• 제목/요약/키워드: Thoracic vertebra

검색결과 97건 처리시간 0.033초

Newborn English Bulldogs with Multiple Malformation Syndrome and Lethal Characters

  • Jang, Si-Jung;Kim, Minkyung;Lee, Hyeon-Jeong;You, Young-Sung;Lee, Jaehoon;Lee, Sung-Lim
    • 한국동물생명공학회지
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    • 제34권3호
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    • pp.253-258
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    • 2019
  • A female English bulldog was gave birth two neonates by cesarean section on the sixty one days after mating, but both neonates were died soon after birth. The bodies of neonates were diagnosed using radiography, ultrasonography, computed tomography and necropsy immediately after death. Both neonates had caudal regression syndrome, butterfly vertebra, hydrocephalus, umbilical hernia, cleft palate and bow-legged hind-limb. At necropsy, neonates had mild fetal anasarca, cleft lip and the skull was remained non-union. At thoracic cavity, only three ribs and thoracic spines were existed and patent ductus arteriosus was found. At abnormal cavity, the renal ectopia was found with abnormal morphology. In the present case, those English bulldog neonates with multiple congenital malformation syndromes seriously suffered vertebral column anomalies and that may induced by neural tube defects in during embryonic period. To prevent congenital malformation occurring in English bulldog, further in depth studies are needed for the breed specific genetic diversity and for the reason of behind genetic abnormality in these breed.

골다공증성 추체골절에 대한 경피적 척추성형술 : 초기성적 (Percutaneous Vertebroplasty in Treatment of Osteoporotic Vertebral Body Fractures : Early Result)

  • 유영상;신재학;김일만
    • Journal of Korean Neurosurgical Society
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    • 제30권2호
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    • pp.163-167
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    • 2001
  • Objective : Percutaneous vertebroplasty has recently been introduced as an interesting therapeutic alternative for the treatment of thoracolumbar vertebral body fractures in elderly persons with osteoporosis. The authors present the early results of this method. Method and Material : From July 1999 to April 2000, percutaneous transpedicular technique was used in 20 patients (2 men and 18 women) whose mean age was 67.5 years old(range 59-79) with painful vertebral compression(22) and burst(2) fractures. The interval between fracture and vertebroplasty ranged 1 day to 4 months. The procedure involved percutaneous puncture of the injured vertebra via transpedicular approach under fluoroscopic guidance, followed by injection of polymethylmetacrylate(PMMA) into the vertebral body through a disposable 11-guage Jamshidi needle. Result : The most common cause of fracture was slip down and the most frequent injured level was the twelfth thoracic spine. The procedure was technically successful bilaterally in 18 patients(9 thoracic and 15 lumbar spines) with an average injection amount of 7.7ml PMMA in each level. Seventeen(94.4%) patients reported significant pain relief immediately after treatment. Two leaks of PMMA were detected with postoperative CT in spinal epidural space and extravertebral soft tissue without clinical symptoms. Conclusion : Although this study represents the early results, percutaneous vertebroplasty seems to be valuable tool in the treatment of painful osteoporotic vertebral body fractures in elderly, providing acute pain relief and early mobilization.

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Central Nervous System Involvement of Acute Lymphoblastic Leukemia

  • Hyun, Seung-Jae;Kim, Young-Baeg;Yu, Hyeon;Hong, Hyun-Jong
    • Journal of Korean Neurosurgical Society
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    • 제40권1호
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    • pp.54-57
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    • 2006
  • Central nervous system[CNS] involvement of acute lymphoblastic leukemia may occur. However, CNS involvement as a first manifestation of leukemia is very rare. An 8-year-old girl complained of a backache after playing in the water. Neurological examination detected progressing paraparesis. Magnetic resonance imaging[MRI] of the thoracolumbar spine showed a well-circumscribed homogeneous posterior extradural mass lesion extending from T7 to T9. MRI of the brain showed diffused fatty marrow replacement of the calvarium and the skull base. We report a patient with epidural Burkitt's lymphoma of the thoracic and lumbar vertebra causing compression of the spinal cord after pathologic evaluation. The tumor consisted mainly of lymphoblastic cells, which were identical to those originally seen in the bone marrow aspiration and biopsy. After decompressive laminectomy she began consolidation chemotherapy.

흉, 복부 전산화 단층촬영이 정상인 외상 환자에게 척추 단순촬영이 필요한가? (Is There a Need for Conventional Spine Radiographs Following a Negative Chest and Abdominal CT in Trauma Patients?)

