No abstract available.
Biopsy* ; Nephrotic Syndrome*

Catheters ; Choanal Atresia ; Diagnosis ; Emergencies ; Hand ; Membranes ; Nasal Cavity ; Nasopharynx ; Nose ; Operative Time ; Parturition ; Rubber

BACKGROUNDS: Headache is one of the common symptoms complained by patients at the emergency department. Postural headache is the characteristic symptom that is aggravated at upright position and relieved at recumbent position. This postural headache is associated with low cerebrospinal fluid (CSF) pressure. Spontaneous intracranial hypotension(SIH) is an unusual syndrome of postural headache and low CSF pressure without a precipitating event. The diagnosis of SIH is confirmed by 60mmH2O or less CSF opening pressure on lumbar puncture. However, the cases of SIH with normal CSF opening pressure have been reported. so it is needed to complement the diagnostic criteria of SIH. METHODS: A retrospective descriptive study with reviewing medical records of 10 patients who had been admitted at Asan Medical Center from Apr. 1995 to Jul. 1999 was done. Analyses were done on 22 variables of age, sex, clinical symptoms, spinal analysis findings, radiologic findings and therapeutic modality. Fisher's exact test and Mann-Whitney test were applied for statistical analysis (p-value < 0.05). RESULTS: 1. The male to female ratio was 3 : 7, and the mean age was 37.30+/-5.96 years. 2. Postural headache was characteristic symptom & complained by all patients. 3. The mean CSF pressure was 22.8+/-30.8 mmH2O. 4. Brain MRI demonstrated the pachymeningeal enhancement in all patients. 5. Radioisotope cisternography demonstrated slow ascent of tracer to the cerebral convexity in 88.9% patients, early soft tissue uptake suggestive of CSF leakage & rapid urinary accumulation of tracer in 66.7% patients, respectively. 6. 90.0% of all patients were recovered with autologous epidural blood patches, and 10.0% were recovered with conservative management. CONCLUSION: The SIH is an unusual syndrome. but we can diagnose the SIH in the patient, complains of a postural headache, if any following two or more criteria are present. 1. 60mmH2O or less CSF opening pressure on lumbar puncture. 2. Brain MRI finding : the pachymeningeal enhancement. 3. Cisternography findings : slow ascent of tracer to the cerebral convexity, early soft tissue uptake suggestive of CSF leakage & rapid urinary accumulation of tracer.
Blood Patch, Epidural ; Brain ; Cerebrospinal Fluid ; Chungcheongnam-do ; Complement System Proteins ; Diagnosis ; Emergency Service, Hospital ; Female ; Headache ; Humans ; Intracranial Hypotension* ; Magnetic Resonance Imaging ; Male ; Medical Records ; Retrospective Studies ; Spinal Puncture

No abstract available.
Bacteroides fragilis* ; Bacteroides* ; Enterotoxins* ; Epithelial Cells* ; Gene Expression* ; Humans* ; Intestinal Mucosa*

No abstract available.
Hemiplegia*

No abstract available.
External Fixators* ; Intra-Articular Fractures* ; Radius*

Abnormalities in the number and function of platelets may contribute to thromboembolic complications in patients with essential thrombocythemia(ET). Physicians often use hydroxyurea which reduces the platelet count for the initial treatment of ET. A 74-year-old man with ET was presented with headache, dysarthria, and right hemiparesis 10 months after discontinuation of hydroxyurea. Initial platelet count was 450x103/microliter and we gave him heparin. However, his platelet count rised upto 1,019x103/microliter within 4 days. He was on hydroxyurea 1.5 g/day and his symptoms improved with decrease of platelet count. We report a case of left MCA(middle cerebral artery) multifocal infarction in ET after discontinuation of hydroxyurea.
Aged ; Cerebral Infarction* ; Dysarthria ; Headache ; Heparin ; Humans ; Hydroxyurea* ; Infarction ; Paresis ; Platelet Count ; Thrombocythemia, Essential*

No abstract available.
Child* ; Humans ; Tuberculosis, Renal*

BACKGROUND: There has been an increase in incidence of localized scleroderma. However observations on the clinical aspects ot localized scleroderma have been scarce in Korea. OBJECTIVE: The purpose of this study was to elucidate the clinical observations and associated diseases of localized scleroderma METHODS: During a 10-year-period from Jan. 1984 to Dec. 1993, 61 patients were evaluated in regard to age incidence, sex ratio, clinical type, location and distribution of plaque and linear type, and associated conditions. RESULTS: l. Age distribution from 4 to 61 years with mean of 27.6 years. Most patients were between 11 to 30 years of age. 2. Sex distribution of male 14 female 47 with 3: 1 ratio in favor of female. 3. No difference in right and left involvement. 4. Plaque and linear forms were predominant. 5. The plaque form was distributed evenly while the linear form involved mainly the head and neck. The linear form and generalized form appeared most frequently in developement of associated conditions. 6. ANA test results were positive in 14 patients and most of them were of the speckled pattern. 7. Of the 41 patients who were treated with d-penicillamine, 26 patients showed improvement of their lesions.
Age Distribution ; Female ; Head ; Humans ; Incidence ; Korea ; Male ; Neck ; Penicillamine ; Scleroderma, Localized* ; Sex Distribution ; Sex Ratio

No abstract available.
Giant Cells* ; Granuloma, Giant Cell*