• Title/Summary/Keyword: Visual Disturbance

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Clinical Experience of Takayasu`s Arteritis (Takayasu씨 동맥염의 임상적 고찰)

  • 이계영
    • Journal of Chest Surgery
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    • v.25 no.12
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    • pp.1492-1496
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    • 1992
  • Takayasu`s arteritis is a nonspecific inflammatory vascular disease of unknown origin. It most often cuases stenosis of the aorta or its branch arteries with ischemic changes in the organs supplied, but the vessels inside these organs are not directly involved. From 1983 to 1991, we performed operation on 6 patients with Takayasu`s arteritis. There were 6 female patients ranging in age from 17 years to 36 years. Symptoms included headache, dizzness, visual disturbance, and motor weakness or pain of arm. In 5 cases, bypass graft arised from ascening aorta[ventral aorta] were done, and in one, stenotic segments of left subclavian and vertebral arteries were resected an graft interposition done. Follow-up has been 62.4$\pm$34.8 months[ranging from 11 to 113 months], results of each patient were exellent, except one postoperative death.

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Surgical Treatment of Takayasu`s Arteritis; Report of One Case (Takayasu`s arteritis의 수술치험 1례)

  • 전희재
    • Journal of Chest Surgery
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    • v.26 no.6
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    • pp.496-500
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    • 1993
  • Takaysu`s arteritis is an arteritis of unknown etiology involving larger elastic arteries. The end stage pathologic feature is vascular obstructive change and the resulting clinical manifestations are local ischemic symptoms such as syncope, visual disturbance, claudication of extremities, hypertension, and angina. Recently we have experienced one case of Takayasu`s arteritis involving aortic arch, left common carotid artery and left subclavian artery. The patient was 27 year-old female and she was admitted because of headache and neck pain. Aortogram revealed fusiform dilatation of left common carotid artery with focal narrowing on it`s distal portion. The patient underwent surgical resection and replacement of Dacron tube graft between distal and proximal left common carotid artery. 3 months after operation, she was readmitted because of shoulder pain and headache. Aortogram revealed focal narrowing of proximal left common carotid artery and total obstruction of left subclavian artery which caused subclavian steel syndrome. Aorto-left common carotid and aorto-left subclavian bypass graft replacement were done.

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Surgical treatment of Takayasu's arteritis : Report of one case (Takayasu씨 동맥염의 수술치험 1예)

  • 조인택
    • Journal of Chest Surgery
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    • v.19 no.3
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    • pp.489-493
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    • 1986
  • Takayasu`s arteritis is an arteritis of unknown etiology involving larger elastic arteries such as aorta and its branches, pulmonary arteries, and rarely coronary arteries. The late pathologic feature is vascular obstructive change and the resulting clinical manifestations are local ischemic symptoms such as syncope, visual disturbance, claudication of extremities, hypertension, and angina. the disease occurs predominantly in females, with the age of onset between 10 and 30 years. Recently we have experienced one case of Takayasu`s arteritis involving aortic arch and all its major branches. The patient was 36 year-old female and she was admitted because of headache, blurred vision, and easy fatigability and motor weakness of upper extremities. Aortogram revealed total obstruction of both carotid arteries at the site of its origin and partial irregular obstructive change in the innominate artery and both subclavian arteries. Bypass graft surgery using Gore-Tex grafts was performed with successful result.

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Case Reports of Rieger's Syndrome (Rieger증후군의 증례)

  • Kee, Woo-Cheon;Kwag, Jun-Bong
    • The Journal of the Korean dental association
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    • v.25 no.8 s.219
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    • pp.783-788
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    • 1987
  • The authors observed the two cases of Rieger's syndrome in 21-year-old male and 13-year-old female with a chief complaint of Partial anodontia of permanent teeth on both jaws. We had done the laboratory and ophthalmic examinations and had taken radiographs. Final diagnosis was established as Rieger's syndrome. We obtained the results as follows, 1. There was no peculiar hereditary tendency in them. 2. The patients had no disturbance of general physical activity and mentality. 3. The male patient had pseudoprogenathism, concave profile, congenital missing on upper anterior and second premolar teeth, and conical shaped crown of upper len celral incisor. The female patient had also pseudoprognathism, concave profile, thickened upper labial frenum, decreased upper dental arch width, congenital missing on upper anterior teeth, and delayed eruption of second premolars. 4. The ophthalmic symptoms that were ins abnormalities, decreased visual acuity, and increased intraocular pressure were present. 5. The abnormalities except dental and ophthalmic abnormalities were not round.

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A Comparative Case Study on the Environment Lesson in a Middle School (중학교 환경교육 학습방안에 관한 사례 비교 연구)

  • Kim, Mi-Jeong;Jo, Yeong-Min
    • Proceedings of the Korean Society for Environmental Edudation Conference
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    • 2005.12a
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    • pp.138-147
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    • 2005
  • In the present study, the middle school students' perception on the environment course was surveyed before and after three different lessons. It was found that most students were taking environment related issues mainly from mass media including internet and broadcasting. The young students were satisfied at practical experiments, but at the same time a few old fashioned experimental programs would not be preferred. Utilization of multimedia such as audio-visual tools was one of the effective tools for the environment class, because it could help to understand even the profound principles of the chemical and physical processes. However, some students did not concentrate on the display, causing frequent disturbance of the class. Since the school for this investigation did not choose the environment as a selective course, practical tools and materials for the experiment should not be sufficient, and thereby a further detailed work must be followed with the students who are taking environment lessons.

