No abstract available.
Mastoid*

Among 7,500 patients whom we have performed gastrofiberoscopy from July 1979 to June 1,982, 226 cases of stomach cancer were diagnosed. The frequency was 3. 0%. The ratio of male to female was 2: 1, the peak incidence, 69 cases(30.5%) was in 5th decade. 1) The frequency of stomach cancer among the age were 0. 5% in 1st decade, 0.4% in 2nd decade, 1.2% in 3rd decade, 2.5% in 4th decade, 5.9% in 5th decade, 12.6% in 6th decade 16.8% in 7th decade. (continue...)
Female ; Humans ; Incidence ; Male ; Stomach Neoplasms* ; Stomach*

No abstract available.
Headache* ; Humans

No abstract available.
Neural Tube Defects* ; Spinal Canal*

BACKGROUND AND OBJECTIVES: Recent data about trans-radial approach showed its usefulness in achieving the high procedural success rate and low local complications even though the size of the radial artery is small compared to that of the femoral artery. Therefore, we want to evaluate the size of the radial artery and the feasibility of the trans-radial coronary angiography as a routine technique. MATERIALS AND METHOD: Trans-radial coronary angiography (TRCA) was successful in 619 cases. The size of the radial artery was measured using 2D-ultrasonography. TRCA was tried with 4 Fr catheters. We divided the cases into two groups; early phase, 106 cases and late phase, 513 cases and compared the procedure time, catheter number used, and complications between 2 groups. RESULTS: The size of the radial artery was 2.7+/-0.4 mm in diameter and this of the men was larger than that of women (p 0.05). TRCA was performed successfully in 513 cases among 521 cases of late phase (98.5%) and crossover to femoral artery occurred in 8 cases (1.5%). The fluoroscopic time and total procedure time of the late phase (6.5+/-4.0 min, 22.9+/-11.3 min) were significantly lower than those of early phase (11.5+/-6.3 min, 31.2+/-13.7 min) (p<0.01). The average number of catheters used for coronary angiography was 1.8+/-1.0. There were 6 cases (1%) of radial artery occlusion and 1 case (0.2%) of radial artery perforation without hand ischemia. CONCLUSION: Based on the adequate size of the radial artery, high success rate and low complications, TRCA might be a safe and become a routine diagnostic technique.
Catheters ; Coronary Angiography* ; Female ; Femoral Artery ; Gangwon-do* ; Hand ; Humans ; Ischemia ; Male ; Radial Artery

A 21-year-old woman found to be hypertensive was referred for hypertension. On examination, blood pressure was 170/110mmHg in the right arm, 160/100mmHg in left arm,and 120/70mmHg in legs. A grade 2/6 systolic ejection murmur was present at the left upper sternal border, and a chest x-ray revealed a rib notching on the inferior margin of 4th rib. Two-dimensional echocardiogram showed the coarctation of aorta beyound the origin of the left subclavian artery. Biplane TEE demonstrated a discrete narrowing of the descending aorta at the site of coarctation. The blood pressure was 169/86mmHg in ascending aorta and 118/84mmHg in descending aorta. Aortogram showed a localized coarcted aortic segment of 7mm in diameter and 5mm long just distal to the left subclavian artery. Balloon coarctation angioplasty was performed with 7F 30x15mm pediatric balloon dilatation catheter. Balloon position was confirmed on fluoroscopy by the hourglass appearance of the balloon inflation and thereafter, the balloon was inflated until the waist of the balloon disappeared. After procedure, a pull back pressure tracing across the coarctation of aorta revealed no pressure gradient between ascending and descending aorta with 141/90mmHg. Aortogram showed an increase in diameter of the coarctation of aorta to 18mm with aneurysmal formation. 3 months later, follow up aortogram showed no significant change in diameter of coarctation of aorts or aneurysmal formation. Nonsurgical balloon coarctation angioplasty appears to be an alternative therapy for the coarctation of aorta in adults.
Adult* ; Aneurysm ; Angioplasty* ; Angioplasty, Balloon ; Aorta ; Aorta, Thoracic ; Aortic Coarctation* ; Arm ; Blood Pressure ; Catheters ; Dilatation ; Female ; Fluoroscopy ; Follow-Up Studies ; Humans ; Hypertension ; Inflation, Economic ; Leg ; Ribs ; Subclavian Artery ; Systolic Murmurs ; Thorax ; Young Adult

