No abstract available.

Congenital agenesis of the right lobe of liver is a rare anomaly and only 33 cases have been reported. CT showed absence of the right lobe of liver and compensatory hypertrophy of the other lobe. We report the CT findings of a new case of this anomaly with a review of the literatures.
Hypertrophy ; Liver*

A study on branching patterns of middle hepatic artery was performed in 109 patients with A-P and oblique view hepatic angiogram, which refered to size and location of quadrate lobe in CT and SMA portography We could analyze the branching patterns of middle hepatic artery (MHA) in 100 among the 109 patients. MHA arising as a first branch of left hepatic artery was the most common pattern (50%), and MHA arising from proper hepatic artery separately one from left hepatic artery was the next common pattern (35%). MHA originating from left gastric artery, or from anterior or posterior of the right hepatic artery was seen. MHA WAS not found as an accessory or replaced artery except as replaced common hepatic artery.
Angiography* ; Arteries ; Hepatic Artery* ; Humans ; Portography

No abstract available.
Endolymphatic Hydrops*

Subcutaneous angiolymphoid hyperplasia is an uncommon disease characterized by eosinophilia, proliferation of the capillary vessels and lymphoid tissue and infiltration of the inflammatory cell, especially eosinophils. The etiology of the disease are obscure, but probably trauma, lower grade infection, nervous factor & hormonal status etc. The predilection sites are face, ears, scalf & neck, but rarely reported in the extremities. We experienced a case of subcutaneous angiolymphoid hyperplasia of the inguinal region and anteromedial side of the proximal thigh in a 10 year-old man who complained pain and tenderness on the above region. The patient was treated by excision with satisfactory result.
Capillaries ; Ear ; Eosinophilia ; Eosinophils ; Extremities ; Humans ; Hyperplasia ; Lymphoid Tissue ; Neck ; Thigh

No abstract available.
Pressure Ulcer*

The management for herniated lumbar disc has been improved steadily since the standard discectomy was introduced at the early stage of this century. The therapeutic use of standard discetomy has been critisized by some investigators because of its incasiveness and potential postoperative sequele. Recently various non-invasive mean were developed, however there are still some disadvantages with them such as high cost and thire limitation of disc removal. In the present study fifty-nine cases managed with microsurgical discetomy were presented, all performed by one surgeon and analysed by the other. The operative results, assessed 6 months postoperatively, showed that the microdiscecetomy was of good quality, comparable to the results of the standard discectomy reported by others. Patients have discharged early(less than 10 days) and returned to their usual activities quickly(less than 3 weeks). The advantage of this technique is its capacity to preserve better integrity of normal tissue and to impose less trauma on the body. Furthermore it may be more cost-effective than any other surgical managements available. It can be concluded that microsurgical discectomy represents one of the best refinements of standard discectomy even if it has also some negative points.
Diskectomy ; Humans ; Microsurgery* ; Research Personnel

The theoretical advantages of spondlylolisthesis reduction-fixation are substantial, but some questions such as excessive risk and morbidity relative to in situ fusion remain unresolved yet. This study included 10 consecutive patients(2 male, 8 female) who underwent posterior lumbar interbody fusion(PLIF) with transpedicular instrumentation(AKITA pedicular screw system) over the past six menths from July to December 1993. All patients were isthmic type, adult(between 30 and 57) and between grades I and II. Claudication was the most common symptom. All patients were operated upon by one surgeon(C.K.P.) and follow-up was conducted through patient interviews and examinations, both clinically and rediologically. The patients were followed postoperatively from 6 to 12 months. There were no neurologic complication related to the procedures. The clinical outcomes assessed more than 6 months postoperatively were as follows:improvement, 9/10;stationary 1/10. Radiologically, the mean reduction rate of slippage(preoperative percentage slip-postoperrative one/preoperative one x100) was 4.3% and all patients developed solid fusion. In conclusion, patients who underwent PLIF supplemented with transpedicular fixation had good overall clinical and radiological outcomes without significant neurological complications related to PLIF or screw placement.
Follow-Up Studies ; Humans ; Male ; Spondylolisthesis*

Before the 1970s there was no way to quantify the severity of head injury in groups of patients, but over the last two decades, medical care of the head-injured patient has evolved to a level at which clinical management decisions are based on actual measurement of relevant physiological variables and application of sound scientific principles. One of the most important reasons of such a progress is developments in medical technology. The technology has developed in a manner that now allows improved imaging of the brain as well as accurate measurement of variables such as intracranial pressure, cerebral blood flow, and brain electrical activity, all of which combine to greatly enhance the clinician's ability to monitor the injured brain. The author can not provide all the informations of advances that have taken place, or a comprehensive description of state-of-the-art technology hear, because of limited spaces. It is only hoped that this paper would afford a useful reference for those seeking newer concepts in diagnosis of head injury.
Brain ; Craniocerebral Trauma* ; Diagnosis* ; Head* ; Hope ; Humans ; Intracranial Pressure ; Neurophysiology

Since Teasdale and Jennet published a method that had been evolved in Glasgow for assessing the so-called "conscious level" in 1974, the method has undergone extensive evaluation, has been adapted widely and has come to be known as the "Glasgow Coma Scale". However some investigators raised a question about interpretation of the scale in argument, particularly in terms of analysis of prognosis. It may be indispensable for clinicians and investigators to come to an agreement in interpretation of each other's investigational result with the same idea about "Glasgow Coma Scale". So the authors now review some of the factors that contributed to the design of the scale, how it has withstood the test of both scientific study and practical usage, and also to set into context its offspring, the "Glasgow Coma Scale".
Coma ; Craniocerebral Trauma ; Glasgow Coma Scale* ; Humans ; Prognosis ; Research Personnel