• 제목/요약/키워드: Old patient

검색결과 7,827건 처리시간 0.029초

Neoadjuvant Chemotherapy and Subsequent Adjuvant Chemotherapy with Hydroxyurea after Craniotomy in a Cat with a Meningioma

  • Chae-Yeon Kim;Jin-Young Kim;Yoon-Ho Roh;Kun-Ho Song;Joong-Hyun Song
    • 한국임상수의학회지
    • /
    • 제40권5호
    • /
    • pp.341-348
    • /
    • 2023
  • An 11-year-old neutered male domestic short-haired cat presented with neurological symptoms that developed over a three-month period. These included mental dullness, vocalization, ataxia, and visual impairment. The patient was diagnosed with a primary intracranial tumor at a local animal hospital. After the first diagnosis, the cat was administered hydroxyurea, prednisolone, omeprazole, and gabapentin for 3 months. After the initiation of medical treatment, the patient's clinical symptoms did not improve and the size of the tumor was static on the second magnetic resonance imaging (MRI). The dosage of hydroxyurea and prednisolone was increased for two weeks. The patient's clinical signs improved, and subsequently, a craniotomy was performed. The clinical signs completely resolved six days after surgery. Adjuvant chemotherapy with hydroxyurea was continuously administered after the craniotomy. The patient demonstrated a good clinical status during the nine-month follow-up period. Neoadjuvant chemotherapy has not yet been reported for meningiomas in cats. Further clinical trials with longer follow-up periods and larger patient cohorts will be required to confirm the effectiveness of neoadjuvant chemotherapy with hydroxyurea in feline meningioma.

태음인 당뇨 환자의 조위승청탕가미방 치험 1례 (A Case Study of Taeeumin Patient with Diabetes Treated with Jowiseungchungtang-Gamibang)

  • 한수지;김채은;유준상
    • 사상체질의학회지
    • /
    • 제35권4호
    • /
    • pp.96-104
    • /
    • 2023
  • Objectives The purpose of this study was to report the clinical effect on a 54-year-old diabetes patient, categorized into taeeumin exterior disease, after taking herbal medicine. Methods The patient was diagnosed as taeeumin's esophagus-cold pattern and type 2 diabetes symptoms in taeeumin patient were indigestion, fatigue, and headache. We assessed the changes of fasting blood sugar(FBS), hemoglobin A1c(HbA1c), and total cholesterol. Results and Conclusions FBS, HbA1c, and total cholesterol reduced after treated by Jowiseungchungtang-gamibang three times per day for 5 months. These results show that treating a diabetic patient, accompanied by esophagus-cold symptoms, with Jowiseungchungtang-gamibang particularly improves high blood glucose after orthopedic surgery in practicing healthy eating habits.

갈근해기탕과 한의치료로 호전된 대상포진 환자 치험 1례 (A Case Report of Herpes Zoster Patient with Post-herpetic Neuralgia Improved by Galgunhaegui-tang and Korean Medicine Treatment)

  • 노우현;이규영;유준상
    • 사상체질의학회지
    • /
    • 제35권4호
    • /
    • pp.105-115
    • /
    • 2023
  • Objectives Post-herpetic neuralgia(PHN) is one of the common complications in patients diagnosed with herpes zoster. The purpose of this case study is to suggest the effect of Galgunhaegui-tang and korean medicine treatment for post-herpetic neuralgia patient. Methods A 62-year-old Herpes Zoster patient suffered from rash with post-herpectic neuralgia was identified as Taeeumin Gansuyolriyolbyong. The patient's chief complaint was assessed by counting the number of oral analgesics taken and using Visual Analog Scale(VAS) score. The patient was treated with Galgunhaegui-tang and Korean medicine treatment. Results After 9 days of admission treatment including Galgunhaegui-tang, VAS of PHN was decreased from 7.5 to 4 and the number of taking oral analgesic was decreased from 2 to 1. Conclusions This case study indicates that Galgunhaegui-tang and Korean medicine treatment may improve the pain of PHN.

