No abstract available.

A 57 year-old female with severe right facial pain and ptosis, and diplopia had been treated. Neurologic signs showed marked loss of vision, total ophthalmoplegia of the right eye and paresthesia on the 1st division of the right trigeminal nerve. Simple skull X-ray revealed enlarged sella turcica, thining of dorsum sellae, excavation and sharpening of anterior clinoid process with depressed sella floow on the right side. Right carotid angiogram showed a giant aneurysm in the cavernous portion of the internal carotid artery with parital filling of the contrast dye along proximal portion of the internal carotid artery and considerable collateral circulation through the external carotid-ophthalmic artery route. The aneurysm was managed by the internal carotid ligation initially, and 20 days later, followed by thrombectomy and aneurysmorrhaphy successfully. Two months later of the operation, all neurological deficits were completely recovered.
Aneurysm* ; Arteries ; Carotid Artery, Internal ; Collateral Circulation ; Diplopia ; Facial Pain ; Female ; Humans ; Ligation ; Middle Aged ; Neurologic Manifestations ; Ophthalmoplegia ; Paresthesia ; Sella Turcica ; Skull ; Thrombectomy ; Trigeminal Nerve

A 48 year-old male with back pain and foot drop had been treated. Studies for myelomatosis were all negative. A plain lumbar spin X-ray showed an erosion of the left pedicle of the first lumbar vertebra. A myelography via lumbar and cisternal routes revealed total block with feather appearance at the upper level of the L2 and the lower level of the T12 vertebra. Pathologic evaluation confirmed the diagnosis of solitary myeloma of the bone. After undergoing almost total excision, followed by radiation, the patient was still doing well.
Animals ; Back Pain ; Diagnosis ; Feathers ; Foot ; Humans ; Male ; Middle Aged ; Multiple Myeloma ; Myelography ; Spine*

OBJECTIVE: In recent years, the neurosurgeon's role in managing cerebrovascular diseases (CVD) has becomes rapidly challenged and overlapped with other specialists. Furthermore, the patterns of CVD and patient recruitment have also changed. We conducted a retrospective study regarding the practical trends of CVD with reference to the management paradigms at our institute. METHOD: We reviewed all the available data, including the annual reports, the daily department records, the medical records and the radiographic films of the CVD patients who had been admitted to our Neurosurgery Department during the five years between Jan. 2004 and Dec. 2008. RESULTS: The total numbers of CVD operations showed a slight initial increase, but then they remained steady for the latter 3 years. The number of cases of non-angiomatous hemorrhage has been relatively steady, regardless of surgery. The total numbers of treated aneurysms increased, but the main body of this increment was attributed to the initiation of endovascular treatment and increased identification of unruptured vascular lesions. Vascular malformations were sustained with a small number of cases due to referring them to other institutes for radiosurgery, except for the cases that required urgent hemorrhagic evacuation. CONCLUSION: Hemorrhagic CVDs tended to decrease either due to increasing identification before rupture or shifting such patients into a large volume hospital. The increasing awareness of ischemic CVD, the early detection of unruptured aneurysms, and the separation of medical responsibilities from neurologists have all pushed neurosurgeons to make treatment plans in a more cooperative fashion, instead of a competitive way. Neurosurgeons should be furnished with several revolutionary surgical options to widen their scope of managing patients with CVD.
Academies and Institutes ; Aneurysm ; Hemorrhage ; Humans ; Infarction ; Intracranial Aneurysm ; Medical Records ; Neurosurgery ; Patient Selection ; Radiosurgery ; Retrospective Studies ; Rupture ; Specialization ; Subarachnoid Hemorrhage ; Vascular Malformations ; X-Ray Film

A 35-year-old man, with a previous history of intermittent generalized seizure attacks since 13 years of age, presented with status epilepticus and spastic right hemiparesis. Plain skull films showed a mottled, granular calcified core and a surrounding halo of calcification in the subcortical area of the central fissure, and a smooth erosion of the overlying skull inner table. Left carotid angiogram revealed neither definite mass effect nor abnormal vascularities. Surgery through a left parietal craniotomy was performed. Upon direct inspection of the brain a 2.5+/-3.0cm, stony hard, generally circular mass was noted within the left frontal lobe. Although embedded within the frontal lobe, the mass was partially covered by a gliotic cyst which might be made from cortical tissue. The tumor was obviously calcified, demonstrating numerous superficial white excrescences, and readily removed without difficulty. Microscopic, pathological evaluation confirmed the diagnosis of densely calcified arteriovenous malformation. The patient was discharged without any evidence of neurological deficit except dull mentality.
Adult ; Arteriovenous Malformations* ; Brain* ; Craniotomy ; Diagnosis ; Frontal Lobe ; Humans ; Muscle Spasticity ; Paresis ; Rabeprazole ; Seizures ; Skull ; Status Epilepticus