It is well known that intracranial hemangiopericytoma commonly metastasizes elsewhere in the body, especially bone and lung. However, brain metastasis of extracranial hemangiopericytoma is very rare. The authors report a case of intracranial metastatic hemangiopericytoma from pelvis in a 41 year old woman. Neurogic symptoms developed 14 months after discovering the pelvic mass. After surgical excision, the clinical course was improved.
Adult ; Brain ; Female ; Hemangiopericytoma* ; Humans ; Lung ; Neoplasm Metastasis* ; Pelvis*

PURPOSE: To report glare disability measured by a glaremeter. METHODS: Glaremeter values were measured in 270 normal eyes and 100 pseudophakic eyes. The normal eyes were classified into 3 age groups (teenage to 60's) with 90 eyes in each group. The pseudophakic eyes were classified into the monofocal IOL (intraocular lens) and multifocal IOL implanted groups with 50 eyes in each group. Glaremeter values of each group were measured using a glaremeter under photopic (82.2 +/- 5.1 cd/m2) and mesopic (5.5 +/- 0.3 cd/m2) conditions. RESULTS: The highest mean glaremeter value in the normal eyes was 8657.34 +/- 691.04 mm2 under the photopic condition and 8837.97 +/- 805.83 mm2 under the mesopic condition in the oldest group. The glaremeter value of the multifocal IOL implanted group was 9390.87 +/- 846.7 mm2 under the photopic condition and 9799.87 +/- 823.72 mm2 under the mesopic condition, which was significantly higher than the normal eye and the monofocal IOL implanted groups (p < 0.05). CONCLUSIONS: In the normal population, the mean glaremeter values were increased according to age, and a significant increase was observed in the multifocal IOL implanted group. The present study results provide good basic data for cataract and presbyopia refractive surgery predicted to produce glare disability inevitably.
Aging ; Cataract ; Eye ; Glare ; Humans ; Lenses, Intraocular ; Presbyopia ; Refractive Surgical Procedures

We report a case of successful ventricular pacing via the coronary sinus in a 34 year-old female patient admitted because of repetitive dizziness and syncope. She had rheumatic valvular disease with mitral valve replacement 14 years earlyer. and the mitral, aortic and tricuspid valves were subsequently replaced with prosthetic mechanical valves 4 years ago. Two years after the triple valve replacement, complete AV block developed with the symptoms of dizziness and syncope. A permanent pacemaker was implanted epicardially. Six months later the epicardial lead was replaced because of increased pacing threshold. A year later the epicardial lead had to be replaced because of increased threshold and capture failure to pace. To avoid further thoracotomy, a 'Medtronic 2188' electrode was implanted in the posterior left ventricular vein via the coronary sinus. Pacing threshold was 1.2 volt/0.4 msec. Five days later, the pacing threshold increased to 3.0 volt/0.4 msec. Prednisolone had been given for 10 months. The new system has been functioning well and the pacing threshold was 1.0 volt/0.4 msec at 11 months after implantation. Ventricular pacing via the coronary sinus can be an alternative to the epicardial pacemaker system in patient whose tricuspid valve have been replaced with mechanical prosthetic valve.
Adult ; Atrioventricular Block ; Coronary Sinus* ; Dizziness ; Electrodes ; Female ; Humans ; Mitral Valve ; Prednisolone ; Syncope ; Thoracotomy ; Tricuspid Valve ; Veins

We report a case of successful ventricular pacing via the coronary sinus in a 34 year-old female patient admitted because of repetitive dizziness and syncope. She had rheumatic valvular disease with mitral valve replacement 14 years earlyer. and the mitral, aortic and tricuspid valves were subsequently replaced with prosthetic mechanical valves 4 years ago. Two years after the triple valve replacement, complete AV block developed with the symptoms of dizziness and syncope. A permanent pacemaker was implanted epicardially. Six months later the epicardial lead was replaced because of increased pacing threshold. A year later the epicardial lead had to be replaced because of increased threshold and capture failure to pace. To avoid further thoracotomy, a 'Medtronic 2188' electrode was implanted in the posterior left ventricular vein via the coronary sinus. Pacing threshold was 1.2 volt/0.4 msec. Five days later, the pacing threshold increased to 3.0 volt/0.4 msec. Prednisolone had been given for 10 months. The new system has been functioning well and the pacing threshold was 1.0 volt/0.4 msec at 11 months after implantation. Ventricular pacing via the coronary sinus can be an alternative to the epicardial pacemaker system in patient whose tricuspid valve have been replaced with mechanical prosthetic valve.
Adult ; Atrioventricular Block ; Coronary Sinus* ; Dizziness ; Electrodes ; Female ; Humans ; Mitral Valve ; Prednisolone ; Syncope ; Thoracotomy ; Tricuspid Valve ; Veins