• Title/Summary/Keyword: Dura

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Primary Osteolytic Intraosseous Atypical Meningioma with Soft Tissue and Dural Invasion : Report of a Case and Review of Literatures

  • Yun, Jung-Ho;Lee, Sang-Koo
    • Journal of Korean Neurosurgical Society
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    • v.56 no.6
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    • pp.509-512
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    • 2014
  • Primary intraosseous meningioma is a rare tumor, and atypical pathologic components both osteolytic lesion and dura and soft tissue invasion is extremely rare. A 65-year-old woman presented with a 5-month history of a soft mass on the right frontal area. MR imaging revealed a 4 cm sized, multilobulated, strongly-enhancing lesion on the right frontal bone, and CT showed a destructive skull lesion. The mass was adhered tightly to the scalp and dura mater, and it extended to some part of the outer and inner dural layers without brain invasion. The extradural mass and soft tissue mass were totally removed simultaneously and we reconstructed the calvarial defect with artificial bone material. The pathological study revealed an atypical meningioma as World Health Organization grade II. Six months after the operation, brain MR imaging showed that not found recurrence in both cranial and spinal lesion. Here, we report a case of primary osteolytic intraosseous atypical meningioma with soft tissue and dural invasion.

A RADIOGRAPHIC STUDY ON THE ARTIFICIALLY INDUCED LESIONS INVOLVING LAMINA DURA (실험적 치조백선 병소부에 관한 방사선학적 연구)

  • Kim Young-Jin;Kim Jae-Duk
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.21 no.1
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    • pp.83-89
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    • 1991
  • This study was performed to simulate various sizes of periapical lesions and condensing osteitis in bone and to clarify that condensing osteitis would give a greater radiographic contrast because of the more radiopacity immediately adjacent to the lesion and what the lamina dura on radiogram is in bone. For this study, two dry and wet human adult mandible and a cadaver were used. Each mandible was sectioned longitudinally to split lingual and buccal cortical plates to gain better access to the apex of tooth. Lesions were gradually enlarged and bordered with tooth ash that burned out at 950℃ for the reproduction of condensing osteitis in sequence. The serial radiograms were taken under the constantly maintained condition and compared with the actual lesions.

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Bilateral Subdural Hematoma due to an Unnoticed Dural Tear during Spine Surgery

  • Jung, Youn-Young;Ju, Chng-Il;Kim, Seok-Won
    • Journal of Korean Neurosurgical Society
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    • v.47 no.4
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    • pp.316-318
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    • 2010
  • We report a rare case of intracranial hypotension that was complicated by a subdural hematoma following spine surgery. Intraoperatively, we did not notice any breach of the dura. However, the patient continued to have fluid leakage from the inferior edge of the lumbar incision. During revision surgery, a small dural tear was identified and repaired. It is likely that a small dural tear was overlooked or the dura was weakened during the initial operation and caused a subdural hematoma associated with intracranial hypotension.

The Fungal Resources of Mt. Paekdu Areas (백두산 일대의 균류 자원)

  • Cho, Duck-Hyun
    • Korean Journal of Plant Resources
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    • v.23 no.1
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    • pp.115-121
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    • 2010
  • Many fungi were collected in Mt. Paekdu areas from May, 2002 to September, 2008 and were identified. As the resulting, the following species were unrecorded to Korea ; Clitocybe alnetorum, C. catinus, C. metachroa, C. odora var. alba, C. phyllophilla, Amanita muscaria var. formosa, A. pantherina var. lutea, Coprinus semitalis, Agrocybe dura, Inocybe grammata, Cortinarius epipolius and C. nemorensis. They were added list of Korean fungal resources.

Supratentorial Hemangioblastma, Occurred after Total Removal of Recurrent Cerebellar Hemangioblastoma - Case Report - (소뇌 혈관아세포종 전적출 후 천막상에 발생한 혈관아세포종 - 증 례 보 고 -)

  • Kim, Hyung Soo;Park, Se-Hyuck;Cho, Byung Moon;Kim, Duck-Hwan;Oh, Sae-Moon
    • Journal of Korean Neurosurgical Society
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    • v.30 no.sup2
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    • pp.348-351
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    • 2001
  • Hemangioblastoma is a benign tumor of vascular origin that develops usually in the posterior cranial fossa. We report a case of supratentorial leptomeningeal hemangioblastoma occurring in a 45-year-old man who received total removal of recurrent cerebellar hemangioblastoma four years ago. He was admitted for the evaluation of severe headache and magnetic resonance image showed a well-enhanced, extra-axial mass in the right parietal region. A presumptive diagnosis was meningioma. It was completely removed with the attached dura. Histological examination including immunohistochemical study showed typical findings of hemangioblastoma. It is emphasized that close observation may be necessary for hemangioblastoma, even after total removal.

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Case of Mental Retardation Associated with Aplasia Cutis Congenita and Skull Defect

  • Cho, Hyun Chul;Hwang, Jong Hee
    • Neonatal Medicine
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    • v.28 no.1
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    • pp.48-52
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    • 2021
  • Aplasia cutis congenita (ACC) is a rare congenital disorder characterized by skin defects involving the epidermis, dermis, subcutaneous tissue, bone, and sometimes dura. It commonly affects the scalp in approximately 70% of cases, but the neck, trunk, and the extremities can also be affected. ACC can occur either as an isolated condition or associated with other anomalies and congenital syndromes, and it can be acquired either genetically or sporadically. Morbidity and mortality are associated with the defects of skull bone, dura, and other multiple anomalies. We herein report the case of a female infant, with a large scalp defect accompanied by a skull defect noted at birth, who developed mental retardation in the preschool years.

