1.Lesional location of intractable hiccups in acute pure lateral medullary infarction
Chan-O Moon ; Sung-Hee Hwang ; Seong Sook Hong ; San Jung ; Seok-Beom Kwon
Neurology Asia 2014;19(4):343-349
Background & Objective: Hiccups is a disabling condition of lateral medullary infarction (LMI).
Unlike other symptoms of LMI, the anatomical lesions of hiccups are not well known. Few studies
have evaluated the relationship between the lesional location of LMI and hiccups. We performed this
study to correlate hiccups and magnetic resonance imaging (MRI)-based lesional location in pure
LMI. Methods: Between January 1997 and February 2013, we identified 24 patients with pure LMI
who presented with hiccups in addition to typical lateral medullary syndrome. Sixty six pure LMI
patients without hiccups were included as a control group. Clinical and radiologic findings were
compared between the two groups. MRI-identified lesions were classified rostrocaudally as rostral,
middle and caudal, and horizontally as typical, ventral, large, lateral and dorsal. Results: The pure
LMI patients with hiccups had significantly more frequent aspiration pneumonia (P = 0.001) and
longer hospital stay (P = 0.03). The patients with hiccups significantly more often had dorsal rather
than ventral lesion at horizontal levels (P = 0.012). But, there were no rostro-caudal differences at
vertical levels (P = 0.162).
Conclusions: We suggest that pure LMI associated with hiccups often locates in the dorsal medulla
at horizontal correlation. This MRI-based comparative study has advanced the understanding of the
neural substrate for hiccups in LMI, and indicates that hiccups become predictable when specific
lesional locations in the lateral medulla are considered.
2.Fibroadenoma of the Vulva: A Case Report.
Hyung Bae MOON ; Hyang Jeong JO ; Seong Hwan O ; Gi Youn HONG
Korean Journal of Obstetrics and Gynecology 2005;48(7):1816-1819
Fibroadenoma is a rare lesion of the vulva. It has been proposed that the origin of the tissue is either ectopic breast tissue or vulvar mammary-like glands (MLG). We report a case of vulvar fibroadenoma in a 33-year-old woman with a right vulvar mass presenting clinically as vulvar cyst. The cut surface of the tumor showed a white and homogenous appearance that was 2.5 cm in maximum dimension. Microscopically, the lesion was well-circumscribed but non-encapsulated. It revealed nodular, glandular and stromal proliferation, consistent with fibroadenoma of breast. Immunohistochemical staining for the estrogen receptor and progesteron receptor revealed nuclear positivity in the epithelium. Smooth muscle actin confirmed the presence of a myoepithelial cell layer. Staining for pancytokeratin showed epithelial cytoplasmic positivity.
Actins
;
Adult
;
Breast
;
Cytoplasm
;
Epithelium
;
Estrogens
;
Female
;
Fibroadenoma*
;
Humans
;
Muscle, Smooth
;
Vulva*
3.A Case of Pure Primary Squamous Cell Carcinoma of the Ovary.
Seong Hwan O ; Sang Hun JUNG ; Seong Nam PARK ; Su Mi NA ; Heung Gon KIM ; Hyung Bae MOON
Korean Journal of Obstetrics and Gynecology 2005;48(12):2983-2987
The squamous cell carcinoma of ovary is very rare in the ovarian malignancy. The majority of squamous cell carcinomas of ovary are considered to be associated with mature cystic teratoma, Brenner tumor and malignant degenerated endometriosis. Therefore, pure ovarian squamous cell carcinoma is extremely rare. The pathogenesis, prognosis and proper treatment guideline of this malignancy are still unknown, because of it's rarity. Recently we experienced a case of primary squamous cell carcinoma without previously commented disease condition. After nearby cytoreductive surgery, postoperative chemotherapy with radiotherapy has been undergoing. We report this malignancy with a brief review of literature.
