• Title/Summary/Keyword: Thoracic Spine

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Bronchogenic Carcinoma with Multiple Subcutaneous Metastasis: one case report (다발성 피하조직 전이를 일으킨 기관지폐암 1례 보고)

  • Kim, Kyung-Woo;Lee, Hong-Kyun
    • Journal of Chest Surgery
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    • v.12 no.4
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    • pp.307-311
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    • 1979
  • Bronchogenic carcinoma with subcutaneous metastasis is rare, and the incidence ranged from 1.0 to 3.0 %. Therefore metastatic nodules are incidental findings in some instances. The distribution in order of frequency Is as follows: chest wall, scapular region, abdominal wall, course of spine, upper extremities and scalp etc, and mos. of nodules are between 0.5-2.0 cm in diameter. In this report, we present one case of a 54 year old male having bronchogenic carcinoma (squamous cell type) with multiple subcutaneous metastases. The metastatic nodules were located in subcutaneous tissue of right posterior chest wall ($4{\times}5$ cm), frontal scalp area (two; $2{\times}3$ cm, $0.5{\times}0.5$ cm), left scapular region ($1{\times}1$ cm) and left iliac crest ara ($1{\times}11$ cm).

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The Human Spine Mechanical Properties Database for Korean (한국인 척추 연구를 위한 물성 정보 구축)

  • Kwak, dai-soon;Lee, seung-bock;Lee, sang-ho;Han, seung-ho
    • Proceedings of the Korea Contents Association Conference
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    • 2011.05a
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    • pp.259-260
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    • 2011
  • 한국과학기술정보연구원과 가톨릭대학교 의과대학 가톨릭응용해부연구소에서는 기초기술연구회 National agenda project 일환으로 척추 연구자들이 쉽게 사용할 수 있는 기초 자료를 구축하고 있다. 척추 관련 컴퓨터 시뮬레이션 연구에 활용할 수 있는 모델 제작을 위한 형상 정보와 물리적 성질 정보를 구축하고 있다. 물리적 성질 정보 구축은 60대, 70대 기증시신 10여 표본을 활용하여 척추뼈의 임상적, 물리적 골밀도를 측정하고, 목척추(cervical vertebra), 등척추(thoracic vertebra), 허리척추(lumbar vertebra) 부분의 굽힘-폄(flexion-extension) 시험, 가쪽 굽힘(lateral bending) 시험, 회전(torsion), 압축(body/disc compression) 시험을 수행하여 작용력과 굽힘량의 관계를 구축하고 있다. 구축된 물성 시험 결과는 형상 모델과 함께 제공되어 자료의 활용도를 높이고 있으며, 이를 이용하여 한국인 특성이 반영된 척추 관련 연구 및 제품 개발에 활용될 수 있다.

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Spinal Joint Pain Syndrome (척추관절통증증후군)

  • Kim, Kyung Hoon
    • The Korean Journal of Pain
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    • v.21 no.1
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    • pp.1-10
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    • 2008
  • Spinal joint pain syndrome is composed of atlanto-occipital, atlanto-axial, facet, and sacro-iliac joints pain. The syndrome is characterized as referred pain which is originated from deep somatic tissues, which is quietly different from radicular pain with dermatomal distribution originated from nerve root ganglion. The prevalence of facet joint pain in patients with chronic spinal pain of cervical, thoracic, and lumbar regions has been known 56%, 42%, and 31% as in order. It is generally accepted in clinical practice that diagnostic blocks are the most reliable means for diagnosing spinal joints as pain generators. The sacroiliac joint has been shown to be a source of 10% to 27% of suspected cases with chronic low back pain utilizing controlled comparative local anesthetic blocks. The treatment of spinal joints ideally consists of a multimodal approach comprising conservative therapy, medical management, procedural interventions, and if indicated.

MR Imaging of Intradural Extramedullary Tuberculoma of the Spinal Cord: Report of Two Cases (경막내 척수외 결핵종의 자기공명영상 소견: 2예 보고)

  • Sohn, Young-Jun;Choi, See-Sung;Jeon, Se-Jeong;Park, Sung-Hun;Juhng, Seon-Kwan
    • Investigative Magnetic Resonance Imaging
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    • v.12 no.2
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    • pp.201-205
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    • 2008
  • Intradural extramedullary tuberculoma of the spinal cord is a rare manifestation of the spinal tuberculosis, with a few cases described so far. Recently, we have experienced two cases of extensive intradural extramedullary tuberculoma at the thoracic spine. So, we report these cases with review of the literatures.

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A case of Idiopathic Bilateral Brachial Neuritis Involving the Bilateral Phrenic Nerves (양측 횡격막신경을 침범한 원인불명의 양측 상완신경염 1예)

  • Kwak, Jae-Hyuk;Lee, Dong-Kuck;Kwon, Oh-Dae
    • Annals of Clinical Neurophysiology
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    • v.7 no.1
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    • pp.28-30
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    • 2005
  • Bilateral brachial neuritis is clinically uncommon and accidentally involvement of bilateral phrenic nerves is rarely reported. We experienced a 26 year old man who developed subacute onset of asymmetric bilateral shoulder and arm weakness. The weakness slowly aggravated and finally suffered from dyspnea due to bilateral phrenic nerve palsy. Cervical spine MRI and CSF study showed no abnormality. Viral markers and other serological test showed no specific finding. Electromyographic study showed bilateral brachial axonal polyneuropathy with cervical and upper thoracic polyradiculopathy. And bilateral phrenic nerve conduction study showed no resopnse. He showed no improvement for 10 months after treatment and managed with continuous artificial ventilation. We report a case of idiopathic bilateral brachial neuritis accidentally involving bilateral phrenic nerves.

