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김교륭(Kyo Ryung Kim),이준석(Lee Jun Seok),이준수(Joon Soo Lee) 대한소아신경학회 2009 대한소아신경학회지 Vol.17 No.2
두개골 조기 유합증은 출생 전 혹은 생후 몇 개월 내에 두개관 또는 두개골 기저부의 두개 봉합선이 유합되어 두개골과 뇌조직(brain parenchyma)의 성장장애를 유발하는 선천성 기형으로 대부분 출생 직후 진단된다. 그러나 늦은 발현나이, 비전형적인 증상과 방사선학적 특징적 소견이 없어 진단이 애매한 증례가 보고 되었다. 저자들은 늦게 발현된 뇌압 상승 소견만 보이는 미세한 두개관 기형을 가진 미세 형태 두개골 조기봉합 환아에서 3차원 뇌 영상 CT 가 진단에 도움이 되었던 1례를 경험하였기에 문헌 고찰과 함께 보고하는 바이다. Craniosynostosis is a congenital deformity causing disorder in the growth of the skull and brain parenchyma, resulting from the fusion of the cranial sutures of calvaria or basilar before birth or within a few months after birth. In most cases it is diagnosed just after birth. However, some cases of vague diagnoses were reported, which was due to the late onset age, and the absence of typical symptoms and typical radiological findings. We make a report of a case in which the three-dimensional CT was helpful in making a diagnosis of a patient with minimal forms of craniosynostosis having minimal cranial deformities revealing just late onset raised intracranial pressure, along with the investigation of medical literature.
Incidence of Gastric Involvement In Nongastric Marginal Zone Lymphoma
( Shin Kyo Yoon ),( Hwoon Yong Jung ),( Shin Kim ),( Dok Hyun Yoon ),( Joo Ryung Huh ),( Cheol Won Suh ) 대한내과학회 2011 대한내과학회 추계학술대회 Vol.2011 No.1
Background: There is an assertion that esophagogastroduodenoscopy (EGD) should be included in the routine diagnostic work-up of extra nodal marginal zone lymphoma (MZL) based on an observation that a significant proportion of patients presenting with nongastric MZL had gastric involvement as well. However, incidence of gastric involvement in nongastric MZL has not been investigated in Asia, where incidence of MZL is higher than Western countries. Aims: The present study was undertaken to assess the incidence of gastric involvement in nongastric marginal zone lymphoma. Methods: Between April 1993 and December 2010, 153 consecutive patients with nongastric MZL were treated in the Asan Medical Center, Seoul, Korea. We retrospectively analyzed the results of these patients. Results: We present our experience of 47 cases of EGD which comprised 30.7% of all 153 nongastric MZL patients. The median age at diagnosis was 51 years, and the overall male-to-female ratio was 0.72. One hundred patients (86.3%) initially presented with localized disease (defined by Ann Arbor stage I/II), 2 (1.3%), 15 (9.8%), 4 (2.6%) patients were stage IIIa, IVa, IVb, respectively. In 136 patients (88.9%), single site of extranodal involvement of lymphoma was identified. The most common primary site of nongastric MZL was ocular adnexa and orbit (48.4%), intestine (11.1%), lung (9.8%), nasal sinus (5.9%) in decreasing order of frequency. Of 153 nongastric MZL patients, 47 patients (30.7%) were underwent EGD for initial staging work-up, and no patient was found to have gastric involvement of lymphoma. The most common endoscopic and pathologic diagnosis of EGD was chronic superficial gastritis (16 patients, 34%) (Table 1). Summary: None of the 47 patients who had undergone EGD had gastric involvement of EGD. Our findings do not support routine EGD in patients with extranodal MZL. Table1. Endoscopic diagnosis whom underwent EGD for routine work-up of extra nodal MZL.
Hemodynamic Effect of Pulmonary Artery Ligation during Pneumonectomy
Kwang Ho Lee,Hyun Kyo Lim,Eun Sung Jun,Young Bok Lee,Kyung Bong Yoon,Jae Chan Choi,Soon Yul Kim,Ryung Choi Korean Society of Critical Care Medicine 2000 Acute and Critical Care Vol.15 No.2
BACKGROUND: Pulmonary artery ligation during pneumonectomy increase the pulmonary blood flow of dependent lung and may increase the pulmonary arterial pressure and pulmonary vascular resistance. The purpose of this study is to evaluate the hemodynamic effect of pulmonary artery ligation during pneumonectomy. METHODS: Nine patients who were supposed to receive pneumonectomy were studied. Hemodynamic measurements were performed following two lung ventilation (TLV), one lung ventilation (OLV), after pulmonary artery ligation and after pneumonectomy. RESULTS: There is no significant differences in heart rate, systemic arterial pressure, pulmonary arterial pressure, pulmonary capillary wedge pressure, cardiac index and pulmonary vascular resistance index. Arterial oxygen tension significantly reduced during OLV and increased after pulmonary artery ligation and after pneumonectomy. CONCLUSIONS: These results suggest that pulmonary artery ligation during pneumonectomy may not affect the cardiopulmonary hemodynamics.