Brenner Tumor
;
Carcinoma, Squamous Cell*
;
Drug Therapy
;
Endometriosis
;
Female
;
Ovary*
;
Prognosis
;
Radiotherapy
;
Teratoma
4.Three cases of dengue fever among the medical relief team serving in the tsunami region.
Seung Hee LEE ; Jae Il LEE ; Chang Ki MOON ; Seong O SUH ; Eun Sil KIM ; Jun Oh JUNG ; Nam Joong KIM
Korean Journal of Medicine 2006;71(3):333-337
Dengue fever, which is caused by a mosquito-borne flavivirus, has become a major infectious- disease threat in tropical and subtropical areas. Dengue fever has also become a common cause of febrile infections in persons who have recently traveled. On December 26, 2004 the tsunami hit Southeast Asia. People who survived in those areas were infected with endemic disease such as dengue fever, malaria and cholera. We sent six members of the Korean medical relief team to the tsunami region. Three workers developed fever, chills and headache after leaving the tsunami region, and were diagnosed with Dengue fever. Such an outbreak of Dengue Fever in travelers is rarely reported.
Asia, Southeastern
;
Chills
;
Cholera
;
Dengue*
;
Disease Outbreaks
;
Endemic Diseases
;
Fever
;
Flavivirus
;
Headache
;
Humans
;
Malaria
;
Tsunamis*
5.A Case of Cloacal Anomaly with Multiple Associated Anomalies.
Seong O MOON ; Yong Soo SEO ; Chul Jung KIM ; Ji Soo LEE ; Su Ran CHOI ; Yeon Lim SUH ; Ji Eun KWON ; Jong Hwa KIM
Korean Journal of Obstetrics and Gynecology 2004;47(4):780-784
Cloacal anomaly is an extremely rare congenital malformation results from a failure in the development of the urorectal fold that separates the rectum from uterovaginal tract. It is characterized by the presence of a single duct where the gastrointestinal, genital and urinary tracts join. It presents with highly variable forms, which make it difficult to be diagnosed antenatally. We report a case of cloacal anomaly confirmed with autopsy, which was initially detected by the presence of a huge cystic fetal abdominal mass by ultrasound at a 22 weeks of gestation.
Autopsy
;
Pregnancy
;
Rectum
;
Ultrasonography
;
Urinary Tract
6.Impact of Post-Stroke Cognitive Impairment with No Dementia on Health-Related Quality of Life.
Jung Hyun PARK ; Beom Joon KIM ; Hee Joon BAE ; Jisung LEE ; Juneyoung LEE ; Moon Ku HAN ; Kyung Yoon O ; Seong Ho PARK ; Yeonwook KANG ; Kyung Ho YU ; Byung Chul LEE
Journal of Stroke 2013;15(1):49-56
BACKGROUND AND PURPOSE: Health-related quality of life (HRQoL) is a multidimensional concept that signifies a subjective evaluation of perceived health; hence, it has gained wide acceptance in geriatrics. However, its application has not been tested in patients with post-stroke cognitive impairment with no dementia (PSCIND). We investigated whether PSCIND interferes with HRQoL measured by EQ-5D, compared the findings to those of healthy people with normal cognition, and evaluated the influence of each cognitive domain on this score. METHODS: In total, 1,528 subjects were identified who had undergone neuropsychological assessment using the 60-min protocol of the Korean version of Vascular Cognitive Impairment Harmonization Standards, EQ-5D, and magnetic resonance imaging at the stroke prevention clinic. Fifty PSCIND patients were matched to 50 post-stroke dementia (PSD) patients and 50 normal age- (+/-3 years) and sex-matched controls. The effects of PSCIND, PSD, and control groups upon the EQ-5Dindex score were tested by generalized estimating equation modeling. RESULTS: Estimated means+/-standard errors of EQ-5Dindex scores were as follows: 0.94+/-0.06 (control group), 0.86+/-0.08 (PSCIND group), and 0.61+/-0.32 (PSD group); and the difference among the three groups was statistically significant (P<0.0001). Pairwise comparisons showed that EQ-5Dindex scores in the PSCIND group differed from those in the PSD and control groups (both P<0.01). No cognitive domain was specifically associated with EQ-5Dindex scores after adjusting for functional status. CONCLUSIONS: This study shows that PSCIND may interfere with the quality of life in stroke victims.
