• Title/Summary/Keyword: 의과대학병원

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Small Fiber Neuropathy and Postural Orthostatic Tachycardia Syndrome after Human Papillomavirus Vaccination (사람유두종바이러스 백신접종 후 발생한 소섬유신경병과 기립빈맥증후군)

  • Lee, Chaewon;Lim, Young-Min;Ko, Myung-A;Kim, Hyunjin;Kim, Kwang-Kuk
    • Journal of the Korean neurological association
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    • v.36 no.4
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    • pp.318-321
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    • 2018
  • We describe a 44-year-old woman with paresthesia, fatigue, and palpitation, 10 days after human papillomavirus (HPV) vaccination. The quantitative sensory test showed abnormal detection threshold in her foot. Tilt test result indicated postural orthostatic tachycardia syndrome. Symptoms were improved after immunomodulating therapy, pain control drug, and oral beta blocker medication. This is first case report for small fiber neuropathy and autonomic dysfunction after HPV vaccination in Korea.

Acute Exacerbation of Neovascular Glaucoma after Carotid Artery Stenting (경동맥스텐트삽입술 직후 악화된 혈관신생녹내장 사례)

  • Ko, Myung-Ah;Lee, Chae-Won;Jo, Sungyang;Kang, Dong-Wha;Jeon, Sang-Beom
    • Journal of the Korean neurological association
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    • v.36 no.4
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    • pp.325-328
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    • 2018
  • Neovascular glaucoma is a subtype of secondary glaucoma that is characterized by proliferation of fibrovascular tissue in the anterior chamber angle. This condition may be acutely aggravated by carotid revascularization therapies. There have been few previous reports of acute aggravation of neovascular glaucoma following carotid artery stenting. We report the case history of a patient who had acute exacerbation of neovascular glaucoma following carotid artery stenting and required surgical management.

Cerebellar Hippocampal and Basal Nuclei Transient Edema with Restricted diffusion (CHANTER) syndrome due to antidepressant (항우울제 복용에 의한 소뇌, 해마 그리고 기저핵에 확산이 제한된 일과성 부종 증후군(CHANTER syndrome) 증례)

  • Nah, Sangun;Kim, Han Bit;Han, Sangsoo;Choi, Sungwoo;Lim, Hoon
    • Journal of The Korean Society of Clinical Toxicology
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    • v.20 no.1
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    • pp.31-34
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    • 2022
  • Cerebellar Hippocampal and Basal Nuclei Transient Edema with Restricted diffusion (CHANTER) syndrome is characterized by an altered mental status. The acute MRI lesions show abnormal restricted diffusion imaging bilaterally and symmetrically in the cerebellum, hippocampus, and basal nuclei. This syndrome is an unknown syndrome and is presumed to be mainly an opioidinduced toxidrome. Here, we present a case study wherein we show that it can also be caused by an antidepressant overdose.

A Patient with Locally Advanced Pancreatic Cancer Who Refused Additional Chemotherapy (추가 항암 치료를 거부하는 국소 진행형 췌장암 환자 1례)

  • Hee Seung Lee;Moon Jae Chung;Jeong Youp Park;Seungmin Bang;Seung Woo Park;Si Young Song
    • Journal of Digestive Cancer Research
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    • v.4 no.2
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    • pp.127-129
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    • 2016
  • The prognosis for pancreatic cancer patient is very poor. Patients with locally advanced disease have a median survival time of 8 to 12 months, and patients with distant metastases have significantly worse outcomes, with a median survival time of only 3 to 6 months. Approximately 30% of patients with pancreatic cancer present with locally advanced disease defined as unresectable pancreatic cancer without evidence of distant metastatic disease. Primary treatment options in locally advanced pancreatic cancer include chemotherapy and radiotherapy. Here, we reported a patient with locally advanced pancreatic cancer who does not want further chemotherapy because of chemotherapy induced nausea and vomiting. Irreversible electroporation was performed. Irreversible electroporation was well tolerated in this case, and may be a therapeutic modality for selected patients with locally advanced pancreatic cancer.

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Ileocolic Intussusception Accompanied with Inflamed Appendix: 2 Case Reports (염증성 충수돌기를 동반한 회결장 장중첩증: 2예 보고)

  • Hyung Ju Lee;Sook Min Hwang;Young Joo Won;Ji Young Woo;Kon Hee Lee;Min Eui Hong
    • Journal of the Korean Society of Radiology
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    • v.82 no.3
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    • pp.708-714
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    • 2021
  • Intussusception and acute appendicitis are common emergency conditions in children. They should be promptly differentiated in pediatric patients presenting with suggestive symptoms. However, both diseases may occur simultaneously. Herein, we present two cases of intussusception of the appendix accompanied with appendicitis.