Interleukin-6-producing paraganglioma as a rare cause of systemic inflammatory response syndrome: a case report

  • Yin Young Lee;Seung Min Chung
    • Journal of Yeungnam Medical Science
    • /
    • 제40권4호
    • /
    • pp.435-441
    • /
    • 2023
  • Pheochromocytomas and paragangliomas (PPGLs) may secrete hormones or bioactive neuropeptides such as interleukin-6 (IL-6), which can mask the clinical manifestations of catecholamine hypersecretion. We report the case of a patient with delayed diagnosis of paraganglioma due to the development of IL-6-mediated systemic inflammatory response syndrome (SIRS). A 58-year-old woman presented with dyspnea and flank pain accompanied by SIRS and acute cardiac, kidney, and liver injuries. A left paravertebral mass was incidentally observed on abdominal computed tomography (CT). Biochemical tests revealed increased 24-hour urinary metanephrine (2.12 mg/day), plasma norepinephrine (1,588 pg/mL), plasma normetanephrine (2.27 nmol/L), and IL-6 (16.5 pg/mL) levels. 18F-fluorodeoxyglucose (FDG) positron emission tomography/CT showed increased uptake of FDG in the left paravertebral mass without metastases. The patient was finally diagnosed with functional paraganglioma crisis. The precipitating factor was unclear, but phendimetrazine tartrate, a norepinephrine-dopamine release drug that the patient regularly took, might have stimulated the paraganglioma. The patient's body temperature and blood pressure were well controlled after alpha-blocker administration, and the retroperitoneal mass was surgically resected successfully. After surgery, the patient's inflammatory, cardiac, renal, and hepatic biomarkers and catecholamine levels improved. In conclusion, our report emphasizes the importance of IL-6-producing PPGLs in the differential diagnosis of SIRS.

한의치료 후 증상이 호전된 노인성 어지럼 환자 1례 - 가미보익탕 복용 및 현훈검사를 중심으로 - (A Case of Presbystasis Patient Improved after Korean Medicine Treatment - Focusing on Taking Gamiboik-tang and Body Balance Test)

  • 박중군;이효경;남혜정
    • 대한한의학회지
    • /
    • 제45권1호
    • /
    • pp.233-239
    • /
    • 2024
  • Objectives: We would like to report improvement in symptoms after performing Korean Medicine treatment including Gamiboik-tang administration to patient with presbystasis that lasts for more than a decade. Methods: An 83-year-old male patient diagnosed with presbystasis was administered Gamiboik-tang for 4 weeks and acupuncture was performed. The degree of improvement is evaluated based on the body balance test and the patient's subjective symptom change. Results: Both the body balance test and the patient's subjective symptoms improved after administration of Gamiboik-tang and Korean Medicine treatment Conclusions: Korean Medicine treatment, including Gamiboik-tang administration and acupuncture treatment, is thought to be effective for presbystasis.

뇌손상으로 인한 하악운동의 변화 (A Case Report on Abnormal Jaw Movements Associated with Brain Injury)

  • 장성용;김선희;최재갑
    • Journal of Oral Medicine and Pain
    • /
    • 제23권4호
    • /
    • pp.447-455
    • /
    • 1998
  • A 42-year old male patient was referred to the Department of Oral Medicine, Kyungpook National University Hospital due to the chief complaint of limite mouth opening. Three years ago, the patient was diagnosed as an infarction of both cerefellar hemispheres, acute obstructive hydrocephalus and acute epidural hematoma of frontal lobe at the department of neurosurgery.Both of the infarcted cerevellar hemispheres and the epidural hematoma of frontal lobe were removed with suboccipital and frontal craniectomu. After the brain surgery jaw opening range was decreased progressively and ultimately mouth opening became almost impossible. Spasmodic and rhythmic contractions of the masseter muscles occurred intermittently during daytime as well as sleeping. Food intake was available only through Levin -tube. Actibe jaw opening exercise was prescribed with the aids of tongue blades. A moist hot pack and indomethacin phonophesis were also applied 20 minutes three times a day to decrease discomfort muscle activities. After a month of treatments, the opening range was increased to 5mm at the premolar area and oral food intake was possibel. The L-tube was removed and the patient was discharged.

