The duration of infection, frequency of eating raw fresh water fishes, and a series of liver function tests were studied in a group of 23 Korean symptomless cases with Clonorchis sinensis, and compared with those in a control group of uninfected persons. Of 23 lightly infected cases, 11 cases who had been infected for 10 to 20 years was found the highest in percentage(47.8), and 2 had been infected for over 30 years. The frequency of eating raw fresh water fishes ranged from 2 to 35 times. The range of Stoll egg-counts in 23 cases varied from 600 to 8,600 eggs per gram of feces and the average value was approximately 2,800 eggs. A series of liver function tests examined showed normal value in all cases. These results showed no difference in either infected group and its contol group.
parasitology-trematode-Clonorchiasis sinensis, epidemiology ; egg per gram ; liver function test

No abstract available.
Angiogenesis Inducing Agents* ; Intracranial Aneurysm*

No abstract available.
Eustachian Tube*

Nerve compression syndromes can be caused by compression of the peripheral nerve from interior or exterior of the nerve. In the upper extremities, brachial plexus, ulnar nerve and median nerve can be compressed in thoracic outlet syndrome, cubital tunnel syndrome and carpal tunnel syndrome respectively. Because these syndromes are caused by compression, decompressive management can be expected to be the principle of treatment. From Jan. 1980 to Dec. 1988, 94 patients were admitted and treated for nerve compression syndromes of the upper extremities in Seoul National University Hospital. Among these, 52 patients suffered from carpal tunnel syndrome and operation was performed to 86 hands. Twelve patients suffered from thoracic outlet syndrome and 25 from cubital tunnel syndrome. Ten patients were treated with conservative method and 84 with decompressive surgery. Satisfactory results were obtained in 92.3% of carpal tunnel syndrome and 84% of cubital tunnel syndrome. Of 4 operated cases of thoracic outlet syndrome, 3 cases were satisfactory.
Brachial Plexus ; Carpal Tunnel Syndrome ; Cubital Tunnel Syndrome ; Hand ; Humans ; Median Nerve ; Methods ; Nerve Compression Syndromes ; Peripheral Nerves ; Seoul ; Thoracic Outlet Syndrome ; Ulnar Nerve ; Upper Extremity

It has been known that right ACA occlusions can cause callosal disconnection syndrome. A 61-year old right-handed man was admitted because of a left ACA occlusion. MRI showed infarction of the medial frontal cortex and the anterior two-thirds of the corpus callosum. He presented with weakness and gait initiation failure in the right leg with grasp reflex, suspicious alien hand sign, and tactile anomia in the right hand. He was diagnosed with transcortical motor aphasia. He was unable to successfully complete written tasks in response to dictations and writing down spontaneous answers. He wrote down incorrect words and demonstrated paragraphism with his left hand. He could copy simple items but not written words and complex items with his left hand. Finally, he had difficulties in writing answers in response to complex verbal and written commands with his left hand, but preserved the ability to simple verbal commands, somato-sensory, and visually guided tasks. We attribute these results to the anterior callosal disconnection of the right sensorimotor cortex from the left language area.
Anomia ; Anterior Cerebral Artery ; Aphasia, Broca ; Corpus Callosum ; Emigrants and Immigrants ; Gait ; Hand ; Hand Strength ; Humans ; Infarction ; Leg ; Magnetic Resonance Imaging ; Middle Aged ; Reflex ; Writing

A case of huge endometrioma at right ovary in 31-year old woman treated with pelviscopic surgery is presented with a brief review of literature. This tumor was measured 15 X 15 X 16 cm and its content amount was about 1800 cc. The pathologic diagnosis was endometrioma of right ovary.
Adult ; Diagnosis ; Endometriosis* ; Female ; Humans ; Ovary

OBJECTIVE: The authors reviewed experience with patients harboring intracerebral hematoma (ICH) treated by stereotactic computed tomography (CT) guided thrombolysis and aspiration and evaluated feasibility, safety and prognostic factors of this procedure. METHODS: One hundred and ten patients with supratentorial ICH >25 ml without underlying structural etiology or coagulopathy were recruited. The patients with Glasgow Coma Scale (GCS) <5 were excluded. A catheter was directed stereotactically into the ICH under CT guidance. Hematoma aspiration was followed by instillation of urokinase. This was repeated every 6 hours until less than half of its initial volume remained. For analysis of prognostic factors, we classified them into two groups;good (Glasgow Outcome Scale (GOS) > or =4) and bad (GOS<4) prognosis group, and performed comparative analysis between two groups. RESULTS: Mean age was 59.8 years. The baseline hematoma size ranged from 15 to 72 mL. ICH volume reduced by an average of 74.2%. At 6 months after the procedure, 56 patients had achieved a good recovery, 29 patients were dependent, and 10 remained vegetative. Fifteen patients died in hospital. The main good prognostic factors were young age, small ICH volume, high GCS, absence of rebleeding, underlying disease and complications. CONCLUSION: CT-guided thrombolysis and aspiration appears safe and effective in the reduction of ICH volume. Patients of ICH presenting with bad prognostic factors should require frequent radiological investigation and more meticulous procedure. Further studies are needed to assess optimal thrombolytic dosage and must include controlled comparisons of mortality, and disability outcome.
Catheters ; Glasgow Coma Scale ; Hematoma* ; Humans ; Mortality ; Prognosis ; Urokinase-Type Plasminogen Activator

