No abstract available.
Kidney Transplantation* ; Pregnancy*

No abstract available.
Cerebrospinal Fluid* ; Child* ; Humans ; Lactic Acid*

Case histories of isolated and complete volar dislocation of the carpal scaphoid have rarely been reported .We report here another such case. On examination, the wrist was moderately swollen and tender over its volar aspect. Radiographs showed isolated, complete volar dislocation of the scaphoid. We used open reduction with K-wire fixation as treatment. After four weeks of operative reduction the patient had undertaken neurolysis due to median nerve compression symptom (carpal tunnel syndrome). At six weeks, the K-wires were removed and the patient was allowed to do a range of motion exercise. Twenty months after injury, the wrist was asymptomatic and had a mid-range of active motion without instability. There was no roentgenographic evidences of scapholunate dissociation or avascular necrosis
Dislocations* ; Humans ; Median Nerve ; Necrosis ; Range of Motion, Articular ; Wrist

No abstract available.
Animals ; Locomotion* ; Rats* ; Spinal Cord Injuries* ; Spinal Cord*

No abstract available.
Kidney Transplantation* ; Kidney*

No abstract available.
Classification* ; Tibia*

No abstract available.
Hematoma, Subdural, Spinal* ; Spinal Puncture*

The author analyzed the postoperative results in 96 patients who underwent temporary clipping during cerebral aneurysm surgery from July, 1990 to April, 1995. 1) The overall outcome were as follows:excellent(55.2%), good(21.9%), poor(16.7%), dead(6.3%) and its results were relatively similar to those of the patients who did not have the temporary clipping. 2) The patients were divided into 4 groups according to the site of the temporary clip application. The safe durations of temporary clipping were as follows:In the 1) anterior cerebral artery clipping group, 5 minutes for Hunt-Hess grade 1 & 2 patients and 2 minutes and 30 seconds for Hunt-Hess grade 3 & 4 patients, In the 2) middle cerebral artery clipping group, 5 minutes;In the 3) internal carotid artery clipping group, 5 minutes in Hunt-Hess grade 1 & 2 and 2 minutes for Hunt-Hess grade 3 & 4;The only one patient in the 4) basilar artery clipping group showed excellent outcome after 3 minutes of temporary clipping. Therefore, we concluded that the temporary clipping tecnique would be very useful to dissect the aneurysmal neck, to prevent and control the premature rupture without influencing the outcome. Furthermore, use of the cerebral protective agent, intraoperative cerebral blood flow monitoring and avoidance of excessive and prolonged hypotension during cerebral aneurysm surgery might be very helpful for preventing the cerebral ischemia and increasing the safety duration of the temporary clipping.
Aneurysm ; Anterior Cerebral Artery ; Basilar Artery ; Brain Ischemia ; Carotid Artery, Internal ; Humans ; Hypotension ; Intracranial Aneurysm* ; Middle Cerebral Artery ; Neck ; Rupture

BACKGROUND AND PURPOSE: High serum homocysteine level is recognised as one of risk factors for epileptic seizure. Folate is involved in the homocysteine metabolism and low serum folate level increases the frequency of the seizure activity. The purpose of this study is to examine the changes of the serum levels of homocysteine and folate in epileptic patients and to evaluate the correlation between the severity of seizure and serum levels of homocysteine and folate. METHOD: Subjects were 17 patients who were diagnosed as idiopathic epilepsy and the control group was composed of age and sex matched 17 healthy adults. The serum homocysteine level was measured with the Chemiluminescent Immunoassay (CLIA), and folate level was measured with Radioimmuno assay (RIA). The severity of seizure was measured by using National Hospital Seizure Scale. RESULTS: The serum level of homocysteine was significantly higher in the patients group than in control group. However, the serum level of folate was not different between two group. The relationship between the seizure severity and the serum levels of homocysteine and folate showed positive correlations. CONCLUSIONS: There results reveal that the serum homocysteine may effect on the epileptic seizure severity.
Adult ; Epilepsy ; Folic Acid ; Homocysteine ; Humans ; Immunoassay ; Risk Factors ; Seizures

We herein describe a case of a 55-year-old healthy woman with localized primary thymic amyloidosis presented as a mediastinal mass, found incidentally by chest radiography. Computed tomography revealed a 4.1 cm soft tissue lesion with nodular calcification in the left anterior mediastinum. The resected specimen was a well-defined lobulating mass with calcification. Microscopically, the mass was consisted of amorphous eosinophilc hyalinized substances involving the thymus and intrathymic lymph nodes. These eosinophilic substances showed apple-green bi-refringence under polarized light after staining with Congo red. In immunohistochemical study, they were positive for kappa and lambda light chains and negative for amyloid A. There was no evidence of systemic amyloidosis in clinical investigations. A final diagnosis of localized primary thymic amyloidosis was made.
Amyloid ; Amyloidosis ; Congo Red ; Eosinophils ; Female ; Humans ; Hyalin ; Light ; Lymph Nodes ; Mediastinum ; Middle Aged ; Thorax ; Thymoma ; Thymus Gland