1.A case of transient myeloproliferative disorder in Down's syndrome.
Dong Uk KIM ; Woo Ki LEE ; Eung Won PARK ; Kwang Woo KIM
Journal of the Korean Pediatric Society 1991;34(12):1740-1744
No abstract available.
Down Syndrome*
;
Myeloproliferative Disorders*
2.A case of combined pregnancy.
Young Oh TAK ; Kwang Yeol LEE ; Sang Kyong KIM ; Jae Uk KIM ; Ki Sang KWON
Korean Journal of Obstetrics and Gynecology 1991;34(3):421-424
No abstract available.
Pregnancy*
3.Cardiac Asystole Following a Single Dose of Succinylcholine: A case report.
Hyun Kyo LIM ; Kwang Ho LEE ; Hee Uk KWON ; Hyun Kyung LIM
Korean Journal of Anesthesiology 1997;33(5):967-069
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
4.A case of mediastinal cystic lymphangioma.
Dong Seung YEO ; Dong Il LEE ; Kwang Uk LEE ; Dae Hwan KANG ; Soon Kew PARK ; Young Kee SHIN
Tuberculosis and Respiratory Diseases 1992;39(4):361-365
No abstract available.
Lymphangioma*
;
Mediastinal Cyst*
5.Long-term Intraocular Pressure Elevation after Primary Angle Closure Treated with Early Phacoemulsification.
Sung Uk BAEK ; Kwang Hyun KIM ; Joo Yeon LEE ; Kyung Wha LEE
Korean Journal of Ophthalmology 2018;32(2):108-115
PURPOSE: To assess long-term changes in intraocular pressure (IOP) and the development of glaucoma after early phacoemulsification in acute primary angle closure. METHODS: Retrospective chart review of acute primary angle closure patients treated with phacoemulsification in attack eyes versus fellow eyes. Within a month after the angle closure attack, all subjects underwent cataract surgery and were divided into two groups: group A received cataract surgery on their attack eyes. Group B also received cataract surgery on their fellow eye after phacoemulsification of the attack eyes. Study outcomes were the prevalence of IOP rise (occurrence of IOP >21 mmHg) and the incidence of newly developed glaucoma. RESULTS: Eighty-nine eyes were included, with 62 attack eyes in group A and 27 fellow eyes in group B. Group A (14 eyes, 22.58%) had a higher cumulative rate of IOP rise than group B (3 eyes, 11.11%) at 12 months (p = 0.001). Newly developed glaucoma was not observed in group B; however, 6 patients in group A developed glaucoma during the 12-month follow-up period (p < 0.001). CONCLUSIONS: The attack eyes treated with phacoemulsification showed a significantly higher prevalence of IOP rise and newly developed glaucoma than fellow eyes that received phacoemulsification. These findings suggest that there is a possibility of IOP rise and development of glaucoma even when angle closure and successful IOP control have apparently been achieved after phacoemulsification.
Cataract
;
Follow-Up Studies
;
Glaucoma
;
Glaucoma, Angle-Closure
;
Humans
;
Incidence
;
Intraocular Pressure*
;
Phacoemulsification*
;
Prevalence
;
Retrospective Studies
6.Cauda equina syndrome after spinal anesthesia: A case report.
Korean Journal of Anesthesiology 2009;56(4):449-452
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
7.Leiomyoma and leiomyosarcoma of the broad ligament.
Kwang Yeoul LEE ; Young Oh TAK ; Sang Kyoung KIM ; Jae Uk KIM ; Ki Sang KWON ; Suk Tae HA
Korean Journal of Obstetrics and Gynecology 1991;34(6):879-883
No abstract available.
Broad Ligament*
;
Female
;
Leiomyoma*
;
Leiomyosarcoma*
8.Does End-tidal PCO2 Reflect Adequately Arterial PCO2 during One-lung Ventilation for Thoracoscopy?.
