1.A Spontaneous Coronary Artery Dissection Autopsy in a 64-Year-Old Male
Sang Won LEE ; Wooyoung JANG ; Tae Mo KANG ; So Youn IM ; Kyungmin LEE ; Kwang Soo KO ; Jinhyuk CHOI
Korean Journal of Legal Medicine 2025;49(2):51-55
Spontaneous coronary artery dissection (SCAD) is a condition in which an intramural hematoma within the coronary artery leads to acute coronary syndrome without atherosclerosis, trauma, or iatrogenic causes. It predominantly affects middle-aged women and is associated with several predisposing conditions, including fibromuscular dysplasia, systemic inflammatory disorders, connective tissue diseases, and coronary artery spasms. We report the case of a 64-year-old male with a history of hypertension who died of SCAD. His death occurred suddenly and without preceding trauma while the decedent was working overtime at a construction site. On gross examination, a thrombus-like material was identified in a branch of the left anterior descending artery and was initially presumed to be a postmortem clot. However, microscopic examination revealed an intramural hemorrhage, medial dissection, and formation of a false lumen within the coronary artery. This case report highlights the importance of a thorough histopathological examination of the coronary arteries during autopsy, even in the absence of atherosclerosis.
2.A Spontaneous Coronary Artery Dissection Autopsy in a 64-Year-Old Male
Sang Won LEE ; Wooyoung JANG ; Tae Mo KANG ; So Youn IM ; Kyungmin LEE ; Kwang Soo KO ; Jinhyuk CHOI
Korean Journal of Legal Medicine 2025;49(2):51-55
Spontaneous coronary artery dissection (SCAD) is a condition in which an intramural hematoma within the coronary artery leads to acute coronary syndrome without atherosclerosis, trauma, or iatrogenic causes. It predominantly affects middle-aged women and is associated with several predisposing conditions, including fibromuscular dysplasia, systemic inflammatory disorders, connective tissue diseases, and coronary artery spasms. We report the case of a 64-year-old male with a history of hypertension who died of SCAD. His death occurred suddenly and without preceding trauma while the decedent was working overtime at a construction site. On gross examination, a thrombus-like material was identified in a branch of the left anterior descending artery and was initially presumed to be a postmortem clot. However, microscopic examination revealed an intramural hemorrhage, medial dissection, and formation of a false lumen within the coronary artery. This case report highlights the importance of a thorough histopathological examination of the coronary arteries during autopsy, even in the absence of atherosclerosis.
3.A Spontaneous Coronary Artery Dissection Autopsy in a 64-Year-Old Male
Sang Won LEE ; Wooyoung JANG ; Tae Mo KANG ; So Youn IM ; Kyungmin LEE ; Kwang Soo KO ; Jinhyuk CHOI
Korean Journal of Legal Medicine 2025;49(2):51-55
Spontaneous coronary artery dissection (SCAD) is a condition in which an intramural hematoma within the coronary artery leads to acute coronary syndrome without atherosclerosis, trauma, or iatrogenic causes. It predominantly affects middle-aged women and is associated with several predisposing conditions, including fibromuscular dysplasia, systemic inflammatory disorders, connective tissue diseases, and coronary artery spasms. We report the case of a 64-year-old male with a history of hypertension who died of SCAD. His death occurred suddenly and without preceding trauma while the decedent was working overtime at a construction site. On gross examination, a thrombus-like material was identified in a branch of the left anterior descending artery and was initially presumed to be a postmortem clot. However, microscopic examination revealed an intramural hemorrhage, medial dissection, and formation of a false lumen within the coronary artery. This case report highlights the importance of a thorough histopathological examination of the coronary arteries during autopsy, even in the absence of atherosclerosis.
