• Title/Summary/Keyword: recurrence symptoms

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A Clinical report on 8 Constitutional Acupuncture Therapies for Treatment One Case of Dissiness Suggested Menieres Syndrome (메니에르 증후군 의증의 현훈 환자 1례에 대한 팔체질침을 사용한 증례 보고)

  • Lee Hyoung Ho;Kim Jin gue;Jung Myung gul;Kim Yong chan;Kim Jong dae
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.16 no.5
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    • pp.1079-1083
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    • 2002
  • Dizziness is a common and often vexing symptom. But the cause of dizziness is very various and generally divided into peripheral and central. Although there are some clinical reports about dizziness. there isn't any report by Constitutional therapy. In this study, the author reports a case of recurrence and persistent vertigo. he was consulted to local E.N.T. and clinically suggested Menier's disease with tinnitus, mild deafness, and vertigo. By using the method of 8 Constitutional Acupuncture therapy and herbal medication(Mihudungsikjang-tang) regarding him as COLONOTONIA. After he regarded and treated as GOLONOTONIA, the symptoms disappeared.

A Clinical Study of Urachal Remnants (요막관 잔류이상에 대한 임상적 고찰)

  • Cho, Chang-Weon;Lee, Jong-In;Jung, Poong-Man
    • Advances in pediatric surgery
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    • v.4 no.2
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    • pp.117-124
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    • 1998
  • The embryological and anatomical features of urachal anomalies have been well defined. Because of the variable clinical presentation, uniform guideline for evaluation and treatment are lacking. Although urachal remnants are rarely observed clinically, they often give rise to a number of problems such as infection and late malignant changes. Therefore, a total assessment of the disease with a particular focus on embryology, anatomy, clinical symptoms, as well as the most advisable management, is necessary. Twenty six patients with urachal remnants were treated at the Department of Pediatric Surgery from August 1980 to June 1998. Of these 26, 9 were classified as patent urachus 11 as urachal sinus, 4 as urachal cyst, 1 as urachal diverticulum and 1 as an alternating sinus. The group consisted of 11 males and 15 females. The age distribution was 20 neonates, 3 infants, 2 preschoolers and 1 adult. Infection was the most frequent complication and Staph. aureus was the predominant causative microorganism. Fistulogram was performed in 4 cases and ultrasound examination disclosed cysts or sinus in 7 cases. Excision was performed in 24 patients and incision and draniage in 2 cases as a primary treatment. There was no postopreative complication or recurrence.

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A Case Report of Pruritus Gravidarum Diagnosed as Tae-eumin Exterior-Cold-Disease by Cold in the Esophagus (태음인(太陰人) 위완수한표한병(胃脘受寒表寒病)으로 변증된 임신신양(姙娠身痒) 환자 치험 1례)

  • Choi, Yu-Jeong;Kang, Yu-Jeong;Lee, In-Seon;Cho, Hye-Sook
    • The Journal of Korean Obstetrics and Gynecology
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    • v.25 no.3
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    • pp.149-156
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    • 2012
  • Objectives: This case study described a process of the pruritus gravidarum patient diagnosed as Tae-eumin Exterior-Cold-Disease by Cold in the Esophagus. Methods: We experienced one patient who had been suffering from itching and plaque during pregnancy. We diagnosed her case as Tae-eumin Exterior-Cold-Disease by Cold in the Esophagus and treated with Jowiseuncheong-tang and Jiyang-go. Results: She was treated with herbal therapy, and her symptoms were remarkably alleviated. Also after all treatment, there were no adverse effects such as a recurrence of severe itching or fetal problems. Conclusions: This clinical case indicates that Jowiseuncheong-tang is effective in treatment of Tae-eumin Exterior-Cold-Disease by Cold in the Esophagus type of pruritus gravidarum.

Clinical Outcomes of Pulsed Radiofrequency Neuromodulation for the Treatment of Occipital Neuralgia