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Perineal Pain due to Bladder Stones after Total Abdominal Hysterectomy - A case report - (전 자궁 절제술 후 방광 내 결석으로 유발된 회음부 통증 - 증례보고 -)

  • Park, Sang Hyun;Park, Jong Cook;Lee, Pyung Bok
    • The Korean Journal of Pain
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    • v.20 no.2
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    • pp.251-254
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    • 2007
  • Perineal pain is a significant diagnostic challenge to the pain practitioner, and accurate diagnosis and treatment is essential. We report a case of 42-years old female patient suffering from excruciating vulvodynia for 5 years. Her pain on the visual analogue scale was 10 out of 10 and her pain was associated with sleep disturbance, dyspareunia, and chronic fatigue. She was diagnosed with a bladder stone by imaging, and The pain was relieved by cystolitholapaxy.

Malignant Transformation of Craniopharyngioma without Radiation Therapy: Case Report and Review of the Literature

  • Jeong, Tae Seok;Yee, Gi Taek;Kim, Na Rae
    • Journal of Korean Neurosurgical Society
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    • v.60 no.1
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    • pp.108-113
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    • 2017
  • Craniopharyngiomas exhibiting histologic malignancy are extremely rare. Herein, we report the case of a 26-year-old male patient who underwent suprasellar mass excision via an interhemispheric transcallosal approach. Histopathological examination indicated that the craniopharyngioma was of the adamantinomatous subtype. The patient received postoperative medical treatment for endocrine dysfunction and diabetes mellitus without radiation treatment. Two years after the operation, he presented with progressive visual disturbance and altered mentality. Magnetic resonance imaging revealed a huge mass in the suprasellar cistern and third ventricle. He underwent a second operation via the same approach. The histopathological examination showed an adamantinomatous craniopharyngioma with sheets of solid proliferation in a spindled pattern, indicating malignant transformation. Malignant transformation of craniopharyngioma in the absence of radiation therapy has been reported in only five cases, including this one. We present a case of malignant transformation of craniopharyngioma with a brief review of relevant literature.

Comprehensive understanding of vascular anatomy for endovascular treatment of intractable oronasal bleeding

  • Moon, Sungjun
    • Journal of Yeungnam Medical Science
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    • v.35 no.1
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    • pp.7-16
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    • 2018
  • Oronasal bleeding that continues despite oronasal packs or recurs after removal of the oronasal packs is referred to as intractable oronasal bleeding, which is refractory to conventional treatments. Severe craniofacial injury or tumor in the nasal or paranasal cavity may cause intractable oronasal bleeding. These intractable cases are subsequently treated with surgical ligation or endovascular embolization of the bleeding arteries. While endovascular embolization has several merits compared to surgical ligation, the procedure needs attention because severe complications such as visual disturbance or cerebral infarction can occur. Therefore, comprehensive understanding of the head and neck vascular anatomy is essential for a more effective and safer endovascular treatment of intractable oronasal bleeding.

The effect of Yangyeummyungmoktang-Gamibang on a Case of Tolosa-Hunt Syndrome (養陰明目湯加味方으로 호전된 Tolosa-Hunt 증후군 1예)

  • Yeon, Kyoung-jin;Jeong, Hyun-a;Rheu, Hyeun-sin;Lim, Seung-hwan;Roh, Seok-seon
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.16 no.1
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    • pp.220-225
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    • 2003
  • The Tolosa-Hunt syndrome is a symptom complex with unilateral painful ophthalmoplegia associated with retro-orbital pain, proptosis and Ⅲ, Ⅳ, Ⅴ-1, Ⅵ cranial nerves palsy due to nonspecific granulomatous inflammation in the superior orbital fissure or cavernous sinus. We experienced a 50 years old female patient with Tolosa-Hunt syndrome who had several clinical signs and symptoms such as ocular pain, headache, sensory loss of face, diplopia, and visual disturbance. In the point of Differentiation of Syndrome(辨證). this subject was diagnosed as Deficiency of yin in liver and kidney(肝腎陰虛), and was administrated with Yangyeummyungmoktang-Gamibang. After treatment of acupuncture and herbal medicine above symptoms were improved.

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Familial Creutzfeldt-Jakob Disease with V180I Mutation Presented with Broca's Aphasia (브로카실어증으로 발현한 가족성 V180I 변이 Creutzfeldt-Jakob병)

  • Kim, Jeongyeon;Lee, Deok-Soo;Park, Kyung Won
    • Journal of the Korean neurological association
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    • v.36 no.4
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    • pp.345-349
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    • 2018
  • Familial Creutzfeldt-Jakob Disease (fCJD) is characteristic with older age onset, relatively low occurrence rate, slower progression and lower possibility of developing myoclonus, cerebellar, pyramidal signs and visual disturbance compared with classical sporadic CJD. We report a case of 75-year-old male patient presented with sudden onset of right side weakness with Broca's aphasia who has been diagnosed with fCJD with V180I mutation. This case indicates that fCJD with V180I mutation can have stroke-like initial presentation.