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Light Microscopic Obsenrations of GABA-Immunoreactive Neuronal Elements in the Dog Basilar Pons (개의 교핵내 GABA성 신경세포 성분에 관한 광학현미경적 고찰)

  • 이현숙
    • The Korean Journal of Zoology
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    • v.38 no.1
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    • pp.66-73
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    • 1995
  • Putative gamma aminobu%sic acid (GABA)-ersic elements in the basilar pontine nuclei were examined in the dos using an antiserum against GABA-glutaraldehvde-protein conjusBtes and the peroxidase-antiperoxidase method. GABA-immunoreactive neuronal somata in the basilar Pons exhibited various morphology with the majority being spindle-shaped or multipolar, while some were spheroidal. The size of GABA-orgic neuronal somata was relatively small (approximately $10-20\mum)$ in diameter. GABA-immunoreactive neurons were scattered throughout the pontine nuclei, but the midline region of the medial nucleus at the rostral pons, the lateral nucleus at mid-pontine levels, and the ventral nucleus at the caudal pons exhibited a relatively greater concentration of cell bodies. A sparse number of GABA-ergic neurons were observed within the cerebral peduncle and along the ventral borders of the basilar pons adjacent to the middle cerebellar peduncle at the rostrocaudal levels of the pontine nuclei. These obsenrations provide anatomic evidence of how this inhibitory neural element performs its function in the cortico-prontocerbellar circuitry.

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Duromedics Mitral Valve Leaflet Escape (Duromedics 승모판막의 판엽파손)

  • 나찬영
    • Journal of Chest Surgery
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    • v.25 no.7
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    • pp.750-755
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    • 1992
  • We report a case of leaflet embolization of central leaflet fracture a 31mm mitral Edw-ards-Duromedics prosthesis. A leaflet was fractured to two segments, a larger one embolized to right common iliac artery and a smaller one to left femoral artery, respectively. Patient was reoperated with 29mm mitral Carbomedics prosthesis and incidentally found of smaller segment in left femoral artery at cannulation site. The embolectomy was done 15 days after cardiac operation through midline abdominal incision, Leaflet escape of a mitral Edward-Duromedics prosthesis is a rare, potentially curable mode of valve failure. After mechanical valve replacement, unexplained heart failure and acute pulmonary edema, mechanical valve failure should be suspected. Correct interpretation of clinical signs, symptoms and fluroscopy should allow early diagnosis of leaflet escape and prompt surgical therapy.

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A Technique for Paravertebral Anesthesia in Korean Cattle (한우(韓牛)의 척추측마취(脊椎側痲醉))

  • Nam, Tchi-Chou;Lee, Heung-Shik;Lee, In-Se
    • Korean Journal of Veterinary Research
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    • v.23 no.1
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    • pp.119-122
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    • 1983
  • Paravertebral anesthesia for operation of abdominal wall in Korean cattle were effectively accomplished with the following technique. Any problems in surgical procedure were not observed under the block of ventral branches of the last thoracic nerve and the first and second lumbar nerves with the administration of preanesthetic. The site of injection for blocking of ventral branches of the thirteenth thoracic nerve were approximately 5cm lateral to the midline from the posterior edge of spinous process of the 13th thoracic vertebra and about 10ml of local anesthetic was injected immediately anterior to the transverse process of the first lumbar vertebra through thin site. The block of ventral branches of the first and second lumbar nerves were obtained by injecting 10ml of local anesthetic immediately below the posterior edge of transverse process of the 2nd and 4th lumbar vertebra, respectively.

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Aspergillus Brain Abcess in a "healthy" Child (건강한 소아에서의 Aspergillus 뇌농양 1례)

  • Lee, Young-Do;Son, Jin-A;Kim, Jae-Yoon;Ahn, Don-Hee
    • Pediatric Infection and Vaccine
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    • v.4 no.2
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    • pp.276-281
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    • 1997
  • A 13-year-old male with normal immunity presented with Aspergillus brain abscess manifestating as frontal headache and fever. $T_2$-weight magnetic resonance imaging revealed a hypointense lesion in the right fronto-temporo-parietal lobe 1cm thickness and left midline shifting. The hypointense appearance on $T_2$-weighted images appears to be characteristic of aspergillosis. Right decompressive craniectomy and removal of subdural empyema right. Abscess culture was Aspergillus fumigatus. Antibiotic treatment with Amphotericin B was given for 2 months postoperatively. No recurrence was identified during 5 month follow-up.

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Bilateral sternocleidomastoid variant with six distinct insertions along the superior nuchal line

  • Dupont, Graham;Iwanaga, Joe;Altafulla, Juan J.;Lachkar, Stefan;Oskouian, Rod J.;Tubbs, R. Shane
    • Anatomy and Cell Biology
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    • v.51 no.4
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    • pp.305-308
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    • 2018
  • Anatomical variations of the sternocleidomastoid muscle (SCM) have been observed to occupy multiple origins and insertion points and have supernumerary heads, sometimes varying in thickness. During routine dissection, a SCM was observed to have six distinct insertions that interface with the course of the superior nuchal line, ending at the midline, bilaterally. This variation was also seen to receive innervation from the accessory nerve as well as the great auricular nerve. To our knowledge, this variant of supernumerary insertions and nerve innervations has not yet been reported. These variants may pose as problematic during surgical approaches to the upper neck and occiput, and should thus be appreciated by the clinician. Herein we discuss the case report, possible embryological origins, and the clinical significance of the observed variant SCM.

