1.Ultrasonographic Diagnosis of Congenital Hypertrophic Pyloric Stenosis.
Shin Heh KANG ; Chul LEE ; Ran NAMGUNG ; Dong Gwan HAN ; Ki Keun OH ; Seung Hun CHOI
Journal of the Korean Pediatric Society 1989;32(6):756-764
No abstract available.
Diagnosis*
;
Pyloric Stenosis, Hypertrophic*
2.Study on the blood estradiol level and follicle development in induced superovulation of insufficient menstrual cycles.
Seung Gwan CHOI ; Jae Myeoung KIM ; Chung Soon BAIK ; Gi Soon LEE ; Byung Hee SUH ; Jae Hyun LEE
Korean Journal of Obstetrics and Gynecology 1992;35(2):256-271
No abstract available.
Estradiol*
;
Female
;
Menstrual Cycle*
;
Superovulation*
4.Factors Affecting the Reaccumulation of Chronic Subdural Hematoma after Burr-hole Trephination and Closed-system Drainage.
Cheol Hyun CHOI ; Byung Gwan MOON ; Hee In KANG ; Seung Jin LEE ; Joo Seung KIM
Journal of Korean Neurosurgical Society 2004;35(2):192-198
OBJECTIVE: The reaccumulation of hematoma is one of the most frequent problems on the chronic subdural hematoma. The aim of this study is to determine the factors affecting the reaccumulation of hematoma and the reasonable site for the burr-hole trephination to achieve a low reaccumulation rate after burr-hole trephination and closed-system drainage METHODS: The authors studied 93 patients with chronic subdural hematoma in whom the location of burr-hole trephination was randomly placed and precisely determined on postoperative brain computerized tomographic scans or skull roentgenogram. Eighty five patients with chronic subdural hematoma were obtained with brain computerized tomographic scans the postoperative 3 day. The location of the burr-hole trephination, the location of subdural catheter tip, the maximum postoperative width of the subdural space, and the percentage of the ipsilateral subdural space occupied by air postoperatively were measured and analyzed the correlation with the postoperative reaccumulation rates. RESULTS: Patients with the parietal trephination had much more subdural air and a higher of chronic subdural hematoma reaccumulation than those with the frontal one. In addition, patients with residual subdural air on brain computerized tomographic scans obtained the postoperative 3 day also had a higher reaccumulation rate than those without subdural air collections. CONCLUSION: The incidence of postoperative subdural fluid reaccumulation can be reduced by the burr-hole trephination on the frontal convexity and by preventing subdural air accumulation during operation.
Brain
;
Catheters
;
Drainage*
;
Hematoma
;
Hematoma, Subdural
;
Hematoma, Subdural, Chronic*
;
Humans
;
Incidence
;
Rabeprazole
;
Skull
;
Subdural Space
;
Trephining*
5.Transient Parkinsonism Associated with Scrub Typhus.
Dong Eun KIM ; Gwan Yeol CHO ; Yoon Chang OH ; Seong Min CHOI ; Sook In JUNG ; Seung Han LEE
Journal of the Korean Neurological Association 2015;33(2):126-128
No abstract available.
Ferritins
;
Parkinsonian Disorders*
;
Scrub Typhus*
6.A Case of Secondary Antiphospholipid Antibody Syndrome with Thyroid Cancer.
Seung Hun KANG ; Sung Jae CHOI ; Young Ho LEE ; Jong Dae JI ; Gwan Gyu SONG
Journal of Rheumatic Diseases 2011;18(1):46-49
Antiphospholipid antibody syndrome (APS) is defined as the presence of lupus anticoagulant antibody or anticardiolipin antibody with vascular thrombosis or pregnancy complications. APS can be associated with autoimmune disease or infectious disease. APS has also been reported in conjunction with variety of solid and hematologic malignancies. There were some reports on APS which were accompanied by hematologic malignancy, but there was no report with solid malignancy in Korea. We experienced one case of secondary APS, which was diagnosed during pre-operative evaluation of thyroid cancer. This patient had prolonged aPTT (activate partial thromboplastin time) and decreased coagulation factors which were regarded as hemophilia at first. Although the precise mechanism of the relationship between APS and cancer has not been proven thoroughly, APS can be accompanied by various malignancies. So proper screening and early detection of malignancies in APS patients are recommended.
Antibodies, Anticardiolipin
;
Antibodies, Antiphospholipid
;
Antiphospholipid Syndrome
;
Autoimmune Diseases
;
Blood Coagulation Factors
;
Communicable Diseases
;
Hematologic Neoplasms
;
Hemophilia A
;
Humans
;
Korea
;
Lupus Coagulation Inhibitor
;
Mass Screening
;
Pregnancy Complications
;
Thromboplastin
;
Thrombosis
;
Thyroid Gland
;
Thyroid Neoplasms
7.A Case of Infected Subdural Hematoma.
Cheol Hyun CHOI ; Byung Gwan MOON ; Hee In KANG ; Joo Seung KIM
Journal of Korean Neurosurgical Society 2003;34(3):271-273
A 69-year-old man, suffering from diabetes, presented with drowsiness and general weakness is reported. Brain computed tomography revealed low density subdural lesion in the left hemisphere. A single burr hole was trephined and purulent material with liquified hematoma was drained to reveal Klebsiella pneumoniae from the specimen culture. Due to the unexplained postoperative mental deterioration and high fever, the patient underwent abdominal sonography to reveal liver abscess and the same pathogen was also cultured from the liver abscess. This case was very rare in that Klebsiella pneumoniae implanted into the vascularized capsule of the chronic subdural hematoma by hematogenous bacteremia. When chronic subdural hematoma is present in an immunocompromised or in old age patient, the infected subdural hematoma might be considered as one of the differential diagnosis.