BACKGROUND: Proximal humerus fracture is considered to be the third most common fracture for patients aged 65 years or older. Conservative treatment has been known to treat most of humerus fracture. However, fractures with severe displacement or dislocation may require surgical treatment. Intramedullary fibular allograft with a locking plate is frequently used in patients accompanying medial metaphyseal disruption. In this study, author intends to evaluate clinical and imaging results based on patients who underwent surgical treatment using fibular allograft with a locking plate. METHODS: This study is conducted prospectively at Wonju Severance Christian Hospital, targeting patients who previously underwent surgical treatment using open reduction and intramedullary fibular allograft with a locking plate between 2011 and 2015. A total of 26 patients were evaluated on the following: postoperational clinical assessment measuring Constant score, American Shoulder and Elbow Society (ASES) score, and the Disabilities of the Arm, Shoulder and Hand (DASH) score. Postoperational imaging assessments are evaluated via measuring the neck-shaft angle. The study subject were Neer classification type 3, 4 proximal humerus fracture cases with disrupted medial hinge and having cortical comminution in the region of the surgical neck. RESULTS: The average period of progression was 22.5 months, and the average age of patients was 72.6 years. At the final follow-up, the average Constant, average ASES, and average DASH scores were 80.1, 78.5, and 20.6 respectively. The average neck-shaft angle was 127.5°. CONCLUSIONS: In conclusion, fibular allograft augmentation with a locking plate showed satisfying results in both clinical and imaging studies.

Helicobacter pylori infection is not only a major cause of various gastrointestinal diseases but is also a possible etiologic agent in many extragastric disorders. It has been well known that the infection is associated with the pathogenesis of several hematologic diseases including unexplained iron deficiency anemia, primary immune thrombocytopenia or gastric mucosa-associated lymphoid tissue lymphoma. The present review aims to explain hematologic diseases with well established associations and their possible pathogenetic mechanisms, and introduce other disorders with controversial or intriguing associations such as pernicious anemia, monoclonal gammopathy of undetermined significance, myelodysplastic syndrome, childhood leukemia and coagulation disorders. Most guidelines for management of H. pylori infection recommend that H. pylori should be sought and eradicated in infected patients with hematologic diseases with well-established associations. Further studies are required to establish new strategies to improve the management of infected patients with other hematologic diseases with controversial or intriguing associations.
Anemia, Iron-Deficiency ; Anemia, Pernicious ; Gastrointestinal Diseases ; Helicobacter Infections ; Helicobacter pylori* ; Helicobacter* ; Hematologic Diseases* ; Humans ; Leukemia ; Lymphoma, B-Cell, Marginal Zone ; Monoclonal Gammopathy of Undetermined Significance ; Myelodysplastic Syndromes ; Thrombocytopenia

Helicobacter pylori infection is not only a major cause of various gastrointestinal diseases but is also a possible etiologic agent in many extragastric disorders. It has been well known that the infection is associated with the pathogenesis of several hematologic diseases including unexplained iron deficiency anemia, primary immune thrombocytopenia or gastric mucosa-associated lymphoid tissue lymphoma. The present review aims to explain hematologic diseases with well established associations and their possible pathogenetic mechanisms, and introduce other disorders with controversial or intriguing associations such as pernicious anemia, monoclonal gammopathy of undetermined significance, myelodysplastic syndrome, childhood leukemia and coagulation disorders. Most guidelines for management of H. pylori infection recommend that H. pylori should be sought and eradicated in infected patients with hematologic diseases with well-established associations. Further studies are required to establish new strategies to improve the management of infected patients with other hematologic diseases with controversial or intriguing associations.
Anemia, Iron-Deficiency ; Anemia, Pernicious ; Gastrointestinal Diseases ; Helicobacter Infections ; Helicobacter pylori* ; Helicobacter* ; Hematologic Diseases* ; Humans ; Leukemia ; Lymphoma, B-Cell, Marginal Zone ; Monoclonal Gammopathy of Undetermined Significance ; Myelodysplastic Syndromes ; Thrombocytopenia