Syringomyelia was described by Etienne, Morgagni and Santorini in 1594 for the first time and was named by Olliver in 1824. In spite of hundreds of years study, it's cause is still not distinctly known and symptoms are very much variable because of its wide, irregular lesion in the spinal cord. The patient of 34 years old male had been suffered from sensory and temperature dissociation and muscle weakness of lower extremity including lower trunk for two years. In case of classical syringomyelia, sense of pain and temperature were diminished on the same area but this patient had complained disturbance of pain and light touch on the same area, but temperature loss does not coincides with, as figure shows. This report will review syringomyelia of lumbosacral type with a case history and references which is relatively rare in incidences.
Humans ; Incidence ; Lower Extremity ; Male ; Muscle Weakness ; Spinal Cord ; Syringomyelia

Amniotic fluid embolism (AFE) is a rare but potentially fatal complication that occurs acutely during pregnancy or within 12 h of delivery. The management of AFE focuses initially on supportive measures for cardiopulmonary stabilization. Extracorporeal membrane oxygenation should be considered in patients who are unresponsive to medical treatment in order to prevent additional hypoxia and subsequent organ failure. We present a 41-year-old woman with clinical AFE who developed acute respiratory distress syndrome and was treated successfully with extracorporeal membrane oxygenation.
Adult ; Amniotic Fluid* ; Anoxia ; Embolism ; Embolism, Amniotic Fluid* ; Extracorporeal Membrane Oxygenation* ; Female ; Humans ; Pregnancy ; Respiratory Distress Syndrome, Adult

No abstract available.
Korea* ; Lung Neoplasms* ; Lung*

Most of the breast cancer revealed mass and/or microcalcifications on mammography. We analyzed morphologic characteristics of the masses and microcalcifications on mammography which confirmed as breast cancer pathologically. Of all 54 cases, 4 patients (7%) showed microcalcification only, 27 patients (50%), mass only, and the other 23 patients (43%), both microcalcification and mass on the mammography. The margin of the breast mass were ill-defined in 37 cases, well-defined in 8 cases, and well-defined with surrounding infiltration in 5 cases. The morphologic characteristics of the microcalcification were punctate-linear-V shape in 11 patients, punctate-linear shape in 9 patients, and punctate shape in 7 patients.
Breast Neoplasms* ; Breast* ; Humans ; Mammography

PURPOSE: Leptin is the product of the ob gene secreted by adipocyte. This study investigated whether leptin concentrations were elevated in obese children and the relationship between leptin concentrations and gender, and age in Korean children. METHODS: We measured serum concentrations of leptin in 124 subjects (10 to 18 years, 62 girls and 62 boys). Height, weight, obesity index, and body mass index were measured in 124 subjects. Radioimmunoassay for serum leptin was performed using Human Leptin RIA Kit. Data analysis was done according to the gender, age and obesity. RESULTS: The mean serum concentration of leptin was 5.3 +/- 4.9 ng/ml. The mean leptin level in girls was 7.6 +/- 5.2ng/ml compared with 2.9 +/- 3.3ng/ml in boys (P<0.001). Leptin concentrations were highly increased during the period of 14 to 17 years in girls. The mean serum concentration of leptin in obese group (obesity index>120%) was 8.7 +/- 6.0 ng/ml compared with 4.8 +/- 4.6ng/ml in non-obese group (P<0.01). Serum leptin concentrations were correlated with the body mass index (Pearsons coefficient r=0.42, P<0.001). When boys and girls with equivalent values of body mass index were compared, there was significant difference between the sexes (P<0.001). CONCLUSION: Serum leptin concentrations were significantly higher in girls and obese children. Increased adipose tissue in children was associated directly with serum leptin concentration. Because leptin concentrations were highly increased during the period of 14 to 17 years in girls, it was speculated that central leptin resistance in developing girls may be necessary for the accumulation of the adipose tissue stores.
Adipocytes ; Adipose Tissue ; Body Mass Index ; Child* ; Female ; Humans ; Leptin* ; Obesity ; Radioimmunoassay ; Statistics as Topic

PURPOSE: Leptin is the product of the ob gene secreted by adipocyte. This study investigated whether leptin concentrations were elevated in obese children and the relationship between leptin concentrations and gender, and age in Korean children. METHODS: We measured serum concentrations of leptin in 124 subjects (10 to 18 years, 62 girls and 62 boys). Height, weight, obesity index, and body mass index were measured in 124 subjects. Radioimmunoassay for serum leptin was performed using Human Leptin RIA Kit. Data analysis was done according to the gender, age and obesity. RESULTS: The mean serum concentration of leptin was 5.3 +/- 4.9 ng/ml. The mean leptin level in girls was 7.6 +/- 5.2ng/ml compared with 2.9 +/- 3.3ng/ml in boys (P<0.001). Leptin concentrations were highly increased during the period of 14 to 17 years in girls. The mean serum concentration of leptin in obese group (obesity index>120%) was 8.7 +/- 6.0 ng/ml compared with 4.8 +/- 4.6ng/ml in non-obese group (P<0.01). Serum leptin concentrations were correlated with the body mass index (Pearsons coefficient r=0.42, P<0.001). When boys and girls with equivalent values of body mass index were compared, there was significant difference between the sexes (P<0.001). CONCLUSION: Serum leptin concentrations were significantly higher in girls and obese children. Increased adipose tissue in children was associated directly with serum leptin concentration. Because leptin concentrations were highly increased during the period of 14 to 17 years in girls, it was speculated that central leptin resistance in developing girls may be necessary for the accumulation of the adipose tissue stores.
Adipocytes ; Adipose Tissue ; Body Mass Index ; Child* ; Female ; Humans ; Leptin* ; Obesity ; Radioimmunoassay ; Statistics as Topic