Renomedullary Interstitial Cell Tumor Mimicking Renal Cell Carcinoma: A Case Report (신세포암으로 오인한 신수질 간질세포 종양: 증례 보고)

  • Hyunji Oh;Sung Bin Park;Tae-Jin Lee;Byung Hoon Chi;Hyun Jeong Park;Eun Sun Lee
    • Journal of the Korean Society of Radiology
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    • v.83 no.6
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    • pp.1412-1417
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    • 2022
  • Renomedullary interstitial cell tumors are often incidentally identified either upon autopsy or kidney resection for other reasons. However, rare renomedullary interstitial cell tumor cases resulting in a clinical symptomatic mass have been reported. We present a case of renomedullary interstitial cell tumor that was manifested as an incidentally detected renal mass and mimicked renal cell carcinoma on the imaging features.

Imaging Findings of Primary Acinic Cell Carcinoma of the Breast: A Case Report (유방에서 발생한 선방세포암의 영상 소견: 증례 보고)

  • Eui Hyun Yu;Kyounglan Ko;Joon Yeun Park;Yoon Yang Jung;Hyuk Jai Shin;Hyun Jung Choi
    • Journal of the Korean Society of Radiology
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    • v.85 no.3
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    • pp.643-648
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    • 2024
  • Acinic cell carcinoma is a rare malignant tumor that accounts for 2%-3% of salivary gland tumors. Acinic cell carcinoma arising from the breast is extremely rare, with only approximately 70 cases reported to date. Owing to its rarity, previous studies have primarily focused on pathological findings. Herein, we present the clinical and radiological features of acinic cell carcinoma of the breast in a 33-year-old woman.

Clear Cell Borderline Tumor of the Ovary: A Case Report (난소에 발생한 경계성 투명세포종: 증례 보고)

  • Ha Jung Kim;Kyeong Ah Kim;Yikyeong Chun;Yang Shin Park;Mi Jin Song;Jae Woong Choi
    • Journal of the Korean Society of Radiology
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    • v.84 no.3
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    • pp.692-697
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    • 2023
  • Clear cell borderline ovarian tumor (CCBOT) is quite rare, and only a few cases of CCBOT have been reported. Unlike most borderline ovarian tumors, CCBOTs appear solid because they are almost always pathologically adenofibromatous. Herein, we report the MRI findings of a CCBOT discovered in a 22-year-old female.

A Case of Granular Cell Tumor of the Breast in a Male Patient (남성유방에서 과립세포종양의 증례 보고)

  • Lee, Gyoung-Eun;Kim, Ji-Young;Kim, Jae Hyung;Jeong, Myeong Ja;Kim, Soung Hee;Kim, Soo Hyun;Kang, Mi-Jin;Lee, Ji Hae;Bae, Kyung-Eun;Kim, Tae Gyu
    • Journal of the Korean Society of Radiology
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    • v.79 no.5
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    • pp.259-263
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    • 2018
  • A 52-year-old male complained of a painless, firm, and slow-growing mass in his right breast outer portion. The chest CT revealed a 3.3 cm-sized oval shaped, microlobulated, mild enhancing mass. Ultrasound showed a microlobulated marginated heterogeneous hypoechoic mass with internal vascularity and calcifications in the mass. On the ultrasound-guided core needle biopsy, the mass was confirmed as a benign granular cell tumor (GCT). The patient transferred to another hospital and underwent surgical removal of the lesion. GCT of the breast is uncommon and mostly benign neoplasm to originate from Schwann cell. Clinical and radiologic features of GCTs, including CT and ultrasound images, mimic malignancy and make diagnosis of GCT more difficult. The CT images of GCTs are much rarely reported. Physicians and radiologists must be aware of radiologic characteristics of this rare benign tumor for male breast, to avoid misdiagnosis this tumor for breast malignancy and overtreat.

Bilateral Lesions in the Posterior Limb of Internal Capsule Attributed to Combination Therapy of Isoniazid and Rifampin (이소니아지드와 리팜핀 복합 치료에 의하여 발생한 속섬유막뒤다리의 양측성 병변)

  • Park, Min Won;Roh, Jinhong;Im, Seojun;Kim, Min Ok;Kim, Young-Soo;Kang, Jongsoo;Kim, Do-Hyung;Kwon, Oh-Young
    • Journal of the Korean neurological association
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    • v.36 no.4
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    • pp.354-357
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    • 2018
  • Transient isoniazid-induced brain lesions have rarely been reported. The lesions were in the dentate nucleus of cerebellum and thalamus. Meanwhile, the neurotoxicity of rifampin has not been reported evidently. We observed bilateral lesions in the internal capsule in a young woman after taking a combination of isoniazid and rifampin. She transiently suffered numbness in both hands, dysarthria, and left side motor weakness while taking the medication. Isoniazid may induce structural lesions in various brain areas including the internal capsule.