A clinical observation on postoperative course in 21 cases among 35 uremic patients were performed. Seven of 36 cases had undergone kidney transplantation and were excluded from this report, And the other 7 were non-operated cases. Remaining 21 of obstructive uremic cases had surgical procedures such as urinary diversion. release of stenosis and removal of obstruction. The results of operated 21 and non-operated 7 cases were summarized as follows: 1. The incidence was the highest in the age of 31 to 40 (46.4%). 2. The most common cause of uremia was chronic glomeru1onephritis (25.7%). The next was urinary tuberculosis causing renal parenchymal damage and urinary tract obstruction (17.1%). 3. Non-operated cases showed poor prognosis in almost all cases. 4.Satisfactory results were obtained from 14 cases among 21 operated cases(66.6%).
Constriction, Pathologic ; Humans ; Incidence ; Kidney Transplantation ; Prognosis ; Tuberculosis ; Uremia ; Urinary Diversion ; Urinary Tract

A clinical observation on ureteral tailoring with anti-reflux procedure on 6 ureters of 5 patients were reported herein. Four ureters of 3 children were hydroureteronephrosis with vesicoureteral reflux due to bladder neck contracture. Two ureters of housewives were megaloureter. The results of 5 cases were summarized as follows: 1. The length of tailoring was 8 cm. in average. 2. Tailored ureters were approximated by continuous suture plus simple sutures in 2 ureters of 1 case, everting plus simple sutures in 3 cases and the other was by everting sutures alone. No difference in methods of approximation was found in result. 3. All cases had undergone antireflux procedures. Five ureters of 4 cases were done by Politano-Leadbetter technic and the other one by Paquin technic. 4. Mean duration of splinting was some 2 weeks. We believe that splinting is essential for more than 10 days. 5. One case was died of septicemia on 7th postoperative day. Another case shows only unsterile urine yet. Satisfactory results were obtained from remaining 3 cases.
Child ; Contracture ; Humans ; Neck ; Sepsis ; Splints ; Sutures ; Ureter* ; Urinary Bladder ; Vesico-Ureteral Reflux

No abstract available.
Hematuria*

BACKGROUND: Drug-induced Parkinsonism(DIP) is the second commonest cause of Parkinsonism, after idiopathic Parkinson's disease(IPD). DIP is frequently produced by antipsychotic drugs. But the clinical characteristics of DIP did not get attention by neurologist. So we studied the clinical profiles of DIP patients. METHODS: We studied the clinical profiles of thirthone patients who showed parkinsonism after antipsychotic drug treatment. We compared the score of motor part of the Unified Parkinson's Disease Rating Scale(UPDRS) between trihexyphenidyl(n=15) & amantadine(n=16) monotherapy group(initial & 4 week after treatment). RESULTS: The mean age of patients was 45 years. Bradykinesia was the 1st symptom in 26 patients(94%), tremor in 5 patients(6%). In 25 patients(81%), the first symptom appeared within 1 week after sntipsychotic treatment. There was a statistical significant negative correlation between the dosage of antipsychotic drug and the symptom-onset interval following treatment with antipsychotic drugs(simple correlation analysis, p>0.01). Bradykinesia and rigidity were appeared in all DIP patients, symmetric distribution was more common(94%, 87%) Tremor occurred in 27 patients (87%). In patients with tremor, postural or action tremor was dominant in 15 patients(56%) asymmetric distribution was more common(16/27, 59%). There are no statistical difference in motor score of UPDRS between trihexyphenidyl & amantadine monotherapy group(student t-test, p<0.05) CONCLUSIONS: Bradykinesia was the most common 1st symptom in DIP patients. Asymmertrical postural or action tremor was relativelly common in DIP. Amantadine showed the same efficacy in the treatment of DIP compared to anticholinergics.
Amantadine ; Antipsychotic Agents ; Cholinergic Antagonists ; Humans ; Hypokinesia ; Parkinson Disease ; Parkinsonian Disorders* ; Tremor ; Trihexyphenidyl

