1.Right Thalamic Hemorrhage Resulting from Low-voltage Electrical Injury: A Case Report.
Journal of the Korean Society of Emergency Medicine 2012;23(4):555-558
We report on a case of right thalamic hemorrhage resulting from low-voltage electrical injury caused by contact between a wet hand and an electronic scale. The patient was treated with clopidogrel for control of a previous cerebral infarction. The patient complained of numbness of the left upper extremity. On neurological examination, decreased motor power of her left side, grade IV, was observed. Findings on computerized tomography of the brain revealed a right thalamic hemorrhage. To the best of our knowledge, cerebral hemorrhage resulting from low-voltage electrical injury has not been previously reported in the literature.
Brain
;
Cerebral Hemorrhage
;
Cerebral Infarction
;
Electric Injuries
;
Electronics
;
Electrons
;
Hand
;
Hemorrhage
;
Humans
;
Hypesthesia
;
Neurologic Examination
;
Ticlopidine
;
Upper Extremity
2.A Case of Unusual Visceral Heterotaxy Syndrome with Isolated Levocardia.
Dae Sun JO ; Sung Su JUNG ; Chan Uhng JOO
Korean Circulation Journal 2013;43(10):705-709
Situs inversus of the abdominal organs in the presence of normally placed heart on the left side of the thorax is known as situs inversus with isolated levocardia. This rare condition is commonly associated with severe congenital defects of the heart. We report a case of situs inversus with levocardia in a 19-year-old asymptomatic male patient with completely normal heart on the left chest. Spiral computed tomography of the thorax and abdomen and echocardiographic studies revealed situs inversus of abdominal organs, normal heart (levocardia), mirrored left lungs, a midline liver, a left-sided inferior vena cava connecting to the right atrium, multiple splenic masses in the abdominal right upper quadrant, and aneurysmal dilatation of a splenic artery.
Abdomen
;
Aneurysm
;
Congenital Abnormalities
;
Dilatation
;
Heart
;
Heart Atria
;
Heterotaxy Syndrome*
;
Humans
;
Levocardia*
;
Liver
;
Lung
;
Male
;
Situs Inversus
;
Splenic Artery
;
Thorax
;
Tomography, Spiral Computed
;
Vena Cava, Inferior
;
Young Adult
3.Management of Traumatic C6-7 Spondyloptosis with Cord Compression.
Man Kyu CHOI ; Dae Jean JO ; Min Ki KIM ; Tae Sung KIM
Journal of Korean Neurosurgical Society 2014;55(5):289-292
A case of total spondyloptosis of the cervical spine at C6-7 level with cord compression is described in a 51-year-old male. Because the bodies of C6 and 7 were tightly locked together, cervical traction failed. Then the patient was operated on by a posterior approach. Posterior stabilization and fusion were performed by C4-5 lateral mass and C7-T1 pedicle screw fixation and rod instrumentation with bridging both C4-5's rods to the C7-T1's extended ones. After C6 total laminectomy and foraminotomy, the C6 body was returned to its proper position. Secondly, anterior stabilization and fusion were performed by C6-7 discectomy with a screw-plate system. A postoperative lateral plain radiograph showed good realignment. In this case, we report the clinical presentation and discuss the surgical modalities of C6-7 total spondyloptosis and the failed close reduction.
Diskectomy
;
Foraminotomy
;
Humans
;
Laminectomy
;
Male
;
Middle Aged
;
Spine
;
Traction
4.Total En Bloc Lumbar Spondylectomy of Follicular Thyroid Carcinoma.
Dae Jean JO ; Jae Kyun JUN ; Sung Min KIM
Journal of Korean Neurosurgical Society 2009;45(3):188-191
The presence of distant metastases from differentiated thyroid carcinoma decreases the 10-year survival rates of patients by 50%. This is a report of a 61-year-old female with follicular thyroid carcinoma who presented initially with low back pain. 2-deoxy-2-[18F] fluoro-D-glucose whole-body positron emission tomography/computed tomography (PET/CT) demonstrated a hypointensity lesion in the left thyroid gland with malignant uptake in L1 vertebra and magnetic resonance images revealed paravertebral and epidural extension of mass in L1 vertebra. After thyroidectomy, histopathological study showed a follicular carcinoma. We performed L1 total en bloc spondylectomy with expandable cage for long-term local control. The technical details of total en bloc spondylectomy in follicular carcinoma are described herein.
