No abstract available.
Tibial Fractures*

No abstract available.
Down Syndrome* ; Myeloproliferative Disorders*

No abstract available.
Pregnancy*

A 28-yr-old woman, weighing 61 kg with bleeding myoma of uterus was scheduled for total abdominal hysterectomy. There was no history of cardiac arrhythmia or syncope. She was not premedicated. The heart rate was 115 beats/min and arterial pressure was 155/95 mmHg, immediately before the induction of anesthesia. Under the preoxygenation, anesthesia was induced with IV injection of thiopental sodium 250 mg followed by succinylcholine 75 mg. About 20 seconds after the succinylcholine bolus, the ECG showed an abrupt change from sinus rhythm to asystole without any stimulus including laryngoscopy. After a precordial thump and atropine 0.5 mg IV, tracheal intubation and ventilation with 100% O2 were quickly accomplished. Normal sinus rhythm with heart rate of 87 beats/min returned during laryngoscopy and intubation. The interval from the sinus arrest to the reestablishment of normal sinus rhythm was only 15 seconds. Surgery proceeded uneventfully and the patient recovered without any complication.
Anesthesia ; Arrhythmias, Cardiac ; Arterial Pressure ; Atropine ; Electrocardiography ; Female ; Heart Arrest* ; Heart Rate ; Hemorrhage ; Humans ; Hysterectomy ; Intubation ; Laryngoscopy ; Myoma ; Succinylcholine* ; Syncope ; Thiopental ; Uterus ; Ventilation

It is reported that amniotic membrane easily obtained from human body was effective to treat ocular surface disease. Authors treated pterygium, which is known to high recurrect rate, with amniotic membrane transplantation, and evaluated its effect. From June 1997 to March 1998, 28eyes(18 eyes of primary pterygium, 10 eyes of recurrent pterygium)were treated with amniotic membrane transplantation. As the results shows higher recurrent rate(4 eyes of 18 eyes(22%) in primary pteygium, 3 eyes of 10 eyes(30%)in recurrent pterygium), so amniotic membrane transplantation was less effective method to treat primary and recurrent pterygium than other method like conjunctival autograft.
Amnion* ; Autografts ; Human Body ; Pterygium*

Microsporum canis is known to be the main causative agent of tines capitis and tinea corporis in children. Contrary to Trichophyton rubrum and Trichophyton mentagrophytes var. interdigitale, it very rarely infects the nail. In the reported cases of tinea unguium due to Microsporum canis, fingernails were usually affected. We report a patient with tinea unguium of thumb and big toe nails caused by Microsporum canis.
Child ; Humans ; Microsporum* ; Nails ; Onychomycosis* ; Thumb ; Tinea* ; Toes ; Trichophyton

No abstract available.
Asthma, Exercise-Induced* ; Child* ; Humans ; Incidence*

A 72-year-old man undergoing emergency arthroscopic irrigation and debridement of the left knee joint due to pyogenic arthritis developed cauda equina syndrome after spinal anesthesia with 0.5% hyperbaric tetracaine mixed with epinephrine. Epinephrine was added to local anesthetic to prolong the duration and to increase the quality of spinal anesthesia. There was no paresthesia on needle placement. We injected anesthetics twice because the first subarachnoid injection failed. The patient experienced impaired sensation in the perineal region and alterations in bowel and urinary habits. Magnetic resonance imaging revealed spondylolisthesis and disc protrusion (L4-5), with spinal stenosis (L5-S1), but did not show suspicious lesions such as hematoma and abscess. We suggest the causative factors are temporary neural compression due to his spinal diseases and spinal cord ischemia due to decreased spinal blood flow because of epinephrine. We also cannot rule out the tetracaine neurotoxicity.
Abscess ; Aged ; Anesthesia, Spinal ; Anesthetics ; Arthritis ; Cauda Equina ; Debridement ; Emergencies ; Epinephrine ; Hematoma ; Humans ; Hypesthesia ; Knee Joint ; Magnetic Resonance Imaging ; Needles ; Paresthesia ; Polyradiculopathy ; Spinal Cord Ischemia ; Spinal Diseases ; Spinal Stenosis ; Spondylolisthesis ; Tetracaine

Dermatophytoses of newborn infants are known to be very unusual, although cutaneous candidosis in infancy is relatively common. We report two cases of dermatophytoses seen in a 33-day-old infant and a 63-day-old infant. The dorsum of the foot of the former showed an annular lesion with crusty border of about 3 weeks duration and the chin of the latter showed an annular lesion with intensely inflamed border of about 5 weeks duration. From the two patients, Trichophyton rubrum was isolated. The articles describing dermatophytoses in infancy in the Korean literature did not report any cases similar to ours.
Chin ; Foot ; Humans ; Infant ; Infant, Newborn* ; Tinea* ; Trichophyton*

Global aphasia without other focal neurologic lateralizing signs (GWLS) is an uncommon stroke syndrome. The pathogenesis of GWLS has been thought as the result of multiple cardioembolism. However, a few cases of GWLS with a single lesion have been reported. We report an unusual case of GWLS with a single left superior temporal infarction. A 73-year-old right handed man was admitted with receptive and expressive language impairment without other focal neurologic lateralizing signs. The patient's global aphasia symptom has being 4 weeks after symptom onset. Brain CT showed only one lesion of left superior temporal lobe. Our case notes that the multiple lesions of the speech area are not only necessary to produce GWLS, and it is not necessarily imply a double lesion or an embolic causes.
Aged ; Aphasia* ; Brain ; Hand ; Humans ; Infarction ; Stroke ; Temporal Lobe