1.Intra and Extraspinal Infected Synovial Cyst of the Lumbar Spine: Case Report.
Chang Hoon JEON ; Weon Ik LEE ; Shin Young KANG
Journal of Korean Society of Spine Surgery 1997;4(2):357-364
Synovial cysts are uncommon lesions that may occur within the spinal canal. Most commonly synovial cysts arise from degenerative apophyseal joints, in particular at the L4-5 level, and are associated with spondylolisthesis. We present one case of lumbar synovial cyst located both intraspinally and extraspinally and originated from the defect of the pars interarticularis. The content of the synovial cyst was infected. The patient progressively developed low back pain and fever. The lesion was diag nosed by computed tomography and a magnetic resonance imaging. The synovial cyst was presented a huge lobulacted intraspinal and extraspinal mass and connected with the L4-5 facet joint on the right side. The dural sac was displaced by the intraspinal mass. Relieve of symptoms was achieved with decompressive laminectomy and removal of the mass. The content of the synovial cyst was infected with Staphylococcus aureus confirmed by the synovial fluid culture. The reasons for our report are to describe the previously unreported appearance of this lesion that was huge lobulated intraspinal and extraspinal mass with infected fluid content originated from the defect of the pars interarticularis.
Fever
;
Humans
;
Joints
;
Laminectomy
;
Low Back Pain
;
Magnetic Resonance Imaging
;
Nose
;
Spinal Canal
;
Spine*
;
Spondylolisthesis
;
Staphylococcus aureus
;
Synovial Cyst*
;
Synovial Fluid
;
Zygapophyseal Joint
2.Double Incision Technique for Carpal Tunnel Release.
Shin Young KANG ; Chang Hoon JEON ; Kyeong Jin HAN
The Journal of the Korean Orthopaedic Association 1998;33(2):411-415
A preliminary study was conducted to evaluate the immediate postoperative recovery and socioeconomic efficacy with the surgical release of Carpal tunnel syndrome by double incision technique. Sixty cases of carpal tunnel syndrome were operated by one surgeon between 1993 and 1995 and 44 cases in 39 patients were available for this study. Surgery was done under axillary block and patients were evaiuated preoperatively, 3 weeks and 6 weeks each postoperatively. The evaluation was focused on the immediate recovery in terms of subjective symptoms of pain and paresthesia, local tenderness, strength of grip power and pinch power and postoperative disability. 1l was noted that surgical release of carpal tunnel syndrome utilizing double incision technique was as effective as seen in the endoscopic release in terms of quicker recovery of pain, local tenderness and strength. It was also noted that this double incision technique was as safe and economically beneficial as observed in the conventional open procedure.
Carpal Tunnel Syndrome
;
Hand Strength
;
Humans
;
Paresthesia
3.Herpes Zoster and Postherpetic Neuralgia: Practical Consideration for Prevention and Treatment.
The Korean Journal of Pain 2015;28(3):177-184
Herpes zoster (HZ) is a transient disease caused by the reactivation of latent varicella zoster virus (VZV) in spinal or cranial sensory ganglia. It is characterized by a painful rash in the affected dermatome. Postherpetic neuralgia (PHN) is the most troublesome side effect associated with HZ. However, PHN is often resistant to current analgesic treatments such as antidepressants, anticonvulsants, opioids, and topical agents including lidocaine patches and capsaicin cream and can persist for several years. The risk factors for reactivation of HZ include advanced age and compromised cell-mediated immunity (CMI). Early diagnosis and treatment with antiviral agents plus intervention treatments is believed to shorten the duration and severity of acute HZ and reduce the risk of PHN. Prophylactic vaccination against VZV can be the best option to prevent or reduce the incidence of HZ and PHN. This review focuses on the pathophysiology, clinical features, and management of HZ and PHN, as well as the efficacy of the HZ vaccine.
Analgesics, Opioid
;
Anticonvulsants
;
Antidepressive Agents
;
Antiviral Agents
;
Capsaicin
;
Early Diagnosis
;
Exanthema
;
Ganglia, Sensory
;
Herpes Zoster*
;
Herpesvirus 3, Human
;
Immunity, Cellular
;
Incidence
;
Lidocaine
;
Neuralgia, Postherpetic*
;
Risk Factors
;
Vaccination
5.Easier and Safer Regional Anesthesia and Peripheral Nerve Block under Ultrasound Guidance.
