1.Multiple Intracranial Aneurysms Associated with Behçet's Disease.
Sangwoo HA ; Jaeho KIM ; Chong gue KIM ; Suk Jung JANG
Journal of Cerebrovascular and Endovascular Neurosurgery 2016;18(1):32-37
Behçet's disease is an inflammatory disorder involving multiple organs. Its cause is still unknown, but vasculitis is the major pathologic characteristic. The common vascular lesions associated with Behçet's disease are aneurysm formation, arterial or venous occlusive diseases, and varices. Arterial aneurysms mostly occur in large arteries. Intracranial aneurysms hardly occur with Behçet's disease. We would like to present a 41-year-old female patient with Behçet's disease who showed symptoms of severe headache due to subarachnoid hemorrhage. Brain computed tomography revealed multiple aneurysms. We also present a literature review of intracranial arterial aneurysms associated with Behçet's disease.
Adult
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Aneurysm
;
Arteries
;
Brain
;
Female
;
Headache
;
Humans
;
Intracranial Aneurysm*
;
Subarachnoid Hemorrhage
;
Varicose Veins
;
Vasculitis
2.Non-paraneoplastic Autoantibody-negative Limbic Encephalitis Characterized by Mild Memory Impairment: A Case Report.
Sangwoo HAN ; Jaejeong JOO ; Jinho KANG ; Sang Won HA ; Youngsoon YANG
Dementia and Neurocognitive Disorders 2014;13(3):79-82
Encephalitis that primarily involves limbic system structures such as the hippocampus and parahippocampal gyrus has been described in early papers, most commonly characterized by a subacute progressive impairment of short-term memory, psychiatric features and seizures. While these findings might be caused by viral infections or systemic autoimmune disorders, many patients with limbic encephalitis have an immune-mediated etiology (paraneoplastic or not) characterized with serum or CSF antineuronal antibodies. This case reports about non-paraneoplastic autoantibody-negative limbic encephalitis in which there are no detection of antigens and no evidence of tumors.
Antibodies
;
Encephalitis
;
Hippocampus
;
Humans
;
Limbic Encephalitis*
;
Limbic System
;
Memory*
;
Memory, Short-Term
;
Parahippocampal Gyrus
;
Seizures
3.Kluver-Bucy Syndrome Following Bilateral Posterior Cerebral Artery Infarction.
Sangwoo HAN ; Youngsoon YANG ; Sang Won HA ; Seung Min KIM
Dementia and Neurocognitive Disorders 2014;13(4):150-152
Kluver-Bucy syndrome is defined as a rare neurobehavioral disorder with hyperphagia, hyperorality, hypersexuality, and visual agnosia. This syndrome is usually resulting from bilateral lesions of the anterior temporal lobe including amygdala. Although it could occur after various diseases, stroke is uncommon etiology. We report a patient with Kluver-Bucy syndrome due to bilateral posterior cerebral artery territory infarction.
Agnosia
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Amygdala
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Cerebral Infarction
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Humans
;
Hyperphagia
;
Infarction
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Infarction, Posterior Cerebral Artery*
;
Kluver-Bucy Syndrome*
;
Posterior Cerebral Artery
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Stroke
;
Temporal Lobe
4.Comparison of Regional Myocardial Perfusion, Left Ventricular Volume and Ejection Fraction between 8- and 16-Frame Gated SPECT.
Sangwoo LEE ; Jaetae LEE ; Jin Ho BAE ; Shin Young JEONG ; Kyung Ah CHUN ; Jeoung Hee HA ; Byeong Cheol AHN ; Kyu Bo LEE
Korean Journal of Nuclear Medicine 2003;37(5):269-277
No abstract available.
Perfusion*
;
Tomography, Emission-Computed, Single-Photon*
5.Differences in the clinical manifestations and short-term prognosis of acute cerebral infarction after exposure to Agent Orange.