  • PDF

Le Fort I 골절술을 이용한 상악골 부정유합의 치료 : 증례 보고 (Treatment of Long Standing Malunited Maxillary Fracture by Le Fort I Osteotomy : Case Report.)

  • 이충국;양성익
    • 대한치과의사협회지
    • /
    • 제17권12호통권127호
    • /
    • pp.923-926
    • /
    • 1979
  • In patient of long standing malunited maxillary fracture, maxillary osteotomy or refracture seems to be justifiable. This is a case of the patient, a 60 year old Korean female patient, presented a long-standing malunited maxillary fracture with dish-type face and functional disturbance in mouth opening. We performed upon her Le Fort I osteotomy only via labial-buccal horizontal incisions in one-stag operation. The result was good in esthetics and function.

  • PDF

다발성 근염 의중 환자의 치험 1례 (A case study of multiple myositis)

  • 최정락;배효상;박성식;김명균
    • 사상체질의학회지
    • /
    • 제15권2호
    • /
    • pp.117-123
    • /
    • 2003
  • Multiple myositis is a disorder of unknown etiology characterized by an inflammatory myopathy involving striated skeletal muscle The case is about a patient who is 74 years old man. Both of his shoulder girdles and pelvic girdles were suddenly paralyzed. We diagnosed a patient's illness as multiple myositis. Treatment was Herb-medication and rest. And in the case of this patient, power of both shoulder girdles and pelvic girdles with physiolocal condition improved remarkably.

  • PDF

소양인(少陽人) 중풍환자(中風患者)에 병발된 Aspiration Pneumonia에 형방패독산(荊防敗毒散)을 투여한 증례(證例) (A clinical study of the treatment prescribed Hyoungbangpaedoksan for Aspiration Pneumonia concurred in Soyangin with stroke)

  • 심규헌;김정렬;김달래;한동윤
    • 사상체질의학회지
    • /
    • 제15권2호
    • /
    • pp.75-83
    • /
    • 2003
  • Aspiration pneumonia is common complication in Stroke patient. A 60-years-old man was admitted because of cerebrovascular infarction. This patient had problem of aspiration pneumonia. Without Western medical treatment(Antibiotics), patient's symptoms, sign and laboratory findings were improved through Soyangin Hyoungbangpaedoksan treatment. So, we report it for the better treatment.

  • PDF

Brugada 증후군 환자의 경접형동 선종절제술을 위한 마취 경험 (Anesthetic Experience for Trans-Sphenoidal Surgery of Pituitary Adenoma on a Patient with Brugada Syndrome - A Case Report -)

  • 허민정;김세연
    • Journal of Yeungnam Medical Science
    • /
    • 제26권2호
    • /
    • pp.148-155
    • /
    • 2009
  • Brugada syndrome is characterized by an ECG pattern of right bundle branch block and ST segment elevation in the right precordial leads ($V_1-V_3$) without structural heart disease. It is also characterized by sudden cardiac death that's caused by ventricular fibrillation. This is a familial syndrome with an autosomal dominant inheritance pattern and it may be considerably more common in Southeast Asia. Many factors during anesthesia can precipitate malignant dysrrhythmia in these patients, so careful choice of anesthetics is required. We experienced a case of Brugada syndrome in a 59-year-old male patient who was under general anesthesia for trans-sphenoidal surgery to treat a pituitary adenoma, and the patient was diagnosed as having Brugada syndrome without any untoward cardiovascular events.

  • PDF