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김상준,박인철,김주호,한규호,김덕규,허갑도 대한내분비학회 1988 Endocrinology and metabolism Vol.3 No.1
Periodic paralysis is a group of diseases of unknown cause characterized byrecurrent attacks of weakness or paralysis of the limb muscles, accompanied byloss of deep reflex and failure of the muscles to respond to electrical stimulation. We have experienced a case of periodic paralysis in a 42 years old male who had frequent attacks of flaccid paralysis of the trunk and limb muscles. The diagnosis was easily established by clinical features and electromyographic findings. We found that his plasma renin activity was high during and after attack. But its significance in periodic paralysis was unclear.
상지 원위부 색전을 동반한 흉곽출구증후군에서의 수술적 치료 1예
김상준,허승,이정언,하종원,정중기,안문상,정인목,민승기,성숙환 대한혈관외과학회 1999 Vascular Specialist International Vol.15 No.2
Thoracic outlet syndrome (TOS) is an uncommon condition which is caused by compression of subclavian artery, vein or brachial plexus in the region of thoracic outlet area, which is composed by the first rib, clavicle, anterior and middle scalene muscles and other connective tissue. In arterial TOS, chronic arterial compression causes arterial stenosis, poststenotic dilatation, aneurysm formation, intramural thrombus and peripheral arterial embolism. We present herein a case of arterial TOS patient with multiple distal embolization. The patient was 43-year old male with crutch ambulation because of sequelae of polioviral infection in his youth. His chief complaint was discoloration and gangrenous change of five right digits for 1 month. A rudimentary first right rib was found in simple chest X-ray. Angiographic findings were stenosis and poststenotic dilatation of right subclavian artery, multiple peripheral arterial embolic obstructions and numerous collateral vessel formation. Right thoracoscopic sympathectomy (T2), resection of the abno#rmal first rib and the abnonnal axillary arterial segment was perfonned through the supraclavicular and transaxillary incision, then interpositional graft with saphenous vein was done for arterial reconstruction. A minor lymphatic fluid collection around the area of operation occurred, but it was easily controlled by percutaneous drainage. The gangrenous wounds of digits were improved after restoration of blood circulation.