1.A Case of Gaucher's Disease.
Hyo Nam CHO ; Myung Cheol CHO ; Hyung Ro MOON ; Je Geun CHI ; Hyo Min KIM
Journal of the Korean Pediatric Society 1987;30(7):784-790
No abstract available.
Gaucher Disease*
2.A Case of Acute Transverse Myelitis Complicating Diffuse Spinal Cord Atrophy and Syrinx Formation.
Nam Cheol CHO ; Jin A JUNG ; Kyu Guen HWANG ; Sun Seob CHOI
Journal of the Korean Child Neurology Society 1997;5(1):167-171
A 4-year-old girl developed acute motor, sensory impairment, lower abdominal pain and urinary dysfunction after URI. In acute stage of disease, MRI showed diffuse spinal cord swelling and high signal intensity on T2WI below T2 body level. The patient did not improved and one month later, follow-up MRI showed diffuse spinal cord atrophy and syrinx formation as sequelae of ATM on T1WI below T9 level. To our knowledge, this is the first case showing the sequelae of acute transverse myelitis seen in Korea.
Abdominal Pain
;
Atrophy*
;
Child, Preschool
;
Female
;
Follow-Up Studies
;
Humans
;
Korea
;
Magnetic Resonance Imaging
;
Myelitis, Transverse*
;
Spinal Cord*
3.A case of metastatic choriocarcinoma to kidney and brain.
Weon Yeol CHO ; Nam Cheol PARK
Korean Journal of Urology 1993;34(1):184-187
Uterine choriocarcinoma metastatic to kidney and brain is rare. We experienced a 55-year-old woman with complaints of right flank pain and gross hematuria. On admission urine HCG was positive and serum HCG was elevated to 42,250 mIU/ml. Intravenous pyelography revealed delayed visualization of the right kidney. Ultrasonography and computed tomography of the abdomen showed the irregular, multiloculated, mixed density lesion in the posterolateral parenchyme and a subcapsular hematoma of the right kidney. Three days after admission, the patient suffered a seizure. Computed tomography of brain revealed the mass which was the same density as the right kidney in the midbrain and medial occipital lobe of cerebrum. Cerebrospinal HCG was also elevated Under the impression or choriocarcinoma metastatic to kidney and brain, chemotheraphy (EMA- CO : etoposide, methotrexate, actinomycin D, cyclophosphamide and oncovin) was started.
Abdomen
;
Brain*
;
Cerebrum
;
Choriocarcinoma*
;
Cyclophosphamide
;
Dactinomycin
;
Etoposide
;
Female
;
Flank Pain
;
Hematoma
;
Hematuria
;
Humans
;
Kidney*
;
Mesencephalon
;
Methotrexate
;
Middle Aged
;
Occipital Lobe
;
Pregnancy
;
Seizures
;
Ultrasonography
;
Urography
4.A case of Addison's disease.
Cheol Hee HWANG ; Dong Kui LEE ; Myung Sug NAM ; Mun Ki CHO
Journal of the Korean Pediatric Society 1991;34(8):1169-1174
No abstract available.
Addison Disease*
5.Cytopathologic Observation of Primary Malignant Melanoma of the Lung: A case report.
Yun Mee KIM ; Jong Hee NAM ; Min Cheol LEE ; Joo Yong YOO ; Kyu Hyuk CHO
Korean Journal of Pathology 1991;25(4):367-375
The pulmonary cytology has reached a high level of accuracy. By the examination of the sputum and/or bronchial brushings, it is now possible to make a diagnosis in 70% to 90% of patients with cancer. Primary melanoma of the lung is very rare and there have been reported about 20 cases in the world literature. We present a case of primary malignant melanoma of the lung in a 61-year-old male diagnosed by cytologic examination of sputum, bronchial brushing and aspirated pleural fluid. Histologic examination of bronchoscopic biopsy and examination of the skin and other primary sites confirmed the diagnosis.
Male
;
Humans
;
Biopsy
6.Postoperative Doppler Echocardiographic Study of Total Anomalous Pulmonary Venous Return.