Situs inversus totalis in a dog with splenic marginal zone lymphoma

  • Choi, Sooyoung;Kim, Heesu;Lee, Kija;Park, Inchul
    • Korean Journal of Veterinary Service
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    • v.41 no.4
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    • pp.281-285
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    • 2018
  • An 11-year-old intact male mixed-breed dog was referred for evaluation of a splenic mass. On radiographs, the cardiac apex, stomach, and head of the spleen were on the right and the descending colon was on the left of the midline. In addition, the left kidney was located more cranially than the right kidney. Standard two-dimensional echocardiographic images were obtained from each inverted left and right parasternal windows. Furthermore, the spleen was observed on the right side and a splenic mass was found on the splenic tail. Based on the radiographic and ultrasonographic characteristics of the patient, a diagnosis of situs inversus totalis (SIT) and a splenic mass was made, and splenic resection was performed successfully with no unexpected complications. The splenic mass was confirmed histopathologically as being marginal zone lymphoma (MZL). This report describes a dog with SIT and splenic MZL.

Surgical Treatment Strategy for Distal Humerus Intra-articular Fractures

  • Lee, Hyo-Jin
    • Clinics in Shoulder and Elbow
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    • v.22 no.2
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    • pp.113-117
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    • 2019
  • Treating distal humerus fractures, especially those involving intra-articular lesions, is complex and often technically demanding. Although there still exist many controversial issues, the goal of treatment is to establish anatomical stable fixation by restoring the two columns and the articular surface. Universally, a posterior midline incision is applied, and the approach varies according to the further management of the triceps or olecranon. Evidence supports dual plate fixation as the optimal fixation method, and debates regarding appropriate plating configuration are still ongoing. As multiple clinical studies comparing results of parallel and perpendicular plate fixation have shown no actual difference, it is important to place the plates according to the fracture configuration.

A modified presurgical alveolar molding technique for treatment of cleft in Down syndrome

  • Gonca, Merve;Ozel, Mehmet Birol
    • The korean journal of orthodontics
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    • v.51 no.6
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    • pp.428-434
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    • 2021
  • Craniofacial clefts are extremely rare deformities. Tessier's classification is a widely accepted system that is based on clinical, radiographical, and surgical observations. The Tessier No. 0 cleft most commonly affects the upper lip, nose, and palate. This case presentation aims to report the outcome of a modified presurgical alveolar molding (PAM) appliance used in the treatment of an infant with Tessier No. 0 cleft as an alternate approach to mold such defects before surgery. The modified PAM appliance consisted of reciprocal parts connected by a helix. The segments were approximated by stripping the appliance at the midline in a V-shaped manner and the force was exerted by the extraoral elastics. The procedure gave results in 8 weeks, which may be regarded as a reasonable duration. The anterior cleft gap, which was 13 mm before the treatment, was reduced to 3 mm after the treatment by using modified PAM appliance. On a 21-month follow-up period, oral reshaping was regarded successful due to stability of the improved oral mold.

Case of Neck and Shoulder Posture Correction Treatment Using Yin-yang Balancing Therapy of Temporomandibular Joint (TMJ) (턱관절음양균형요법을 이용한 목과 어깨 자세교정 치험례)

  • Choi, Geun Wook;Lee, Young Jun
    • Journal of TMJ Balancing Medicine
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    • v.11 no.1
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    • pp.37-40
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    • 2021
  • Objectives: The purpose of this study is to report the effect of Korean medical treatment using Yin-yang Balancing Therapy of TMJ (YBT) on correcting posture. Methods: During the admission period, the patient was treated by Korean medical treatment (YBT, acupuncture, herb medicine, etc) every each day. The standard intraoral balancing appliance was used in patient while sleeping and exercising. Results: After treatment for 35th, the angle changed from 23 degrees to 0 degree. The posture of the neck and shoulder became straight. The distorted facial midline was aligned straight. Conclusions: These results showed that YBT have an effect on correcting posture.

Maxillary space closure using a digital manufactured Mesialslider in a single appointment workflow

  • Wilhelmy, Lynn;Willmann, Jan H.;Tarraf, Nour Eldin;Wilmes, Benedict;Drescher, Dieter
    • The korean journal of orthodontics
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    • v.52 no.3
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    • pp.236-245
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    • 2022
  • New digital technologies, many involving three-dimensional printing, bring benefits for clinical applications. This article reports on the clinical procedure and fabrication of a skeletally anchored mesialization appliance (Mesialslider) using computer-aided design/computer-aided manufacturing (CAD/CAM) for space closure of a congenitally missing lateral incisor in a 12-year-old female patient. The insertion of the mini-implants and appliance was performed in a single appointment. Bodily movement of the molars was achieved using the Mesialslider. Anchorage loss, such as deviation of the anterior midline or palatal tilting of the anterior teeth, was completely avoided. CAD/CAM facilitates safe and precise insertion of mini-implants. Further, mini-implants can improve patient comfort by reducing the number of office visits and eliminating the need for orthodontic bands and physical impressions.