No abstract available.
Alcoholics* ; Humans ; Liver Diseases, Alcoholic*

No abstract available.
Hepatitis A* ; Hepatitis*

No abstract available.
Antiviral Agents* ; Hepatitis B, Chronic* ; Hepatitis, Chronic*

No abstract available.
Hepatitis, Chronic*

No abstract available.
Antibodies* ; Hemorrhagic Fever with Renal Syndrome* ; Humans* ; Immunization*

We present a series of 10 Patients(Seven men and three women with an average age of 53 years) who underwent decompressive craniectomy for treatment to massive brain swelling following acute cerebral infarction. Clinical signs of cerebral herniation(anisocoria or fixed and dilated pupil, and/or hemiplegia with decerebrate righidity) were present in all patients. Computed tomography and magnetic resonance imaging showed the mass effect by cerebral edema through midline shift. All patients were treated with an extensive craniectomy and duroplasty. Among them, one recovered without neurological deficit, three were moderately disabled but functionally dependent, three remained in a persistent vegetative state and three died within 9 days after surgery(good recovery=1, moderate disability=3, persistent vegetative state=3, death=3). The results suggest that decompressive craniectomy can be an useful lifesaving procedure for massive cerebral edema following widespread hemispheric infarction.
Brain Edema ; Cerebral Infarction* ; Decompressive Craniectomy* ; Female ; Hemiplegia ; Humans ; Infarction ; Magnetic Resonance Imaging ; Male ; Persistent Vegetative State ; Prognosis ; Pupil

In Korea, the pattern of age-specific seroprevalence of anti-HAV has changed with economic growth. The prevalence of anti-HAV in age 1~20 years declined from 60% in 1980 to 9% in 1995. As a result, this age group has a high risk for HAV infection, and actually the incidence of clinically overt hepatitis A is increasing in adolescents and young adults recently. In contrast, the prevalence of HBV carriers has been markedly decreased up to less than 1% in children because of the preventive strategies for HBV infection. The prevalence of HBsAg among Korean adults also declined from 8.0% in male and 6.1% in female in the 1980s to 7.4% in male and 3.6% in female in 1997. This article reviews recent epidemiologic changes of acute and chronic hepatitis in Korea.
Adolescent ; Adult ; Child ; Economic Development ; Epidemiology ; Female ; Hepatitis A ; Hepatitis A Antibodies ; Hepatitis B Surface Antigens ; Hepatitis, Chronic* ; Humans ; Incidence ; Korea* ; Male ; Prevalence ; Seroepidemiologic Studies ; Young Adult

An intracerebral aneurysm usually bleeds into the subarachnoid space in addition it may also rupture into the subdural space or into the brain, and it is reported that approximately 2-8 percent of all ruptured aneurysm have an associated subdural hematoma. We had experienced 4 cases of subdural hematoma following ruptured intracerebral saccular aneurysm from 1983 to 1985. They were distal anterior cerebral artery aneurysm and middle cerebral artery aneurysm, and 2 cases of anterior communicating artery aneurysm. There were no relationship between the amount of subdural hematoma and clinical course. With a view to the clinical course, 3 cases were acute, and one was chronic.
Aneurysm* ; Aneurysm, Ruptured ; Brain ; Hematoma, Subdural* ; Intracranial Aneurysm ; Rupture ; Subarachnoid Space ; Subdural Space

A 35-year-old man, with a previous history of intermittent generalized seizure attacks since 13 years of age, presented with status epilepticus and spastic right hemiparesis. Plain skull films showed a mottled, granular calcified core and a surrounding halo of calcification in the subcortical area of the central fissure, and a smooth erosion of the overlying skull inner table. Left carotid angiogram revealed neither definite mass effect nor abnormal vascularities. Surgery through a left parietal craniotomy was performed. Upon direct inspection of the brain a 2.5+/-3.0cm, stony hard, generally circular mass was noted within the left frontal lobe. Although embedded within the frontal lobe, the mass was partially covered by a gliotic cyst which might be made from cortical tissue. The tumor was obviously calcified, demonstrating numerous superficial white excrescences, and readily removed without difficulty. Microscopic, pathological evaluation confirmed the diagnosis of densely calcified arteriovenous malformation. The patient was discharged without any evidence of neurological deficit except dull mentality.
Adult ; Arteriovenous Malformations* ; Brain* ; Craniotomy ; Diagnosis ; Frontal Lobe ; Humans ; Muscle Spasticity ; Paresis ; Rabeprazole ; Seizures ; Skull ; Status Epilepticus

Intracranial germinoma usually occurs in the pineal and suprasellar regions. It is relatively rare that germinoma occurs in the thalamus and basal ganglia. The authors report a case of germinoma involving the posterior part of thalamus and basal ganglia involving the posterior part of thalamus and basal ganglia. The patient was 20 years old male who complained left side hemiparesis for 2 months. A successful result was obtained through radiation therapy after partial removal of tumor mass.
Basal Ganglia* ; Germinoma* ; Humans ; Male ; Paresis ; Thalamus* ; Young Adult