• Title/Summary/Keyword: Magnum

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Improvement of Spinal Central Pain by Brachial Plexus Block -A case report- (상완 신경총 차단에 의한 척수성 중추통증의 완화 -증례보고-)

  • Kim, Ok Sun;Lee, Woo Yong;Yoo, Byung Hoon;Lim, Yun Hee;Kim, Seung Oh
    • The Korean Journal of Pain
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    • v.19 no.2
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    • pp.241-243
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    • 2006
  • Central pain is defined as pain associated with lesions of the central nervous system, and is among the most intractable of chronic pain syndromes. A 47 year-old-female, who had right arm and shoulder pain, was diagnosed with syringomyelia of the Arnold Chiari malformation type I and received foramen magnum decompression and a syringo-subarachnoid shunt. After the operation, the evoked pain was improved, but she complained of a continuous burning pain, coupled with cold and tactile allodynia. This symptom failed to fully subside on administration of oral medicine; therefore, brachial plexus block was performed, which relieved her pain transiently. Through repeated trials, a gradual decrease in the pain intensity and frequency was found. However, the way in which brachial plexus block improves spinal central pain is not completely known.

DENTAL TREATMENT OF THE PATIENT WITH ACHONDROPLASIA UNDER GENERAL ANESTHESIA (연골무형성증 환아의 전신마취하 치과치료)

  • Jeon, Eun-Kyung;Lee, Sang-Hoon
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.7 no.2
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    • pp.119-122
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    • 2011
  • Achondroplasia is one of the most common types of dwarfism and is inherited as an autosomal dominant trait. Clinical features of achondroplasia include disproportionate short stature with normal trunk length, shortening of the extremities, bowing of the lower extremities, short stubby trident hands, spinal stenosis and lumbar lordosis. Characteristic craniofacial features include macrocephaly, prominent forehead, depressed nasal bridge, maxillary hypoplasia, otolaryngeal system dysfunction, and foramen magnum stenosis. These characteristics may lead to number of complications including hydrocephalus, apnea, upper-airway obstruction, otitis media, sinusitis and dental malocclusion. Apart from these features, the affected children have good general health and normal intelligence. Dentists should be aware of the clinical characteristics of achondroplasia and the complications that may arise as a result of this disorder. This case report is to present dental treatment of a patient with achondroplasia under general anesthesia and discuss special considerations.

Two new genera of black flies(Diptera: Simuliidae) of Korea

  • Kim, Sam-Kyu
    • Journal of Species Research
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    • v.9 no.1
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    • pp.11-18
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    • 2020
  • Larva and pupae of Prosimulium kiotoense and larvae of Twinnia japonensis were collected and reported from Korea for the first time. The genus Prosimulium, previously unknown from Korea, contains 80 species worldwide and 8 species are known in Japan. Species are separated into 3 species groups; hirtipes species-group (47 spp.), macropyga species-group (14 spp.) and magnum species-group (19 spp.), with which P. kiotoense belongs to the hirtipes species-group. The genus Twinnia, also previously unknown from Korea, contains only 10 species worldwide. In this study, I provide detailed descriptions and photographs of larvae and pupae P. kiotoense and larvae T. japonensis. Prosimulium kiotoense is characterized by pupa with gill of 16 filaments, cocoon amorphous and entirely covers the pupal body, head and thorax densely covered with microtubercles, larva with postgenal cleft apically straight, and hypostomal teeth with median tooth prominent. On the other hand, larva of T. japonensis can be characterized by labral fan absent, gill histoblast with 16 filaments, and hypostomal teeth with median tooth distinctly shorter than other teeth. In addition to descriptions for each species, a key to Korean Prosimulium and Twinnia is provided, with reference to the Japanese species and habitat information.

A Huge Trigeminal Schwannoma in a Child with Neurofibromatosis Type II (신경섬유종증 II형 소아에서 발생한 거대 삼차신경초종)

  • Lee, Mun Young;Kim, Tae Young;Moon, Seong Keun;Kim, Jong Moon
    • Journal of Korean Neurosurgical Society
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    • v.30 no.sup1
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    • pp.140-143
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    • 2001
  • We report a case of huge trigeminal schwannoma in a 10-year-old boy with neurofibromatosis type II, extending into the three spaces of the left middle, posterior, and infratemporal fossa. Initially we thought the child had a solitary trigeminal schwannoma, and most of the mass was resected successfully through one-stage operation, cranio-orbito-zygomatic intradural approach. However during the follow-up of the patient we found radiographically other multiple intracranial tumors of bilateral acoustic schwannomas, right trigeminal schwannoma, and foramen magnum tumor. Eventually the patient was diagnosed as neurofibromatosis type II presenting multiple intracranial tumors. We think childhood trigeminal schwannoma, even though in the case of solitary tumor, should be considered as possible initial manifestation of neurofibromatosis type II and that careful follow-up for the possibility of occurrence of other brain tumors such as schwannomas or meningiomas is necessary.

