• Journal of Korean Neurosurgical Society
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• 제53권2호
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• pp.112-114
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• 2013

Bilateral abducens nerve palsy related to ruptured aneurysm of the anterior communicating artery (ACoA) has only been reported in four patients. Three cases were treated by surgical clipping. No report has described the clinical course of the isolated bilateral abducens nerve palsy following ruptured ACoA aneurysm obliterated with coil. A 32-year-old man was transferred to our institution after three days of diplopia, dizziness and headache after the onset of a 5-minute generalized tonic-clonic seizure. Computed tomographic angiography revealed an aneurysm of the ACoA. Magnetic resonance imaging showed focal intraventricular hemorrhage without brain stem abnormalities including infarction or space-occupying lesion. Endovascular coil embolization was conducted to obliterate an aneurysmal sac followed by lumbar cerebrospinal fluid (CSF) drainage. Bilateral paresis of abducens nerve completely recovered 9 weeks after ictus. In conclusion, isolated bilateral abducens nerve palsy associated with ruptured ACoA aneurysm may be resolved successfully by coil embolization and lumbar CSF drainage without directly relieving cerebrospinal fluid pressure by opening Lillequist's membrane and prepontine cistern.

• 보험의학회지
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• 제3권1호
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• pp.233-244
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• 1986

We'd experienced a case of primary hepatoma at medical department, Dae han Kyoyuk Ins. Company January 1985. As it was found very early stage, we made out the case long term-survival possibility unexpectedly. The conclusions we gained, making comparative-analysis of ultrasonic view and operation's view are as follows; 1. By ultrasonography, echogenicity of tumor was increased type as compared with liver parenchyme. 2. The margin of the primary hepatoma by ultrasonography encapsulated well and the extraction after operation was same. 3. The boundary of tumor was clear. 4. The space-occupying lesion in liver was solitary. 5. The affected site was left lobe of the liver. 6. We couldn't discover a little fluid echo in upper abdomen on the ultrasonography, but could see in the cul-de-sac area and it accorded with the gross finding during laparotomy. 7. The case was cholangiocarcinoma in view of pathologic histology. 8. After the operation of lobectomy. the prognosis which was passed a months was very satisfactory and she exists until present.

• 대한두경부종양학회지
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• 제32권2호
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• pp.55-59
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• 2016

Iinflammatory myofibroblastic tumor(IMT) is a benign chronic inflammatory mass composed of proliferative myofibroblasts. It is a space occupying lesion which could potentially covert to malignant tumor. Treatment guideline of the disease has not been established due to its rarity. We demonstrate a 60-year old male who had surgical excision for IMT of the cervical esophagus. During the follow-up period, he revealed recurrent tumor which showed sarcomatous change with distant metastasis. We reported this rare case with review of the literature.

• Archives of Hand and Microsurgery
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• 제23권4호
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• pp.301-305
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• 2018

혈관종은 내피세포로부터 기원한 양성종양의 일종으로, 수부에서는 드물게 발생하는 것으로 알려져 있다. 62세 여자환자로 우측 2수지 요골측의 통증을 주소로 내원하였으며, 시행한 자기공명영상에서 수지신경을 압박하는 것으로 보이는 혈관종이 의심되었다. 수술을 시행하여 요골측 수지신경 및 수지혈관을 압박하고 있는 혈관종을 확인하였으며, 수지신경 및 혈관을 가능한 보존하기 위하여 미세수술을 통해 혈관종을 제거하였다. 공간점유성 병변에 의한 압박성 신경병증은 드문 일로, 정확한 진단에 어려움이 있으나, 본 증례와 같이 자기공명영상을 통한 술 전 평가와 및 미세수술을 이용한 병변 제거 및 신경 보존을 통하여 신경병성 통증을 성공적으로 호전시킬 수 있을 것으로 생각한다.

• Neonatal Medicine
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• 제18권2호
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• pp.399-403
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• 2011

신생아의 뇌 농양은 극히 드문 경우로 특정 선행 요인을 가지고 있는 경우가 많다. 가장 흔한 원인 균주는 그람 음성 균주이며 치료법의 발달로 사망률은 감소하였지만 반신 마비, 경련, 발달 장애 등의 후유증이 남을 수 있다. 39일 된 남아가 하루 전부터 시작된 발열을 주소를 내원하였다. 환아는 조산, 저 체중 출산아로 신생아 중환자실에 입원했던 경력이 있었다. 신체 검진상 대천문이 팽창된 것 외에 다른 신경학적 증후는 보이지 않았다. 신경 촬영 검사상 양측 전두엽에 정중선이 오른쪽으로 치우쳐 있는 뇌 농양으로 의심되는 거대한 병변이 있었다. 뇌 농양이 매우 컸음에도 불구하고 수술장으로 이동하지 않고 환자의 침상에서 직접 단순 흡입 치료를 시행하였고 항생제 치료를 병행하였다. 원인균은 Enterobacter cloacae로 판명되었고 meropenem을 8주간 투여 하였다. 환아는 빠른 회복을 보이며 이후 어떤 신경학적 휴유증도 보이지 않았다. 저자들은 Enterobacter cloacae 감염에 의한 거대한 뇌 농양이 발견된 신생아를 단순 흡입과 항생제 만으로 치료 하였고 이후 좋은 경과를 보인 1례를 경험하였기에 보고하는 바이다.