Adenocarcinoma, Follicular
;
Electrons
;
Female
;
Humans
;
Low Back Pain
;
Magnetic Resonance Spectroscopy
;
Middle Aged
;
Neoplasm Metastasis
;
Spine
;
Survival Rate
;
Thyroid Gland
;
Thyroid Neoplasms
;
Thyroidectomy
5.Changes of sexual behavior after radical hysterectomy.
Yong Hoon CHEE ; Won LEE ; Jae Keun CHUNG ; Dae Hoon KIM ; Do Kang KIM ; Sung Eun NAMKOONG ; Seung Jo KIM
Korean Journal of Obstetrics and Gynecology 1991;34(1):53-62
No abstract available.
Hysterectomy*
;
Sexual Behavior*
6.Anterior Interbody Grafting and Instrumentation for Advanced Spondylodiscitis.
Jae Kwan LIM ; Sung Min KIM ; Dae Jean JO ; Tae One LEE
Journal of Korean Neurosurgical Society 2008;43(1):5-10
OBJECTIVE: To evaluate the surgical outcomes of ventral interbody grafting and anterior or posterior spinal instrumentation for the treatment of advanced spondylodiscitis in patients who had failed medical management. METHODS: A total of 28 patients were evaluated for associated medical illness, detected pathogen, level of involved spine, and perioperative complications. Radiological evaluation including the rate of bony union, segmental Cobb angle, graft- and instrumentation-related complications, and clinical outcomes by mean Frankel scale and VAS score were performed. RESULTS: There are 14 pyogenic spondylodiscitis, 6 postoperative spondylodiscitis, and 8 tuberculous spondylodiscitis. There were 21 males and 7 females. Mean age was 51 years, with a range from 18 to 77. Mean follow-up period was 10.9 months. Associated medical illnesses were 6 diabetes, 3 pulmonary tuberculosis, and 4 chronic liver diseases. Staphylococcus was the most common pathogen isolated (25%), and Mycobacterium tuberculosis was found in 18% of the patients. Operative approaches, either anterior or posterior spinal instrumentation, were done simultaneously or delayed after anterior aggressive debridement, neural decompression, and structural interbody bone grafting. All patients with neurological deficits improved after operation, except only one who died from aggravation as military tuberculosis. Mean Frankel scale was changed from 3.78+/-0.78 preoperatively to 4.78+/-0.35 at final follow up and mean VAS score was improved from 7.43+/-0.54 to 2.07+/-1.12. Solid bone fusion was obtained in all patients except only one patient who died. There was no need for prolongation of duration of antibiotics and no evidence of secondary infection owing to spinal instrumentations. CONCLUSION: According to these results, debridement and anterior column reconstruction with ventral interbody grafting and instrumentation is effective and safe in patients who had failed medical management and neurological deficits in advanced spondylodiscitis.
Anti-Bacterial Agents
;
Bone Transplantation
;
Coinfection
;
Debridement
;
Decompression
;
Discitis
;
Female
;
Follow-Up Studies
;
Humans
;
Liver Diseases
;
Male
;
Military Personnel
;
Mycobacterium tuberculosis
;
Spine
;
Staphylococcus
;
Transplants
;
Tuberculosis
;
Tuberculosis, Pulmonary
7.Outcome and Efficacy of Height Gain and Sagittal Alignment after Kyphoplasty of Osteoporotic Vertebral Compression Fractures.
Tae One LEE ; Dae Jean JO ; Sung Min KIM
Journal of Korean Neurosurgical Society 2007;42(4):271-275
OBJECTIVE: Although a significant correction of local kyphosis has been reported previously, only a few studies have investigated whether this correction leads to an improved overall sagittal alignment. The study objective was to determine whether an improvement in the local kyphotic angle improves the overall sagittal alignment. We examined and compared the effects of thoracic and lumbar level kyphoplasty procedures on local versus overall sagittal alignment of the spine. METHODS: Thirty-eight patients with osteoporotic vertebral compression fractures who showed poor response to conventional, palliative medical therapy underwent single-level kyphoplasty. The pertinent clinical data of these patients, from June 2006 to November 2006, were reviewed retrospectively. We measured preoperative and postoperative vertebral body heights, which were classified as anterior, middle, or posterior fractured vertebral body heights. Furthermore, the local and overall sagittal angles after polymethylmethacrylate deposition were measured. RESULTS: More height was gained at the thoracic level, and the middle vertebral height regained the most. A significant local kyphosis correction was observed at the fractured level, and the correction at larger spanning segments decreased with the distance from the fractured level. CONCLUSION: The inflatable balloon kyphoplasty procedure was the most effective in regaining the height of the thoracic fractured vertebra in the middle vertebral body. The kyphosis correction by kyphoplasty was mainly achieved in the fractured vertebral body. Sagittal angular correction decreased with an increase in the distance from the fractured vertebra. No significant improvement was observed in the overall sagittal alignment after kyphoplasty. Further studies in a larger population are required to clarify this issue.
