No abstract available.
Peripheral Nerves* ; Regeneration*

No abstract available.
Meningioma* ; Optic Nerve* ; Orbit*

Schonlein-Henoch purpura is a generalized small vessel vasculitis characterized by nonthrombocytopenic purpura, arthritis, abdominal pain and nephritis. In 1914 Osler described an allergic purpura associated with hemiplegia. After then Lewis et al. reported the cases of Schonlein-Henoch purpura associated with convulsion, coma, confusion, intracranial hemorrhage, and chorea, CNS complication has been reported in 1-8% of children and subsided spontaneously in most cases. Headache is a remarkable sympton and appears nonspecific nature. In 1991 Ostergaard and Storm reported that headache occured during the first week following skin rash and frequently showed abnormal EEG findings. We investigated prospectively the presence of a possible cerebral and renal involvement in the case of Schonlein-Henoch purpura. EEG abnormality demonstrated in 52.6% of all cases, and headache or irritability in 47.4% of all cases. A significant association was found between abnormal EEG finding and presence of headache, but was not found between EEG findings and presence of renal involvement and hypertension. Patients with abnormal EEG had no Past or famity history of febrile convulsion or ididopathic epilepsy.
Abdominal Pain ; Arthritis ; Child ; Chorea ; Coma ; Electroencephalography* ; Epilepsy ; Exanthema ; Headache ; Hemiplegia ; Humans ; Hypertension ; Intracranial Hemorrhages ; Nephritis ; Prospective Studies ; Purpura, Schoenlein-Henoch* ; Seizures ; Seizures, Febrile ; Vasculitis

Descending Necrotizing Mediastinitis (DNM) is a complication of oropharyngeal infections that can spread to the mediastinum. It is difficult to diagnose early because clinical and radiologic findings appear in the late stage of the infection. late diagnosis is the principal reason for the high mortality in DNM. An 18-year-old female admitted with Ludwig's angina from dental caries. Despite of combined antibiotics, dental extraction and drainge of submental abscess, infection spread to the cervical area. Chest computed tomogram revealed extension of the abscess to the pretracheal and periaortic space and development of bilateral pleural empyema. We performed bilateral cervical mediastinotomy and thoracotomy for drainage and debridement. Tracheostomy to secure the airway and postoperative pleural irrigation were performed. Postoperative course was uneventful and patient was discharged on the 40th postoperative day. It is important to perform chest CT scanning for early diagnosis of DNM when oropharyngeal infection spreads to the cervical area. Improved survival of patients with DNM implies early and radical surgical drainage and debridement via a cervical mediastinomy and thoracotomy.
Abscess ; Adolescent ; Anti-Bacterial Agents ; Debridement ; Delayed Diagnosis ; Dental Caries* ; Drainage ; Early Diagnosis ; Empyema, Pleural ; Female ; Humans ; Ludwig's Angina ; Mediastinitis* ; Mediastinum ; Mortality ; Thoracotomy ; Thorax ; Tomography, X-Ray Computed ; Tracheostomy

Double elevator palsy(DEP) is rare paralytic anomaly of ocular motility due to monocular paresis of both elevator muscles. Clinically, DEP is classified into the pure paralytic, restricted and mixed types. The authors describe the clinical experiences of 2 cases of purely paralytic type of DEP and 2 cases of restricted type of DEP treated at Department of Ophthalmology, Pusan Pail, Hospital, Inje Medical College from January 1988 to January 1991. The results were as follows: 1) In the pure paralytic type of DEP, the hypotropia was below 30 prism diopters in the primary position and in the restricted type, greater than 60 prism diopters preoperatively. 2) Preoperatively, the pseudoptosis was shown in 2 cases of purely paralytic type of DEP and it was disappeared postoperatively. The Bell's phenomenon was shown the negative result in 2 cases of restricted type of DEP. 3) For the pure paralytic type, the both vertical and horizontal deviation were corrected completely in primary position by the transposition and recession of the horizontal rectus muscles at one surgery and the limitation of ocular motility remained more and less in the elevation postoperatively but no limitation in the adduction and abduction. For the restricted type, the tenectomy of the inferior rectus muscle corrected about 40 prism diopters of hypotropia without the limitation of the infraduction.
Busan ; Elevators and Escalators* ; Muscles ; Ophthalmology ; Paralysis* ; Paresis

The materials such as supramid, silastic, silicone and bone graft has been used to repair the orbital blow-out fracture, recently Lyodura(R) has been used. In this report, we analysed the clinical aspects of 24 patients and the usefulness of Lyodura(R) through the operative data in treatment of orbital blow-out fracture was evaluated. We also observed the course of improvement of the diplopia and enophthalmos and evaluated the difference between surgically and nonsurgically treated cases. We evaluated the results through the clinical as peets, radiologic examination and repeated diplopia test after Injury. We divided 24 patients into two groups; one group was treated by surgery (17 patients, 71%), the other group was treated conservatively (7 patients, 29%). The materials that were used to repair the fractured site were Lyodura(R) (15 cases) and resin (2 cases). In all operated cases, there were no significant complications except one case which was reentrapped by accidental pressure to the eye. The subjective diplopia in central field 30 degrees was disappeared within three months in all cases of surgically treated. In conclu sion, it is considered that Lyodura(R) is useful for repairing of blow-out fracture site and we should have to pay more attention to the surgical indication.
Diplopia ; Enophthalmos ; Humans ; Nylons ; Orbit ; Orbital Fractures* ; Silicones ; Transplants

No abstract available.
Epidermal Cyst ; Pilomatrixoma

Multiple myeloma is characterized by the development of multiple tumors of bone that are multicentric in origin and composed of mature or immature plasma cells. It rarely can involve the eyeball, ocular adnexa and orbit in a variety of ways. When it dose occur, giving rise to proptosis and other signs of an orbital tumor. The authors experienced a case of multiple myeloma which involved the orbit and extraocular muscles associated with retinal hemorrhage and exudate.
Exophthalmos ; Exudates and Transudates ; Multiple Myeloma* ; Muscles ; Orbit* ; Plasma Cells ; Retinal Hemorrhage

Pulmonic autograft replacement of the aortic valve (Ross procedure) has been to have potential for growth in children, no complication of antiocagulation, and enhanced durability. Therefore, Ross operation is indicated in the young, in patients with an active life style, and when anticoagulation is contraindicated. However, late autograft valve has occurrd more frequently in patients with significant size discrepancy between the pulmonay valve annulus and the aortic valve annulus. In order to resolve this problem, we performed aortic annuloplasty with Duran ring for more accurate and strong reinforcement. We report a case using the Duran ring as a method of aortic annuloplasty during Ross procedure.
Aortic Valve ; Autografts ; Child ; Humans ; Life Style

No abstract available.
Fatigue* ; Sciatica*