  • Choi, Hyuk-Jai;Oh, In-Ho;Choi, Seok-Keun;Lim, Young-Jin
    • Journal of Korean Neurosurgical Society
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    • v.51 no.5
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    • pp.281-285
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    • 2012
  • Objective : Occipital neuralgia is characterized by paroxysmal jabbing pain in the dermatomes of the greater or lesser occipital nerves caused by irritation of these nerves. Although several therapies have been reported, they have only temporary therapeutic effects. We report the results of pulsed radiofrequency treatment of the occipital nerve, which was used to treat occipital neuralgia. Methods : Patients were diagnosed with occipital neuralgia according to the International Classification of Headache Disorders classification criteria. We performed pulsed radiofrequency neuromodulation when patients presented with clinical findings suggestive occipital neuralgia with positive diagnostic block of the occipital nerves with local anesthetics. Patients were analyzed according to age, duration of symptoms, surgical results, complications and recurrence. Pain was measured every month after the procedure using the visual analog and total pain indexes. Results : From 2010, ten patients were included in the study. The mean age was 52 years (34-70 years). The mean follow-up period was 7.5 months (6-10 months). Mean Visual Analog Scale and mean total pain index scores declined by 6.1 units and 192.1 units, respectively, during the follow-up period. No complications were reported. Conclusion : Pulsed radiofrequency neuromodulation of the occipital nerve is an effective treatment for occipital neuralgia. Further controlled prospective studies are necessary to evaluate the exact effects and long-term outcomes of this treatment method.

Ewing's Sarcoma of the Stomach; Rare Case of Ewing's Sarcoma and Suggestion of New Treatment Strategy

  • Kim, Hyo-Sin;Kim, Sungsoo;Min, Young-Don;Kee, Keun-Hong;Hong, Ran
    • Journal of Gastric Cancer
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    • v.12 no.4
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    • pp.258-261
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    • 2012
  • Ewing's sarcoma is a neoplasm of the undifferenciated small round cells, which generally affects the bone and deep soft tissues of children and adolescents. We present a case of gastric Ewing's sarcoma; a 35-year-old female who had no symptoms. While she was at a routine medical checkup, a protruding mass in her gastric antrum was incidentally found on esophagogastroduodenoscopy. Endoscopic ultrasonogram showed a submucosal mass on the same lesion and a laparosopic wedge resection was done. Pathologic gross findings showed a granular grape appearance tissue and histoloigc examination revealed a small round cell tumor with CD 99 immunoexpression positive. In general, a combined modality therapy for Ewing's sarcoma such as surgical resection with chemotherapy, is accepted as an effective method. However, this patient had no adjuvant chemotherapy after surgery and she has no recurrence for eleven months.

Use of Complementary and Alternative Medicine and its Affecting Factors in Women with Breast Cancer (유방암 여성의 대체요법 이용과 영향요인)

  • Suh, Yeon Ok
    • Korean Journal of Adult Nursing
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    • v.19 no.3
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    • pp.447-458
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    • 2007
  • Purpose: This exploratory study was to identify the use of complementary and alternative medicine(CAM) in women with breast cancer and to analyze which factor influence CAM use. Methods: 114 patients with breast cancer were identified and approached. The instrument used to gather data were the common types, main reasons and effects as well as stress, mood states and fatigue. Results: 42.7% of all participants reported the use of CAM. The most common types of CAM used were Phellinus linteus, elm tree, and vitamin C. The main reasons for CAM use were to boost the immune system and to prevent recurrence. Prayer, massage, Shitake mushroom, and Ganoderma lucidum were, identified as being more effective than others. 93.6% of the respondents informed their physicians of their use of CAM. Logistic regression analysis determined that stress, mood states, and duration after diagnosis were factors significantly associated with CAM use. Conclusion: CAM use is increasing among patients with breast cancer. Health care professionals are in the main position to identify what treatments patients are using and implement CAM therapies that can be helpful to relieve patient symptoms related to treatment and psychological distress.

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Dynamic Stabilization of the Scapula for Serratus Anterior Dysfunction: A Retrospective Study of Functional Outcome and Results

  • Chung, Soo Tai;Warner, Jon J.P.
    • Clinics in Shoulder and Elbow
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    • v.18 no.4
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    • pp.229-236
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    • 2015
  • Background: Twenty-six patients (12 male and 14 female) with symptomatic scapular winging caused by serratus anterior dysfunction were managed by split pectoralis major tendon transfer (sternal head) with autogenous hamstring tendon augmentation from 1998 to 2006. Methods: Twenty-five patients showed positive results upon long thoracic nerve palsy on electromyography. The mean duration of symptoms until surgery was 48 months (range, 12-120 months). Four patients had non-traumatic etiologies and 22 patients had traumatic etiologies. On follow-up assessment for functional improvement, a Constant-Murley score was used. Twenty-one patients were completely evaluated, while five patients who had less than 12 months of follow-up were excluded. Results: Pain relief was achieved in 19 of the 21 patients, with 20 patients showing functional improvement. The pain scores improved from 6.0 preoperatively to 1.8 postoperatively. The mean active forward elevation improved from $108^{\circ}$ (range, $20^{\circ}-165^{\circ}$) preoperatively to $151^{\circ}$ (range, $125^{\circ}-170^{\circ}$) postoperatively. The mean Constant-Murley score improved from 57.7 (range, 21-86) preoperatively to 86.9 (range, 42-98) postoperatively. A recurrence developed in one patient. Of the 21 patients, ten had excellent results, six had good results, four had fair results, and one had poor results. Conclusions: Most patients with severe symptomatic scapular winging showed functional improvement and pain relief with resolution of scapular winging.