A case of idiopathic hypertrophic pachymeningitis presented with seizures

  • Kim, Minju;Kim, Joong-Goo;Kang, Chul-Hoo;Kim, Hong Jun;Kang, Sa-Yoon;Oh, Jung-Hwan
    • Annals of Clinical Neurophysiology
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    • v.24 no.2
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    • pp.98-100
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    • 2022
  • Idiopathic hypertrophic pachymeningitis (IHP) is a rare disease involving localized inflammatory thickening of the intracranial or spinal dura mater without an identified cause. Seizure is a very unusual presentation of IHP. We present a 58-year-old-female patient with seizures caused by IHP. This case indicates that although IHP is rare, it has the potential to cause seizures.

Spinous Process-Splitting Hemilaminoplasty for Intradural and Extradural Lesions

  • Lee, Young-Seok;Kim, Young-Baeg;Park, Seung-Won
    • Journal of Korean Neurosurgical Society
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    • v.58 no.5
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    • pp.494-498
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    • 2015
  • Objective : To describe a novel spinous process-splitting hemilaminoplasty technique for the surgical treatment of intradural and posterior epidural lesions that promotes physiological restoration. Methods : The spinous process was split, the area of the facet lamina junction was drilled, and en bloc hemilaminectomy was then performed. After removing intradural and posterior epidural lesions, we fitted the previously en bloc-removed bone to the pre-surgery same shape, and held it in place with non-absorbable sutures. Surgery was performed on 16 laminas from a total of nine patients between 2011 and 2014. Bony union of the reconstructed lamina was assessed using computed tomography (CT) at 6 months after surgery. Results : Spinous process-slitting hemilaminoplasty was performed for intradural extramedullary tumors in eight patients and for ossification of the ligament flavum in one patient. Because we were able to visualize the margin of the ipsilateral and contralateral dura, we were able to secure space for removal of the lesion and closure of the dura. None of the cases showed spinal deformity or other complications. Bone fusion and maintenance of the spinal canal were found to be perfect on CT scans. Conclusion : The spinous process-splitting hemilaminoplasty technique presented here was successful in creating sufficient space to remove intradural and posterior epidural lesions and to close the dura. Furthermore, we were able to maintain the physiological barrier and integrity after surgery because the posterior musculature and bone structures were restored.

THE REVIEW OF TRANSMISSION OF INFECTIOUS DISEASE IN HUMAN TISSUE TRANSPLANTATION: PHASE II. ALLOGENIC SOFT TISSUES (동종조직이식술시 전염성질환의 이환가능성에 대한 고찰 II: 동종연조직)

  • Lee, Eun-Young;Kim, Kyoung-Won;Um, In-Woong
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.29 no.3
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    • pp.262-267
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    • 2007
  • Implantation of allografts has increased widely with not only the availability of many allogenic bone but also allogenic soft tissues. The aim of tissue banking is to provide surgeons with safe tissues compatible with their intended clinical application. The incidence of tissue transplant-transmitted infection is unknown and can only be inferred from prospective studies. The possibility of donor-to-recipient disease transmission through soft tissue transplantation can be considered by reviewing the risk associated with other transplanted hard tissues. Viral, bacterial, and fungal infections have been transmitted via transplantation of soft tissue allografts such as skin, cornea, dura, pericardium. fascia lata, and heart valves. Corneas have transmitted rabies, Creutzfeldt-Jakob disease (CJD), hepatitis B (HBV), cytomegalovirus (CMV), herpes simplex virus (HSV), bacteria, and fungi. Heart valves have been implicated in transmitting tuberculosis, hepatitis B. HIV-1 and CMV. CJD has been transmitted by dura and pericardium transplants. Skin has transmitted CMV, bacteria, and fungi. Cadaveric skin, pericardium, dura, and fascia lata have been used in dental patients with intra-oral soft tissue injuries and GBR. This study is review of the considering transmission of infectious disease in allogenic soft tissues and guidelines of reducing the risk. Prior to use, many tissues are exposed to antibiotics, disinfectants, and sterilants, which further reduce or remove the risk of transmitted disease. Because some soft tissue grafts cannot be subjected to sterilization steps, the risk of infectious disease transmission remains and thorough donor screening and testing is especially important.

A Study on the Rapid Manufacturing for Jewelry Master Patterns (주얼리용 마스터패턴의 쾌속제작에 관한 연구)

  • 주영철;이창훈;송오성
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.3 no.2
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    • pp.110-114
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    • 2002
  • The master pattern manufacturing process is one of the most important processes in jewelry industry because the process takes 20% of total jewelry manufacturing costs. The previous jewelry manufacturing process has many steps of "rough design${\leftrightarro}$ detailed drawing${\leftrightarro}$ wax pattern manufacturing ${\leftrightarro}$ lime soda flask mold manufacturing ${\leftrightarro}$ silver master pattern manufacturing ${\leftrightarro}$ mass production of wax pattern ${\leftrightarro}$ investment casting process ${\leftrightarro}$ final jewelry product." A novel process that reduces processing steps by using a rapid prototyping system (RP) has been suggested. The process is "3D CAD design ${\leftrightarro}$ DuraForm mold manufacturing by RP ${\leftrightarro}$ manufacturing master pattern by low melting alloy ${\leftrightarro}$ mass production of wax pattern ${\leftrightarro}$ investment casting process${\leftrightarro}$ final jewelry product." Molds are made with DuraForm powder, of which melting temperature is 19$0^{\circ}C$, by a selective laster sintering type RP. An alloy of Pb-Sn-Bi-Cd, of which melting temperature is $70^{\circ}C$, is casted in the DuraForm molds. Spheres and rings of diameter 20 mm are made by this process. The dimension deformation rate is less than 2%, and the post processing of the castings is convenient. The casting made by the suggested process can be used as a master pattern of jewelry products.of jewelry products.

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