery was observed in 87.5% of the materials and the superior muscular artery was observed in 32.5%. The commen muscular branch distributing to the adjacent two muscles was observed more frequently(81.3%). The superior muscular artery and the common muscular branches were similar in their distribution according to their site of origin. Therefore, they were classified into the superolateral and superomedial arteries. The superolateral muscular artery was observed in 58.6%. and the superomedial muscular artery was observed in 71.3%. This study suggests that the ocular muscular arteries are better classified into 3 groups, namely inferior, superolateral, and superomedial muscular arteries.
Adult ; Arteries* ; Humans ; Muscles ; Ophthalmic Artery ; Orbit

The muscular branches of the ophthalmic artery have been described as the superior muscular artery and the inferior muscular artery. However, the definition of the muscluar arteries and their distribution has not been clarified. Therefore, the muscular branches of the ophthalmic artery in 80 orbits of Korean adults were observed under the surgical microscope. The inferior muscular artery was observed in 87.5% of the materials and the superior muscular artery was observed in 32.5%. The commen muscular branch distributing to the adjacent two muscles was observed more frequently(81.3%). The superior muscular artery and the common muscular branches were similar in their distribution according to their site of origin. Therefore, they were classified into the superolateral and superomedial arteries. The superolateral muscular artery was observed in 58.6%. and the superomedial muscular artery was observed in 71.3%. This study suggests that the ocular muscular arteries are better classified into 3 groups, namely inferior, superolateral, and superomedial muscular arteries.
Adult ; Arteries* ; Humans ; Muscles ; Ophthalmic Artery ; Orbit

No abstract available.
Microsurgery* ; Radiosurgery* ; Trigeminal Neuralgia*

Recently, in most medical schools of Korea, the educational method of gross anatomy, the first subject in medical education, has changed in several directions such as integrated lecture or problem-based learning (PBL). Therefore, the time of the lecture was constrained to reduce. The name of the gross anatomy integrated with embryology changed to 'human body and development' in Konkuk university since 2006. In addition to the classical dissection practice, the 'dissection seminar' was introduced since 2006. It was a method of dissection practice that one group demonstrate the procedure of dissection and explains the structures of the predissected cadaver to other students about the assigned subject. The questionnaire about dissection seminar was performed after the anatomy course. The most common opinion about dissection seminar was 'interesting and helpful for studying anatomy'. The common answers about the attitude were 'very positive' and 'positive'. The affirmatives during dissection seminar were in depth study and improve in collaboration. The inconveniences or lacks were insufficient time to prepare, unfairness in difficulty between the subjects, and discord among group members. The propositions for development were requirement of sufficient preparation time, request of guideline, and consideration of other schedule. As a result of self-estimation about dissection seminar, the direction of the dissection seminar have been advancing with time, and students became more interested in studying anatomy. The most important thing for maintaining the dissection seminar is making proper plan such as avoidance of examination of another subject.
Appointments and Schedules ; Cadaver ; Cooperative Behavior ; Education, Medical ; Humans ; Korea ; Problem-Based Learning ; Surveys and Questionnaires ; Schools, Medical

Vertebral artery(VA) and posterior inferior cerebellar artery(PICA) have complex and variable anatomic configuration of origin and running course in its exctracranial and intracranial pathway. VA has four main segments: the first portion from their origin to the entry into the foramen transversarium of C6, V1; the second portion from the C6 foramen to the C1 foramen, V2; the third portion from the exit from the C1 foramen to their entry through the atlanto-occipital membrane, V3; and the fourth portion from the entry through the dura to the vertebrobasilar junction, V4 after usual origin from proximal subclavian artery. Anatomic variations including aplasia, hypoplasia, duplication, and fenestration have been reported and careful consideration and examination must be needed because these variations tend to have another vascular anomalies such as arteriorvenous malformation or aneurysm. Tortuosity of VA is not a unusual finding especially in the aged people and the branches of VA are composed of meningeal, spinal, muscular, and radicular artery. PICA is most prominent artery from VA and its trunk is divided into five segments: anterior medullary, lateral medullary, tonsilomedullary, telovellotonsillar, and cortical. The running pathway of this vessel is pretty various in each person. The branches of this vessel are composed of perforating, terminal (cortical), choroidal, and meningeal artery. The extradural origin of PICA is infrequent; however, awareness of the presence of such an anatomic variation may be a helpful adjunct to avoid injury to this vessel. Around the vertebrobasilar junction (VBJ), the anatomy of the main arteries was variable. In contrast, the perforators penetrated the adjoining brain stem at specific locations regardless of caliber of the main artery. The four major point of entry to brain stem are the lateral medullary area just caudal to the posterior olivary sulcus (Group I), the posterior olivary sulcus(Group II), the small lateral fossa at the superior olivary groove(Group III), and the foramen caecum(Group IV). Despite a small VA or its major branches, the perforators penetrating the brain stem are very important and may effect the outcomes of operation or neurointerventional procedure of VBJ unless careful manipulation and consideration was performed.
Anatomic Variation ; Aneurysm ; Arteries* ; Brain Stem ; Choroid ; Humans ; Membranes ; Meningeal Arteries ; Pica ; Running ; Subclavian Artery ; Vertebral Artery