• Title/Summary/Keyword: mural

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Cerebellar Pilocytic Astrocytomas with Spontaneous Intratumoral Hemorrhage in Adult

  • Kim, Min-Su;Kim, Sang-Woo;Chang, Chul-Hoon;Kim, Oh-Lyong
    • Journal of Korean Neurosurgical Society
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    • v.49 no.6
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    • pp.363-366
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    • 2011
  • Cerebellar pilocytic astrocytomas (PAs) are benign gliomas predominantly found in the pediatric population. Intracranial hemorrhages are extremely rare in initial presentations of cerebellar PAs. There are no reports in the medical literature of adult cerebellar PA cases presenting with intratumoral hemorrhage. We report 2 cases of adult cerebellar pilocytic astrocytomas with intratumoral hemorrhage. The first case is a 37-year-old woman presenting with severe headache, nausea, and vomitting. Computed tomography demonstrated an acute hemorrhage adjacent to the right cerebellar hemisphere and hydrocephalus. Magnetic resonance imaging (MRI) revealed a cerebellar vermian tumor with the hemorrhage as a mixed isoin-tense area in the T2-weighted image, and as a mixed hyperintense area in the contrast-enhanced T1-weighted image. The second case is a 53-year-old man presenting with headache for 3 weeks. MRI revealed a cerebellar hemispheric tumor with the hemorrhage as a mixed hyperintense area. It had a cystic mass with a heterogeneous enhanced mural nodule in the gadolinium-enhanced T1-weighted image and a fluid-fluid level within the cyst in the T2-weighted image. Both of them underwent radical resections of their respective lesions. Histological examination of the specimens revealed typical astrocytoma, including a hemorrhagic portion. Both patients recovered postoperatively and continue to do well at present. The medical literature on hemorrhagic cerebellar PAs is also reviewed.

Bony Protuberances on the Anterior and Posterior Clinoid Processes Lead to Traumatic Internal Carotid Artery Aneurysm Following Craniofacial Injury

  • Cheong, Jin-Hwan;Kim, Jae-Min;Kim, Choong-Hyun
    • Journal of Korean Neurosurgical Society
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    • v.49 no.1
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    • pp.49-52
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    • 2011
  • Traumatic intracranial aneurysms are rare, comprising 1% or less of all cerebral aneurysms. The majority of these aneurysms arise at the skull base or in the distal anterior and middle cerebral arteries or their branches following direct mural injury or acceleration-induced shearing force. We present a 50-year-old patient in whom subarachnoid hemorrhage (SAH) was developed as a result of traumatic aneurysm rupture after a closed craniofacial injury. Through careful evaluation of the three-dimensional computed tomography and conventional angiographies, the possible mechanism of the traumatic internal carotid artery trunk aneurysm is correlated with a hit injury by the bony protuberances on the anterior and posterior clinoid processes. This traumatic aneurysm was successfully obliterated with clipping and wrapping technique. The possibility of a traumatic intracranial aneurysm should be considered when patient with SAH demonstrates bony protuberances on the clinoid process as a traumatic aneurysm may result from mechanical injury by the sharp bony edges.

Spontaneous Dissecting Aneurysm of the Anterior Cerebral Artery

  • Kim, Myoung-Soo;Lee, Chae-Heuck;Lee, Seung-Joon;Rhee, Jong-Joo
    • Journal of Korean Neurosurgical Society
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    • v.40 no.3
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    • pp.189-192
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    • 2006
  • Spontaneous dissection of the anterior cerebral artery is an unusual cause of subarachnoid hemorrhage. We present a case of a dissecting aneurysm of the anterior cerebral artery presenting with subarachnoid hemorrhage. A 51-year-old woman presented to our hospital with severe headache. Neurological examination demonstrated neck stiffness, decreased visual acuity of the left eye, and left ankle weakness. Computed tomographic scans showed subarachnoid hemorrhage. The initial cerebral angiogram demonstrated a slightly narrowed caliber and mild poststenotic dilation of the right A1 segment. A second cerebral angiogram 14 days later revealed no change in the focal narrowing of the proximal A1 segment but marked progression of the dilatation of the distal A1 segment. Right pterional craniotomy was performed. A sausage-like dilation of the right A1 segment was found with no definite mural hematoma. This abnormal right A1 segment was wrapped with a Sundt clip. A postoperative computed tomographic scan revealed Infarction of the right head of the caudate nucleus and the anterior limb of the right internal capsule. If a dissecting aneurysm is suspected, serial angiographic studies should be performed because of the possibility of dynamic changes over a short period.

