• Title/Summary/Keyword: cranium

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Cleidocranial dysplasia : a case report (쇄골두개이골증의 증례)

  • Kim Jae-Duk;Lee Chang-Yul;You Choong-Hyun
    • Imaging Science in Dentistry
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    • v.34 no.1
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    • pp.55-59
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    • 2004
  • Cleidocranial dysplasia is a rare and autosomal dominent disorder characterized by aplasia or hypoplasia of the clavicles, an open fontanelle, dental abnormalities, and short stature, A 17-year-old female who presented with short stature and subsequent delay in eruption of permanent teeth is described. she showed the abnormal hypermobility of the shoulder, ocular hypertelorism and concave nasal bridge. Radiographs revealed the underdeveloped maxilla, defect of the cranium in the fontanelle region, and aplasia of the clavicles. Characteristically, panoramic view revealed near parallel-sided borders of the ascending ramus and downward curvature of the zygomatic arch with hypoplasia. The prolonged retention of deciduous teeth with delayed eruption of permanent teeth and multiple embedded supernumerary teeth were striking. Radiographic and clinical investigations revealed Cleidocranial dysplasia.

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ROENTGENOCEPHALOMETRIC STUDY ON ANGLE'S CLASS II, DIVISION 2 MALOCCLUSIONS (Angle II급 2류 부정교합의 두부방사선학적 연구)

  • Suhr, Cheong-Hoon
    • The Journal of the Korean dental association
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    • v.19 no.1 s.140
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    • pp.67-71
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    • 1981
  • This study was undertaken to find out the characteristic craniofacial morphology of Class II Division 2 malocclusions in children by means of roentgenocephalometry. The subjects consisted of twelve boys and thirteen girls with Class Ii, Division 2, thirty seven boys and fifty three girls with Class II, Division 1, and forty six boys and eighty one girls with normal occlusion, ranged from 10 years old to 18 years old. The following results were obtained; 1. The anteroposterior relationship of the maxilla to the cranium in the Class II, Division 2 malocclusion similar to the normal occlusion, but the mandible was the posterior position in th the cranial anatomy. 2. There were no significant differences in the anteroposterior relationship of the maxilla and the mandible between Class II, Division 1 and Class II, Division 2 malocclusions. 3. In Class II, Division 1 the axes of maxillary incisors showed labial inclination, but lingual inclination in Class II, Division 2 malocclusions. 4. Overbite was prominent one in Class II, Division 2, on the other hand overjet was distinguished in Class II, Division 1.

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Craniospinal Metastasis from a Metastasizing Mixed Tumor of Salivary Gland : Unusual Presentation

  • Ye, Hyun-Hee;Cho, Chang-Won;Jeon, Mi-Young;Kim, Dae-Jo
    • Journal of Korean Neurosurgical Society
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    • v.41 no.3
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    • pp.186-189
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    • 2007
  • Metastasizing mixed tumors [MMT] of salivary glands are inexplicably metastasize maintaining benign histology. There is no pathologic and flow cytometric analysis criteria to predict the metastasis. MMT is known to metastasize by local implantation, vascular and lymphatic embolization after multiple surgery to local recurrences of primary tumor. However, multiple metastasis including cranium and spine occurred even without surgery to the primary tumor in this case. No pathological evidence of malignancy could be found in both primary and metastatic tumor. MMT is considered as an low grade malignancy based on clinical behavior rather than histologic evidence, such as low mortality rate, long delay of metastasis after primary lesion. Cranial metastasis is also extremely rare and only two cases have been reported. We report this unusual case with a literature review.

Transorbital Penetrating Intracranial Injury by a Chopstick

  • Shin, Tae-Hee;Kim, Jong-Hoon;Kwak, Kyung-Woo;Kim, Seong-Ho
    • Journal of Korean Neurosurgical Society
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    • v.52 no.4
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    • pp.414-416
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    • 2012
  • A 38-year-old man fell from a chair with a chopstick in his hand. The chopstick penetrated his left eye. He noticed pain, swelling, and numbness around his left eye. On physical examination, a linear wound was noted at the medial aspect of the left eyelid. Noncontrast computed tomography (CT) study showed a linear hypodense structure extending from the medial aspect of the left orbit to the occipital bone, suggesting a foreign body. This foreign body was hyperdense relative to normal parenchyma. From a CT scan with 3-dimensional reconstruction, the foreign body was found to be passing through the optic canal into the cranium. The clear plastic chopstick was withdrawn without difficulty. The patient was discharged home 3 weeks after his surgery. A treatment plan for a transorbital penetrating injury should be determined by a multidisciplinary team, with input from neurosurgeons and ophthalmologists.

Spontaneous Pneumocephalus Caused by Pneumococcal Meningitis

  • Kim, Hyun Sook;Kim, Seok Won;Kim, Sung Hoon
    • Journal of Korean Neurosurgical Society
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    • v.53 no.4
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    • pp.249-251
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    • 2013
  • Pneumocephalus is a condition characterized by the presence of air in the cranium, and it is mainly caused by trauma or a neurosurgical procedure. In the absence of head trauma or a neurosurgical procedure, meningitis is an extremely rare cause of pneumocephalus. Here, the authors present a rare case of spontaneous pneumocephalus caused by pneumococcal meningitis, in which simple lateral radiography and computed tomography (CT) findings of the skull suggested the diagnosis. Cerebrospinal fluid analysis showed bacterial meningitis which later revealed streptococcus pneumonia. The patient was treated with antibiotics and responded remarkably well. Repeat CT performed after 2 weeks of treatment showed complete resolution of the intracranial gas. Here, the authors report an unusual case of a pneumocephalus caused by meningitis in the absence of head trauma or a neurosurgical procedure.