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Combined Anomalies of Atlantal Hypoplasia, Assimilation and Basilar Invagination - Case Report - (환추 저형성, 환추후두골 유합증, 두개저 함입증의 복합 기형 - 증례보고 -)

  • Cho, Won Jung;Won, Yu Sam;Lee, Seung Min;Yang, Jae Young;Choi, Chun Sik;Ju, Mun Bae
    • Journal of Korean Neurosurgical Society
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    • v.29 no.3
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    • pp.402-406
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    • 2000
  • The term 'craniovertebral junction' refers to the occipital bone that surrounds the foramen magnum and the atlas and the axis vertebrae. A wide variety of congenital, developmental, and acquired anomalies exist at the craniovertebral junction. The authors present a rare case of the congenital anomaly of the craniovertebral junction consisting of atlantal hypoplasia, atlantal assimilation, and basilar invagination in a 58-year-old male. An occiput-C2 arthrodesis was performed. The clinical and imaging features are described, and the embryology and etiology of this anomaly are discussed.

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Efficacy of Maxforce and Avion gel baits containing fipronil, clothianidin, and indoxacarb against the German cockroach (Blattella germanica)

  • DAVARI, Behroz;KASHANI, Susan;NASIRIAN, Hassan;NAZARI, Mansour;SALEHZADEH, Aref
    • Entomological Research
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    • v.48 no.6
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    • pp.459-465
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    • 2018
  • The present study evaluated the efficacy of Maxforce gel baits containing 0.01% fipronil (Maxforce), 0.05% fipronil (Maxforce Magnum), 1.0% clothianidin (Maxforce Impact), and 0.6% indoxacarb (Avion gel bait; all from Bayer Environmental Science, Clayton, CA, USA) against reference and wild strains (Mobasher, Andisheh, Tamin-e Ejtemaei, and Maskoni) of German cockroach collected in 2016. Test design and bait placement were according to World Health Organization (WHO) procedures for efficacy achieving a 95% mortality rate. Although cockroaches fed on all gel baits, gel baits containing clothianidin and indoxacarb were eaten at higher rates than gel baits containing 0.01% and 0.05% fipronil. The cumulative mortality rates reached 100% for all cockroach strains at 32, 28, 28 and 40 h after eating baits containing 0.01% fipronil, 0.05% fipronil, clothianidin, and indoxacarb, respectively. Efficacy (a 95% mortality rate) after exposure (consumption) of gel baits containing 0.05% fipronil and clothianidin was seen after 28 h, compared with 32 h for 0.01% fipronil and 40 h for indoxacarb. In conclusion, commercial gel baits have improved and may be more effective than spray formulations against German cockroaches.

Isolation of ten unrecorded yeasts from soil in Korea

  • Han, Joo Hyun;Oh, Hye Jin;Lee, Sang Eun;Kim, Myung Kyum
    • Journal of Species Research
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    • v.10 no.4
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    • pp.336-343
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    • 2021
  • In 2020, as a subset study to discover indigenous yeast species in Korea, a total of 22 yeast species were isolated from soil samples collected in Gwangju-si, Gyeonggi-do. Among them, 10 strains were unreported species. From the high 26S rRNA gene sequence similarity and formation of a robust phylogenetic clade with the closest species, it was determined that each strain belonged independent and predefined yeast species. The 22 strains were assigned to the genera Dothiora (1 strain), Sarocladium (1 strain), Tetrapisispora (1 strain) and Torulaspora (2 strains) of the phylum Ascomycota; the genera Erythrobasidium (1 strain), Leucosporidium (4 strains), Ustilentyloma (2 strains), Fellozyma (1 strain), Sampaiozyma (2 strains), Filobasidium (1 strain), Solicoccozyma (2 strains) and Vishniacozyma (4 strains) of the phylum Basidiomycota. This is the first official report of the following species in Korea: Dothiora cannabinae (1 strain), Sarocladium strictum (1 strain), Fellozyma inositophila (1 strain), Filobasidium magnum (1 strain), Solicoccozyma phenolicus (1 strain), Solicoccozyma terreus(1 strain), Vishniacozyma tephrensis(1 strain) and Vishniacozyma victoriae (3 strains). Cell morphology, phenotypic features and biochemical features are described in the Species Description section.

