• Journal of Korean Neurosurgical Society
• /
• v.39 no.6
• /
• pp.438-442
• /
• 2006

The sylvian aqueduct syndrome is a global rostral midbrain dysfunction induced by a transtentorial pressure gradient through the aquaeductus. Several months after ventriculoperitoneal shunt, a patient with hydrocephalus began experiencing a constellation of midbrain dysfunction symptoms, including bradykinesia, medial longitudinal fasciculus syndrome, third nerve palsy, and mutism. These were indicative of cerebral aqueduct syndrome. In addition, the patient showed posture-dependent underdrainage or overdrainage. All symptoms were resolved after distal catheter elongation and floating cranioplasty. We present a case of reversible parkinsonism, which developed in a patient with shunted hydrocephalus and aqueductal stenosis, and discuss the diagnosis and treatment of the sylvian aqueduct syndrome. We also review the literature to address problems of drainage and potential treatment modalities.

• Journal of Mechanical Science and Technology
• /
• v.15 no.7
• /
• pp.1061-1071
• /
• 2001

The present study investigated design parameters of shunt valves and anti-siphon device used to treat patients with hydrocephalus. The shunt valve controls drainage of cerebrospinal fluid (CSF) through passive deflection of a thin and small diaphragm. The anti-siphon device(ASD) is optionally connected to the valve to prevent overdrainage when the patients are in the standing position. The major design parameters influencing pressure-flow characteristics of the shunt valve were analyzed using ANSYS structural program. Experiments were performed on the commercially available valves and showed good agreements with the computer simulation. The results of the study indicated that predeflection of the shunt valve diaphragm is an important design parameter to determine the opening pressure of the valve. The predeflection was found to depend on the diaphragm tip height and could be adjusted by the diaphragm thickness and its elastic modulus. The major design parameters of the ASD were found to be the clearance (gap height) between the thin diaphragm and the flow orifice. Besides the gap height, the opening pressure of the ASD could be adjusted by the diaphragm thickness, its elastic modulus, area ratio of the diaphragm to the flow orifice. Based on the numerical simulation which considered the increased subcutaneous pressure introduced by the tissue capsule pressure on the implanted shunt valve system, optimum design parameters were proposed for the ASD.

• Maxillofacial Plastic and Reconstructive Surgery
• /
• v.32 no.6
• /
• pp.592-596
• /
• 2010

The common local causes of active gingival bleeding are the vessel engorgement and erosion by severe inflammation and injury to hypervascularity lesion. Abnormal gingival bleeding is also associated with systemic bleeding disorders (liver disease, leukemia etc.). There are many conventional methods for gingival bleeding control, such as, direct pressure, packing, electrocoagulation, tight suture and application of hemostatic agents. If the continuous gingival bleeding is not stopped in spite of the all local application methods, the medical consultation should be obtained for systemic condition care and the major feeding arterial embolization. This is a case report of severe gingival bleeding and periodontitis control in a patient with liver cirrhosis and oral metastatic lesion of hepatocellular carcinoma. The bleeding lesion was placed in left buccal mucosa and gingiva of the left mandibular molars. The control methods were dental crown removal, primary endodontic drainage, gingival sulcus drainage and maxillary arterial embolization with medical consultation.

• Archives of Plastic Surgery
• /
• v.37 no.3
• /
• pp.313-316
• /
• 2010

Purpose: Tie-over dressing is widely used to secure skin grafting on face, body, or extremities. It can be a rather complicated task and is not easy to make compressive dressing again if performed in a conventional method. So, we hereby introduce an easy reproducible tie over dressing method. Methods: After completing the skin graft, Cut the silastic drainage longitudinally in half and spread to the grafted skin margin. Drainage is fixed by using the stapes or sutures. A fluffy gauze bolus dressing is placed over a furacin impregnated gauze and wrapped around. After suturing the distal margin of silastics with opposite side using the silk thread either 5 - 0 or 3 - 0, knot of suturing, which is pressed down against the dressing while the threads are tightened, is made into center of each sides. Results: It can make dressing again after observing the grafted skin, and it can also make pressure on the grafted area evenly until the grafted skin is taken. Conclusion: This dressing method makes the surgeons and patients comfortable. To surgeons, it provides more rapid and easier way to do dressing, and to patients, it eliminates pain caused by redressing.

• Journal of Korean Neurosurgical Society
• /
• v.38 no.4
• /
• pp.273-280
• /
• 2005

Objective : There is no acceptable indication and treatment of choice for infantile and child subdural hygroma and there are only a few reports about that in Korea. So the authors studied the clinical findings of infantile and child patients with subdural hygroma to improve the understanding and to suggest a standard treatment method. Methods : The authors retrospectively evaluated the causes, preoperative symptoms, radiological thicknesses, and postoperative results of 25patients with subdural hygroma who received surgical therapy. Results : There were 16boys and 9girls whose median age was 6months[range $2{\sim}120months$]. The main clinical manifestations were seizures, increased intracranial pressure, macrocrania and alteration of consciousness. Radiological thicknesses of the subdural hygroma varied from 7mm to 42mm and postoperative changes of thickness[y] could be expressed with the factor of month[x]: $y\;=\;-1.32\;{\times}\;+11.8$ in subdural drainage, and $y\;=\;-1.52\;{\times}\;+14.9$ in subduroperitoneal shunts. Of the 25patients, 2 [50%] were successfully treated by aspiration, 13 [59%] by subdural drainage, and 9 [69%] by subduroperitoneal shunt. Conclusion : It is suggested that the diagnosis and treatment of subdural hygroma in infants and children should be carefully addressed because of its high prevalence in children, and especially in infants. It is also suggested that the subdural drainage could be primary initial treatment method because it is simpler than a shunt, and since our data show that there is no statistical difference in postoperative recovery duration between the two operative methods.

