• Title/Summary/Keyword: 동반경

Search Result 797, Processing Time 0.026 seconds

The Korean Practice Parameter for the Treatment of Pervasive Developmental Disorders : Clinical Manifestation, Epidemiology, Course, Causes, and Comorbidity (전반적 발달장애의 한국형 치료 권고안 : 임상양상, 역학, 경과, 원인, 동반질환)

  • Yoo, Han-Ik;Cho, In-Hee;Yoo, Hee-Jeong;Koo, Young-Jin;Chung, Un-Sun;Ahn, Joung-Sook;Ahn, Dong-Hyun;Son, Jung-Woo
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
    • /
    • v.18 no.2
    • /
    • pp.88-96
    • /
    • 2007
  • Pervasive developmental disorders are characterized by lifelong impairments in fundamental social and/or communication skills and by the presence of seemingly purposeless and repetitive behaviors, interests, or activities. A number of possible biological etiologies, including genetic, structural and functional brain abnormalities, have been identified in patients with pervasive developmental disorders. In addition, clinicians should take the possibility of comorbid psychiatric conditions into consideration when making the differential diagnosis of pervasive developmental disorders.

  • PDF

Primary Sternal Tuberculosis with Spontaneous Fracture Treated by Resection and Reconstruction -A Case Report- (원발성 흉골결핵의 외과적 치험 -1례 보고-)

  • 배상일;김미혜;오태윤;장운하
    • Journal of Chest Surgery
    • /
    • v.31 no.2
    • /
    • pp.190-193
    • /
    • 1998
  • We experienced a case of primary sternal tuberculosis with destroyed midsternum and bony defect. An 22-year-old female was admitted to our hospital two times for severe sternal pain and spontaneous fracture without history of trauma. On hospital admission, chest X-ray and chest CT showed destruction of midsternum and soft tissue swelling. Fine needle aspiration cytology revealed tuberculous osteomyelitis with cold abscess. And the patient was treated with usual anti-tubeculosis medication for preoperative preparation. At operation, we confirmed midsternal destruction with cold abscess and multiple sinus tracts. After removal of diseased sternal segment and cold abscess, we performed sternal reconstruction with autologus iliac bone graft. The pathologic report was compatible with tuberculous osteomyelitis and caseous necrosis The postoperative course was smooth and uneventful, and she remains well without sternal instability two months later.

  • PDF

Left Ventricular Pseudoaneurysm after Surgery for Infective Endocarditis with Annular Abscess - A case report - (판막륜 농양을 동반한 감염성 심내막염 수술 후 발생한 좌심실 가성류 - 치험 1예 -)

  • 황호영;김기봉
    • Journal of Chest Surgery
    • /
    • v.36 no.4
    • /
    • pp.273-276
    • /
    • 2003
  • We report a surgical case of 39-year-old male with a pseudoaneurysm of the left ventricle. Four years ago, the patient underwent aortic and mitral valve replacements with mechanical valves and abscess removal for infective endocarditis with annular abscess. Recent echocardiography demonstrated a communication between left ventricle and abscess pocket, and the size of pocket increased further at the follow-up echocardiography. The patient underwent patch closure of the defect between left ventricle and pseudoaneurysm located at the aortomitral fibrous continuity, under the cardiopulmonary bypass and cardioplegia. The postoperative course was uneventful and the patient was discharged on the 9th postoperative day.

GLOBUS HYSTERICUS : CLINICAL ASPECT AND VIDEO-ESOPHAGOGRAM (Globus 증후군 : 임상적 고찰 및 비데오-식도 조형술)