Nam Cheol CHO ; Hyoung Doo LEE ; Si Chan SUNG
Journal of the Korean Pediatric Society 1999;42(12):1683-1688
PURPOSE: We conducted this study to evaluate the efficacy of Doppler study by examining obstruction at the site of anastomosis in patients with total anomalous pulmonary venous return(TAPVR). METHODS: Retrograde analysis of the postoperative echocardiography results was done in 14 patients with simple TAPVR, who were operated at Dong-A University Hospital from January 1993 to July 1998. The peak systolic velocities, peak diastolic velocities and flow patterns of the 14 patients were compared with those of 9 control cases. Among the 14 patients, 2 cases showed evidence of obstruction at the anastomosis site. RESULTS: Pulmonary venous flow patterns of normal infants were biphasic, varying with the cardiac cycle. The peak velocities during systole and diastole were 40 to 60cm/sec(mean 51+/-9cm/sec) and 45 to 78cm/sec(mean 59+/-9cm/sec), respectively. The flow patterns of patients without postoperative stenosis were also biphasic. The peak velocities during systole and diastole was 38 to 115cm/sec(mean 71+/-27cm/sec) and 55 to 140cm/sec(mean 111+/-28cm/sec), respectively. The diastole peak velocity was significantly higher than normal(P=0.0002). The flow patterns of patients with postoperative stenosis was continuous, non-phasic or increased peak velocity even though it was phasic. CONCLUSION: Postoperative Doppler echocardiographic evaluation of pulmonary venous return in patients with TAPVR is useful in examining obstruction at the site of anastomosis. But a study on the Doppler echocardiographic normal range of postoperative patients will be needed.
Constriction, Pathologic
;
Diastole
;
Echocardiography*
;
Echocardiography, Doppler
;
Humans
;
Infant
;
Reference Values
;
Scimitar Syndrome*
;
Systole
7.Postoperative Doppler Echocardiographic Study of Total Anomalous Pulmonary Venous Return.
Nam Cheol CHO ; Hyoung Doo LEE ; Si Chan SUNG
Journal of the Korean Pediatric Society 1999;42(12):1683-1688
PURPOSE: We conducted this study to evaluate the efficacy of Doppler study by examining obstruction at the site of anastomosis in patients with total anomalous pulmonary venous return(TAPVR). METHODS: Retrograde analysis of the postoperative echocardiography results was done in 14 patients with simple TAPVR, who were operated at Dong-A University Hospital from January 1993 to July 1998. The peak systolic velocities, peak diastolic velocities and flow patterns of the 14 patients were compared with those of 9 control cases. Among the 14 patients, 2 cases showed evidence of obstruction at the anastomosis site. RESULTS: Pulmonary venous flow patterns of normal infants were biphasic, varying with the cardiac cycle. The peak velocities during systole and diastole were 40 to 60cm/sec(mean 51+/-9cm/sec) and 45 to 78cm/sec(mean 59+/-9cm/sec), respectively. The flow patterns of patients without postoperative stenosis were also biphasic. The peak velocities during systole and diastole was 38 to 115cm/sec(mean 71+/-27cm/sec) and 55 to 140cm/sec(mean 111+/-28cm/sec), respectively. The diastole peak velocity was significantly higher than normal(P=0.0002). The flow patterns of patients with postoperative stenosis was continuous, non-phasic or increased peak velocity even though it was phasic. CONCLUSION: Postoperative Doppler echocardiographic evaluation of pulmonary venous return in patients with TAPVR is useful in examining obstruction at the site of anastomosis. But a study on the Doppler echocardiographic normal range of postoperative patients will be needed.
Constriction, Pathologic
;
Diastole
;
Echocardiography*
;
Echocardiography, Doppler
;
Humans
;
Infant
;
Reference Values
;
Scimitar Syndrome*
;
Systole
8.Experimental Study of Laser Welding in Urological Tubular Anastomosis.