Papillary thyroid carcinoma (PTC) is a common lesion, accounting for 70-80% of all thyroid cancers, whereas mucosa-associated lymphoid tissue (MALT) lymphoma of thyroid gland is rare. A simultaneous occurrence of both malignancies is extremely rare. 57 years old Korean woman diagnosed with Hashimoto's thyroiditis at left lobe of thyroid gland where atypical cells of undetermined significance at right lobe. Later, left lobe was confirmed with malignant lymphoma during series of fine-needle aspiration biopsy. Right lobe was interpreted as malignant lesions, such as papillary thyroid carcinoma based on ultrasonography images and previous biopsy results. Total thyroidectomy was performed. Pathology reported papillary thyroid carcinoma at right lobe and MALT lymphoma at left lobe. There were no post-operative complications and no recurrence yet reported. Since an association between Hashimoto's thyroiditis and development of MALT lymphoma has been reported previously, a history of Hashimoto thyroiditis should be suspected MALT lymphoma.
Biopsy ; Biopsy, Fine-Needle ; Female ; Hashimoto Disease ; Humans ; Lymphoid Tissue ; Lymphoma ; Lymphoma, B-Cell, Marginal Zone* ; Pathology ; Recurrence ; Thyroid Gland* ; Thyroid Neoplasms* ; Thyroidectomy ; Thyroiditis ; Ultrasonography

Papillary thyroid carcinoma (PTC) is a common lesion, accounting for 70-80% of all thyroid cancers, whereas mucosa-associated lymphoid tissue (MALT) lymphoma of thyroid gland is rare. A simultaneous occurrence of both malignancies is extremely rare. 57 years old Korean woman diagnosed with Hashimoto's thyroiditis at left lobe of thyroid gland where atypical cells of undetermined significance at right lobe. Later, left lobe was confirmed with malignant lymphoma during series of fine-needle aspiration biopsy. Right lobe was interpreted as malignant lesions, such as papillary thyroid carcinoma based on ultrasonography images and previous biopsy results. Total thyroidectomy was performed. Pathology reported papillary thyroid carcinoma at right lobe and MALT lymphoma at left lobe. There were no post-operative complications and no recurrence yet reported. Since an association between Hashimoto's thyroiditis and development of MALT lymphoma has been reported previously, a history of Hashimoto thyroiditis should be suspected MALT lymphoma.
Biopsy ; Biopsy, Fine-Needle ; Female ; Hashimoto Disease ; Humans ; Lymphoid Tissue ; Lymphoma ; Lymphoma, B-Cell, Marginal Zone* ; Pathology ; Recurrence ; Thyroid Gland* ; Thyroid Neoplasms* ; Thyroidectomy ; Thyroiditis ; Ultrasonography

Benign prostatic hyperplasia (BPH) is one of the most common diseases in older men and it may be accompanied with significant problems in the quality of life. Histological changes of BPH is starting at the age of 35, and there is induced in 60% of 60-year-old men, 80% of 80-year-old men, in 50% of the patient group may lead to lower urinary tract symptoms (LUTS). A 74-year-old man with huge BPH visited outpatient clinic with severe LUTS of an year duration. He was diagnosed with BPH 11 years ago and underwent transurethral resection of prostate twice. However, the prostate grew up to remarkable size again, which lead to the bladder outlet obstruction (BOO) and renal failure. There is no report for huge BPH (above 300 g) in Korea, we report a case with huge prostate size that is measured 330 g and treated with suprapubic open prostatectomy.
Aged ; Aged, 80 and over ; Ambulatory Care Facilities ; Humans ; Korea ; Lower Urinary Tract Symptoms ; Male ; Middle Aged ; Prostate ; Prostatectomy ; Prostatic Hyperplasia* ; Quality of Life ; Renal Insufficiency ; Transurethral Resection of Prostate ; Urinary Bladder Neck Obstruction

No abstract available.
Dermatitis, Atopic* ; Food Hypersensitivity ; Milk Hypersensitivity* ; Milk*