Palynological contributions to the taxonomy of family Oleaceae, with special empahsis on genus Forsythia (tribe Forsytheae)

  • Lee, Sangtae
    • Korean Journal of Plant Taxonomy
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    • v.41 no.3
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    • pp.175-181
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    • 2011
  • Traditionally, the Oleaceae has been divided into subfamilies Oleoideae and Jasminoideae. In the present paper, the taxonomical results so far made on the family were reviewed on the basis of palynology. The subfamilial classification is not well supported palynoligically, because both Myxopyrum of Jasminoideae and Comoranthus of Oleoideae having foveolate surface are well distinguished from the rest of the family having reticulate surface. The recent subfamily Nyctanthoideae (Takhtajan, 1977) including the monotypic Nyctanthus, was suggested to be included within the Jasminoideae although its closest relative on the palynological basis is different from that on the molecular basis. Tribal classification systems of the Jasminoideae are not well supported palynologically on the basis of surface character: presence or absence of bands on the mural ridge surface of the reticulum. On the basis of palynology, tribe Forsythiae including Abeliophyllum, Fontanesia, and Forsythia is monophyletic, and Fontanesia is well distinguished from the rest two. Korean species of Forsythia is divided into two: Forsythia koreana group and F. ovata-nakaii-saxatilis group. Recent discovery of F. saxatilis at a locality of F. ovata raised a question if the distinction between the two species on the basis of hairiness would be right. In the recent molecular studies, F. saxatilis var. lanceolata seems to be identified as F. saxatilis. Molecular studies showed that F. saxatilis (seemingly var. lanceolata or var. pilosa) is close to F. koreana. The fact in which the molecular result showed a close relationship between F. saxatilis varieties and F. koreana, is controversial to the result by floral and vegetative morphology. An intensive taxonomic study of these taxa would be needed.

Jaw lesions associated with impacted tooth: A radiographic diagnostic guide

  • Mortazavi, Hamed;Baharvand, Maryam
    • Imaging Science in Dentistry
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    • v.46 no.3
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    • pp.147-157
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    • 2016
  • This review article aimed to introduce a category of jaw lesions associated with impacted tooth. General search engines and specialized databases such as Google Scholar, PubMed, PubMed Central, MedLine Plus, Science Direct, Scopus, and well-recognized textbooks were used to find relevant studies using keywords such as "jaw lesion", "jaw disease", "impacted tooth", and "unerupted tooth". More than 250 articles were found, of which approximately 80 were broadly relevant to the topic. We ultimately included 47 articles that were closely related to the topic of interest. When the relevant data were compiled, the following 10 lesions were identified as having a relationship with impacted tooth: dentigerous cysts, calcifying odontogenic cysts, unicystic (mural) ameloblastomas, ameloblastomas, ameloblastic fibromas, adenomatoid odontogenic tumors, keratocystic odontogenic tumors, calcifying epithelial odontogenic tumors, ameloblastic fibro-odontomas, and odontomas. When clinicians encounter a lesion associated with an impacted tooth, they should first consider these entities in the differential diagnosis. This will help dental practitioners make more accurate diagnoses and develop better treatment plans based on patients' radiographs.

Arterial Thoracic Outlet Syndrome due to Angiosarcoma of the Subclavian Artery a case report (동맥 흉곽 출구 증후군을 일으킨 쇄골하동맥 맥관 육종 -1례 보고-)

  • 이철범;함시영
    • Journal of Chest Surgery
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    • v.29 no.10
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    • pp.1160-1165
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    • 1996
  • We report a case of an angiosarcoma arising from the subclavian artery, a site not previously described. A 19-year-old girl, born with a rudimentary first rib, has been suffered from arterial thoracic outlet syndrome due to a complete occlusion of the third portion of the subclavian artery for 1 year. Partial claviculectomy, excision of completely occluded arterial segment, and reconstruction with great r saphenous vein graft were done. Histologic study for the subclavlan artery revealed mural type anglosarcoma. The histochemici1 staining for factor VIII related antigen was positive. The debilitating symptoms that did not allow her a normal daily life, almost subsided postoperatively. And she has remained well with no clinical evidence of disease for 4 months post-operation.

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DRAINAGE AS WOUND CARE AFTER ENUCLEATION OF DENTIGEROUS CYST AND EXTRACTION OF SUPERNUMERARY TOOTH IN A CEREBRAL PALSY PATIENT : REPORT OF A CASE (뇌성마비 장애환자에서 함치성 낭종 적출과 매복 과잉치 발치후 창상처치로 배액술 : 증례보고)

  • Yoo, Jae-Ha;Son, Jeong-Seog;Kim, Jong-Bae
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.8 no.2
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    • pp.134-138
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    • 2012
  • In treatment of dentigerous cyst, complete enucleation, histopathologic examination and postoperative care are important to prevent the potential complications (mural ameloblastoma, squamous cell carcinoma). On the other hand, a maxillary impacted supernumerary anterior tooth are removed surgically, owing to the possibility of the cyst formation in future. After the cyst enucleation and extraction of the involved tooth, the wound area sutured and removable resin plate is then applied. In this operation, the postoperative bleeding and infection is likely to occur owing to postoperative accumulation of hematoma & seroma, psychologic stress and other contaminated factor. So, the authors established the immediate rubber & iodoform gauze drainage into the sutured wound of cyst enucleation & tooth extraction for the prevention of postoperative bleeding and infection. The removable resin splint are not used because of the poor cooperation and economic factor. The results were more favorable without the postoperative bleeding & wound infection in a cerebral palsy patient.