Weon Yeol CHO ; Nam Cheol PARK
Korean Journal of Urology 1994;35(2):143-150
Tissue welding is a potentially expectable surgical application in the field of medical laser technology. We investigated to establish the technology of laser welding and its efficacy with auxiliary stent and solder in the anastomosis of urological tubular organs including ureter and urethra of rabbits and vas of human using CO2, laser(Shaplan 1100 System). The objects consist of four groups including control group of the conventional microsuture anastomosis and three experimental groups that included group I of laser welding only, group II of laser welding with stent and group III of laser welding with solder. The overall success rate in control group was 90.7 % and in experimental groups were lower with 58.3% and 73.3% in group I and II , respectively, but higher with 95.5% group III. According to each tubular organ in experimental groups, the overall success rates in ureter, urethra and vas were 83.3%, 75.0% and 76.9% respectively, so that the thinner in the wall thickness of tubular organ revealed the higher success rate. Also, time of procedures was significantly shorter in laser groups than control group. Histological findings of laser welding showed the only localized adventitial reactions with intact subserosal layer. In conclusion, laser welding in the urological tubular organ anastomosis with auxiliary solder is not only a more simple and fast technique but also has higher success rate than conventional microsuture anastomosis.
Humans
;
Rabbits
;
Stents
;
Ureter
;
Urethra
;
Welding*
9.Changes of Total Leukocytes and Leukocyte Types in Cerebrospinal Fluid and Peripheral Blood According to the Time Interval of Collection of Spinal Fluid after Onset of Illness in Aseptic Meningitis.
Kyu Geun HWANG ; Jin A JUNG ; Nam Cheol CHO
Journal of the Korean Child Neurology Society 1999;6(2):340-347
PURPOSE: We performed this study to evaluate the changes of total leukocytes and leukocyte types in CSF and peripheral blood (PB) in the early course of aseptic meningitis. METHODS: One hundred and eighty-nine children with aseptic meningitis, who were admitted to the Pediatric Department of Dong-A University Hospital during the period from June 1996 to October 1997 were included. Patients were divided into 4 groups by 12-hour intervals according to the time between the onset of illness and initial diagnostic lumbar puncture. We analyzed clinical pictures, total leukocytes and leukocyte types in CSF and peripheral blood (PB) in each group. RESULTS: 1) There was no significant difference in average total leukocyte counts in CSF between each group, and all groups were considered to be acute stage of illness. 2) The PMNL proportion of CSF leukocytes was 57.0+/-31.6% in group I, 44.1+/-32.3% in group II, 39.4+/-33.1% in group III and 26.9+/-27.9% in group IV. The PMNL percentage was significantly higher in group I than group III and IV and the proportion of patients with a predominance of PMNL was higher in group I than group III and IV (p<0.05) 3) The proportion of neutrophils in PB was highest in group I (76.5+/-15.7%) and significantly higher in group I and II than group III and IV (p<0.05). 4) Significant correlations were found between the proportion of PMNL in CSF and PB of patients (r=0.62, p<0.001) CONCLUSION: The change from a predominance of PMNL to a predominance of mononucler leukocytes was occurred 12-24 hours after onset, and there was a strong correlation between the proportion of neutrophils in CSF and PB.
Cerebrospinal Fluid*
;
Child
;
Humans
;
Leukocyte Count
;
Leukocytes*
;
Meningitis, Aseptic*
;
Neutrophils
;
Spinal Puncture
10.Renal Surgery Using Hypothermia Technique.
Korean Journal of Urology 1987;28(6):869-872
Temporary occlusion of the renal artery may be necessary for the extensive kidney operation. Performance of kidney operation requires an understanding of renal responses to warm ischemia and available methods of protecting the kidney while arterial occlusion. To minimize the loss of kidney function cooling of the organ is mandatory. The cooling can be accomplished either by perfusion with cold solution or by in situ surface cooling During the last 41 months, we performed renal surgery using hypothermia technique with good results in l5 patients.
Humans
;
Hypothermia*
;
Kidney
;
Perfusion
;
Renal Artery
;
Warm Ischemia