SangWoo HAN ; Inha HWANG ; Seung Min KIM ; Young Soon YANG ; SangWon HA ; Jeong Ho HAN ; Tae Hwan PARK
Annals of Occupational and Environmental Medicine 2016;28(1):66-
BACKGROUND: Agent Orange (AO) is the code name for one of the herbicides and defoliants used in the Vietnam War. Studies conducted thus far show a significant correlation between AO and the occurrence of cardiovascular diseases. But there is little data on the association between AO and stroke, and limited studies have targeted patient groups exposed to AO. METHOD: Bohun medical center Institutional Review Board (IRB) approved the study. (ID: 341) We studied patients with acute ischemic stroke within 7 days of onset in VHS medical center and 4 other general hospitals. Among them, 91 consecutive patients with previous exposure to AO were evaluated. For controlled group, 288 patients with no history of AO exposure were chosen. RESULT: There were 49 (44.0 %) DM patient with a higher frequency in the exposure group (93 (32.3 %) in control P = 0.045). There were 6 (6.6 %) hyperlipidemia in exposure group and 69 (24.0 %) in control. (P < 0.002). Small vessel occlusion was the most common subtype (36, 39.6 %) in exposure group but in control group, the large artery atherosclesosis was (120, 41.7 %) (P = 0.014). The NIHSS of the exposure group on admission showed lower scores (median values, 2 and 4, respectively; P = 0.003). The median mRS was 1 for the exposure group and 2 for the control group, at discharge and after 3 months. After 3 months of discharge, 55 (60.4 %) in the exposure group and 171 (59.4 %) in the control group showed below mRS 1 (P = 0.001). CONCLUSION: This study targeted patients who are Vietnam veteran. There is some difference in vascular risk factors and clinical manifestations suggest AO exposure has contributed to a certain extent to the stroke.
Arteries
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Cardiovascular Diseases
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Cerebral Infarction*
;
Citrus sinensis*
;
Ethics Committees, Research
;
Herbicides
;
Hospitals, General
;
Humans
;
Hyperlipidemias
;
Methods
;
Prognosis*
;
Risk Factors
;
Stroke
;
Veterans
;
Vietnam
6.Rapid Response Systems Reduce In-Hospital Cardiopulmonary Arrest: A Pilot Study and Motivation for a Nationwide Survey.
Yeonhee PARK ; Jong Joon AHN ; Byung Ju KANG ; Young Seok LEE ; Sang Ook HA ; Jin Soo MIN ; Woo Hyun CHO ; Se Hee NA ; Dong Hyun LEE ; Seung Yong PARK ; Goo Hyeon HONG ; Hyun Jung KIM ; Sangwoo SHIM ; Jung Hyun KIM ; Seok Jeong LEE ; So Young PARK ; Jae Young MOON
Korean Journal of Critical Care Medicine 2017;32(3):231-239
BACKGROUND: Early recognition of the signs and symptoms of clinical deterioration could diminish the incidence of cardiopulmonary arrest. The present study investigates outcomes with respect to cardiopulmonary arrest rates in institutions with and without rapid response systems (RRSs) and the current level of cardiopulmonary arrest rate in tertiary hospitals. METHODS: This was a retrospective study based on data from 14 tertiary hospitals. Cardiopulmonary resuscitation (CPR) rate reports were obtained from each hospital to include the number of cardiopulmonary arrest events in adult patients in the general ward, the annual adult admission statistics, and the structure of the RRS if present. RESULTS: Hospitals with RRSs showed a statistically significant reduction of the CPR rate between 2013 and 2015 (odds ratio [OR], 0.731; 95% confidence interval [CI], 0.577 to 0.927; P = 0.009). Nevertheless, CPR rates of 2013 and 2015 did not change in hospitals without RRS (OR, 0.988; 95% CI, 0.868 to 1.124; P = 0.854). National university-affiliated hospitals showed less cardiopulmonary arrest rate than private university-affiliated in 2015 (1.92 vs. 2.40; OR, 0.800; 95% CI, 0.702 to 0.912; P = 0.001). High-volume hospitals showed lower cardiopulmonary arrest rates compared with medium-volume hospitals in 2013 (1.76 vs. 2.63; OR, 0.667; 95% CI, 0.577 to 0.772; P < 0.001) and in 2015 (1.55 vs. 3.20; OR, 0.485; 95% CI, 0.428 to 0.550; P < 0.001). CONCLUSIONS: RRSs may be a feasible option to reduce the CPR rate. The discrepancy in cardiopulmonary arrest rates suggests further research should include a nationwide survey to tease out factors involved in in-hospital cardiopulmonary arrest and differences in outcomes based on hospital characteristics.