Jong Seok LEE ; Jeong Uk HAN ; Cheung Soo SHIN ; Kwang Ho LIM
Korean Journal of Anesthesiology 1996;31(4):466-471
BACKGROUND: Maintenance of normal arterial carbon dioxide tension (PaCO2) is not generally a problem if the same tidal volume can be maintained when changing from two-lung(TLV) to one-lung ventilation(OLV). However, there have been a few studies on the use of capnography in monitoring the adequacy of ventilation during one-lung anesthesia. We have therefore studied how closely end-tidal PCO2 (PETCO2) values reflect changes in PaCO2 in patients undergoing thoracoscopic sympathectomy during TLV and after transition to OLV. METHODS: We have measured arterial oxygen tension(PaO2), PaCO2, PETCO2, and (PaCO2-PETCO2) in 24 adult, either sex, patients by infra-red spectrometry. They were measured after induction of anesthesia, in supine position(TLVsup), after a lateral decubitus position(TLVlat), at 15 minutes after left OLV(OLVLt), after right OLV(OLVRt), and at 10 minutes in the supine position re-positioned at the end of the operation(TLVrep). Data were analyzed with a one-way analysis of variance with repeated measures followed by multiple comparision. The correlation between PaCO2 and PETCO2 were tested using linear regression. RESULTS: PaCO2 did not significantly change, whereas PETCO2 significantly decreased at OLVLt, OLVRt compared with TLVsup value (OLVLt, 29.7 mmHg OLVRt, 30.5 mmHg and TLVsup, 33.6 mmHg; P< 0.05). Compared with TLVsup(0.2 mmHg), (PaCO2-PETCO2) significantly increased at OLVLt, OLVRt, TLVrep(3.7 mmHg, 2.3 mmHg, 3.5 mmHg). The correlation between PaCO2 and PETCO2 in these series is consistent. (r>0.65, P<0.0006) CONCLUSIONS: In the patients undergoing thoracoscopic sympathectomy with TLV or OLV in the lateral decubitus position, PETCO2 is a reliable estimate of the PaCO2. However, when the operative time is prolonged the arterial PCO2 may be more reliable than PETCO2.
Adult
;
Anesthesia
;
Capnography
;
Carbon Dioxide
;
Humans
;
Linear Models
;
One-Lung Ventilation*
;
Operative Time
;
Oxygen
;
Spectrum Analysis
;
Supine Position
;
Sympathectomy
;
Thoracoscopy*
;
Tidal Volume
;
Ventilation
9.A Case of Global Aphasia Without Other Focal Neurologic Lateralizing Signs.
In Uk SONG ; Du Shin JEONG ; Kwang Ik YANG ; Tae Kyeong LEE ; Hyung Kook PARK ; Moo Young AHN
Journal of the Korean Geriatrics Society 2001;5(3):265-269
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
10.The Pattern of Cognitive Impairment Associated with the Motor Subtype in Parkinson's Disease.
Joong Seok KIM ; Kyu Hwan LEE ; Seung Jae LEE ; In Uk SONG ; Yeong In KIM ; Kwang Soo LEE
Journal of the Korean Geriatrics Society 2008;12(4):227-234
BACKGROUND: Previous studies have found over-representation of a postural instability and gait difficulty(PIGD) motor subtype in Parkinsons disease with dementia(PD-D). METHODS: One hundred twenty patients with Parkinson's disease(PD) were included in this study. All patients were evaluated by the Unified Parkinson's Disease Rating Scale(UPDRS) and neuropsychological tests. On the basis of the criteria for dementia(DSM-IV) and the results of the neuropsychological assessments, the patients were divided into the following three groups: (1) non-demented(PD-ND), (2) mild cognitive impairment(PD-MCI), and (3) dementia (PD-D). In addition, patients were also grouped into the following two phenotypes based on the UPDRS components: (1) tremor and (2) postural instability gait difficulty(PIGD)-predominant. We also analyzed the clinical characteristics and subtypes of the disease. In addition, the relationship between the cognitive impairments and the parkinsonian motor handicaps was evaluated. RESULTS: There was a significant relationship between cognitive impairment and the motor subtypes. The PIGD group had a higher prevalence of PD-D than the other group. In addition, there were significant correlations between the general cognitive functions and motor handicaps, especially those with axial symptoms. Multiple logistic regression analysis showed that the motor subtype was independently associated with the cognitive decline in PD. CONCLUSION: These findings support that cognitive decline in patients with PD is associated with a specific motor subtype. This association might be explained by the involvement of non-dopaminergic pathways. These results have implications for the clinical management of PD with regard to the motor symptoms and cognition.
Cognition
;
Dementia
;
Gait
;
Humans
;
Logistic Models
;
Neuropsychological Tests
;
Parkinson Disease
;
Phenotype
;
Prevalence
;
Tremor