1.A Case of Hydranencephaly Caused by Internal Carotid Artery Stenosis: Diagnosis with Doppler Sonogram.
Seong Woo ROH ; Seong Sook JEON ; Son Sang SEO ; Jeong Mi KWON
Journal of the Korean Society of Neonatology 1998;5(1):81-85
Hydranencephaly is congenital absence of the cerebral hemispheres which are replaced by a large fluid-filled cavity. The brain stem and basal ganglia are well formed and rudiments of frontal k occipital cortex may be present. We experienced a case of hydranencephaly caused by both internal carotid artery stenosis. We diagnosed it through the brain CT sonogram and doppler sonogram. A brief review of the related literatures was made.
Basal Ganglia
;
Brain
;
Brain Stem
;
Carotid Artery, Internal*
;
Carotid Stenosis*
;
Cerebrum
;
Hydranencephaly*
2.Gastric Emptying Time in Preterm Infents: Comparison between Breast Milk and Formula Milk.
Seong Woo ROH ; Seong Sook JEON ; Son Sang SEO ; Jeong Mi KWON
Journal of the Korean Pediatric Society 1999;42(3):324-331
PURPOSE: Failure of adequate gastric emptying frequently interferes with successful enteral nutrition in infants. Study of gastric emptying in preterm infants has been hampered by the absence of a suitable and, valid technique, but ultrasonic assessment is well tolerated by infants. The aim of this study is to compare gastric emptying rates of breast milk and formula within preterm infants using an ultrasonic technique. METHODS: Ten infants(6 males, 4 females) were studied on 20 occasions. Median gestation of the group was 33 wks(29-38 wks), birthweight was 1506gms(850-1870gms). Each infant was receiving a minimum of 150 ml/kg/day of breast milk. We conducted the study with breast milk first and with formula milk 2 days later. With the infant in the right lateral position, ultrasonic images of the gastric antrum were obtained using the aorta bifurcational branch of superior mesenteric artery as constant landmarks. Measurements of antral cross sectional area(ACSA) were made before the feed and then sequentially, following its completion until ACSA returned to its pre-feeding state. Half-emptying time(t1/2) was calculated as the time taken for the ACSA to fall to half the maximal increment. The test was well tolerated by all subjects. RESULTS: There was a strong linear relationship between gastric volume and ACSA. The half-emptying time for breast milk was less than formula : t1/2 breast milk 32.0+/-9.8 min; t1/2 formula 45.0+/-11.6 min, P=0.0004. CONCLUSION: The data demonstrate that human milk increases gastric emptying compared to formula. This has important implications for the management of preterm infants who have feeding intolerances.
Aorta
;
Breast*
;
Enteral Nutrition
;
Gastric Emptying*
;
Humans
;
Infant
;
Infant, Newborn
;
Infant, Premature
;
Male
;
Mesenteric Artery, Superior
;
Milk*
;
Milk, Human*
;
Pregnancy
;
Pyloric Antrum
;
Ultrasonics
3.An Ipsilateral Crossed Pinning Technique to Fix Supracondylar Fractures of the Humerus in Children: A Report on the Technique to Escape form Ulnar Nerve Injuries
Young Kyun WOO ; Soon Yong KWON ; Seong Jae LEE ; Hwa Seong LEE ; Seok Joong KIM ; Seung Koo RHEE
The Journal of the Korean Orthopaedic Association 1996;31(6):1267-1271
Of several possible configurations of pin fixation of a displaced supracondylar fracture of the humerus in children, the medial and lateral crossed pinning technique has been known to provide the greatest resistance to gross rotational displacement. A new technique with ipsilateral two lateral crossed pins was devised so as to avoid the ulnar nerve injury with good stability for fracture site. During the period from 1992 to 1994, 18 children with displaced supracondylar fracture of the humerus were treated by closed reduction and ipsilateral two lateral crossed pinning. Eighty nine percents of the final results were satisfactory. There were no ulnar nerve injuries and fixation loss in all cases from the treatment. This is a safe, simple and reliable technique for providing the good stability of fracture site as well as avoiding the ulnar nerve injury.