• 대한핵의학회지
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• 제3권1호
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• pp.83-99
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• 1969

There have been reported numberous cases of liver scanning in use of $^{198}Au$ colloid by many investigators, however, one in use of $^{113m}In$ colloid has not been reported as yet in this country. The dose of $^{113m}In$ for high diagnostic value in examination of each organ was determined and the dignostic interpretability of liver scanning with the use of $^{113m}In$ was carefully evaluated in comparison with the results of the liver scanning by the conventionally applied radioisotopes. The comparative study of both figures of liver scannings with the use of $^{113m}In$ colloid and $^{198}Au$ colloid delivered following results: 1. The liver uptake rate and clearance into peripheral blood were accentuated more in case of $^{113m}In$ colloid than in case of $^{198}Au$ colloid. 2. The interpretability of space occupying lesion in liver scanning with $^{113m}In$ was also superior to one with $^{198}Au$. 3. The figure of liver scanning with $^{113m}In$ colloid corresponds not always to the figure with $^{198}Au$. This difference can be explained by differences of phagocytic ability of reticuloendotherial system within liver. 4. In the liver scanning with $^{113m}In$ colloid, the spleen is also visualized even in normal examinee. 5. In the cases of disturbed liver function, uptake is more decreased in use of $^{113m}In$ colloid than in $^{198}Au$, in the spleen, however, the way is contrary. 6. With use of $^{113m}In$ colloid, the time required for scanning could be shortened in comparison with $^{198}Au$. 7. The filtration of $^{113m}In$ colloid for scanning prior to human administration gives an expectation for better scanning figure.

• 대한핵의학회지
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• 제16권1호
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• pp.31-39
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• 1982

The purpose of the present study is to evaluate the clinical and diagnostic significance of incidental findings of renal and urinary tract abnormalities, and extraosseous uptake of bone scans. The authors analyzed bone scans using $^{99m}Tc-MDP$(methylene diphosphonate) in 1238 cases of bone disease from April, 1979 to March, 1981. The results obtained were as follows. 1. Total extraosseous abnormalities were 112 cases (9%), which include 64 cases (5%) of renal and urinary tract abnormalities and 48 case(4%) of other extraosseous uptakes. 2. Renal and urinary tract abnormalities were 32 cases(50%) of obstruction, 14 cases(22%) of nonvisualization, 6 cases of space occupying lesion in kidney, 8 cases of kidney displacement and 4 cases of urinary bladder deformities. 3. Other extraosseous uptakes were 16 cases (33%) of body fluid collection, 15 cases of tumor uptake, 9 cases of free pertechnetate uptake and 8 others.

• Journal of Korean Neurosurgical Society
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• 제55권4호
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• pp.226-229
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• 2014

We describe a rare case of intradural-extramedullary primary spinal cysticercosis. A 42-year-old man visited our institute for lower back pain. He denied having consumed raw meet. Magnetic resonance (MR) images revealed an intradural pure cystic mass at the L3-L4 level. A radiologic diagnosis of spinal arachnoid cyst was established. Three years later, he complained of aggravated back pain, and follow-up MR examination showed a markedly expanded cyst, occupying the subarachnoid space from the T11 to the S1 level. L2 hemilaminectomy was performed, and a yellowish infected cyst bulged out through the dural opening. The cyst was removed en bloc. The histopathological findings of the cyst were consistent with parasitic infection. Serum enzyme-linked immunosorbent assay (ELISA) confirmed the presence of spinal cysticercosis. As there was no intracranial lesion, the final diagnosis was primary spinal cysticercosis, which is very rare. MR imaging is a sensitive diagnostic tool for detecting cystic lesions in the spine; however, it is difficult to distinguish cysticercosis from non-infectious cysts such as an arachnoid cyst without using gadolinium enhancement. Clinicians treating spinal cysts with an unusual clinical course should include cysticercosis as a differential diagnosis. We recommend contrast-enhanced MR imaging and serum ELISA in the diagnostic work-up of such cases.

• 대한핵의학회지
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• 제13권1_2호
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• pp.15-21
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• 1979

1975년(年) 1월(月)부터 1978년(年) 3월(月)까지 경북의대부속병원(慶北醫大附屬病院)에서 진단(診斷)된 만성골수성백혈병(漫性骨髓性白血病) 가운데 18례(例)에서 $^{198}Au$교질(膠質)을 사용(使用)하여 간비주사(肝脾走査)를 시행(施行)하여 다음과 같은 소견(所見)을 얻었다. 1) 만성골수성백혈병(漫性骨髓性白血病)의 남녀비(男女比)는 2:1이였고 연령적(年齡的)으로 30대(代)와 40대(代)가 많았다. 2) 간비주사(肝脾走査)에서 간(肝)의 공간점유병변(空間占有病變)을 의심(疑心)할 만한 소견(所見)은 없었다. 3) 비섭취(脾攝取)는 well visualization 군(群) 4례(例) poor visualization 군(群) 7례(例), nonvibualization 군(群) 7례(例)였고, visualization 군(群)에서 비내공간점유병변(脾內室間占有病變)을 의심(疑心)할 소견(所見)은 없었다. 4) 비(脾) well visualization 군(群)과 poor visualization군간(群間)에는 임상(臨床所見) 간기능검사소견(肝機能檢査所見) 및 혈액학적소견(血液學的所見)에서 큰 차이(差異)가 없었다. 5) 비(脾) nonvibualization 군(群)에서는 visualigation 군(群)에 비(比)해서 증상기간(症狀期間)이 비교적(比較的) 길었던 례(例)가 많았고, 혈소판감소증(血小板減少症) 및 골수(骨髓)의 거핵구감소증(巨核球減少症)의 례(例)가 많았으나 간기능검사소견(肝機能檢査所見)에서는 별차이(別差異)가 없었다. (본(本) 논문교열(論文校閱)의 노고(勞苦)를 아끼지 않으신 황기석학장(黃基錫學長)님께 충심(衷心)으로 감사(感謝)드립니다.)