Adult
;
Cardiopulmonary Resuscitation
;
Heart Arrest*
;
Hospitals, High-Volume
;
Humans
;
Incidence
;
Motivation*
;
Patient Safety
;
Patients' Rooms
;
Pilot Projects*
;
Quality of Health Care
;
Retrospective Studies
;
Tertiary Care Centers
7.Rapid Response Systems Reduce In-Hospital Cardiopulmonary Arrest: A Pilot Study and Motivation for a Nationwide Survey
Yeonhee PARK ; Jong Joon AHN ; Byung Ju KANG ; Young Seok LEE ; Sang Ook HA ; Jin Soo MIN ; Woo Hyun CHO ; Se Hee NA ; Dong Hyun LEE ; Seung Yong PARK ; Goo Hyeon HONG ; Hyun Jung KIM ; Sangwoo SHIM ; Jung Hyun KIM ; Seok Jeong LEE ; So Young PARK ; Jae Young MOON
The Korean Journal of Critical Care Medicine 2017;32(3):231-239
BACKGROUND: Early recognition of the signs and symptoms of clinical deterioration could diminish the incidence of cardiopulmonary arrest. The present study investigates outcomes with respect to cardiopulmonary arrest rates in institutions with and without rapid response systems (RRSs) and the current level of cardiopulmonary arrest rate in tertiary hospitals. METHODS: This was a retrospective study based on data from 14 tertiary hospitals. Cardiopulmonary resuscitation (CPR) rate reports were obtained from each hospital to include the number of cardiopulmonary arrest events in adult patients in the general ward, the annual adult admission statistics, and the structure of the RRS if present. RESULTS: Hospitals with RRSs showed a statistically significant reduction of the CPR rate between 2013 and 2015 (odds ratio [OR], 0.731; 95% confidence interval [CI], 0.577 to 0.927; P = 0.009). Nevertheless, CPR rates of 2013 and 2015 did not change in hospitals without RRS (OR, 0.988; 95% CI, 0.868 to 1.124; P = 0.854). National university-affiliated hospitals showed less cardiopulmonary arrest rate than private university-affiliated in 2015 (1.92 vs. 2.40; OR, 0.800; 95% CI, 0.702 to 0.912; P = 0.001). High-volume hospitals showed lower cardiopulmonary arrest rates compared with medium-volume hospitals in 2013 (1.76 vs. 2.63; OR, 0.667; 95% CI, 0.577 to 0.772; P < 0.001) and in 2015 (1.55 vs. 3.20; OR, 0.485; 95% CI, 0.428 to 0.550; P < 0.001). CONCLUSIONS: RRSs may be a feasible option to reduce the CPR rate. The discrepancy in cardiopulmonary arrest rates suggests further research should include a nationwide survey to tease out factors involved in in-hospital cardiopulmonary arrest and differences in outcomes based on hospital characteristics.
Adult
;
Cardiopulmonary Resuscitation
;
Heart Arrest
;
Hospitals, High-Volume
;
Humans
;
Incidence
;
Motivation
;
Patient Safety
;
Patients' Rooms
;
Pilot Projects
;
Quality of Health Care
;
Retrospective Studies
;
Tertiary Care Centers