No abstract available.
Candida* ; Granuloma*

Fifty-nine histologically proven cases of carcinoma of the larynx and hypopharynx were examined with CT forthe staging before surgery or radiation therapy and the findings of primary disease and neck metastasis wereanalyzed. Local extension of the tumor can be easily evaluated with CT and findings of lymph node metastasis ofneck were seen in 33 cases(79%) of all. Among cases of neck metastasis, peripheral contrast enhancement of thelymph nodes were demonstarated in 26 cases (79%).
Hypopharynx ; Larynx ; Lymph Nodes ; Neck ; Neoplasm Metastasis

Paralytic hand is the ultimate result of permsnent damage of the central nervous system, failure of the functional repair of peripheral nerve injuries and extensive muscular or tendinous defect resulting in the impairment of hand function. There are a lot of controversies in the side of treatment methods in the paralytic hand, and it is very difficult to formulate the most adequate surgical reconstruction for a given pstient. At Depsrtment of Orthopedic Surgery, Seoul National University Hospital, 66 cases oi paralytic hands in 62 patients have been treated surgically with tendon transfers for 7 years from Jan, 1980 to Dec, 1986. 49 case in 46 patients were followed up for more than one year, and surgical method and its results were anslysed. They consist of CNS lesion (17), peripheral nerve lesion(23) and musulotenidinous defect(9). The methods of surgical reconstruction were opponenesplasty(12), standard set extensor reconstruction(9), Green and Bsnks FCU transfer(11), intrinsic reconstruction(7), pronator rerouting(7), adductorplasty (5) and so on. The mean follow-up was 2.2 years, and in 38 cases good or excellent results were obtained.
Central Nervous System ; Follow-Up Studies ; Hand ; Humans ; Methods ; Orthopedics ; Peripheral Nerve Injuries ; Peripheral Nerves ; Seoul ; Tendon Transfer

Posteroanterior radiographs of normal wrist were taken in seventeen volunteers, and analysed to determine the dynamic relationships between the radiocarpal and midcarpal joint during radioulnar deviation. The total arc of radioulnar deviation was 59 degrees, and the motion was 44% radiocarpal and 56% midcarpal. During radioulnar deviation, the motion at the midcarpal joint was more than that at the radiocarpal joint. It is suggested thst dorsoradial and palmar-ulnar flexion as it occurs at the midcarpal joint can be correlated in radio-ulnar deviation of the wrist more than the coronal sliding motions as it occurs mainly at the radiocarpal joint.
Joints ; Volunteers ; Wrist

The anterior fusion became the popular measure in the treatment of the tuberculosis of the spine. We analysed the 208 cases of the tuberculosis of the spine (174 anterior fusion) who were treated at our department during the period of 1966 to 1973 and compared these results with that obtained during the period of 1957 to 1966. Following has been observed from this comparison. 1. Spine was the most common site in bone and joint tuberculosis (51.7%) but with decreasing tendency. And it was followed by hip, knee, ankle and sacroiliac joints of order. 2. Common age incidence was below 30 years (72.7%) and most common in below 5 years (20.7%). 3. Average duration of disease was 2 years and 2 months. This value was 6 months lower than in previous study. 4. The most common site was changed from lumbar to thoracic vertebrae. 5. The incidence of sinus, cold abscess formation decreased but paraplegia increased in incedence due to high prevalence in thoracic vertebrae. 6. Anterior fusion was performed in 86.1% of the cases. 7. Postoperative complications was found in 17.2%. Adequate rnanagement of chest tube in thoracic areas and blood vessels in lumbosacral areas may be necessary.
Abscess ; Ankle ; Blood Vessels ; Chest Tubes ; Hip ; Incidence ; Knee ; Paraplegia ; Postoperative Complications ; Prevalence ; Sacroiliac Joint ; Spine ; Thoracic Vertebrae ; Tuberculosis ; Tuberculosis, Osteoarticular

No abstract available.
Immunoglobulin G* ; Influenza, Human*

Biballism is an infrequent hyperkinetic disorder characterized by always ceaseless, repetitive, complex, violent involuntary movement involving proximal muscles. Biballism is classically ascribed to ischemic stroke in the subthalamic nucleus or its connections but other causes (infection, toxin, systemic disease) have been reported. Potential pathogenic mechanism include relative dopamlnergic hypersensitivity associated with basal ganglia lesion, impaired synthesis of acetylcholine or aminobutyric acid or undefined effect of hyperosmolarity. We report a case of biballism occurred due to a infarction of left basal ganglia and nonketotic hyperglycemia.
Acetylcholine ; Aminobutyrates ; Basal Ganglia* ; Dyskinesias ; Humans ; Hyperglycemia ; Hypersensitivity ; Infarction ; Muscles ; Stroke ; Stroke, Lacunar* ; Subthalamic Nucleus

We report a case of progressive myelopathy following herpes zoster skin eruption In adult. Varicella-zoster virus (VZV) myelopathy was diagnosed based on the close temporal relationship between rash and onset of myelopathy, and confirmed by demonstrating the presence of varicella-zoster virus DNA in the cerebral spinal fluid (CSF) by amplification using the polymerase chain reaction (PCR). The patient was treated with intravenous acyclovir, and strength, sensation, sphincter function improved within 2 weeks. Detection of VZV DNA in CSF was useful for diagnosis and a role of virus In the pathogenesis of myelopathy. The clinical Improvement suggests that early therapy with an effective antiviral drug was beneficial.
Acyclovir ; Adult ; Diagnosis ; DNA* ; Exanthema ; Herpes Zoster* ; Herpesvirus 3, Human ; Humans ; Myelitis* ; Polymerase Chain Reaction* ; Secondary Prevention ; Sensation ; Skin ; Spinal Cord Diseases

Biballism is an infrequent hyperkinetic disorder characterized by always ceaseless, repetitive, complex, violent involuntary movement involving proximal muscles. Biballism is classically ascribed to ischemic stroke in the subthalamic nucleus or its connections but other causes (infection, toxin, systemic disease) have been reported. Potential pathogenic mechanism include relative dopamlnergic hypersensitivity associated with basal ganglia lesion, impaired synthesis of acetylcholine or aminobutyric acid or undefined effect of hyperosmolarity. We report a case of biballism occurred due to a infarction of left basal ganglia and nonketotic hyperglycemia.
Acetylcholine ; Aminobutyrates ; Basal Ganglia* ; Dyskinesias ; Humans ; Hyperglycemia ; Hypersensitivity ; Infarction ; Muscles ; Stroke ; Stroke, Lacunar* ; Subthalamic Nucleus

We report a case of progressive myelopathy following herpes zoster skin eruption In adult. Varicella-zoster virus (VZV) myelopathy was diagnosed based on the close temporal relationship between rash and onset of myelopathy, and confirmed by demonstrating the presence of varicella-zoster virus DNA in the cerebral spinal fluid (CSF) by amplification using the polymerase chain reaction (PCR). The patient was treated with intravenous acyclovir, and strength, sensation, sphincter function improved within 2 weeks. Detection of VZV DNA in CSF was useful for diagnosis and a role of virus In the pathogenesis of myelopathy. The clinical Improvement suggests that early therapy with an effective antiviral drug was beneficial.
Acyclovir ; Adult ; Diagnosis ; DNA* ; Exanthema ; Herpes Zoster* ; Herpesvirus 3, Human ; Humans ; Myelitis* ; Polymerase Chain Reaction* ; Secondary Prevention ; Sensation ; Skin ; Spinal Cord Diseases