• 제목/요약/키워드: malformation

검색결과 832건 처리시간 0.031초

해면상 혈관종을 동반한 안면신경마비 환자의 한방치험 1례 (A Case Report of a Facial Palsy Patient with a Cavernous Malformation)

  • 김수민;노현석;이찬솔;하유경;최동준
    • 대한한방내과학회지
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    • 제37권5호
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    • pp.815-821
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    • 2016
  • Objective: To report the effect of Korean medicine treatment on a facial palsy patient with a cavernous malformation. Methods: The patient was treated with herbal medicine (Jodeung-san, 釣藤散) and acupuncture. The degree of treatment was measured by the Yanagihara-scale and by mobility of the face. Results: During treatment, the patient’s symptoms were relieved and facial movement was improved. Conclusion: This clinical case study showed the effect of herbal medicine and acupuncture on symptoms of facial palsy.

뇌 동정맥기형 환자 수술시 휴식/아세타졸아마이드 뇌혈류 SPECT의 예후 예측력 (Prediction of Prognosis by Acetazolamide Brain Perfusion SPECT in Patients with Arteriovenous Malformation)

  • 배상균;문재곤;이석모;김한규;염하용;황도윤
    • 대한핵의학회지
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    • 제34권5호
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    • pp.426-432
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    • 2000
  • After surgical operation in patients with arteriovenous malformation (AVM), normal pressure perfusion breakthrough (NPPB) is one of the major complications. Brain perfusion SPECT with acetazolamide stress was known to be useful to evaluate the vascular reserve in several neurological and neurosurgical conditions. The authors performed acetazolamide brain perfusion SPECT in patients with AVM and compared the brain perfusion in the post-operative clinical courses. The acetazolamide brain perfusion SPECT was helpful in defining the prognosis of the patients with AVM. We describe 4 patients with AVM who had acetazolamide brain perfusion SPECT to examine the prognosis.

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Type I Chiari malformation presenting orthostatic syncope who treated with decompressive surgery

  • Shin, Hyun-Seung;Kim, Jeong A;Kim, Dong-Seok;Lee, Joon Soo
    • Clinical and Experimental Pediatrics
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    • 제59권sup1호
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    • pp.149-151
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    • 2016
  • Chiari malformations are a congenital anomaly of the hindbrain. The most common, Chiari malformation type I (CM-I), is characterized by herniation of the cerebellar tonsils extending at least 3 mm below the plane of the foramen magnum. Consequently, CM-I is associated with hydrocephalus and symptoms involving compression of the cervicomedullary junction by ectopic tonsils. Several studies have reported the clinical symptoms associated with CM-I, including suboccipital headache, weakness in the upper extremities, facial numbness, loss of temperature sensation, ataxia, diplopia, dysarthria, dysphagia, vomiting, vertigo, nystagmus, and tinnitus. Syncope is one of the rarest presentations in patients with CM-I. There are many hypotheses regarding the causes of syncope in patients with CM-I; however, the mechanisms are not clearly understood. Although surgical decompression for CM-I in patients with syncope has yielded good clinical results in some studies, such cases are rarely reported. We report a case of orthostatic syncope in a patient with CM-I who was treated with surgical intervention.

Glossectomy in the severe maxillofacial vascular malformation with jaw deformity: a rare case report

  • Park, Min-Hyeog;Kim, Chul-Man;Chung, Dong-Young;Paeng, Jun-Young
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제37권
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    • pp.42.1-42.5
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    • 2015
  • In the field of oral-maxillofacial surgery, vascular malformations present in various forms. Abnormalities in the size of the tongue by vascular malformations can cause mandibular prognathism and skeletal deformity. The risk in surgical treatment for patients with vascular malformation is high, due to bleeding from vascular lesions. We report a rare case of macroglossia that was treated by partial glossectomy, resulting in an improvement in the swallowing and mastication functions in the patient. A 25-year-old male patient with severe open-bite and mandibular prognathism presented to our department for the management of macroglossia. The patient had a difficulty in food intake because of the large tongue. Orthognathic surgery was not indicated because the patient had severe jaw bone destruction and alveolar bone resorption. Therefore, the patient underwent partial glossectomy under general anesthesia. There was severe hemorrhaging during the surgery, but the bleeding was controlled by local procedures.