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.14 no.4
• /
• pp.1765-1773
• /
• 2013

The purpose of this study was to contribute to the medical treatment of subdural effusion through clinical sequence analysis of patients who experienced improvement of subdural drainage and had a second operation for subdural drainage or subduroperitoneal shunt. Sixteen cases of the whole patients who have been underwent subdural effusion and subdural drainage were analyzed during the period from 2006 July to 2012 June. The study gave us a result that all of patients, who was taking aspirin, have been under the second operation(p<0.001) and these group have had a subduraoperitoneal shunt(p=0.014)). According to the comparative analysis for the patients group that divided into two; one had subduroperitoneal shunt and the other had no subduroperitoneal shunt, the outcomes of this study were shown as follows. First, their median line deviation was serious in their brain CT. In addition, their subdural effusion increased or did not change with a headache, vomiting, fever and dyspnea. As a result of those symptoms. subduraoperitoneal shunt was carried out(p=0.006). The surgical method for patients who were taken asprin must be cautiously selected and the prevention of sudden disappearance of cerebrospinal fluid and excessive change of intracranial pressure is very important in operation craniectomy.

• Geomechanics and Engineering
• /
• v.10 no.3
• /
• pp.297-314
• /
• 2016

With the mining depth continuously increasing, gas emission behaviors become more and more complex. Gas emission is an important basis for choosing the method of gas drainage, gas controlling. Thus, the accurate prediction of gas emission is of great significance for coal mine. In this work, based on the sources of gas emission from the heading faces and the fluid-solid coupling process, we established a gas continuous dynamic emission model, numerically simulated and applied it to the engineering. The result was roughly consistent with the actual situation and shows the model is correct. We proposed the measures of reducing the excavation distance and borehole gas drainage based on the model. The measures were applied and the result shows the overproof problem of gas emission disappears. The model considered the influence factors of gas emission wholly, and has a wide applicability, promotional value. The research is of great significance for the controlling of gas disaster, gas drainage and pre-warning coal and gas outbursts based on gas emission anomaly at the heading face.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
• /
• v.36 no.3
• /
• pp.221-227
• /
• 2010

The most common local cause of active gingival bleeding is the vessel engorgement and erosion by severe inflammation. Abnormal gingival bleeding is also associated with the systemic disturbances. Hemorrhagic disorders in which abnormal gingival bleeding is encountered include the following: vascular abnormalities (vitamin C deficiency or allergy), platelet disorders, hypoprothrombinemia (vitamin K deficiency resulting from liver disease), and other coagulation defects (hemophilia, leukemia). There are many conventional methods for gingival bleeding control, such as, direct pressure, electrocoagulation, direct suture, drainage, application of hemostatic agents and crushing and packing. If the active continuous gingival bleeding is not stopped in spite of the application of all conventional bleeding control methods, the life of patient is threatened owing to upper airway obstruction, syncope, vomiting and hypovolemic shock. Therefore, the rapid and correct hemostatic method is very important in the emergency dental care. This is a case report of active gingival bleeding care via dental crown removal and emergency primary endodontic drainage as a last method in liver cirrhosis patient with advanced periodontitis.

• Proceedings of the Earthquake Engineering Society of Korea Conference
• /
• 2000.04a
• /
• pp.105-111
• /
• 2000

If a saturate sand is subjected to ground vibrations it tends to compact and decrease in volume. if drainage is unable to occur the tendency to decrease in volume results in an increase in pore water pressure and if the pore water pressure build up to the point at which it is equal to the overburden pressure the effective stress becomes zero the sand loses its strength completely. This phenomenon is called "Liquefaction" It is associated primarily but not exclusively with saturated cohesion soils. The attention and study on liquefaction have been growing since the earthquake in Niigita Japan in 1964. Many researchers on liquefaction effect have been carried out in many countries under the potential influence of earthquake including Japan. However little research on liquefaction has been reported in Korea because Korea has been considered to be safe from earthquake. The term "liquefaction" is only known among geotechnical engineers,. In this paper overview of liquefaction and the evaluation on the applicability of vibrated crushed-stone pile as a liquefaction prevention method are presented.ethod are presented.

• International Journal of Highway Engineering
• /
• v.12 no.1
• /
• pp.1-8
• /
• 2010

Construction of road closed to mountains is inevitable in Korea because the mountainous region in Korea is more than 70% in area. Recently, due to global warming, typhoons or heavy rainfalls frequently occur, and accordingly, mountain roads are seriously damaged by landslides, debris flows, and uplift pressure below pavement. in this study, damage on pavement by uplift pressure was investigated. Various influencing factors such as slope angle, reinforcement of slope surface, thickness of soil cover underlain by rock, and types of drainage system were considered to evaluate uplift pressure acting on the bottom of pavement. Raising of water table up to the surface of slope may depend on the duration and intensity of rainfall. It shows that the installation of subdrain can reduce the uplift water pressure. Therefore, It is concluded that the use of subdrain system is effective to decrease uplift pressure and cement treated base is more endurable than typical crushed-stone base.