Body Height
;
Fractures, Compression*
;
Humans
;
Kyphoplasty*
;
Kyphosis
;
Polymethyl Methacrylate
;
Retrospective Studies
;
Spine
8.Eosinophilic Fasciitis and Musculoskeletal Complication in a Child : A case report.
Journal of the Korean Academy of Rehabilitation Medicine 2009;33(4):493-497
Eosinophilic fasciitis (EF) in childhood is a very rare, and it is characterized by diffuse fasciitis and peripheral eosinophilia. It has been reported that EF shows good recovery after systemic steroids. We report a case of 18 months old boy with eosinophilic fasciitis which affected the right lower extremity and flank. The case we present here differs from other published reports, in that the patient with eosinophilic fasciitis presented serious musculoskeletal complications such as muscle atrophy, osteoporosis, fracture, and inequality of limb length that were associated with chronic course of steroids therapy. Interdisciplinary approach is critical in preventing complications in children with eosinophilic fasciitis.
Child
;
Eosinophilia
;
Eosinophils
;
Extremities
;
Fasciitis
;
Humans
;
Lower Extremity
;
Muscular Atrophy
;
Osteoporosis
;
Socioeconomic Factors
;
Steroids
9.Ipsilateral Corticospinal Projections in a Patient with Bilateral Cortical Malformation: A case report.
Su Min SON ; Sung Hee PARK ; Dae Sun JO
Journal of the Korean Academy of Rehabilitation Medicine 2008;32(5):582-585
The developing brain is highly plastic and thus brain lesions during development interfere with the innate development of architecture, connectivity and mapping of functions and trigger modifications in structure, wiring and representation. Unilateral inhibition of the sensorimotor cortex during development results in a sparse contralateral projection from this cortex and retention of a greater number of ipsilateral projections from the more active cortex. We report a patient with bilateral cerebral lesions. She had mild hemiparesis. Transcranial magnetic stimulation to the less affected hemisphere elicited bilateral motor evoked potentials of the first dorsal interossei and ipsilateral responses revealed shorter onset latencies and larger peak to peak amplitude than contralateral response, implying a greater ipsilateral than contralateral projection. This observation indicates direct ipsilateral corticospinal projections from the less affected brain hemisphere.
Brain
;
Evoked Potentials, Motor
;
Humans
;
Paresis
;
Plastics
;
Pyramidal Tracts
;
Retention (Psychology)
;
Transcranial Magnetic Stimulation
10.Idiopathic Spinal Epidural Lipomatosis in a non-obese healthy man..
Yong Bin YIM ; Yong Jin JO ; Dae Seong KIM ; Dae Su JEONG ; Kyu Hyun PARK ; Geun Sung SONG ; Sang Ok NA
Journal of the Korean Neurological Association 1998;16(3):402-407
We report a non-obese patient suffering from spastic gait and right leg paresis caused by thoracic spinal cord compression secondary to spinal epidural lipomatosis. Although spinal epidural lipomatosis is most often associated with the administration of exogenous steroid or endogenous Cushing syndrome, obesity also has been reported as a possible cause. However, idiopathic(non-glucocorticoid induced) spinal epidural lipomatosis in non-obese healthy man is an extremely rare disease and dose not have any good explanation for the abnormal fat deposition in spinal epidural space. We recently experienced a patient with idiopathic thoracic epidural lipomatosis in whom MRI and histopathology established the specific diagnosis. With a case report, brief review of the disease including clinical feature, diagnostic procedure and therapeutic considerations is described.
Cushing Syndrome
;
Diagnosis
;
Epidural Space
;
Gait Disorders, Neurologic
;
Humans
;
Leg
;
Lipomatosis*
;
Magnetic Resonance Imaging
;
Obesity
;
Paresis
;
Rare Diseases
;
Spinal Cord Compression