1.Isolated Conus Medullaris Infarction: Rare Cases Highlighting Diagnostic Challenges and Clinical Insights
Yuri JE ; Seokho CHOI ; Han-Jin CHO ; Young-Eun PARK
Journal of Electrodiagnosis and Neuromuscular Diseases 2024;26(3):58-61
Spinal cord infarction that exclusively affects the conus medullaris is exceptionally rare. The dominant symptoms include flaccid paraparesis, sensory deficits with or without saddle anesthesia, and neurogenic bladder, all of which mimic cauda equina syndrome. We report two cases where patients initially presented with sudden onset of leg monoparesis, sensory deficits, and voiding difficulties. Although initially suspected of having lumbosacral radiculopathy or cauda equina syndrome, they were later diagnosed with conus medullaris infarction, as evidenced by their clinical course and spine magnetic resonance imaging findings. This report provides detailed clinical information about conus medullaris infarction, supplemented by a review of the literature, to aid in the diagnosis of this condition.
2.Laparoscopy-assisted Hepatic Resection in a Patient with Eosinophilic Liver Abscess by Toxocaris Cani Involving Liver.
Kyu Eun LEE ; Kyung Suk SUH ; Nam Joon LEE ; Seong Hwan CHANG ; Seokho CHOI ; Seong Hoon KIM ; Kuhn Uk LEE
Journal of the Korean Surgical Society 2003;64(3):261-265
The laparoscopy-assisted hepatic resection has been introduced for solitary benign or malignant hepatic tumors. We successfully had undergone left lateral sectionectomy with assistance of laparoscopy. Forty-three year old male patient was admitted for diagnosis of liver mass. Abdominal computed tomography showed a 2 cm sized single nodular tumor in segment 3 which was consistent with hepatoma. He underwent laparoscopy-assisted left lateral sectionectomy using Cavitron Ultrasonic Surgical Aspirator and Ultrasonic Shears. The patient discharged without any complications in the 8th postoperative day. The pathologic findings of nodule were consistent with the eosinophilic abscess of liver. Left lateral sectionectomy of liver can be conducted safely with assistance of laparoscopy.
Abscess
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Carcinoma, Hepatocellular
;
Diagnosis
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Eosinophils*
;
Humans
;
Laparoscopy
;
Larva Migrans, Visceral
;
Liver Abscess*
;
Liver*
;
Male
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Toxocariasis
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Ultrasonics