• Journal of Korean Neurosurgical Society
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• 제49권4호
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• pp.226-228
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• 2011

We report a case of spontaneous right carotid-cavernous fistula (CCF) in a proximal segment of persistent primitive trigeminal artery (PPTA) and combined vascular anomalies such as left duplicated hypoplastic proximal posterior cerebral arteries and a variation of anterior choroidal artery supplying temporal and occipital lobe. A 45-year-old male presented with progressive right exophthalmos, diplopia, and ocular pain. With manual compression of the internal carotid artery, a cerebral angiography revealed a right CCF from a PPTA. Treatment involved the placement of detachable non-fibered and fibered coils, and use of a hyperglide balloon to protect against coil herniation into the internal carotid artery. A final angiograph revealed complete occlusion of PPTA resulted in no contrast filling of CCF.

• Journal of Korean Neurosurgical Society
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• 제46권5호
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• pp.498-500
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• 2009

Dual origin and fenestration of the vertebral artery (VA) are very rare anomalies. Understanding of these variations, however, is important because they can be misdiagnosed as a VA dissection. A 42-year-old woman presented with motor weakness and sensory disturbance of the right upper extremity. Radiologic evaluations showed ectatic change in the right VA and an arteriovenous fistula between the right VA and the vertebral vein. We decided on endovascular occlusion of the proximal right VA and its fistulous portion. During the endovascular procedure, we had misunderstood the dual origin and fenestration of the VA as a dissection. Thus, failure to recognize these anomalies might result in unnecessary anticoagulation or therapeutic intervention. Clinicians should be alert to such VA variations when making a diagnosis and when planning any intervention or surgery involving the proximal VA.

• 생명과학회지
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• 제11권1호
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• pp.54-61
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• 2001

The comparative morphology of epididymal spermatozoa in the lesser white-toothed shrew, Crocidura suaveolens, the Japanese white-toothed shrew, C. dsinezumi and the big white-toothed shrew, C. lasiura, belonging to the subfamily Crocidurinae was studied with the light and electron microscopes. The spermatozoa of C. lasiura and C. dsinezumi were characterized by the large acrosome, serrated inner acrosomal membrane, common apical body and fistulous proximal centriole with slightly dense electron granular materials, which are the charateristics of the Crocidurinae. The C. suaveolens, however, is distinguished from the two species mentioned above in the sperm morphology. That is, the spermatozoa possess not only the charateristic of the Crocidurinae such aw the large acrosome, but also those of the Soricinae, i.e. the smooth inner acrosomal membrane, wavy, finger-like and electron-dense apical body, and the solid proximal centriole filled with electron-dense materials. The results suggest that C. suaveolens has conserved characteristics of the Soricinae.

• Journal of Chest Surgery
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• 제13권2호
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• pp.130-133
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• 1980

Since the first report of an operation for prolapsed intervertebral disk by Mixter and Barr[1934], many thousands of operations have been successfully performed without incident. Linton and White in 1945 reported the vascular complication, but perforation of large vessels is rare complication of operation for prolapsed disk. A medical student, aged 22 years, was performed to a disk operation [L4-5, Rt. on May 1977.] From postoperative 10th day, palpitation, generalized edema and substernal pain were noted, and 2 months later, wide pulse pressure [70-80 mmHg], continuous bruit and thrill on the Rt. low abdomen were followed. Aortography revealed arteriovenous fistula between just proximal to abdominal aortic bifurcation and inferior vena cava. So, fistulectomy [Resection of proximal 2 cm of C.I.A., Rt, including fistula opening and end to end anastomosis] was performed on July, 77. During follow up study, remained fistula between Rt. internal lilac artery and lilac vein was found 2 months later. Re-operation [Double ligation of the Rt. internal lilac artery] was don on January 1978. Postop. results were excellent, except impossible to ejaculation.