Aneurysms of the coronary arteries are rare. They may be due to atheroselerosis, mucocutaneous lymph node syndrome, mycotic emboli, syphilis or trauma and occasionally they are congenital. The prognosis appears to be poor and death can occur suddenly from rupture of the aneurysm, peripheral coronary embolism or bacterial endocarditis. Recently surgical treatment has been successful. In a 5 year old patient with ventricular septal defect, two aneurysmal sacs located at the cardiac crux and just posterior to it was proved by coronary angiography and MRI, and successfully excised at operation.
Aneurysm* ; Child, Preschool ; Coronary Angiography ; Coronary Vessels* ; Embolism ; Endocarditis, Bacterial ; Heart Septal Defects, Ventricular ; Humans ; Magnetic Resonance Imaging ; Mucocutaneous Lymph Node Syndrome ; Prognosis ; Rupture ; Syphilis

Crossed aphasia refers to a combination of aphasia and right hemiparesis in a left handed person or left hemiparesis and aphasia in a dextral. While crossed aphasia is not infrequent at all among left-handers, it remains an extremely rare event in dextrals. Its incidence is probably about 0.4% after right hemispheric lesions and prevalence is about 1% among right-handed aphasics. The neurobiological mechanisms of this phenomenon are unknown, and the neuropsychological correlations are only incompletely understood. We report a case of crossed aphasia in a 61-year-old right-handed woman who presented with sudden, severe global aphasia and left hemiplegia without any personal or family history of left-handedness. Brain MR image clearly showed a right hemispheric infarction in the territory of the right middle cerebral artery and brain SPECT also displayed reduction of regional cerebral blood flow in the right hemisphere sparing the left hemisphere. In this patient, cerebral dominance for speechseems to lay in the right hemisphere, while dominance for limb praxis seemsto lay in the left as the patient did not develop right limb apraxia. This case provides evidence that cerebral dominance for speech and handedness in dextrals can be dissociated. It also suggests that crossed aphasia in a dextral may be severe and persisting.
Aphasia* ; Apraxias ; Brain ; Dominance, Cerebral ; Extremities ; Female ; Functional Laterality ; Hand ; Hemiplegia ; Humans ; Incidence ; Infarction ; Middle Aged ; Middle Cerebral Artery ; Paresis ; Prevalence ; Tomography, Emission-Computed, Single-Photon

The authors experienced a case of osteopetrosis with optic atrophies and nystagmoid movements, exceedingly rare disease, in 12 year-old girl for 5 years without fracture in long bone. On the X-ray studies: 1. The skull bone showed moderately increased osteosclerotic changes in base of the skull and narrowings in optic foramina. 2. The findings of the extremities showed flask shaped deformities and cortical thickness in both femurs. and transverse line and epiphyseal separations in mid-tibia.
Atrophy ; Child ; Congenital Abnormalities ; Extremities ; Female ; Femur ; Humans ; Optic Atrophy* ; Osteopetrosis* ; Rare Diseases ; Skull

The retraction syndrome in its classic form is characterized that severe limitation of abduction, slightly limitation of adduction, globe retraction and narrowing of the palpebral fissure on adduction, frequently associated elevation or depression in adduction, and convergency insufficiency. While many authors reported this type, there were few reports about inverse Duane's retraction syndrome, as exotropia in primary position, severe limitation of adduction. globe retraction and narrowing palpebral fissure on abduction. So the authors present a case of inversed Duane's retraction syndrome.
Depression ; Duane Retraction Syndrome* ; Exotropia

We have experienced an unusual case of hemorrhagic infarct in the right testis at the age of 59 years. The spermatic cord showed normal appearance and no torsion was noted. Orchiectomy was performed as frozen section revealed hemorrhagic infarction of the testis. Herein, hemorrhagic infarction of testis, a rare clinical entity, was reported with review of literatures.
Frozen Sections ; Infarction ; Orchiectomy ; Spermatic Cord ; Testis*

A patient who had been admitted to the B.N.U.H. with coma and respiratory arrest from possible acute alcohol intoxication, has been treated with intensive care and discharged without any complication. It should be emphasized that a patient with respiratory arrest even due to unknown etiology must have continued intensive care, without giving up the patient.
Coma ; Humans ; Critical Care ; Resuscitation*