A Study on Expressing the Methods of Light for Creating Safe Space (안전한 공간 조성을 위한 빛의 표현방안 연구)

  • Kim, Myoung-Seon;Moon, Jeong-Min
    • Journal of the Korean housing association
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    • v.27 no.3
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    • pp.39-46
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    • 2016
  • On account of the increasing crime rates annually and the consequent rising anxiety, safety has become an important topic in the aspect of environmental formation to provide decent lives to urban dwellers. As a result, great emphasis has been placed in the importance of Crime Prevention through Environmental Design (CPTED), a design method which utilizes physical environmental design to prevent crime. The definition of CPTED encompasses the technological level of crime prevention as well as comprehensive environmental design which takes into consideration fear or terror in view of human recognition and emotion. However, the current application method of CPTED in Korea is still limited to the technical supplementation of facilities, such as CCTV and streetlight, and fragmental modification like village mural paintings. Moreover, the guideline for CPTED in Korea is only a theoretical adaptation of foreign books and does not offer sufficient studies for a practical design method that will improve the life of city dwellers. The purpose of this study is to examine design methods for safe environment construction in accordance with the changing concept of CPTED by understanding the characteristic of space and analyzing the how the methods of light are expressed. This study aims to provide basic material which will serve as a guideline in creating a safe environment in the future.

A Study on Mordern Hanbok Design Applied by the Costume in Koguryo Mural Painting (고구려 고분벽화의 복식을 응용한 현대 한복 디자인 연구)

  • Kim, Ok-Soon;Jin, Kyung-Ok
    • Fashion & Textile Research Journal
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    • v.8 no.2
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    • pp.161-167
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    • 2006
  • The purpose of this research are to identify the nature of artistic beauty of Kokuryeo dresses and to apply the artistic beauty, formative uniqueness, and esthetic value of Kokuryeo in the modern Korean dress design for creation of new designs. Significance of this research lies in the fact that beauty of traditional dresses possesses highly valuable importance for application to modern fashion design processes. Kokuryeo dresses basically comprised of Yu, Sang, Go and Po, and contains within abstract beauty along with emphasis on geometric elements like dots, lines, and surfaces. Red, Black, Violet, Verdant and scarlet colors were moderately used against the mainly white canvas, and different colors were often used for the top and the bottom. Silk, Hemp cloth and Wool were used for different social levels or ranks, and from the wide variety of colors and patterns of the dresses, such as Round-patterns, Cloud-patterns and Vine-patterns, worn by the people illustrated on the wall paintings, it appears that various materials were used. Vertical hems, Yu (shirts), Sang (skirts), noblemen's dresses, kings' dresses, etc. from Kokuryeo tomb wall paintings were applied, and various dying methods, natural materials and sewing methods were used to recreate the unique features of Kokuryeo dresses in modern designs in an attempt to recreate the esthetic value of Kokuryeo dresses.

Magnetic resonance images of ameloblastoma

  • Kim Jae-Duk;Kim Jin-Soo
    • Imaging Science in Dentistry
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    • v.35 no.4
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    • pp.207-213
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    • 2005
  • Purpose: To classify and describe the characteristic features of MRI of some ameloblastoma variants. Materials and Methods: The MR images, CT images, and panoramic radiographs in 5 cases were retrospectively examined as follows. First, the contents of ameloblastomas were devided into two portions of either solid or cystic components on the basis of MR signal intensities. The signal intensity within the solid or cystic portions was classified as homogeneous or heterogeneous. Next, the characteristic internal feature of the lesion on T1W1 or T2WI was described. The signal intensities were classified into low, intermediate, slightly high, high, and strong high signal intensity. Results: Unicystic lesion showed homogeneous high signal intensity (SI) on T2W2 and the rim enhancement of the surrounding area including the mural nodule and the thick wall except the central portion on Gd- T1W1. Solid type revealed heterogeneous and high SI area with strong high SI area on T2W2. On Gd- T1W1, the area corresponding to the low signal spot on T1W1 and the strong high signal spot on T2W1 showed low SI. Hybrid type showed slightly enhanced capsular structures and low SI for the round bony septa and the areas connecting the mixed and cystic lesions on T2Wl and Gd-T1W1. Conclusion: MRI could easily assess the relationship between the mixed and cystic findings in ameloblastoma.

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