• Title/Summary/Keyword: Symptomatic

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Idiopathic Spinal Epidural Lipomatosis - Case Report - (특발성 척추 경막상 지방종증 - 증례보고 -)

  • Han, Young-Min;Ahn, Myung-Soo
    • Journal of Korean Neurosurgical Society
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    • v.30 no.6
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    • pp.795-799
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    • 2001
  • Spinal epidural lipomatosis, which causes symptomatic compression of neural elements, is a relatively uncommon disease. Although it has been reported frequently in association with the administration of exogenous steroids, a few cases of epidural lipomatosis with no association to exogenous steroids, have been reported. Idiopathic spinal epidural lipomatosis may be a separate disease from that induced by steroid. Here, the authors present two cases of symptomatic epidural lipomatosis with no history of steroid-dependent diseases and review the relevant literature.

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A Rare Case of Bilateral Pulmonary Sequestration Managed with Embolization and Surgical Resection in a Patient

  • Seok, June Pill;Kim, Young Jin;Cho, Hyun Min;Ryu, Han Young
    • Journal of Chest Surgery
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    • v.46 no.6
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    • pp.475-477
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    • 2013
  • In this article, we report a rare case of a 22-year-old male with bilateral pulmonary sequestration, treated with embolization and surgical resection. The initial plan involved staged bilateral lobectomy for both lungs and prophylactic embolization of feeding vessels for preventing unexpected hemorrhage during operation. Symptomatic right lower lobe was resected with video-assisted thoracic surgery after embolization, and the patient refused surgery of left lower lobe upon symptomatic relief. The two-year follow-up examination revealed that the patient was healthy and had no relevant discomfort.

Labial Adhesions in Children - Report of Two Cases - (소아의 소음순유착증 - 2예 보고 -)

  • Choi, Soon-Ok;Park, Woo-Hyun
    • Advances in pediatric surgery
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    • v.15 no.2
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    • pp.166-172
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    • 2009
  • Labial adhesion in prepubertal girls is a common gynecologic problems. The labia minora are fused by thin transparent or thick fibrous membrane in the midline from the clitoris to posterior fourchet. The prevalence of labial adhesion may be even greater because many children with labial fusions are asymptomatic and these cases remain unreported. They are often unrecognized by physician and parents because most of symptomatic children complained urinary symptoms. The authors experienced 2 cases of labial adhesion in girls; one asymptomatic partial fusion and the other symptomatic complete fusion. These lesions were treated successfully by mechanical separation of labial adhesion and petroleum ointment (Vaseline) application without recurrence in follow-ups.

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Surgical treatment of vascular ring: a report of 6 cases (혈관륜의 수술체험6례 보)

  • 김원곤
    • Journal of Chest Surgery
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    • v.17 no.2
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    • pp.205-211
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    • 1984
  • Developmental anomalies of the aortic arch, commonly known as vascular rings, are relatively rare congenital vascular anomalies which can compress the trachea and esophagus. We have presented six patients with surgically treated vascular rings at Seoul National University Hospital during the period June 1970 through May 1984. Two patients had double aortic arches and four patients had right aortic arch with aberrant left subclavian artery and left ligamentum arteriosum. Four patients had symptoms relating vascular ring and two patients were detected incidentally during diagnostic evaluation of symptomatic intracardiac defects. Associated congenital malformations were seen in four patients. The operative approach was through left thoracotomy in three patients and median sternotomy in remaining three patients associated with congenital cardiac defects. There were no postoperative deaths with excellent result in preoperative symptomatic patients. To our knowledge, successful surgical repair of vascular ring has been reported only once in the Korean literature.

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Symptomatic Tarlov Cyst Following Spontaneous Subarachnoid Hemorrhage

  • Kong, Woo-Keun;Cho, Keun-Tae;Hong, Seung-Koan
    • Journal of Korean Neurosurgical Society
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    • v.50 no.2
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    • pp.123-125
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    • 2011
  • Most of Tarlov or perineurial cysts remain asymptomatic throughout the patient's life. The pathogenesis is still unclear. Hemorrhage has been suggested as one of the possible causes and trauma with resultant hemorrhage into subarachnoid space has been suggested as an origin of these cysts. However, Tarlov cysts related to spontaneous subarachnoid hemorrhage has not been reported. The authors report a case of Tarlov cyst which was symptomatic following spontaneous subarachnoid hemorrhage.