Child
;
Humans
;
Humerus
;
Ulnar Nerve
;
Ulnar Neuropathies
;
United Nations
4.Electromyographicanalysis of prevalence and characteristics of radiculopathy in Parkinson’s disease
Do-Young Kwon ; Seong-Beom Koh ; Kun-Woo Park ; Byung-Jo Kim
Neurology Asia 2015;20(1):29-34
Background & Objectives: To determine the prevalence and characteristics of radiculopathy in
Parkinson’s disease (PD) patients through electrodiagnostic tests, to assess associated radicular pain
characteristics,and to investigate the relationship between pain and other clinical manifestations of PD.
Methods: Electrodiagnostic testing including nerve conduction studies and needle electromyographywas
performed to investigate comorbid peripheral neuropathy or radiculopathy. All patients were asked
to complete aquality of life (QOL) measurement related to pain. Results: Thirty-two (39%) of 82
PD patients had radiculopathy based on electrodiagnostic testing. 46.9% with radiculopathy patients
had involvement of multiple roots level. The most commonly involved root was L5 (83.3%). Patients
with radiculopathy had longer PD durations (p=0.011) and higher posture-related axial scores on the
UPDRS scale (p=0.017).There was a trend for pain in the leg and low back to occur more frequently
in PD patients with radiculopathy. QOL is not significantly different according to the presence of
radiculopathy in PD.
Conclusions: This study demonstrates a high prevalence of radiculopathy, particularly multiple root
involvement, and is correlated with pain complaints and with axial motor scores on UPDRS. These
findings might be related to increased shear force at the intervertebral disc by axial rigidity and flexed
posture in PD along with the duration and severity of PD disease course.
Parkinson Disease
;
Radiculopathy
5.Pathological Properties of Cryptococcus pseudolongus on the Mycelia and Fruit Body of Lentinula edodes
Hyuk Woo KWON ; Seong Hwan KIM
Mycobiology 2021;49(2):173-182
Recently, Cryptococcus pseudolongus has been reported as a new pathogen of shiitake (Lentinula edodes). However, its pathological properties are not much known. To further understand its impact on the mushroom, we investigated the pathogen’s interactions with the mycelium of shiitake, histopathological properties, host range, and sensitivity to diverse antifungal agents. The strain C. pseudolongus DUCC 4014 inhibited the mycelial growth of L. edodes strain (cultivar Sanjo 701ho) and caused browning in the mycelia confronted with the yeast on PDA. Spray inoculation of the yeast caused an abnormal browning symptom on the cap and/or gills of three shiitake cultivars grown on sawdust media in vinyl bags.Scanning electron microscopic images of the abnormally browned parts of shiitake fruit body illustrated that mushroom tissues were loosed and dispersed in the middle and edge of the cap and the arrangement of basidiospores borne on basidia in the gills was disturbed compared to those of normal shiitake fruit body. Spray inoculation also led to developing abnormal browning on the harvested fruit body, indicating C. pseudolongus could be a problem during mushroom storage. But the yeast was not able to induce abnormal browning on mushrooms of Pleurotus ferulae, Pleurotus fostreatus, and Agaricus bisporus. But it induced browning only on button mushroom (A. bisporus) when they were inoculated after wounding. Tests with 16 kinds of fungicides revealed that the cell growth of C. pseudolongus could be inhibited by benzalkonium chloride at MIC 7 lg/ml and benomyl at MIC 3 lg/ml.
6.Stability of Pin Fixation of Displaced Supracondylar Fractures of Humerus in Children
Kwon Jae ROH ; Dong Jun KIM ; Yeo Hon YUN ; Seong Woo KIM
The Journal of the Korean Orthopaedic Association 1995;30(3):694-701
Fifty two cases of displacecd supracondylar fractures were divided into three groups according to the methods of fracture stabilization. Cast immobilizations without pin fixation were included to the group 1 (12 cases), fixation with lateral pins to the group 2 (22 cases), and lateral and medial cross pins to the group 3 (18 cases). In each group we attempted a radiological analysis for the stabilization failure through measurements of the horizontal rotation and the mediolateral tilting in their preoperative, postoperative and follow-up X-rays. Stabilization failure during the follow-up period was presumpted to be present in those cases that show (1) a development or increase of the horizontal rotation in follow-up lateral X-ray, and (2) accompanied change in Baumann's angle of more than 5 degrees. The failed stabilizations were in three cases (25%) in the group 1. In the group 2 the horizontal rotations after initial fixation were developed in four fractures. However, only two (9%) of the four cases accompanied significant changes in the Baumann's angle. Loss of the initial fixation in the cross pin group was found in one case. These results demonstrate that the cross pin fixation is the most stable form. Fixation in only lateral side sometimes shows rotational instability, but this method seems to be still useful because singificant coronal tilting develops in only a few occasions of those with horizontal rotation.