• Journal of Chest Surgery
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• 제28권5호
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• pp.521-524
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• 1995

Esophageal leiomyoma is a very rare disease. We present a patient who underwent enucleation of esophageal leiomyoma through a left thoracotomy. The patient was suffered from substernal pain and chest discomfort for 4 months.The esophagogram revealed irregular ovoid smooth filling defect in just proximal portion of G-E junction with the normal mucosal folds. Chest CT demonstrated well-defined, polypoid tumor mass on the anterolateral wall of the distal esophagus. Esophagoscopy revealed normal intact mucosal patterns with swollen hard protruded tumor mass lesion from the just proximal portion of G-E junction. In June, 1993, patient underwent enucleation of esophageal leiomyoma through the left thoracotomy. A horseshoe and spiral shaped, whitish firm tumor mass was noted on the distal esophagus, and the tumor mass was enucleated by blunt dissection carefully. The esophageal leiomyoma was confirmed with histopathological examination. The postoperative course was smooth and uneventful.

• Journal of Chest Surgery
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• 제41권5호
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• pp.655-658
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• 2008

쇄골하 동맥류는 매우 드문 질환으로 전체 말초혈관동맥류의 약 1%로 알려져 있다. 원인은 동맥경화증이 가장 흔하며 파열, 혈전 및 색전증, 국소적 압박 등을 야기할 수 있다. 치료는 외과적 수술이 일반적이다. 저자들은 우측 쇄골하 동맥의 근위부에 발생한 동맥류를 배제법으로 수술하여 좋은 결과를 얻었기에 보고하는 바이다.

• 대한의용생체공학회:학술대회논문집
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• 대한의용생체공학회 1994년도 추계학술대회
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• pp.75-78
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• 1994

Clinically, proximal bone resorption in the femur is frequently seen postoperatively on the follow up X-rays after total hip replacement(THR). We developed the finite element model of cementless THR. The model is two dimensional side plate model, whereby the three dimensional structural integrity of the bone can be accounted for by a separate two dimensional mesh, a side plate. The subject of this article is the development and application of this two dimensional side plate FEM to study the reverse effect of the various degree of bone resorption of femur after THR. The results of this study indicates that two dimensional side plate model is good and simple alternative to complex three dimensional model and the severity of the proximal bone resorption has the effect of more increasing stress on the cortex at the level of femoral stem tip.

• Journal of Korean Neurosurgical Society
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• 제58권5호
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• pp.467-470
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• 2015

A 74-year-old patient was diagnosed with a subarachnoid hemorrhage suspected from a dissecting aneurysm located at the lateral medullary segment of the posterior inferior cerebellar artery (PICA). Because perforators to the medulla arose both proximal and distal to the dissecting segment, revascularization for distal flow was essential. However, several previously reported methods for anastomosis, such as an occipital artery-PICA bypass or resection with PICA end-to-end anastomosis could not be used. Ultimately, we performed an in situ side-to-side anastomosis of the proximal loop of the PICA with distal caudal loops within a single artery, as a "closing omega," followed by trapping of the dissected segment. The aneurysm was obliterated successfully, with intact patency of the revascularized PICA.

• 대한수학회지
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• 제55권3호
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• pp.719-734
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• 2018

An image restoration problem with Poisson noise arises in many applications of medical imaging, astronomy, and microscopy. To overcome ill-posedness, Total Variation (TV) model is commonly used owing to edge preserving property. Since staircase artifacts are observed in restored smooth regions, higher-order TV regularization is introduced. However, sharpness of edges in the image is also attenuated. To compromise benefits of TV and higher-order TV, the weighted sum of the non-convex TV and non-convex higher order TV is used as a regularizer in the proposed variational model. The proposed model is non-convex and non-smooth, and so it is very challenging to solve the model. We propose an iterative reweighted algorithm with the proximal linearized alternating direction method of multipliers to solve the proposed model and study convergence properties of the algorithm.

• 대한수학회지
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• 제46권6호
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• pp.1319-1338
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• 2009

In this paper, using proximal-point mappings technique of Raccretive mappings and the property of the fixed point set of set-valued contractive mappings, we study the behavior and sensitivity analysis of the solution set of the system of parametric generalized quasi-variational inclusions involving R-accretive mappings in real uniformly smooth Banach space. Further under suitable conditions, we discuss the Lipschitz continuity of the solution set with respect to parameters. The technique and results presented in this paper can be viewed as extension of the techniques and corresponding results given in [3, 23, 24, 32, 33, 34].