하악골의 동정맥 기형 (ARTERIOVENOUS MALFORMATION OF THE MANDIBLE)

  • 김동윤;이강숙;최갑식
    • 치과방사선
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    • 제25권1호
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    • pp.133-140
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    • 1995
  • The arteriovenous malformation, an uncommon lesion, is a direct communication between an artery and a vein that bypasses the intervening capillary bed. The authors experienced two cases of arteriovenous malformation in 17-year-old and 18-year-old female patients who had suffered from mandibular pain and gingival bleeding. As a result of careful analysis of clinical and angiographic radiological examinations, we diagnosed them as arteriovenous malformations, and the results were as follows : 1. Main clinical symptoms were dull pain and gingival bleeding on the mandibular body area, and reddness, pain on palpation, thrill and palpitation in the lesional sites were also observed. 2. Radiographically, well-defined radiolucent lesions with multiple osteolytic defects were observed. In radio-nuclide scan, increased uptakes of radioisotope were observed in the lesional sites. 3. Increased venous shunt supplied by the facial, lingual and inferior alveolar arteries was observed in angiography. After embolotherapy was performed, no recurrence was reported during 3 to 6 months follow up.

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생쥐 정소 실질내 Gossypol 투여가 조정기능에 미치는 영향 (Effects of Gossypol Injection into the Stroma of Testes on Spermatogenesis in Mouse)

  • 황권식;장규태;오석두;성환후;정진관;이병오;윤창현
    • 한국가축번식학회지
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    • 제17권1호
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    • pp.1-6
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    • 1993
  • This experiment was conducted to determine the effects of gossypol injection spermatogenesis of mice. Gossypol was injected into the stroma of testes(TS) and the doses of gossypol injected were 5, 10 and 15mg per kg of body weights, respectively. The number of sperm and the weight of testes were gradually reduced(P<0.01) from 2 to 4 weeks after gossypol treatment in all groups of mice treated with gossypol, compared with the control group. The rates of malformation(loss of proacrosome, damage of midpiece and breaking of tail) of sperm were significantly(P<0.01) increased at 2 and 3 weeks after the injection of 10 or 15mg of gossypol. However, the weight of testes and the number of normal sperm were gradually increased and the malformation rate of sperm was decreased between 4 and 6 weeks after injection of 5mg of gossypol. The results of this experiment indicated that probably ireeversible suppression of spermatogenesis could be brought about easily and immediately by the single injection of gossypol into TS.

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Anorectal malformation with didelphys uterus: Extremely rare anomaly and successful neoanal sphincter reconstruction with gracilis muscle flap

  • Burusapat, Chairat;Hongkarnjanakul, Natthawoot;Wanichjaroen, Nutthapong;Panitwong, Sakchai;Sangkaewsuntisuk, Jiraporn;Boonya-ussadorn, Chinakrit
    • Archives of Plastic Surgery
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    • 제47권3호
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    • pp.272-276
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    • 2020
  • Anorectal malformation or imperforate anus is a congenital anomaly of rectum and anus. Mullerian duct anomalies are abnormal development of uterus, cervix, and vagina. Imperforate anus with double uterus is extremely rare and cannot explain by normal embryologic development. Moreover, guideline in treatment is inconclusive. We report an extremely rare case of a young adult female who presented with recurrent pelvic inflammatory disease caused by rectovaginal fistula in congenital imperforate anus and didelphys uterus, and successfully neoanal reconstruction with gracilis muscle flap. Aims for treatment are closed rectovaginal fistula, and anal sphincter reconstruction. To our best knowledge, the imperforate anus with double uterus is extremely rare anomaly. Furthermore, successfully anal sphincter reconstruction with functional gracilis muscle in the imperforate anus with double uterus has never been reported in English literature.