An Intramedullary Neurenteric Cyst in the Conus Medullaris with Recurrent Meningitis

  • Park, Yeul-Bum;Kim, Seong-Ho;Kim, Sang-Woo;Chang, Chul-Hoon
    • Journal of Korean Neurosurgical Society
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    • v.41 no.2
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    • pp.130-133
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    • 2007
  • Neurenteric cysts are rare congenital lesions of the spine that are lined with endodermal epithelium. Their most common location is the cervico-dorsal region, and the mass usually lies ventral to the spinal cord. However the conus medullaris area location is an uncommon location. Neurenteric cysts are best treated by decompression and as near total excision of cyst membrane as possible. We report a case of a 7 year-old-girl with a neurenteric cyst in the conus medullaris. The patient had a history of meningitis and a gait disturbance. Magnetic resonance imaging [MRI] showed an intramedullary mass lesion in the conus medullaris with syringomyelia. There was no associated bone or soft-tissue anomaly. The mass was subtotally removed through a posterior approach. However 4 months later, meningeal irritation signs developed and MRI showed recurrence of the cyst. At the second operation, the cystic membrane was totally removed and the patient's neurological symptoms improved postoperatively. We reports a case of recurred neurenteric cyst occurred in unusual location with the review of literature.

A Rare Case of Solitary Osteochondroma at the Temporomandibular Joint: A Case Report

  • Park, Byungho;Jang, Wan-Hee;Park, Tae-Jun;Lee, Bu-Kyu
    • Journal of Korean Dental Science
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    • v.12 no.2
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    • pp.66-72
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    • 2019
  • Osteochondroma is a bone tumor with cartilaginous growth potential that generally appears near the growth plate of long bones in areas such as hip, knee, and shoulder joints, related to the nature of endochondral ossification and it is known a common benign bone tumor. However, it has been very rare in craniofacial region possibly because craniofacial bone is largely formed by intramembranous ossification. Moreover, reports on the solitary type of osteochondroma in mandibular condyle has been extremely rare. Osteochondroma in mandibular condylar may show various symptoms similar to general temporomandibular joint disorders (TMDs), such as pain in the condylar area during mouth opening, internal derangement, facial asymmetry or posterior open bite. Therefore, it can be disregarded for a long time period without any adequate treatment. Surgical excision has been the treatment option for the solitary osteochondroma with very low recurrence rate reportedly. In this case report, a rare case of solitary osteochondroma developed in unilateral mandibular condyle is presented with emphasis on differential diagnosis with general TMDs.

Consideration of Cardia Preserving Proximal Gastrectomy in Early Gastric Cancer of Upper Body for Prevention of Gastroesophageal Reflux Disease and Stenosis of Anastomosis Site

  • Kim, Jihoon;Kim, Sungsoo;Min, Young-Don
    • Journal of Gastric Cancer
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    • v.12 no.3
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    • pp.187-193
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    • 2012
  • Purpose: The aim of this study is to evaluate the feasibility and safety of cardia preserving proximal gastrectomy, in early gastric cancer of the upper third. Materials and Methods: A total of 10 patients were diagnosed with early gastric cancer of the upper third through endoscopic biopsy. The operation time, length of resection free margin, number of resected lymph nodes and postoperative complications, gastrointestinal symptoms, nutritional status, anastomotic stricture, and recurrence were examined. Results: There were 5 males and 5 females. The mean age was $56.5{\pm}0.5$ years. The mean operation time was $188.5{\pm}0.5$ minutes (laparoscopic operation was 270 minutes). Nine patients were T1 stage (T2 : 1), and N stage was all N0. The mean number of resected lymph nodes was $25.2{\pm}0.5$. The length of proximal resection free margin was $3.1{\pm}0.1$ cm and distal was $3.7{\pm}0.1$ cm. Early complications were surgical site infection (1), bleeding (1), and gastro-esophageal reflux disease (1) (this symptom was improved with medication). Late complications were dyspepsia (3) (this symptom was improved without any treatment), and others were nonspecific results of endoscopy or symptom. Conclusions: Cardia preserving proximal gastrectomy was feasible for early gastric cancer of the upper third. Further evaluation and prospective research will be required.