4.A Spontaneous Coronary Artery Dissection Autopsy in a 64-Year-Old Male
Sang Won LEE ; Wooyoung JANG ; Tae Mo KANG ; So Youn IM ; Kyungmin LEE ; Kwang Soo KO ; Jinhyuk CHOI
Korean Journal of Legal Medicine 2025;49(2):51-55
Spontaneous coronary artery dissection (SCAD) is a condition in which an intramural hematoma within the coronary artery leads to acute coronary syndrome without atherosclerosis, trauma, or iatrogenic causes. It predominantly affects middle-aged women and is associated with several predisposing conditions, including fibromuscular dysplasia, systemic inflammatory disorders, connective tissue diseases, and coronary artery spasms. We report the case of a 64-year-old male with a history of hypertension who died of SCAD. His death occurred suddenly and without preceding trauma while the decedent was working overtime at a construction site. On gross examination, a thrombus-like material was identified in a branch of the left anterior descending artery and was initially presumed to be a postmortem clot. However, microscopic examination revealed an intramural hemorrhage, medial dissection, and formation of a false lumen within the coronary artery. This case report highlights the importance of a thorough histopathological examination of the coronary arteries during autopsy, even in the absence of atherosclerosis.
5.Association Between Morningness and Defense Style in Adolescence:Morningness is Associated With Greater Adaptive and Self-Suppressive Defense Styles and Lesser Immature Defense Style
So-Jin LEE ; Bong-Jo KIM ; Boseok CHA ; Dongyun LEE ; Jae-Won CHOI ; Young-Ji LEE ; Eun-Ji LIM ; Nuree KANG ; Wooyoung IM
Sleep Medicine and Psychophysiology 2024;31(2):41-47
Objectives:
Eveningness predominates in adolescence. Morningness has been reported to be associated with mental toughness via resilience. Morningness could be related to healthy sleep habits and a good personality.
Methods:
Sleep-related behaviors, such as weekend oversleep, social jetlag, and daytime sunlight exposure between 10:00 and 15:00, were evaluated using sleep-related questionnaires. Morningness-eveningness questionnaire, insomnia severity index, Epworth sleepiness scale, hospital anxiety and depression scale and defense style questionnaire were used. This study includes 1,610 high school students.
Results:
Multiple linear regression analysis revealed that morningness is predicted by male sex (β=0.115, t=4.769, p<0.001) and greater adaptive (β=0.092, t=3.506, p<0.001) and self-suppressive defense styles (β=0.072, t=2.192, p=0.029) and lesser immature defense styles (β=-0.163, t=-4.782, p<0.001) after controlling for age, sleep quality, depression, anxiety. Morningness is also predicted by greater sublimation (β=0.09, t=3.541, p<0.001) and reaction formation (β=0.112, t=4.488, p<0.001) and lesser consumption (β=-0.062, t=-2.501, p=0.012), passive aggression (β=-0.101, t=-3.747, p<0.001) and withdrawal (β=-0.084, t=-2.955, p=0.003), and male sex (β=0.117, t=4.896, p<0.001) after controlling for age, sleep quality, depression, and anxiety.
Conclusion
Morniness in adolescence may be related to a positive personality. Promoting morningness might be related to healthy development in personality.
6.Association Between Morningness and Defense Style in Adolescence:Morningness is Associated With Greater Adaptive and Self-Suppressive Defense Styles and Lesser Immature Defense Style
So-Jin LEE ; Bong-Jo KIM ; Boseok CHA ; Dongyun LEE ; Jae-Won CHOI ; Young-Ji LEE ; Eun-Ji LIM ; Nuree KANG ; Wooyoung IM
Sleep Medicine and Psychophysiology 2024;31(2):41-47
Objectives:
Eveningness predominates in adolescence. Morningness has been reported to be associated with mental toughness via resilience. Morningness could be related to healthy sleep habits and a good personality.
Methods:
Sleep-related behaviors, such as weekend oversleep, social jetlag, and daytime sunlight exposure between 10:00 and 15:00, were evaluated using sleep-related questionnaires. Morningness-eveningness questionnaire, insomnia severity index, Epworth sleepiness scale, hospital anxiety and depression scale and defense style questionnaire were used. This study includes 1,610 high school students.