Child
;
Follow-Up Studies
;
Humans
;
Humerus
;
Methods
7.Computed tomographic finding of a giant cysticercosis of the lateral ventricle
Kwi Ryeon KWON ; Seong Ku WOO ; Seok Kil ZEON ; Soo Jhi SUH
Journal of the Korean Radiological Society 1985;21(2):209-213
Intraventricular cysticercosis is the rest form of cerebral cysticercosis and almost all are within the fourthand third ventricles. Authors have experienced a case of pathologically proven giant intraventricular cysticercalcyst involving the lateral ventricle, studied by conventional CT and metrizamide CT, and report with brief reviewof literature.
Cysticercosis
;
Lateral Ventricles
;
Metrizamide
;
Third Ventricle
8.Computed tomographic findings of ovarian tumors
Kwi Ryeon KWON ; Ki Man LEE ; Seong Ku WOO ; Soo Jhi SUH ; Duk Sik KANG
Journal of the Korean Radiological Society 1986;22(4):619-629
The diagnosis of ovarian tumor has been mainly dependent on manual pelvic examination and ultrasonography. Butin case of malignant ovarian tumor, CT has more advantages over ultrasonography in assessing anatomic details,relationships to bowel loops, precise extents of tumors and follow-up examinations after surgery. Authors analyzedCT features of 46 cases of patholgocially proven ovarian tumors for recent 4 years at keimyung University DongsanHospital. The results were as follows: 1. The msot common tumor was serous cystadenocarcinoma(9 cases:20%),followed by metastases(8 cases: 17%), mucinous cystadenocarcinoma(7 ases:15%), mucinous cystadenocarcinoma(5cases:11%), teratoma(5 cases:11%), lymphoma(3 cases: 7%) and dysgerminoma(2 cases:4%). 2. The ovarian tumors werevariable in size from 2.5cm to 33cm in diameter. Most of the solid tumors were smaller than 10cm in diameter andmost of the cystic tumors were larger than 10cm in diameter. Usually mucinous tumors were much larger than seroustumors. Mucinous cystadenomas were the largest tumors. 3. Unilateral tumors(left 19,right 13 cases) were morecommon than bilateral tumors(12 cases). Bilateral tumors were seen in serous and mucinous cystadenocarcinoma,metastases and lymphoma. 4. CT features of mucinous cystadenomas were smooth margins and thin wall of the tumormasses and multiloculated cysts with internal septa in all 7 cases. 5. In contrast, CT demonstration ofbilaterality, irregular margin, thick wall, enhancing solid lesions, septal irregularity, adhesion to adjacentstructures, peritoneal/omental implantation, ascites and hydronephrosis were signs suggesting malignancy. CTfeaturs of the serous cystadenocarcinoma were mostly solid to mixed nature(83%), irregular margin(75%), enhancingsolid lesion(67%), papillary growth (75%), internal septa(58%), multilocularity (58%) and calcification (25%) indescending order of frequency. 6. On CT, mucinous cystadenocarcinoma were irregular-marginated, thick-walled,cystic tumors with enhancing solid lesion, septal irregularity and signs of metastasis, although there were somecases having similar features of benign. 7. Among the extrapelvic CT findings of malignant epithelial ovariantumor, peritoneal/omental implants(11 cases:79%) and ascites(10 cases:71%) were the most common, and indistinctuterus(6 cases:43%), bowel adehsion(5 cases:36%) and pseudomyxoma peritonei (2 cases) were descending order offrequency. 8. CT features of teratoma were diagnostic having at least three more of different tissue densitiesamong fat, water, soft tissue and calcific densities. Also there were thick wall (4 cases) and fat-fluid level(1case). 9. In 8 cases of ovarian metastases, there were solid type tumor smaller than 10cm in 4 cases and hugecystic in 2 cases. The site of primary cancer were stomach in 4 cases, colon , cervix, endometrium and unknown ineach one case. 10. In 3 cases of malignant lymphoma, the CT featurs were solid in appearance, smaller than 10cmand accompanied by lymphadenopathy in all cases.