Histochemical Studies of the Goblet Cell of the Oviduct in Korean Ring-necked Pheasants(Phasianus colchicus karpowi) (한국산 꿩 난관의 술잔세포에 관한 조직화학적 연구)

  • 최성도;로경란;김인식;양홍현
    • Korean Journal of Poultry Science
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    • v.29 no.3
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    • pp.177-183
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    • 2002
  • The study was designed to investigate the aspects of the goblet cell of the oviduct in laying Korean ring-necked pheasants by histochemical methods (PAS, alcian blue-PAS, alcian blue pH 2.5, alcian blue pH 1.0, and aldehyde fuchsin-alcian blue stain). Twelve laying Korean ring-necked pheasants were used. The results were summarized as follows. The goblet cell of the oviduct of the Korean ring-necked pheasant contained sulfated acid mucosubstances and neutral mucosubstances in the infundibulum. The compounds of sulfated acid mucosubstances, nonsulfated acid mucosubstances, and neutral mucosubstances are present in goblet cells of the magnum, vagina and openings of the tubular gland of the uterus of the oviduct in the Korean ring-necked pheasant. The goblet cell of the isthmus and uterus of the oviduct of the Korean ring-necked pheasant contained neutral mucosubstances except openings of the tubular gland of the uterus. The histochemical characteristics of secretory granules of goblet cells in oviduct of the Korean ring-necked pheasant were not related to the position of eggs in oviduct.

Stereological and Morphometric Analysis of MRI Chiari Malformation Type-1

  • Alkoc, Ozan Alper;Songur, Ahmet;Eser, Olcay;Toktas, Muhsin;Gonul, Yucel;Esi, Ertap;Haktanir, Alpay
    • Journal of Korean Neurosurgical Society
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    • v.58 no.5
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    • pp.454-461
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    • 2015
  • Objective : In this study, we aimed to investigate the underlying ethiological factors in chiari malformation (CM) type-I (CMI) via performing volumetric and morphometric length-angle measurements. Methods : A total of 66 individuals [33 patients (20-65 years) with CMI and 33 control subjects] were included in this study. In sagittal MR images, tonsillar herniation length and concurrent anomalies were evaluated. Supratentorial, infratentorial, and total intracranial volumes were measured using Cavalieri method. Various cranial distances and angles were used to evaluate the platybasia and posterior cranial fossa (PCF) development. Results : Tonsillar herniation length was measured $9.09{\pm}3.39mm$ below foramen magnum in CM group. Tonsillar herniation/concurrent syringomyelia, concavity/defect of clivus, herniation of bulbus and fourth ventricle, basilar invagination and craniovertebral junction abnormality rates were 30.3, 27, 18, 2, 3, and 3 percent, respectively. Absence of cisterna magna was encountered in 87.9% of the patients. Total, IT and ST volumes and distance between Chamberlain line and tip of dens axis, Klaus index, clivus length, distance between internal occipital protuberance and opisthion were significantly decreased in patient group. Also in patient group, it was found that Welcher basal angle/Boogard angle increased and tentorial slope angle decreased. Conclusion : Mean cranial volume and length-angle measurement values significantly decreased and there was a congenital abnormality association in nearly 81.5 percent of the CM cases. As a result, it was concluded that CM ethiology can be attributed to multifactorial causes. Moreover, congenital defects can also give rise to this condition.

Surgical Treatment of Craniovertebral Junction Instability : Clinical Outcomes and Effectiveness in Personal Experience

  • Song, Gyo-Chang;Cho, Kyoung-Suok;Yoo, Do-Sung;Huh, Pil-Woo;Lee, Sang-Bok
    • Journal of Korean Neurosurgical Society
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    • v.48 no.1
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    • pp.37-45
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    • 2010
  • Objective : Craniovertebral junction (CVJ) consists of the occipital bone that surrounds the foramen magnum, the atlas and the axis vertebrae. The mortality and morbidity is high for irreducible CVJ lesion with cervico-medullary compression. In a clinical retrospective study, the authors reviewed clinical and radiographic results of occipitocervical fusion using a various methods in 32 patients with CVJ instability. Methods : Thirty-two CVJ lesions (18 male and 14 female) were treated in our department for 12 years. Instability resulted from trauma (14 cases), rheumatoid arthritis (8 cases), assimilation of atlas (4 cases), tumor (2 cases), basilar invagination (2 cases) and miscellaneous (2 cases). Thirty-two patients were internally fixed with 7 anterior and posterior decompression with occipitocervical fusion, 15 posterior decompression and occipitocervical fusion with wire-rod, 5 C1-2 transarticular screw fixation, and 5 C1 lateral mass-C2 transpedicular screw. Outcome (mean follow-up period, 38 months) was based on clinical and radiographic review. The clinical outcome was assessed by Japanese Orthopedic Association (JOA) score. Results : Nine neurologically intact patients remained same after surgery. Among 23 patients with cervical myelopathy, clinical improvement was noted in 18 cases (78.3%). One patient died 2 months after the surgery because of pneumonia and sepsis. Fusion was achieved in 27 patients (93%) at last follow-up. No patient developed evidence of new, recurrent, or progressive instability. Conclusion : The authors conclude that early occipitocervical fusion to be recommended in case of reducible CVJ lesion and the appropriate decompression and occipitocervical fusion are recommended in case of irreducible craniovertebral junction lesion.