• 제목/요약/키워드: Anatomical structures

검색결과 313건 처리시간 0.031초

Experience with 5-Aminolevulinic Acid in Fluorescence-Guided Resection of a Deep Sylvian Meningioma

  • Chae, Michael P.;Song, Sang Woo;Park, Sung-Hye;Park, Chul-Kee
    • Journal of Korean Neurosurgical Society
    • /
    • 제52권6호
    • /
    • pp.558-560
    • /
    • 2012
  • The 5-aminolevulinic acid (5-ALA)-induced tumor fluorescence is a useful intraoperative marker for the diagnosis and the detection of various malignancies, but its use in meningioma is only reported infrequently. In meningioma, a complete resection of the tumor mass is crucial for the prevention of recurrence and postoperative morbidities. Deep sylvian meningioma is a rare type of meningioma where complete tumor removal is complicated by its deep anatomical location and close involvement with the middle cerebral artery. From our experience, 5-ALA-mediated fluorescence facilitated a safe excision whilst preserving critical neurovascular structures. To our best knowledge, this is first report from use of 5-ALA in a deep sylvian meningioma.

경부인성 두통의 물리치료적 접근에 대한 문헌적 고찰 (A Review of Physical Therapies Approach for Cervicogenic Headache)

  • 최병옥;김종대;주민종
    • 대한물리치료과학회지
    • /
    • 제10권1호
    • /
    • pp.212-221
    • /
    • 2003
  • To observe the anatomical structures which cause a cervicogenic headache it reports, from viewpoint of physical therapist in treatment multiple to observe method which approaches, the reporter it does. With the manipulation the vertebral manipulation effected an affirmative effect to cervicogenic headache(Niels Nilsson et al,1997). The manipulation, soft the tissue massage, postural education/advice, muscular elongation, the traction, and postural exercises initially came to be used with that technique which the upper cervical vertebra(0-C3) passive accessory intervertebral movement comes to be used with a cervicogenic headache treatment technique(Grant T & Niere K., 2000). Also, it relates with the diagnosis standard about a cervicogenic headache when the body function over of the cervical vertebra is discovered, the Muscle energy technique was proposed in the treatment which is safety and effect(Bogduk N,2001). The TENS and the Mange gave a reduction effect of pain often.

  • PDF

갑상선 수질암의 세침흡인 세포학적 소견 - 1 증례 보고 - (Fine Needle Aspiration Cytology of Medullary Carcinoma of the Thyroid Gland - A case report -)

  • 주영채;황태숙
    • 대한세포병리학회지
    • /
    • 제2권2호
    • /
    • pp.119-126
    • /
    • 1991
  • A 33-year-old woman who was diagnosed as medullary carcinoma by fine needle aspiration of thyroid mass is presented. The smear revealed dispersed pattern and small clusters of cells without follicular or papillary structures. The nuclei were round, oval or spindle shaped and eccentrically located. The cytoplasm was abundant and showed red-stained cytoplasmic granulation and tail-like projection with indistinct border. Clumps of amorphous, light-green material were intermingled with tumor cells.

  • PDF

Squamous cell carcinoma of the buccal mucosa involving the masticator space: a case report

  • Kim, Il-hyung;Myoung, Hoon
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
    • /
    • 제43권3호
    • /
    • pp.191-196
    • /
    • 2017
  • Squamous cell carcinoma of the buccal mucosa has an aggressive nature, as it grows rapidly and penetrates well with a high recurrence rate. If cancers originating from the buccal mucosa invade adjacent anatomical structures, surgical tumor resection becomes more challenging, thus raising specific considerations for reconstruction relative to the extent of resection. The present case describes the surgical management of a 58-year-old man who presented with persistent ulceration of the mucosal membrane and a mouth-opening limitation of 11 mm. Diagnostic imaging revealed a buccal mucosa tumor that had invaded the retroantral space upward with involvement of the anterior border of the masseter muscle by the lateral part of the tumor. In this report, we present the surgical approach we used to access the masticator space behind the maxillary sinus and discuss how to manage possible damage to Stensen's duct during resection of buccal mucosa tumors.

정신분열증의 신경 해부학 (Neuroanatomy in Schizophrenia)

  • 민성길
    • 생물정신의학
    • /
    • 제3권1호
    • /
    • pp.3-13
    • /
    • 1996
  • Many studies have been conducted to search for the anatomical abnormalities in the brain which ore etiologically related with schizophrenia. Generally schizophrenia in known to be related with decreased brain tissue, hypofrontality and abnormalities in the temporal lobe including the hippocamypus, the agmygdala and the entorhinal cortex. Other areas related with the disorder ore basal ganglia, thalamus, brain stem, pons and nucleus accumbens. Abnormality in brain asymmetry is one of the new areas of interest which needs further study. The results so for ore inconsistent and it is unlikely that the abnormality in one structure is the only cause of the disorder. Rather, schizophrenia develops from the impairment of the parallel processing of integrated and reciprocal information which is distributed to the multiple structures. Histopathologic studies in the postmortem brain suggest that schizophrenia is related with neurodevelopmental abnormality rather than neurodegenerative abnormality.