Ascites
;
Cervix Uteri
;
Colon
;
Cystadenocarcinoma, Mucinous
;
Cystadenocarcinoma, Serous
;
Cystadenoma, Mucinous
;
Diagnosis
;
Endometrium
;
Female
;
Follow-Up Studies
;
Gynecological Examination
;
Hydronephrosis
;
Lymphatic Diseases
;
Lymphoma
;
Mucins
;
Neoplasm Metastasis
;
Pseudomyxoma Peritonei
;
Stomach
;
Teratoma
;
Ultrasonography
;
Water
9.Pathological Properties of Cryptococcus pseudolongus on the Mycelia and Fruit Body of Lentinula edodes
Hyuk Woo KWON ; Seong Hwan KIM
Mycobiology 2021;49(2):173-182
Recently, Cryptococcus pseudolongus has been reported as a new pathogen of shiitake (Lentinula edodes). However, its pathological properties are not much known. To further understand its impact on the mushroom, we investigated the pathogen’s interactions with the mycelium of shiitake, histopathological properties, host range, and sensitivity to diverse antifungal agents. The strain C. pseudolongus DUCC 4014 inhibited the mycelial growth of L. edodes strain (cultivar Sanjo 701ho) and caused browning in the mycelia confronted with the yeast on PDA. Spray inoculation of the yeast caused an abnormal browning symptom on the cap and/or gills of three shiitake cultivars grown on sawdust media in vinyl bags.Scanning electron microscopic images of the abnormally browned parts of shiitake fruit body illustrated that mushroom tissues were loosed and dispersed in the middle and edge of the cap and the arrangement of basidiospores borne on basidia in the gills was disturbed compared to those of normal shiitake fruit body. Spray inoculation also led to developing abnormal browning on the harvested fruit body, indicating C. pseudolongus could be a problem during mushroom storage. But the yeast was not able to induce abnormal browning on mushrooms of Pleurotus ferulae, Pleurotus fostreatus, and Agaricus bisporus. But it induced browning only on button mushroom (A. bisporus) when they were inoculated after wounding. Tests with 16 kinds of fungicides revealed that the cell growth of C. pseudolongus could be inhibited by benzalkonium chloride at MIC 7 lg/ml and benomyl at MIC 3 lg/ml.
10.A Case of Compressive Optic Neuropathy Caused by Orbital Emphysema
Jeong Woo KWON ; Seong Wook SEO
Journal of the Korean Ophthalmological Society 2024;65(10):687-692
Purpose:
We report a patient with compressive optic neuropathy (CON) in whom visual acuity (VA) was restored after removing conjunctival emphysema through the conjunctiva.Case summary: A 55-year-old man was transferred to emergency department complaining of decreased VA in the right eye after trauma to the right temporal side of the head. The best-corrected visual acuity (BCVA) was 0.6 in the right eye. We confirmed a relative afferent pupillary defect and limited eye movement inferiorly in the right eye. The patient had blown his nose several times while being transferred to the hospital. On silt-lamp examination, there was conjunctival emphysema of the right eye. Orbital computed tomography showed a medial wall fracture of the right orbit and orbital emphysema above the optic canal. The P100 wave was delayed in the visual evoked potential (VEP) exam, and there was a decreased peripheral visual field on the Humphrey visual field test. Based on these findings, we diagnosed CON and treated him accordingly. To decompress the intra-orbital area, we injected mannitol intravenously, applied intraocular pressure-lowering and antibiotic eye drops in the right eye, and removed part of the conjunctival emphysema through the conjunctiva. At the 3-week follow-up, the BCVA had improved to 1.0 in the right eye with a normalized P100 wave on the VEP exam.
Conclusions
In a case of CON caused by orbital emphysema after trauma, it is important to decrease the intra-orbital pressure as soon as possible to enable a good prognosis for the VA.