Occipital Intradiploic Epidermoid Cyst with Intracranial Hypertension

  • Park, Byung-Hyun;Lee, Hyun-Sung;Lee, Jong-Soo
    • Journal of Korean Neurosurgical Society
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    • v.40 no.5
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    • pp.377-380
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    • 2006
  • Intradiploic epidermoid cysts of the cranium are rare, benign and slow growing lesion. However, these cysts may cause neurologic deficits due to mass effect. Intradiploic epidermoid cysts are thought to be derived from persistent ectodermal remnants present in the cranial bones during embryogenic development. Here, we report a case of an occipital intradiploic epidermoid cyst with posterior fossa extension. The patient developed intracranial hypertension associated with hydrocephalus due to aqueductal stenosis, and venous congestion secondary to compression of the torcular and the transverse sinus. The imaging studies included a computerized tomography[CT] venogram, which is essential for determining the pathophysiological mechanism of the clinical spectrum and for surgical planning. Near total removal was accomplished and the postoperative course was uneventful. Postoperative imaging studies demonstrated a reversal of the neural structures, but no patency of the sinus, which was presumably indicative of prolonged sinus stenosis. The patient gradually improved and was discharged free of symptoms.

Development and Growth of the Normal Cranial Vault : An Embryologic Review

  • Jin, Sung-Won;Sim, Ki-Bum;Kim, Sang-Dae
    • Journal of Korean Neurosurgical Society
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    • v.59 no.3
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    • pp.192-196
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    • 2016
  • Understanding the development of a skull deformity requires an understanding of the normal morphogenesis of the cranium. Craniosynostosis is the premature, pathologic ossification of one or more cranial sutures leading to skull deformities. A review of the English medical literature using textbooks and standard search engines was performed to gather information about the prenatal development and growth of the cranial vault of the neurocranium. A process of morphogenic sequencing begins during prenatal development and growth, continues postnatally, and contributes to the basis for the differential manner of growth of cranial vault bones. This improved knowledge might facilitate comprehension of the pathophysiology of craniosynostosis.

Multilobular Osteochondrosarcoma of the Cranium in a Miniature Pinscher Dog

  • Kim, Soo-Chan;Lee, Jung-Woo;Jeong, Woo-Chang;Song, Ha-Na;Choi, Soo-Young;Choi, Ho-Jung;Lee, Young-Won
    • Journal of Veterinary Clinics
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    • v.34 no.6
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    • pp.470-473
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    • 2017
  • An eight-year old neutered male miniature pinscher dog was referred with a mass on the right frontal region. Radiography, computed tomography (CT) and magnetic resonance imaging (MRI) examination were performed. Imaging results showed mineralized mass invaded frontal bone without brain parenchymal change and distant metastasis. The mass was removed mostly by surgical resection, and the dog was discharged without any complications. On the histopathological examination, the mass was diagnosed as grade I multilobular osteochondrosarcoma. Though the mass recurred after the surgical resection, the dog is still alive to date without metastasis.

TREATMENT OF POLYOSTOTIC FIBROUS DYSPLASIA DEVELOPED IN LEFT CRANIOFACIAL BONES:A CASE REPORT (좌측 두개 안면부에 발생한 다골성 섬유성 골 이형성증의 치험례)

  • Kim, Il-Kyu;Lee, Seong-Jun;Ha, Soo-Yong;Chu, Young-Chae
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.12 no.2
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    • pp.95-101
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    • 1990
  • This is a case report of polyostotic fibrous dysplasia developed in the craniofacial region of 21 year old male patient, who had complained the buccolingual expansion of left mandibular body area, malocclusion and facial asymmetry. We could achieve satisfactory results by radical resection of the relatively well defined small lesion of mandible and by cosmetic bone shaving procedure on the widely dispersed and poorly defined lesions of cranium. But the persistent growth and recurrence of the lesions may produce loss of hearing, visual difficulties, facial paralysis and anosmia, and as it is a polyostotic type occured in the craniofacial region of male patient, the possibility of malignant degeneration should not be excluded completely and periodic recall and check up will be necessary.

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A CASE REPORT ON CORRECTION OF ANGLE'S CLASS III MALOCCLUSION WITH MACROGLOSIA (거대설을 동반한 Angle씨 제3급 부정교합의 치료일례)

  • Choi, Hai Kyung;Nahm, Han Woo;Ryu, Young Kyu
    • The korean journal of orthodontics
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    • v.5 no.1
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    • pp.69-73
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    • 1975
  • This is case report of true class III malocclusion with macroglossia is corrected by glossectomy in 13 years female patient. After orthodontic treatment, the patient is bound to glossectomy because the corrected condition is relapsed to the previous condition due to relatively enlarged tongue compared with the original dental arch. By the interpretation of the cephalogram and model analysis, it is approved that the growth pattern and direction are normal range and mandible is located anterioly to the cranium. The results are follows: 1. We could treat the true Cl III malocclusion. 2. We could prevent the relapse of the treated condition by the surgical intervention, such as partial glossectomy. 3. Sensory, speech, swallowing and so other functions after the operation have been with in normal limit without any serious complications or seguellae.

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