Most of cerbrovascular disease are composed of vascular occlusive changes & hemorrhage. Now a day, the computed tomograhy is the best way for evaluation of cerebrovascular disease including detection of nature,location ,& associated changes. This study includes evaluation of CT of 70 patients with cerebrovascular disease during the period of 10 months from April. 1983 to Feb. 1984 in Department of Radiology, Ewha Womans University Hospital. The results were as follows; 1. Age distribution of the total 70 patients was broad ranging from 25years to 79 years. 78.6% of patients were over the age of 50. The male and female sex ratio was 1.4:1. 2. 4 out of70 patients were normal and 66 patients revealed abnormal on C.T, findings; those were intracranial hemorrhage(28patients), cerebral infarction,(34 patients) and brain atrophy(4 patients). 3. In cases of cerebral infarction,the cerebral hemisphere was most common sit of lesion(28 cases), and next was basal ganglia (2 cases). Most of the infarcts in cerebral hemisphere were located in the parietal and temporal lobes. 4. In cases of intracranial hemorrhage, the basal ganglia was most common site of lesion(15 cases). The next common site was cerebral hemisphere (9 cases). 6 patients of all intracranial hemorrhage were combined with intraventricular hemorrhage.Ratio of right and left was 2:3. 5. In patients with motor weakness of hemiparesis, more common findings on CT scan were cerebral infarction. In case with hemiplegia, more common CT findings were intracerbral hemorrhage. 6.Of the 40 cases thought to be cerebral infarction intitially by clinical findings and spinal tap. 8 cases (20.0%)were proved to be cerebral hemorrhage by the CT scan. However, of the 22 cases thought to be cerbral hemorrhage,initially, only two cases (9.0%) were cerebral infarction.
Age Distribution ; Basal Ganglia ; Brain ; Cerebral Hemorrhage ; Cerebral Infarction ; Cerebrovascular Disorders ; Cerebrum ; Female ; Hemiplegia ; Hemorrhage ; Humans ; Intracranial Hemorrhages ; Male ; Paresis ; Rabeprazole ; Sex Ratio ; Spinal Puncture ; Temporal Lobe ; Tomography, X-Ray Computed

Three hundred and fourty two patients with a fracture of tibial shaft were treated and managed in the Department of Orthopaedic Surgery, Soon Chun Hyang University Hospital from January 1981 to December 1985. In 147 cases, 62 cases had only tibial shaft fracture and 85 tibial and fibular shaft fracture. All of these were treated conservatively by manipulation and cast immibilization. We analyzed the initial fracture characteristics, the treatment employed, and the subsequent complications in fracture healing in a series of patients who had sustained a tibial shaft fracture with and without a fibular fracture. The results were as follows; 1. Duration of average bone healing was more slowly in the patients more than twenty years old who were treated for a tibial shaft fracture with and without a concomitant fibular fracture than in the patients less than twenty years old. 2. Duration of average bone healing was more slowly by one or two weeks in the the group of tibial shaft fracture without fibular fracture than in than in those with fibular fracture. 3. The frequency of delayed union, nonunion, varus malunion and pain in the ipsilateral ankle joint were more increased in the group of the tibial shaft fractures without fibular fracture in than those with fibular fracture. 4. The frequency of valgus malunion was more increased in the group of the tibial shaft fractures with fibular fracture than in those without fibular fracture.
Ankle Joint ; Fracture Healing ; Humans ; Tibia

Cysticercosis is due to a larva of Taenia Solium. It is frequently reported in developing countries. It usually affects subcutaneous tissue, muscles and brain. But, spinal cysticercosis is rare and is usually diagnosed at surgery. Authors experienced a case of spinal cysticercosis accompanied with spondylolistheses at the same level. Space occupying lesion and arachnoiditis, confirmed by MMCT and MRI, were noted at the same level of spondylolistheses. So, it was very hard to make dicision whether we should open up the dura or not.
Arachnoid ; Arachnoiditis ; Brain ; Cysticercosis ; Developing Countries ; Larva ; Magnetic Resonance Imaging ; Muscles ; Spondylolisthesis ; Subcutaneous Tissue ; Taenia solium

PURPOSE: To evaluate the usefulness of renal resistive index(RI) in patients with liver cirrhosis as an indicator for predicting hepatorenal syndrome. MATERIALS AND METHODS: Renal RIs of thirty cirrhotic patients were analyzed using the gray-scale and Doppler ultrasonograms. As a control group, eight normal subjects were alsoincluded. Renal RIs were measured at three sites of interlobar or arcuate arteries of both kidneys. The patients were divided into three groups (A, B, or C) according to the Child-Turcotte-Pugh classification and their serum BUN and creatinine levels were compared. We determined whether RIs of normal controls differed from those of cirrhotic patients or whether RIs of cirrhotic patients correlated with the Child-Turcotte-Pugh classification or BUN and creatinine levels. RESULTS: Mean RIs(0.63 +/-0.03) of normal subjects were statistically different from those(0.67 +/-0.05) of cirrhotic patients(P=0.009). RIs of group A(n=6), B(n=9) and C(n=15) were 0.65 +/-0.03,0.65 +/-0.04 and 0.70 +/-0.04, respectively. The ANOVA test revealed statistically significant differences between the three groups(F ratio=4.472, P=0.021). RIs did not correlate with BUN or creatinine levels. CONCLUSION: RI could be used as an index for predicting hepatorenal syndrome before the renal function becomes impaired.
Arteries ; Classification ; Creatinine ; Hepatorenal Syndrome* ; Humans ; Kidney ; Liver Cirrhosis ; Ultrasonography