Minimally Invasive Combined Interlaminar and Paraisthmic Approach for Symptomatic Lumbar Foraminal Stenosis : Surgical Technique and Preliminary Results

  • Kwon, Young-Joon
    • Journal of Korean Neurosurgical Society
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    • v.42 no.1
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    • pp.11-15
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    • 2007
  • Objective : Lumbar foraminal stenosis is an important etiology of lumbar radicular symptomatology and frequent causes of remained symptoms after decompressive surgery. This study was conducted to determine the precise clinical and radiologic diagnosis of lumbar foraminal stenosis, and to demonstrate thorough treatment by decompressive surgery using a minimally invasive technique. Methods : Seven patients with established unilateral lumbar foraminal stenosis according to clinical and radiologic diagnosis were retrospectively studied. All patients underwent combined interlaminar and paraisthmic procedure with partial facetectomy. The outcome of surgery was evaluated and classified into excellent, good, fair and poor. Results : The results were excellent in four patients, good in two, and fair in one during the follow-up. There were no surgery-related complications. Conclusion : Minimally invasive combined interlaminar and paraisthmic approach provides good outcome in carefully selected patients with symptomatic lumbar foraminal stenosis.

Stent-assisted Angioplasty for Symptomatic Radiation-induced Carotid Stenosis

  • Kwon, Yoon-Kwang;Kim, Eal-Maan;Lee, Chang-Young
    • Journal of Korean Neurosurgical Society
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    • v.41 no.5
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    • pp.327-329
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    • 2007
  • A 44-year-old woman presented with recurrent, transient episodes of left-side hemiparesis. She had received a radiation dose of 6120 cGy to her cervical region for parotid gland carcinoma 13 years previously. Cerebral angiography revealed a long, irregular tight stenosis involving the right extracranial internal carotid artery [ICA] and common carotid artery [CCA], measuring approximately 90% at the most severe narrowing according to North American Symptomatic Carotid Endarterectomy Trial criteria. Endovascular stent placement resulted in restoration of the carotid lumen to about 80% of its original diameter. She showed no further ischemic events during the follow-up period of 48 months. Our clinical and angiographic findings suggest that carotid stenting is considered a safe and effective treatment option in patients with radiation-induced carotid stenosis.

A Case Study of Taeumin Yangdokbalban Patient diagnosed as Allergic Purpura (알러지성 자반병으로 진단받은 태음인(太陰人) 양독발반증(陽毒發斑症) 환자(患者)에 대한 치험예(治驗例))

  • Kim, Il-Hwan;Kim, Hyo-Soo
    • Journal of Sasang Constitutional Medicine
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    • v.15 no.3
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    • pp.139-146
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    • 2003
  • Allergic Purpura is similar to Yangdokbalban Syndrom in Oriental Medicine. The main symptoms of Yangdokbalban Syndrom and allergic purpura are rashes and fevers in body. In Sasang Constitutional Medicine, Taeumin have an Yangdokbalban Syndrom by Ganyeol as their inherent symptomatic phamacology. An inpatient diagnosed as allergic purpura in other hospital who has fevers in body, rashes and itchings at fevers was seen to Taeumin by his external figures and internal emotions. And, he has an symptomatic distinctiveness that general conditions refreshed after sweating and can drink water in chilling. Therefore A person was diagnosed as Taeumin with allergic purpura as above distinguishing symptoms, the curative value will be outperformed by taking Galgeunhaekitang.

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The Natural History of Anterior Cruciate Ligament Deficient Knee (전방십자인대 손상 슬관절의 자연적 병의 경과)

  • Kim, Hyoung-Soo
    • Journal of the Korean Arthroscopy Society
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    • v.1 no.1
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    • pp.41-46
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    • 1997
  • The natural history of the anterior cruciate ligament(ACL)-deficient knee remains controversial. although numerous investigation have tried to ascertain the course that the knee would follow once the ACL has lost functional integrity. An extensive review of the literature performed according to symptoms. physical examinations, associated surrounding tissue injuries. returns to activity level and radiological changes in the knee joint. An active individual with a non-functioning ACL was susceptible to injury to the menisci and deteriorate the articular cartilage, followed radiographic changes. An activity levels in general also changed after injury. The most common symptom was pain. But instability varied in these individuals. Conclusively we believe that all these factors will eventually, if not initially, result in a symptomatic knee. which will result in significant limitations to the individual's desired level. So we recommend an aggressive approach in person who desired to return to a relatively active life style in young person as well as in middle aged individuals who have significant symptomatic ACL deficient knee.

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Rami Communicans Nerve Block for the Treatment of Symptomatic Schmorl's Nodes -A Case Report-

  • Jang, Ji-Su;Kwon, Hyung-Ki;Lee, Jae-Jun;Hwang, Sung-Mi;Lim, So-Young
    • The Korean Journal of Pain
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    • v.23 no.4
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    • pp.262-265
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    • 2010
  • Histologically, Schmorl's nodes are defined as the loss of nuclear material through the cartilage plate, growth plate, and end plate into the vertebral body. Most Schmorl's nodes are asymptomatic, although there are some reports of symptomatic Schmorl's nodes, which should be treated similarly to vertebral compression fractures, with conservative treatment as the first choice. We report the case that we reduced the pain by blocking the ramus communicans nerve in a patient with Schmorl's node.