Cognition
;
Dementia
;
Geriatrics
;
Humans
;
Magnetic Resonance Imaging
;
Quality of Life
;
Stroke
7.The Usefulness of the Frontolateral Approach as a Minimally Invasive Corridor for Clipping of Anterior Circulation Aneurysm.
Jeyul YANG ; Chang Wan OH ; O Ki KWON ; Gyojun HWANG ; Tackeun KIM ; Jong Un MOON ; Seong Yeol AHN ; Jun Hak KIM ; Jinseong KIM ; Jae Seung BANG
Journal of Cerebrovascular and Endovascular Neurosurgery 2014;16(3):235-240
OBJECTIVE: Several studies have reported on the effectiveness of fronto-lateral craniotomy in reducing the operating time and post-operative complications. However, no study has practically evaluated this method from the cosmetic point of view. MATERIALS AND METHODS: We designed this study for comparison of the clinical differences and cosmetic outcomes between the frontolateral craniotomy and the conventional pterional craniotomy for clipping of unruptured intracranial aneurysms. We performed a retrospective analysis of the two groups based on their medical records and radiologic findings juxtaposed with their length of hospital stay, intensive care unit day and operation time, and the emergence of postoperative complication, mean size of aneurysm, and temporal depression. RESULTS: After careful comparison of the thickness of temporalis muscle between the craniotomy side and the contralateral side, the results clearly showed that the conventional pterional craniotomy group was asymmetric by a p value of 0.152 and the frontolateral craniotomy group was symmetric by a p value of 0.002. CONCLUSION: Frontolateral craniotomy could be a practical alternative for patients with an unruptured intracranial aneurysm in the anterior circulation including the posterior communicating artery, particularly those who are in a medically poor state or who highly demand minimal aesthetic mutilation.
Aneurysm*
;
Arteries
;
Craniotomy
;
Depression
;
Humans
;
Intensive Care Units
;
Intracranial Aneurysm
;
Length of Stay
;
Medical Records
;
Postoperative Complications
;
Retrospective Studies
8.Subcellular localization of nuclear factor kappa B in term human fetal membranes and myometrium during labor.
Suk Joo CHOI ; Seong O MOON ; Hyung Sun KIM ; Soo Young OH ; Cheong Rae ROH ; Jong Hwa KIM
Korean Journal of Obstetrics and Gynecology 2006;49(1):24-30
OBJECTIVE: To investigate the subcellular localization of nuclear factor kappa B (NF-kappa B) in term human fetal membranes and myometrium during labor. METHODS: Fetal membranes and myometrial tissue were collected from term pregnant women undergoing cesarean delivery after labor (n=4) and before labor (n=4). An immunostaining was done with NF-kappa B p65 antibody. The intensity and distribution of nuclear immunostaining of NF-kappa B p65 subunit were evaluated visually using a semiquantitative analysis. RESULTS: NF-kappa B p65 was present in all tissues studied, and it was localized principally in the cytoplasm of cells of amnion and chorion. But, NF-kappa B p65 was localized more abundant in the nucleus than in the cytoplasm in myometrial cells. In amnion, chorion and myometrium, the staining scores of nuclear NF-kappa B did not show any difference between the after-labor group and before-labor group. CONCLUSION: In human term gestational tissues, subcellular localization of NF-kappa B showed cytoplasmic predominance in amnion and chorion, and nuclear predominance in myometrium. But these subcellular localizations did not change during labor.
