Peripheral longitudinal tears of the menisci in nine patients(eight men and one woman) were repaired by arthroscopic techniques from December 1985 to November 1986. Six lateral and three medial menisci were repaired. The results of the repairs were classified by Tapper and Hoover scale as excellent 2, good 4, fair 2 and poor 1. The aversge durstion of follow up was 17.6 months(range : twelve to twenty-four months). One patient had a rerupture and two patients had hemarthrosis. The repairs of peripheral meniscal tears hsve been shown to be an effective and successful procedure. Arthroscopic instruments and techniques have been improved to allow for the repair of some of these tears.
Arthroscopes ; Follow-Up Studies ; Hemarthrosis ; Humans ; Knee ; Male ; Menisci, Tibial ; Tears

Tuberous sclerosis is a rare heredofamilial disease involving multiple organs, classically associated with the clinical triad of adenoma sebaceum, epilepsy, and mental retardation. We have recently experienced a case of tuberous sclerosis, 18-year-old male patient, who had typical adenoma sebaceum and generalized epileptic seizure. Plain skull film showed multiple calcified paraventricular subependymal nodules and brain CT scan disclosed characteristic calcified tubers adjacent to the frontal horn and body of the lateral ventricle.
Adolescent ; Animals ; Brain ; Epilepsy ; Horns ; Humans ; Intellectual Disability ; Lateral Ventricles ; Male ; Skull ; Tomography, X-Ray Computed ; Tuberous Sclerosis*

No abstract available.
Fistula ; Neck* ; Salivary Glands*

No abstract available.
Neurocutaneous Syndromes*

No abstract available.
Neurocutaneous Syndromes*

Authors report the clinical study on the usefulness of thyrotropin-releasing hormone tartrate(TRH-T) in the treatment of mild disturbance of consciousness. 20 patients suffering head trauma, subarachnoid hemorrhage, and intracerebral hemorrhage were given TRH-T intravenously for ten days. TRH-T was effective for the patients in whom the consciousness disturbance was mild, the duration in fixed consciousness level was short, and the brain was not distorted on CT scan. These features were most prominent in patients with subarachnoid hemorrhage. Three was no significant side effect, and TRH-T turned out to be safe.
Brain ; Cerebral Hemorrhage ; Consciousness* ; Craniocerebral Trauma ; Humans ; Subarachnoid Hemorrhage ; Thyrotropin-Releasing Hormone ; Tomography, X-Ray Computed

Several cases of familial occurrence of gliomas have been reported, but little has been known on the importance of genetic factors, which indeed remains controversial. In establishing the genetic basis for cancer susceptibility, the evaluation of a single family is perhaps the most satisfactory and meaningful approach. We report a family in which the 47-year-old father had glioblastoma in cerebellar vermis and his 14-year-old daughter developed pilocytic astrocytoma in cerebellar hemisphere. Karyotypic analysis of this family showed no abnormal findings in chromosomes.
Adolescent ; Astrocytoma ; Fathers ; Glioblastoma ; Glioma* ; Humans ; Karyotype ; Middle Aged ; Nuclear Family

Central anticholinergic syndrome (CAS) can be caused by many anesthetic drugs. Early diagnosis and treatment are very important because untreated CAS may result in a life-threatening condition. Physostigmine, though not available in Korea, is the only drug which can confirm and treat CAS. A forty five year old patient underwent open heart surgery due to patent foramen ovale. Anesthetic agents which were used for anesthetic induction and maintenance were midazolam, fentanyl and isoflurane. Following anesthesia, he showed irritated and excited behavior and delayed recovery from anesthesia more than 3 h after operation in the ICU, even though flumazenil and naloxone were given to rule out the residual anesthetic effect. After physostigmine 4 mg was administered intravenously, he calmed down and became more coherent. There was no evidence of neurologic deficit in the following brain MRI and neurologic examination. We report the first case of CAS confirmed with physostigmine in Korea.
Anesthesia ; Anesthetics ; Anticholinergic Syndrome* ; Brain ; Delayed Emergence from Anesthesia ; Early Diagnosis ; Fentanyl ; Flumazenil ; Foramen Ovale, Patent ; Heart* ; Humans ; Isoflurane ; Korea ; Magnetic Resonance Imaging ; Midazolam ; Naloxone ; Neurologic Examination ; Neurologic Manifestations ; Physostigmine* ; Thoracic Surgery*

Cysticercosis is a hardly manageable parasitic infestation of the central nervous system because of its diversity in clinical manifestation and unsatisfactory result in treatment. Leptomeningeal cysticercosis, less frequent clinically than parenchymatous or ventricular type has rarely been diagnosed preoperatively with conventional diagnostic procedures. We have recently experienced a case of cysticercosis in a large cisterna magna diagnosed with an aid of CT scan.
Central Nervous System ; Cisterna Magna* ; Cysticercosis* ; Tomography, X-Ray Computed*

The authors reviewed twenty four patients with internal carotid-posterior communicating artery aneurysms with oculomotor palsy from 1976 to 1984. The incidence of third nerve palsy in the posterior communicating artery aneurysms was 37.5%(24 out of 64). The occurrence of the third nerve palsy without subarachnoid hemorrhage was 20.8%(5 out of 24). The initial degree of third nerve involvement seems to parallel the degree of recovery. Direct clipping of the aneurysm showed far better results than those of carotid ligation. The average duration of neurological recovery was 4.9 month after treatment. The order of third nerve function recovery was as follows:ptosis, pupil, medial gaze, and upward and downward gaze.
Aneurysm ; Arteries ; Humans ; Incidence ; Intracranial Aneurysm* ; Ligation ; Oculomotor Nerve Diseases* ; Oculomotor Nerve* ; Paralysis ; Pupil ; Recovery of Function ; Subarachnoid Hemorrhage