  • 장태영;이승철;장훈상;박인용;김기령
    • Proceedings of the KOR-BRONCHOESO Conference
    • /
    • 1987.05a
    • /
    • pp.22.1-22
    • /
    • 1987
  • 인후부, 하인두부 및 경부 등에 종양감각(lump sensation)등의 이상감각을 호소하는 globus 증후군은 Hippocrates가 처음 기술한 이래 많은 저자들에 의해 여러 가지 다양한 원인들이 기술되어 왔지만 아직 뚜렷한 병인이 밝혀지지 않은 상태로 기질적 원인에 대한 다각적인 연구가 진행중이다. 이에 저자들은 1986년 7월부터 1987년 2월까지 연세대학교 의과대학 이비인후과학 교실을 방문한 85명의 globus 증후 환자를 대상으로 전향적 연구를 시행 다음과 같은 결과를 얻었다. 1) 주증상은 무언가 걸린듯한 느낌이 가장 많았고(40.8%), 기타 점액객출 및 종양감각이 있었으며, 증상부위는 하인두부(26.8%) 및 윤상연골부(28.0%)가 많았고. 증상 유발인자로는 피로 및 신경과민증이 동반된 기질적 병변으로는 비후성 설편도염 및 인두염이 가장 많았다. 2) 비데오-식도조영술 검사상 27명(31.8%)에서 윤상인두근 이상수축이 있었으며 기타 식도복(3명), 식도점막이상(1명)등이 있었고 윤상인두근 이상수축이 있었던 환자군과 없었던 환자군 사이에 주증상, 증상부위, 동반증상, 기질적 병변 및 치료경과에는 차이가 없었으며 50% 이상의 수축을 보인 3명의 환자에서 내시경 검사상 이상소견은 관찰되지 않았다. 3) 치료는 특별한 기질적 병변이 없는 한 자세한 설명을 통한 치유의 확신감을 주고 필요에 따라 진정제, 제산제 및 cimetidine을 투여한 결과 65.3%에서 증상의 완전소실 및 현저한 호전이 있었고, 24.5%에서는 어느 전도의 호전이 있었으며, 10.2%에서는 증상의 호전이 없었다.

  • PDF

Neurofibroma of the Larynx (후두의 신경섬유종)

  • 김종선;윤태현;노관택
    • Proceedings of the KOR-BRONCHOESO Conference
    • /
    • 1979.05a
    • /
    • pp.9.5-9
    • /
    • 1979
  • Somewhat less than 100 cases of neurogenic tumors of the larynx are reported in the literature. This is slowly growing tumor and is mostly schwannomas and neurofibromas, and could affect any age group. Since the first description of Von Recklinghausen's disease in 1882, about 20 cases of laryngeal involvement have been reported in the world literature. In this paper two cases of laryngeal neurofibroma will be presented: one congenital laryngeal neurofibroma in a 2-month-old boy, and one large laryngeal neurofibroma in Von Recklinghausen's disease in a 28 year old woman. The importance of conservative surgical procedure is discussed with. case presentation and literature review.

  • PDF

A Choledochal Cyst Associated with Hemorrhagic Tendency and a Cerebral Hematoma -Report of a case and review of literature- (두강내 출혈 및 출혈성 경향을 동반한 선천성 담관 낭종 -1예 보고와 문헌보고-)

  • Park, Young-Bok;Lee, Myung-Wo;Kim, Hong-Jin;Kwun, Koing-Bo
    • Journal of Yeungnam Medical Science
    • /
    • v.2 no.1
    • /
    • pp.299-306
    • /
    • 1985
  • Congenital dilatation of the common bile duct is relatively rare anomaly. Its pathogenesis has not been completely understood. Complications of the choledochal cyst are mainly suppurative cholangitis, liver cirrhosis, stone formation, malignant change, bile peritonitis due to spontaneous and traumatic rupture. We experienced one case of choledochal cyst associated with hemorrhagic tendency and a cerebral hematoma, which is extremely rare complication. The 3 monthes old male patient reported here was treated with complete excision of cyst and Roux-en-Y choledochojejunostomy after correction of bleeding tendency and removal of crebral hematoma. Postoperative course was relatively uneventful, 11 days after operation, the patient was discharged with full improvement.