Results:
Multiple linear regression analysis revealed that morningness is predicted by male sex (β=0.115, t=4.769, p<0.001) and greater adaptive (β=0.092, t=3.506, p<0.001) and self-suppressive defense styles (β=0.072, t=2.192, p=0.029) and lesser immature defense styles (β=-0.163, t=-4.782, p<0.001) after controlling for age, sleep quality, depression, anxiety. Morningness is also predicted by greater sublimation (β=0.09, t=3.541, p<0.001) and reaction formation (β=0.112, t=4.488, p<0.001) and lesser consumption (β=-0.062, t=-2.501, p=0.012), passive aggression (β=-0.101, t=-3.747, p<0.001) and withdrawal (β=-0.084, t=-2.955, p=0.003), and male sex (β=0.117, t=4.896, p<0.001) after controlling for age, sleep quality, depression, and anxiety.
Conclusion
Morniness in adolescence may be related to a positive personality. Promoting morningness might be related to healthy development in personality.
7.Association Between Morningness and Defense Style in Adolescence:Morningness is Associated With Greater Adaptive and Self-Suppressive Defense Styles and Lesser Immature Defense Style
So-Jin LEE ; Bong-Jo KIM ; Boseok CHA ; Dongyun LEE ; Jae-Won CHOI ; Young-Ji LEE ; Eun-Ji LIM ; Nuree KANG ; Wooyoung IM
Sleep Medicine and Psychophysiology 2024;31(2):41-47
Objectives:
Eveningness predominates in adolescence. Morningness has been reported to be associated with mental toughness via resilience. Morningness could be related to healthy sleep habits and a good personality.
Methods:
Sleep-related behaviors, such as weekend oversleep, social jetlag, and daytime sunlight exposure between 10:00 and 15:00, were evaluated using sleep-related questionnaires. Morningness-eveningness questionnaire, insomnia severity index, Epworth sleepiness scale, hospital anxiety and depression scale and defense style questionnaire were used. This study includes 1,610 high school students.
Results:
Multiple linear regression analysis revealed that morningness is predicted by male sex (β=0.115, t=4.769, p<0.001) and greater adaptive (β=0.092, t=3.506, p<0.001) and self-suppressive defense styles (β=0.072, t=2.192, p=0.029) and lesser immature defense styles (β=-0.163, t=-4.782, p<0.001) after controlling for age, sleep quality, depression, anxiety. Morningness is also predicted by greater sublimation (β=0.09, t=3.541, p<0.001) and reaction formation (β=0.112, t=4.488, p<0.001) and lesser consumption (β=-0.062, t=-2.501, p=0.012), passive aggression (β=-0.101, t=-3.747, p<0.001) and withdrawal (β=-0.084, t=-2.955, p=0.003), and male sex (β=0.117, t=4.896, p<0.001) after controlling for age, sleep quality, depression, and anxiety.
Conclusion
Morniness in adolescence may be related to a positive personality. Promoting morningness might be related to healthy development in personality.
8.Association Between Morningness and Defense Style in Adolescence:Morningness is Associated With Greater Adaptive and Self-Suppressive Defense Styles and Lesser Immature Defense Style
So-Jin LEE ; Bong-Jo KIM ; Boseok CHA ; Dongyun LEE ; Jae-Won CHOI ; Young-Ji LEE ; Eun-Ji LIM ; Nuree KANG ; Wooyoung IM
Sleep Medicine and Psychophysiology 2024;31(2):41-47
Objectives:
Eveningness predominates in adolescence. Morningness has been reported to be associated with mental toughness via resilience. Morningness could be related to healthy sleep habits and a good personality.
Methods:
Sleep-related behaviors, such as weekend oversleep, social jetlag, and daytime sunlight exposure between 10:00 and 15:00, were evaluated using sleep-related questionnaires. Morningness-eveningness questionnaire, insomnia severity index, Epworth sleepiness scale, hospital anxiety and depression scale and defense style questionnaire were used. This study includes 1,610 high school students.
