No abstract available.
Lung Neoplasms* ; Lung* ; Neoplasm Metastasis* ; Toes*

Double primary cancer is defined as the case of primary malignant tumors, which must be arise in different sites and have a different histologic appearences. The number of reported cases of double primary malignant tumors has increased in recent and the occurrence of multiple primary cancers in the same individuals is one of the interesting subjects for investigation and research in relation to the carcinogenic mechanism and/or genetic factors. We have experienced a case with double primary malignant tumors of different site origins such as stomach adenocarcinoma and rectal adenocarcinoma, which were diagnosed by biopsies with gastro and colono fiberscopy. For its great rarity, we report this case with review of literatures.
Adenocarcinoma ; Biopsy ; Rectum* ; Stomach*

Pancreatic encephalopathy is a rare complication of acute pancreatitis. We report a 80-year-old woman who, after an acute episode of pancreatitis, developed a fluctuating confusion and clouded consciousness. She experienced two relapses with alternating encephalopathic features. Serum amylase was highly increased and symptoms were relieved in accord with normalized amylase value. We suggest that this encephalopathic features may be related with pancreatitis.
Aged, 80 and over ; Amylases ; Consciousness ; Female ; Humans ; Pancreatitis* ; Recurrence

No abstract available.
Eosinophilic Granuloma* ; Eosinophils* ; Lymph Nodes*

No abstract available.
Lasers, Solid-State* ; Papilloma*

BACKGROUND: Depth and subdural electroencephalographic (EEG) recordings are often required to identify an area of the brain for epileptic surgery. We simultaneously compared bilaterally placed depth and subdural electrode EEGs to determine the site of seizure origins from the temporal lobes. METHODS: We included nine consecutive patients with medically refractory temporal lobe epilepsy, whose noninvasive evaluations such as magnetic resonance imaging, scalp and sphenoidal EEG, and other tests had not proved consistent lateralization. All patients had bilateral temporal depth electrodes, anterior and lateral temporal subdural strip electrodes. Thirty-eight clinical seizures and 3 subclinical seizures were evaluated. RESULTS: Seven out of 9 patients (78%) had unitemporal seizures, one patient had bilateral seizures, and the other had lateral temporal seizures in an invasive study. Ictal onset was localized by depth electrodes in 8 patients, and subdural strip electrodes in one. In ictal recordings, the ictal rhythms never spread to the contralateral neocortex before the ipsilateral neocortex. Most of the ictal rhythms began focally with periodic spikes or fast activities in the depth electrode, then spread to the ipsilateral strip electrode after 14 to 90 seconds (mean : 35.2 seconds). If ictal rhythms propagated to the contralateral side, it took 14 to 140 seconds (mean : 64.2 seconds). Subdural strip electrodes were less sensitive than depth electrodes in the detection of seizure onset and subclinical seizures, but were accurate when lateralized. CONCLUSIONS: We conclude that EEG recordings with depth and subdural strip electrodes correctly identify and lateralize temporal lobe seizures more often than subdural electrodes alone.
Brain ; Electrodes* ; Electroencephalography ; Epilepsies, Partial ; Epilepsy, Temporal Lobe* ; Humans ; Magnetic Resonance Imaging ; Neocortex ; Scalp ; Seizures ; Temporal Lobe*

Acute or chronic otitis media can cause intracranial complications, one of the most serious being brain abscess. Empirical antibiotic treatment and proper surgical management should be considered to avoid fatal consequences. However, proper extent and optimal timing of surgical intervention are still matters of debate. We present a case of a 31-year-old man who presented with acutely altered mental status, caused by otogenic brain abscess who we treated successfully with antibiotics and otologic surgery and no neurosurgical treatment.
Adult ; Anti-Bacterial Agents ; Brain Abscess* ; Humans ; Otitis Media ; Unconsciousness*