  • 오성찬
    • Journal of Trauma and Injury
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    • 제22권1호
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    • pp.24-28
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    • 2009
  • Purpose: This was conducted to assess the need for conventional radiographs of the thoracolumbar spine for routine screening of trauma patients who revealed no spinal trauma on chest and abdominal computed tomography (CT). Methods: We performed a retrospective review of the medical records of trauma patients who underwent conventional radiographs of the thoracolumbar spine following a chest and abdominal CT that revealed no spinal trauma. Results: Two hundred seventy-five trauma patients underwent conventional radiographs of the thoracolumbar spine following a chest and abdominal CT that revealed no spinal trauma. In 274 of the cases, the thoracolumbar spine series was also negative. Conclusion: CT of the chest and abdomen is an adequate evaluation of the thoracolumbar spine in trauma patients who require routine thoracolumbar spine screening, making subsequent conventional radiographs of the thoracolumbar spine unnecessary.

Neurologic Complication Following Spinal Epidural Anesthesia in a Patient with Spinal Intradural Extramedullary Tumor

  • Kim, Sung-Hoon;Song, Geun-Sung;Son, Dong-Wuk;Lee, Sang-Won
    • Journal of Korean Neurosurgical Society
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    • 제48권6호
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    • pp.544-546
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    • 2010
  • Paraplegia following spinal epidural anesthesia is extremely rare. Various lesions for neurologic complications have been documented in the literature. We report a 66-year-old female who developed paraplegia after left knee surgery for osteoarthritis under spinal epidural anesthesia. In the recovery room, paraplegia and numbness below T4 vertebra was checked. A magnetic resonance image (MRI) scan showed a spinal thoracic intradural extramedullary (IDEM) tumor. After extirpation of the tumor, the motor weakness improved to the grade of 3/5. If a neurologic deficit following spinal epidural anesthesia does not resolve, a MRI should be performed without delay to accurately diagnose the cause of the deficit and optimal treatment should be rendered for the causative lesion.

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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    • 제38권1호
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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.

흥미있는 이물 3례 (Cases of interesting foreign bodies)

  • 조중환;유태현
    • 대한기관식도과학회:학술대회논문집
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    • 대한기관식도과학회 1976년도 제10차 학술대회연제 순서 및 초록
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    • pp.89.4-89
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    • 1976
  • 최근 흥미있는 이물 3례를 경험하였으며 수술후 경과는 모두 좋았기에 보고하는 바이다. 증예 1 : 20세된 남자에서 오발된 총알이 기관 및 식도를 관통하여 제일흉추에 박혀 있었다. 증예 2 : 1년 5개월된 남아의 기관 분기부에 걸려 있었던 52cm 길이의 금속성 목걸이, 증예 3 : 17세된 남자에서 식도제일협착부의 식도벽에 꽂혀있던 pin.

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중풍환자의 혈압 상승에 대한 대추혈 사혈의 혈압 강하 효과 (Decreasing Effect of Wet-Cupping at Daechu (대추, Dazhui:GVl4)-point on the Increase of Blood Pressure in Patients with Stroke)

  • 신정애;이영구
    • 대한한의학회지
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    • 제23권3호
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    • pp.85-95
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    • 2002
  • Objectives : Daechu (Dazhui:GV14 (Governor Vessel 14))-point is located between the spinous process of the 7th cervical vertebra and that of the 1st thoracic vertebra. GV14 has been used to treat hypertension, high fever, neck pain, common cold, headache and so on. Hypertension often negatively affects the improvement of stroke patients. We investigated whether wet-cupping at GV14 had any effect of decreasing blood pressure (BP). Methods : In this study, 81 stroke patients were studied, from Oct. 2000 to Sept. 2001. They were composed of a Sample group (n=36) and Control group (n=45). The Sample group (n=36) was divided into Sample-Normal (n=9), Sample-Mild (n=7), Sample-Moderate (n=l1), and Sample-Severe group (n=9). The Control group (n=45) was divided into Control-Moderate (n=34) and Control-Severe group (n=ll). We checked blood pressure 5 times (just before treatment, then after 30,60, 90, and 120min. (2hrs.)) in each sample group and 3 times (baseline, after 30, and after 120min. (2hrs)) in the control group. Results : In a comparison of before-treatment BP and after-treatment BP in the sample group, SBP significantly decreased as time passed, while DBP slightly decreased but not significantly. In comparison of BP differences in each sample subgroup, BP slightly increased in the Sample-Normal group, but significantly decreased in the Sample-Mild, Sample-Moderate, and Sample-Severe groups. In comparison of BP differences between the sample and control groups, SBP and DBP of the sample group definitely decreased more than those of the control group, but not significantly. Conclusions : This study suggests that wet-cupping at GV14 has significant decreasing effectson blood pressure in stroke patients. Accordingly, we hope that this measure will be used more widely as an emergent treatment for increased blood pressure.