Amnion
;
Animals
;
Chorion
;
Cytoplasm
;
Extraembryonic Membranes*
;
Female
;
Humans*
;
Mice
;
Myometrium*
;
NF-kappa B*
;
Pregnant Women
;
Transcription Factor RelA
9.Clinical Applicability of Absorbable Synthetic Suture Materials (Safil(R)/Safil(R) Quick/Monosyn(R)) in Obstetrical Surgeries.
Seong O MOON ; Min Kyu KIM ; Suk Joo CHOI ; Hyoung Sun KIM ; Soo Young OH ; Cheong Rae ROH ; Jong Hwa KIM
Korean Journal of Perinatology 2005;16(4):309-316
OBJECTIVE: To evaluate the clinical applicability and safety of absorbable synthetic suture materials (Safil(R)/Safil(R)Quick/Monosyn(R)) in obstetrical surgeries. METHODS: This clinical trial includes 100 patients who delivered vaginally and 198 patients who were undergone cesarean section from April 2004 to September 2004. In cases of vaginal delivery, patients were divided with the same number into the study group in which Safil(R) Quick was used and the control group in which chromic catgut was used for episiotomy and perineal laceration repair. In case of cesarean delivery, patients were divided into two groups. The first group which included 100 patients was subdivided with the same number into the study group in which Monosyn(R) was used and the control group in which chromic catgut was used for uterine repair. The second group which included 98 patients was subdivided with the same number into the study group in which Safil(R) was used and the control group in which Vicryl was used for rectus fascia repair. Wound healing status and complications are assessed during postoperative stage, at hospital discharge, and at postpartum out-patients follow-up. RESULTS: Compared with chromic catgut groups, Safil(R) Quick group showed no difference in hospital stay from vaginal delivery, wound healing status and surgical complications and Monosyn(R) group showed no difference in operating time, decrease in hemoglobin at postoperative day 3 and surgical complications. Safil(R) group showed no difference in operating time, postoperative pain and surgical complications compared with Vicryl group. CONCLUSION: Safil(R)/Safil(R) Quick/Monosyn(R) were equivalent with regard to most aspects of their clinical suitability and may be useful alternative suture materials in obstetrical surgeries.
Catgut
;
Cesarean Section
;
Episiotomy
;
Fascia
;
Female
;
Follow-Up Studies
;
Humans
;
Lacerations
;
Length of Stay
;
Obstetric Surgical Procedures*
;
Outpatients
;
Pain, Postoperative
;
Polyglactin 910
;
Postpartum Period
;
Pregnancy
;
Sutures*
;
Wound Healing
10.Cardiac tamponade caused by tuberculosis pericarditis in renal transplant recipients.
Jong Man KIM ; Sung Joo KIM ; Jae Won JOH ; Choon Hyuck David KWON ; Yong Bin SONG ; Milljae SHIN ; Ju Ik MOON ; Gum O JUNG ; Gyu Seong CHOI ; Bok Nyeo KIM ; Suk Koo LEE
Journal of the Korean Surgical Society 2011;80(Suppl 1):S40-S42
A 50-year-old male, renal transplant recipient, was admitted with fever and chest discomfort. At admission, chest radiologic finding was negative and echocardiography showed minimal pericardial effusion. After 2 days of admission, chest pain worsened and blood pressure fell to 60/40 mmHg. Emergency echocardiography showed a large amount of pericardial effusion compressing the entire heart. Pericardiocentesis was performed immediately. Mycobacterium tuberculosis was isolated from pericardial fluid. Tuberculosis pericarditis should be considered as the cause of cardiac tamponade in renal transplant recipients, even with the absence of pericardial effusion in the initial study or suggestive history.
Blood Pressure
;
Cardiac Tamponade
;
Chest Pain
;
Echocardiography
;
Emergencies
;
Fever
;
Heart
;
Humans
;
Kidney Transplantation
;
Male
;
Middle Aged
;
Mycobacterium tuberculosis
;
Pericardial Effusion
;
Pericardiocentesis
;
Pericarditis
;
Thorax
;
Transplants
;
Tuberculosis