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Nontraumatic Cervical Disc Herniation Mimicking Guillain-Barre Syndrome (길랑-바레 증후군과 유사한 비외상성 경추 추간판 탈출)

  • Kang, Sa-Yoon;Choi, Jay Chol;Lee, Chang Sub
    • Annals of Clinical Neurophysiology
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    • v.8 no.2
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    • pp.193-195
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    • 2006
  • Acute paraplegia attributable to disc herniation is known to occur most frequently at the thoracic level. A 50-year-old male presented with progressive limb weakness and hypoactive deep tendon reflexes. On the basis of clinical features and neurological findings, the diagnosis of Guillain-Barre syndrome was suspected. Spinal MRI showed cervical disc herniation. He underwent emergency surgery consisting of removal of herniated disc and anterior fusion. We emphasize that there is a possibility of acute progression of paralysis secondary to nontraumatic enlargement of cervical disc herniation.

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Effects of locking system of pedicle screw on the fatigue loading (척추경 나사못 고정시스템의 피로하중 영향)

  • Lee, S.W.;Song, J.I.;Bae, S.I.;Ahn, M.H.
    • Proceedings of the KSME Conference
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    • 2000.04a
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    • pp.375-380
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    • 2000
  • The purpose of this study is to verify the relations with the fatigue life and stress distribution on the screw thread for thoracic and lumbar spine. These screws are now developed for Korean in this research group. The fatigue life of single screw was found longer than that of up-left-screw, but shorter than that of up-right-screw. The fatigue life of screw used was associated with the angie between bending and thread direction. In the case of upper left and right screw were fractured in the region of one pitch and two pitch of the thread valley from the shank of pedicle screw, respectively.

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New Report on Two Species of the Genus Nipponomysis (Crustacea: Mysida: Mysidae) from Korean Waters

  • Kim, Mijin;Song, Sung Joon;Kim, Won
    • Animal Systematics, Evolution and Diversity
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    • v.31 no.1
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    • pp.15-21
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    • 2015
  • Two species of mysid, Nipponomysis fusca (Ii, 1936) and N. tenuiculus (Ii, 1940), are newly recorded in Korean fauna. These two species were collected using a light or a bait trap from all coasts of the Korean peninsula. The genus Nipponomysis can be distinguished from allied genus by the following morphological characteristics: third to eighth thoracic endopods with carpopropodus divided into five to six subsegments compared to three subsegments, and anterior four pairs of pleopod in female subequal in length and fifth pair elongated. Nipponomysis fusca is characterized by its acute rostral plate and armature of telson, and N. tenuiculus differs from other species by the number of spine in ventral statocyst region and the shape of the fourth pleopod in male. Herein, we present detailed descriptions of two species from Korean waters with illustrations of morphology. In addition, an identification key to the Korean species of the genus is provided.

Spinal Metastases from Supratentorial Glioblastoma

  • Han, Seong-Rok;Yee, Gi-Taek;Lee, Dong-Jun;Whang, Choong-Jin
    • Journal of Korean Neurosurgical Society
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    • v.38 no.6
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    • pp.475-477
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    • 2005
  • The tendency of glioblastoma multiforme[GBM] to metastasize to the cerebrospinal fluidis well documented. However, symptomatic intradural extramedullary metastasis of GBM in the spinal cord are rarely reported. A 31-year-old female with a previously treated supratentorial GBM presented with back pain and lower extremities weakness. Magnetic resonance imaging of the thoracic spine demonstrated an intradural extramedullary mass at levels of T2-T4 and arachnoid membrane enhancement. The patient underwent an operation. Pathologic diagnosis was confirmed as spinal metastases of GBM. We present a case of spinal metastases from supratentorial GBM presented with paraparesis.

Intramedullary Spinal Cord Lipoma Extending from the Cervicomedullary Junction to the Upper Thoracic Cord

  • Lee, Deok-Gu;Yoon, Seok-Mann;Shim, Jai-Joon;Bae, Hack-Gun
    • Journal of Korean Neurosurgical Society
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    • v.38 no.1
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    • pp.71-73
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    • 2005
  • A case of intramedullary spinal cord lipoma is presented. A one month-old male infant presented with irritability and weakness on his upper extremities. A magnetic resonance[MR] image of the cervical spine demonstrated a well defined, high signal intensity lesion on both T1 and T2-weighted MR images and suppression on the fat saturation sequence. The tumor mass extended from the foramen magnum to T2 vertebra level. Ventral displacement of the spinal cord with kinking of the cervico-medullary junction was evident on the T2-weighted sagittal image. Partial resection of the tumor mass through laminoplastic laminotomy from C1 to T2 resulted in improved motor weakness on his upper extremities.