The Korean Journal of Pain 2016;29(1):1-2
No abstract available.
Anesthesia, Conduction*
;
Peripheral Nerves*
;
Ultrasonography*
6.Subclavian Artery Laceration Caused by Pigtail Catheter Removal in a Patient with Pneumothorax.
Hyo Jin KIM ; Yang Hyun CHO ; Gee Young SUH ; Jeong Hoon YANG ; Kyeongman JEON
Korean Journal of Critical Care Medicine 2015;30(2):119-122
We report a case of subclavian artery laceration caused by the removal of a pigtail pleural drainage catheter in a patient with a pneumothorax. The patient was successfully resuscitated through diagnostic angiography with subsequent balloon occlusion and primary repair of the injured subclavian artery. Although pigtail drainage of a pneumothorax is known to be safe and effective, proper insertion and removal techniques should be emphasized to reduce the risk of complications.
Angiography
;
Balloon Occlusion
;
Catheters*
;
Drainage
;
Hemothorax
;
Humans
;
Lacerations*
;
Pneumothorax*
;
Subclavian Artery*
;
Thoracostomy
7.Factors Affecting Invasive Management after Unplanned Extubation in an Intensive Care Unit.
A Lan LEE ; Chi Ryang CHUNG ; Jeong Hoon YANG ; Kyeongman JEON ; Chi Min PARK ; Gee Young SUH
Korean Journal of Critical Care Medicine 2015;30(3):164-170
BACKGROUND: Unplanned extubation (UE) of patients requiring mechanical ventilation in an intensive care unit (ICU) is associated with poor outcomes for patients and organizations. This study was conducted to assess the clinical features of patients who experienced UE and to determine the risk factors affecting reintubation after UE in an ICU. METHODS: Among all adult patients admitted to the ICU in our institution who required mechanical ventilation between January 2011 and December 2013, those in whom UE was noted were included in the study. Data were categorized according to noninvasive or invasive management after UE. RESULTS: The rate of UE was 0.78% (the number of UEs per 100 days of mechanical ventilation). The incidence of self-extubation was 97.2%, while extubation was accidental in the remaining patients. Two cases of cardiac arrest combined with respiratory arrest after UE were noted. Of the 214 incidents, 54.7% required invasive management after UE. Long duration of mechanical ventilation (odds ratio [OR] 1.52; 95% confidence interval [CI] 1.32-1.75; p = 0.000) and high ICU mortality (OR 4.39; 95% CI 1.33-14.50; p = 0.015) showed the most significant association with invasive management after UE. In multivariate analysis, younger age (OR 0.96; 95% CI 0.93-0.99; p = 0.005), medical patients (OR 4.36; 95% CI 1.95-9.75; p = 0.000), use of sedative medication (OR 4.95; 95% CI 1.97-12.41; p = 0.001), large amount of secretion (OR 2.66; 95% CI 1.01-7.02; p = 0.049), and low PaO2/FiO2 ratio (OR 0.99; 95% CI 0.98-0.99; p = 0.000) were independent risk factors of invasive management after UE. CONCLUSIONS: To prevent unfavorable clinical outcomes, close attention and proper ventilatory support are required for patients with risk factors who require invasive management after UE.
Adult
;
Heart Arrest
;
Humans
;
Incidence
;
Intensive Care Units*
;
Critical Care*
;
Mortality
;
Multivariate Analysis
;
Respiration, Artificial
;
Risk Factors
8.A Case of Melanonychia Caused by Candida parapsilosis.
Dong Yeob KO ; Seung Min HA ; Su Young JEON ; Ki Hoon SONG ; Ki Ho KIM
Korean Journal of Dermatology 2012;50(12):1084-1093
No abstract available.
Candida
9.A Case of Onychomycosis due to Hortaea werneckii.
Dong Yeob KO ; Seung Min HA ; Su Young JEON ; Ki Hoon SONG ; Ki Ho KIM
Korean Journal of Dermatology 2013;51(4):297-298
No abstract available.
Onychomycosis
10.A Case of Onychomycosis Caused by Candida guilliermondii.
Dong Yeob KO ; Seung Min HA ; Su Young JEON ; Ki Hoon SONG ; Ki Ho KIM
Korean Journal of Dermatology 2013;51(4):296-297
No abstract available.
Candida
;
Onychomycosis