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중풍환자의 발열에 대한 대추혈 사혈의 효과 (Effect of Wet-Cupping at Dachu(Dazhui)-point on Fever in Patients with Stroke)

  • 손동혁;이영구;김영석;배형섭;이경섭;조기호
    • 대한한의학회지
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    • 제22권3호
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    • pp.119-128
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    • 2001
  • Objectives: Daechu (Dazhui: GV 14 (Governor Vessel))-point is located between the spinous process of the 7th cervical vertebra and that of the 1st thoracic vertebra. GV 14 has been used to treat high fever, neck pain, common cold, headache and so on. Fever may badly affect the improvement of stroke patients, so we investigated whether wet-cupping at GV 14 had effects on fever. Methods: In this study, 100 stroke patients were studied from Nov. 1999 to Oct. 2000. They were divided into the Sample group (n=49) and Control group (n=5l). The Sample group (n=49) was divided into Sample-Severe (n=2l), Sample-Mild (n=12), and Sample-Normal groups (n=16) and the Control group (n=5l) was divided into Control-Severe (n=8) and Control-Mild (n=43). We checked body temperature 6 times (just before treatment, after 30 ruin., 60, 90, 120 (2 hrs.), and 240 ruin. (4 hrs.)) in the Sample group and 3 times (just before treatment, after 120 min. (2 hrs.), and 240 ruin. (4 hrs.)) in the Control group. Results: In comparison with fever between before treatment and after 2 and 4 hours in each group, fever in the Sample subgroups decreased significantly in all cases, fever in the Control subgroups didn't decrease significantly in most cases except fever after 4 hours in the Control-Mild group. In comparison with fever differences between the Sample and Control group, fever of the Sample group more significantly decreased than that of the Control group in all comparisons. In comparison with fever among sample subgroups, fever of the Sample-Severe group decreased more than that of the Sample-Mild group but it was not significant. Conclusions: This study suggested that wet-cupping at GV 14 has significant effects on fever in stroke patients. We hope that this treatment will be used more widely as an emergent treatment.

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한우 송아지의 이두이안체 (Derodidymus in Korean-Native Calf)

  • 강문일;박영석;한동운
    • 한국가축번식학회지
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    • 제23권1호
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    • pp.69-73
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    • 1999
  • 머리와 목이 두 개인 이두이경체인 한우 송아지를 해부학적으로 관찰하였다. 이 한우 기형 송아지의 외형적 특정은 2 개의 완전한 머리와 목이 형성되어 있었으며 두 개의 경부는 흉강에서 유합되어 한 개의 몸통을 이루고 있었다. 두 개의 두부는 우측의 두부가 좌측의 두부에 비해 크기가 작고 상악과 하악의 비틀림이 심하게 나타나는 편측성 하악골 형성부전을 보였다. 두 개의 경부는 비슷한 길이로 흉부에서 유합되어 있었으며 2 개의 두부와 경부 외에 흉근 내부에 유착되어져 있는 흉골이 1 쌍으로 존재하고 있었다. 전지골격은 외부에 노출된 1 쌍의 완전한 골격과 매몰되어 있는 비교적 완전한 l 쌍의 전지골격외에 견갑부가 소실되고 상완골이 불완전한 l 쌍의 불완전한 전지 골격구조가 흉근과 늑골 사이에서 발견되었다. 그러나 기형적 전지와는 달리 후지는 정상적인 1 쌍의 다리만 보이었다. 경추의 부분적인 유합과 흉추 전반부가 심한 유합으로 척추가 뒤틀려져 있었다. 두개골은 정상적으로 2개의 눈과 귀, 비공과 1개의 업을 가지고 있었으며, 좌측이 우측 두부에 비해 크기가 작았고 하악도 더 심히 뒤틀려져 있었다. 뇌실은 위축되어 대뇌가 작았다. 기관과 식도는 흉강에서 유합되어 1개의 폐와 위로 이어지고 있었다. 흉강내 장기와 복강내 장기는 대부분 정상적인 구조를 유지하고 있었으나 대장의 직장 부분은 항문으로부터 5cm 떨어진 부분에 협착되어 있었으며 항문은 보이지 않았다.

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