Results:
Multiple linear regression analysis revealed that morningness is predicted by male sex (β=0.115, t=4.769, p<0.001) and greater adaptive (β=0.092, t=3.506, p<0.001) and self-suppressive defense styles (β=0.072, t=2.192, p=0.029) and lesser immature defense styles (β=-0.163, t=-4.782, p<0.001) after controlling for age, sleep quality, depression, anxiety. Morningness is also predicted by greater sublimation (β=0.09, t=3.541, p<0.001) and reaction formation (β=0.112, t=4.488, p<0.001) and lesser consumption (β=-0.062, t=-2.501, p=0.012), passive aggression (β=-0.101, t=-3.747, p<0.001) and withdrawal (β=-0.084, t=-2.955, p=0.003), and male sex (β=0.117, t=4.896, p<0.001) after controlling for age, sleep quality, depression, and anxiety.
Conclusion
Morniness in adolescence may be related to a positive personality. Promoting morningness might be related to healthy development in personality.
9.Association Between Morningness and Defense Style in Adolescence:Morningness is Associated With Greater Adaptive and Self-Suppressive Defense Styles and Lesser Immature Defense Style
So-Jin LEE ; Bong-Jo KIM ; Boseok CHA ; Dongyun LEE ; Jae-Won CHOI ; Young-Ji LEE ; Eun-Ji LIM ; Nuree KANG ; Wooyoung IM
Sleep Medicine and Psychophysiology 2024;31(2):41-47
Objectives:
Eveningness predominates in adolescence. Morningness has been reported to be associated with mental toughness via resilience. Morningness could be related to healthy sleep habits and a good personality.
Methods:
Sleep-related behaviors, such as weekend oversleep, social jetlag, and daytime sunlight exposure between 10:00 and 15:00, were evaluated using sleep-related questionnaires. Morningness-eveningness questionnaire, insomnia severity index, Epworth sleepiness scale, hospital anxiety and depression scale and defense style questionnaire were used. This study includes 1,610 high school students.
Results:
Multiple linear regression analysis revealed that morningness is predicted by male sex (β=0.115, t=4.769, p<0.001) and greater adaptive (β=0.092, t=3.506, p<0.001) and self-suppressive defense styles (β=0.072, t=2.192, p=0.029) and lesser immature defense styles (β=-0.163, t=-4.782, p<0.001) after controlling for age, sleep quality, depression, anxiety. Morningness is also predicted by greater sublimation (β=0.09, t=3.541, p<0.001) and reaction formation (β=0.112, t=4.488, p<0.001) and lesser consumption (β=-0.062, t=-2.501, p=0.012), passive aggression (β=-0.101, t=-3.747, p<0.001) and withdrawal (β=-0.084, t=-2.955, p=0.003), and male sex (β=0.117, t=4.896, p<0.001) after controlling for age, sleep quality, depression, and anxiety.
Conclusion
Morniness in adolescence may be related to a positive personality. Promoting morningness might be related to healthy development in personality.
10.Regression of an Enchondroma of the Hand: A Case Report
Heejun PARK ; Woo Young KANG ; Ok Hee WOO ; Wooyoung JANG
Investigative Magnetic Resonance Imaging 2024;28(3):148-152
Enchondromas are common benign bone tumors of the hand and are typically located in the medullary cavity of the metaphysis of the tubular bones. Typical radiological findings reveal cartilage lobules with ring and arc calcifications and entrapped normal medullary fat. The regression of an existing enchondroma, in which the cartilage lobules are replaced by fatty marrow, is considered unusual. Only a few studies have been reported on long tubular bones. Herein, we report an unusual case of a 73-year-old man with an enchondroma in the hand. In this case, a histologic appearance of the enchondroma exhibited loss of matrix mineralization, which corresponded to replacement by marrow fat revealed by magnetic resonance imaging.

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