BACKGROUND/OBJECTIVES: The objective of this study was to investigate food allergens and prevalence rates of food allergies, followed by comparison of consumer attitudes and preferences regarding food allergy labeling by diagnosis of food allergies. SUBJECTS/METHODS: A total of 543 individuals living in Seoul and Gyeonggi area participated in the survey from October 15 to 22 in 2013. RESULTS: The results show that the prevalence of doctor-diagnosed food allergies was 17.5%, whereas 6.4% of respondents self-reported food allergies. The most common allergens of doctor-diagnosed and self-reported food allergy respondents were peaches (30.3%) and eggs (33.3%), respectively, followed by peanuts, cow's milk, and crab. Regarding consumer attitudes toward food labeling, checking food allergens as an item was only significantly different between allergic and non-allergic respondents among all five items (P < 0.001). All respondents reported that all six items (bold font, font color, box frame, warning statement, front label, and addition of potential allergens) were necessary for an improved food allergen labeling system. PLSR analysis determined that the doctor-diagnosed group and checking of food allergens were positively correlated, whereas the non-allergy group was more concerned with checking product brands. CONCLUSIONS: An effective food labeling system is very important for health protection of allergic consumers. Additionally, government agencies must develop policies regarding prevalence of food allergies in Korea. Based on this information, the food industry and government agencies should provide clear and accurate food labeling practices for consumers.
Allergens ; Arachis ; Surveys and Questionnaires ; Diagnosis* ; Eggs ; Food Hypersensitivity* ; Food Industry ; Food Labeling ; Government Agencies ; Gyeonggi-do ; Korea ; Milk ; Ovum ; Prevalence ; Prunus persica ; Seoul

BACKGROUND: Persistent auras after temporal lobectomy may be bothersome to the patients even though they are seizure free. But most authors specifically are concerned about the seizure outcome itself. The aim of the present study was to investigate which factors are related to persistent auras in patients with temporal lobe epilepsy(TLE) after temporal lobectomy. METHODS: We have retrospectively analysed many factors in 38 TLE patients with aura. All patients underwent anterior temporal lobectomy with amygdalo-hippocampectomy. Twenty three patients were seizure and aura free (completely seizure-free) and 15 patients had persistent auras(persistent auras) in spite of seizure-free. Characteristics of auras, past medical history, presence of secondary GTC, seizure frequency, age of surgery, age of onset, duration of habitual seizure, ictal EEG pattern, and pre- and postoperative MRI findings were compared between group with completely seizure-free and group with persistent aura. RESULTS: Characteristics of aura, past medical history, presence of secondary GTC, seizure frequency, ictal EEG pattern, age of onset, and age of surgery had no statistical differences between both groups. Seizure duration of group with persistent aura seemed to be longer than that of group with completely seizure-free(13.6 years vs 17.0 years, median test, p=0.10) and remained hippocampus in postsurgical MRI seemed to be related to persistent auras(Fisher's exact test, p=0.06). CONCLUSIONS: We found that there were suggestive differences in seizure duration and remained hippocampus between the two groups.
Age of Onset ; Anterior Temporal Lobectomy ; Electroencephalography ; Epilepsy* ; Epilepsy, Temporal Lobe ; Hippocampus ; Humans ; Magnetic Resonance Imaging ; Prognosis ; Retrospective Studies ; Seizures ; Temporal Lobe

PURPOSE: Ebersole and Pacia recently introduced a classification of scalp ictal EEG in temporal lobe epilepsy (TLE). So we investigated whether scalp ictal EEG without sphenoidal electrode can differentiate mesial TLE from neocortical TLE and can be predictive of surgical outcome after temporal lobectomy. METHODS: A consecutive 77 patients (male 43, female 34) with TLE were included who had temporal lobectomy after the comprehensive presurgical evaluation. The patients with mesial TLE were 59 and those with neocortical TLE 18. The total 358 seizures were analyzed using bipolar and monopolar montage without sphenoidal electrodes. Scalp ictal EEGs were categorized into 3 types based on Ebersole and Pacia's classification and then were evaluated with regard to the differentiation of TLE and its correlation with surgical outcome. RESULTS: 1) Out of the total 77 patients, type 1 pattern was observed in 23 (30%), type 2 in 51 (65%), and type 3 in 3 (5%). The number of patients with mesial TLE were 17 (74%) out of 23 with type 1, 41 (80%) out of 51 with type 2, 1 out of 3 with type 3. Type 1 pattern was relatively specific (74%) but not sensitive (30%) for mesial TLE. Also the lesion location of neocortical TLE with type 1 onset was not limited to medial temporal area. 2) Scalp ictal EEG patterns were significantly correlated with surgical outcome only in the subgroup of mesial TLE (p=0.006) but not in neocortical TLE. Type 1 onset pattern in mesial TLE was associated with favorable outcome comparing to type 2 onset. CONCLUSIONS: Scalp ictal EEG onset pattern cannot accurately differentiate mesial TLE from neocortical TLE. However, its onset pattern can be predictive of surgical outcome.
Classification ; Electrodes ; Electroencephalography* ; Epilepsy, Temporal Lobe* ; Female ; Humans ; Scalp* ; Seizures ; Temporal Lobe*