  • PDF

Intratendinous Fibroma with a Flexor Profundus Tendon Tear in the Finger of an Adolescent Baseball Player: A Case Report (야구 선수의 수지에서 심수지굴곡건 파열을 동반한 건내 섬유종: 증례 보고)

  • Kim, Kyu Jin;Lee, Jae Hoon
    • Archives of Hand and Microsurgery
    • /
    • v.23 no.4
    • /
    • pp.262-266
    • /
    • 2018
  • Flexor digitorum profundus (FDP) tears in adolescents appear as avulsion tears in the FDP tendon, whereas longitudinal tears are very rare. Moreover, there has been only one reported case of intratendinous fibroma occurring in the flexor tendon of a finger. A longitudinal tear of the flexor profundus tendon associated with an intratendinous fibroma has not been previously reported. We report one case of a longitudinal partial tear accompanied by an intratendinous fibroma at the FDP tendon of the left middle finger after a hyperextension injury caused by the impact of a baseball. Given the rarity of longitudinal flexor tendon tears in adolescents, in such cases, the possibility of an underlying pathology should be considered.

Thoracicl Actinomycosis Associated with Broncholithiasis -Report on 2 cases- (기관지 결석증을 동반한 흉부 방선균증 -2예 보고-)

  • Lee, Seock-Yeol;Oh, Hong-Cheul;Jeon, Cheol-Woo;Lee, Seung-Jin;Lee, Chol-Sae;Lee, Kihl-Rho;Cho, Hyun-Deuk
    • Journal of Chest Surgery
    • /
    • v.41 no.3
    • /
    • pp.390-394
    • /
    • 2008
  • We report here on two eases of a 48-year old woman and a 46-year-old man who both presented with broneholithiasis and obstructive pneumonitis. Removal of the broncholithiasis failed with bronchofibroscopy, and so right middle lobectomy of the lung were done in the 2 patients. The histopathologic diagnosis was thoracic actinomycosis associated with broncholithiasis. Thoracic actinomycosis associated with broncholithiasis is a very rare condition, so we report here on these two cases of thoracic actinomycosis associated with broncholithiasis.

Single System Langerhans' Cell Histiocytosis with Multifocal Bone Lesions and Pathologic Fracture: A Case Report (다발성 골 침습과 병적 골절을 동반한 단일조직 랑게르한스 세포 조직구증: 증례 보고)

  • Hur, Jae-Seung;Kim, Hong-Sik;Park, Yong-Wook;Pyo, Ju-Yeon;Lee, Young-Ho;Park, Ye-Soo
    • The Journal of the Korean bone and joint tumor society
    • /
    • v.19 no.2
    • /
    • pp.78-82
    • /
    • 2013
  • Langerhans cell histiocytosis is known as one of the diseases related to excessive proliferation of normal monocytes and has the variety of clinical courses and treatment. Especially, in cases with the spine, it shows a feature of single or multiple osteolysis. According to the location, disease progression and concomitant symptom, variety of treatments (observation, radiotherapy, chemotherapy, surgery, etc.) have been attempted, however, appropriate treatment has not been established yet. The authors introduce the case of single system Langerhans cell histiocytosis which involves cervical and lumbar vertebrae simultaneously with bone marrow destruction and pathologic fracture.

Simultaneous Bucket-handle Tears of both Medial and Lateral Meniscus - A Case Report - (내측 및 외측 반월상 연골에 동시 발생한 양동이 손잡이형 파열 - 증례 보고 -)

  • Yoon, Jung-Ro;Kim, Taik-Sun;Yang, Jai-Hyuk;Kang, Kyu-Bok;Kim, Young-Chan
    • Journal of the Korean Arthroscopy Society
    • /
    • v.14 no.1
    • /
    • pp.25-28
    • /
    • 2010
  • Most of bucket handle meniscal tears are associated with anterior cruciate ligament (ACL) deficiency. Lateral meniscus lesions are more common with acute ACL deficiency, where medial meniscus lesions are more associated with chronic ACL deficiency. We reported an ACL deficient knee with bucket handle tears of medial and lateral meniscus of the same knee. The report suggests the need for increased awareness of the possible presence of this. Additionally, we discuss injury mechanism, clinical symptoms, specific signs on Magnetic Resonance Imaging (MRI), and treatment options.

  • PDF