개의 후두골 이형성 증후군 10례 (Caudal occipital malformation syndrome in 10 dogs)

  • 최지혜;김혜진;김현욱;이은창;장재영;반현정;김진경;윤정희
    • 대한수의학회지
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    • 제46권4호
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    • pp.399-403
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    • 2006
  • Caudal occipital malformation syndrome (COMS) is relatively common disease which occurs at craniocervical junction. It has been known that this syndrome was developed mainly in Cavalier King Charles spaniels, but these days there are a lot of case reports about COMS in other small breed dogs. In this report, COMS was diagnosed in ten dogs presented to Haemaru Referral Animal Hospital using MRI examination from January 2005 to April 2006. These cases were also investigated about concurrent diseases and syringomyelia was the most common type of complication, but clinical signs were nonspecific. COMS could be controlled by medical therapy with corticosteroid except cases with concurrent meningitis. It is considered that the present report could provide information regarding imaging and clinical features of COMS such as concurrent diseases, clinical signs, and prognosis in small animal practice despite of limited case numbers.

A Case of Congenital Cystic Adenomatoid Malformation Infected with Mycobacterium avium-intracellulare Complex

  • Kim, Yong Jin;Kim, Do Young;Seo, Jung Woong;Lee, Song Am;Hwang, Jae Joon;Kim, Hee Joung;Lee, Kye Young
    • Tuberculosis and Respiratory Diseases
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    • 제74권1호
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    • pp.28-31
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    • 2013
  • We present a case of congenital cystic adenomatoid malformation (CCAM) in a 25-year-old male who was presented with chronic cough. Chest radiography revealed an abnormal mass-like shadow in the right lower pulmonary zone. A contrast enhanced computed tomography showed an 11 cm solid, cystic mixed mass on the right lower lobe. A right lower lobectomy was performed by video-assisted thoracoscopic surgery without complications. The gross specimen showed a massive cavitation with multiloculated cysts of varying size, consistent with CCAM, along with noticeable granulomatous inflammation. Non-tuberculosis mycobacteria were isolated from a bronchial wash specimen, and the resected tissue homogenates were positive for Mycobacterium avium-intracellulare complex by polymerase chain reaction.

한약이 실험동물의 태자에 미치는 생식독성학적 영향 -오적산을 중심으로- (Herbal Toxicological Effects on Rats' Fetus -Focusing on Ojeoksan-)

  • 박해모;신헌태;이선동
    • 대한예방한의학회지
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    • 제12권2호
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    • pp.27-35
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    • 2008
  • Purpose : The experiments was undertaken to evaluate the effects of Ojeoksan-herbal medicine, in rats' fetus Methods : Female Sprague-Dawley rats were orally administered with the Ojeoksan at dose of 5mg/kg/day for 20 days. Pregnant rats were sacrificed at 20th day of gestation, and observed internal and reproductive organs. Approximately live fetuses in the 20th day of gestation were randomly selected and fixed in 95% ethanol. Results : Neonatal body weight and number of fetus of Ojeoksan group were increased to that of control group. The fetuses of dams treated with Ojeoksan didn't showed external malformation. Vertebral and sternal skeletal variations were observed in Ojeoksan administered group, but compared to the control, those skeletal variations were insignificant. There were no significant changes in number of ribs, cervical, thoracic, lumber, sacral and caudal Conclusion : From these results, it can be concluded that Ojeoksan showed no toxicity effects on number of live fetuses. There were no significant changes in skeletal variations were showed in vertebrate and sternum, Ojeoksan weren't shown significant changes in bone malformation. We need more precise study to investigate the mechanism of early or late resorption by the herbal medicines such as Ojeoksan.

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