  • PDF

Ridge augmentation in implant dentistry

  • Kim, Young-Kyun;Ku, Jeong-Kui
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
    • /
    • 제46권3호
    • /
    • pp.211-217
    • /
    • 2020
  • In patients with insufficient bone height and width, the successful placement of dental implants is difficult with regards to maintaining an ideal pathway and avoiding important anatomical structures. Vertical and/or horizontal ridge augmentation may be necessary using various bone substitute materials and bone graft procedures. However, effective one-wall reconstruction has been challenging due to its poor blood supply and insufficient graft stability. In this paper, the authors summarize current evidence-based literature based on the author's clinical experience. Regarding bone substitutes, it is advantageous for clinicians to select the types of bone substitutes including autogenous bone. The most important consideration is to minimize complications through principle-based ridge augmentation surgery. Ridge augmentation should be decided with complete consent of the patients due to the possible disadvantages of surgery, complications, and unpredictable prognosis.

Computed tomography-guided 3D printed patient-specific regional anesthesia

  • Jundt, Jonathon S.;Chow, Christopher C.;Couey, Marcus
    • Journal of Dental Anesthesia and Pain Medicine
    • /
    • 제20권5호
    • /
    • pp.325-329
    • /
    • 2020
  • Classic anesthetic techniques for the inferior alveolar nerve, lingual nerve, and long buccal nerve blockade are achieved by estimating the intended location for anesthetic deposition based on palpation, inspection, and subsequent correlation for oral anatomical structures. The present article utilizes computed tomography (CT) data to 3D print a guide for repeatable and accurate deposition of a local anesthetic at the ideal location. This technical report aims to anatomically define the ideal location for local anesthetic deposition. This process has the potential to reduce patient discomfort, risk of nerve damage, and failed mandibular anesthesia, as well as to reduce the total anesthetic dose. Lastly, as robotic-based interventions improve, this provides the initial framework for robot-guided regional anesthesia administration in the oral cavity.

C2 척수신경절 치단술에 의한 Cervicogenic Headache의 치험 -증례 보고- (C2 Spinal Ganglion Block for Treatment of Cervicogenic Headache -A case report-)

  • 정종권;이광호;김찬;최령
    • The Korean Journal of Pain
    • /
    • 제6권1호
    • /
    • pp.96-99
    • /
    • 1993
  • The pathological basis for cervicogenic headache may lie within the cervical spine. Clinically patients with cervicogenic headache complain of unilateral pain radiating in an atypical fashion from the occipital region. Our clinic has successfully treated post-traumatic cervicogenic headache with C2 spinal ganglion block. The technique of fluoroscopic guided injection was used to locate the C2 spinal ganglion. This technique is facilitated by the constancy of the anatomical relationship between the C2 ganglion and the midpoint of the atlanto-axial joint. There are no major structures near the proximity of the ganglion.

  • PDF

Non Surgical Treatment of Eagle's Syndrome - A Case Report -

  • Han, Min Kyu;Kim, Do Wan;Yang, Jong Yeun
    • The Korean Journal of Pain
    • /
    • 제26권2호
    • /
    • pp.169-172
    • /
    • 2013
  • Eagle's syndrome is a disease without a clear lesion that is associated with repeated episodes of pharyngalgia, odynophagia, the sensation of a foreign body in the pharynx, tinnitus, and otalgia in which patients displaying these types of symptoms must be given a differential diagnosis. It is known to be characterized by styloid process elongation or increasing compression to adjacent anatomical structures through stylohyoid ligament calcification. In serious cases, continuous pressure to the carotid artery can lead to a stroke. Diagnosis is confirmed through clinical symptoms, radiological findings, and physical examinations. The most common type of treatment consists of a surgical excision of elongated styloid process. Nonetheless, this study presents a case of treating Eagle's syndrome with conservative management.

Cystic Abducens Schwannoma without Abducens Paresis : Possible Role of Cisternal Structures in Clinical Manifestation

  • Lee, Seul-Kee;Moon, Kyung-Sub;Lee, Kyung-Hwa;Jung, Shin
    • Journal of Korean Neurosurgical Society
    • /
    • 제53권6호
    • /
    • pp.374-376
    • /
    • 2013
  • The abducens nerve paresis generally can aid in the presumptive diagnosis of abducens schwannoma along with the typical radiological features of schwannomas. The authors present a case of a 76-year-old male patient with a abducens schwannoma without abducens nerve paresis. Peroperatively, abducens nerve located in the cerebellopontine cistern had normal in contour and diameter, despite the mass originated from this nerve. We hypothesize that anatomic location of abducens nerve may affect the vector of tumor growth to prevent destruction of its origin, the abducens nerve.