Aged
;
Bacteremia
;
Brain
;
Diagnosis, Differential
;
Empyema, Subdural
;
Fever
;
Hematoma
;
Hematoma, Subdural*
;
Hematoma, Subdural, Chronic
;
Humans
;
Klebsiella pneumoniae
;
Liver Abscess
;
Sleep Stages
8.A Case of Isolated Leptomeningeal Carcinomatosis from Advanced Gastric Cancer.
Jung Geun JI ; Joo Won CHUNG ; Seung Woo NAM ; Seung Kyu CHOI ; Dong Won LEE ; Dae In KIM ; Byung Gwan JEON ; Yun Jae SHIN
The Korean Journal of Gastroenterology 2016;68(2):93-98
Leptomeningeal carcinomatosis (LMC) is rare metastatic form of gastric cancer. Most cases are diagnosed in the final stage after multiple distant metastasis. An 84-year-old woman was admitted with melena, headache and vomiting. Esophagogastro-duodenoscopy showed an ulceroinfiltrating lesion at the stomach (Borrmann class III), and biopsy revealed a signet ring cell carcinoma. The abdominal-pelvic CT showed no evidence of metastasis. A sudden decrease of consciousness was noted, but the brain CT showed no active lesion while the brain MRI revealed enhancement of leptomeninges. A lumbar puncture was performed and the cerebrospinal fluid study revealed malignant neoplastic cells. With family consent, no further evaluation and treatment were administered and she died six weeks after the diagnosis of gastric cancer. We report an extremely rare case of a patient who initially presented with neurologic symptoms, and was diagnosed LMC from advanced gastric cancer without any evidence of metastasis in abdomen and pelvis.
Abdomen
;
Aged, 80 and over
;
Biopsy
;
Brain
;
Carcinoma, Signet Ring Cell
;
Cerebrospinal Fluid
;
Consciousness
;
Diagnosis
;
Female
;
Headache
;
Humans
;
Magnetic Resonance Imaging
;
Melena
;
Meningeal Carcinomatosis*
;
Neoplasm Metastasis
;
Neurologic Manifestations
;
Pelvis
;
Spinal Puncture
;
Stomach
;
Stomach Neoplasms*
;
Vomiting
9.Identification of Differentially Expressed Genes by Gabapentin in Cultured Dorsal Root Ganglion in a Rat Neuropathic Pain Model.
Ji Hye HEO ; Seung Ha LEE ; Kyung Ha CHANG ; Eun Hye HAN ; Seung Gwan LEE ; Dal Woong CHOI ; Suhng Wook KIM
Biomolecules & Therapeutics 2013;21(2):126-131
Neuropathic pain is a chronic pain disorder caused by nervous system lesions as a direct consequence of a lesion or by disease of the portions of the nervous system that normally signal pain. The spinal nerve ligation (SNL) model in rats that reflect some components of clinical pain have played a crucial role in the understanding of neuropathic pain. To investigate the direct effects of gabapentin on differential gene expression in cultured dorsal root ganglion (DRG) cells of SNL model rats, we performed a differential display reverse transcription-polymerase chain reaction analysis with random priming approach using annealing control primer. Genes encoding metallothionein 1a, transforming growth factor-beta1 and palmitoyl-protein thioesterase-2 were up-regulated in gabapentin-treated DRG cells of SNL model rats. The functional roles of these differentially expressed genes were previously suggested as neuroprotective genes. Further study of these genes is expected to reveal potential targets of gabapentin.
Animals
;
Chronic Pain
;
Diagnosis-Related Groups
;
Ganglia, Spinal*
;
Gene Expression
;
Ligation
;
Metallothionein
;
Nervous System
;
Neuralgia*
;
Rats*
;
Spinal Nerve Roots*
;
Spinal Nerves
10.Neuroendoscopic Removal of Large Choroid Plexus Cyst: A Case Report.
Jin Ho JEON ; Sang Weon LEE ; Jun Kyeong KO ; Byeong Gwan CHOI ; Seung Heon CHA ; Geun Seong SONG ; Chang Hwa CHOI
Journal of Korean Medical Science 2005;20(2):335-339
Choroid plexus cysts (CPCs) are the most commom neuroepithelial cysts, occuring in more than 50% of some autopsy series. They are typically small and asymptomatic and are discovered incidentally in older patients, usually in the trigone of the lateral ventricle. Symptomatic CPCs (usually exceptionally large, 2-8 cm) are rare. The authors report a case of large symptomatic choroid plexus cyst, located in the trigone of the right lateral ventricle in a 26-yr-old man who presented with headache and vomiting. The patient underwent endoscopic removal through a burr hole placed 3 cm from the midline and just behind the hair line. The histological examination of the cyst wall was consistent with choroid epithelium. Despite of postoperative intraventricular hemorrhage and catheter infection, he discharged home without neurologic deficits. The endoscopic fenestration rather than excision should be considered as the first surgical procedure because the goal of treatment is shrinkage of the cyst until normal cerebrospinal fluid flow is restored.
Adult
;
Brain Diseases/diagnosis/pathology/*surgery
;
*Choroid Plexus
;
Cysts/diagnosis/pathology/*surgery
;
Endoscopy
;
Humans
;
Male