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Unilateral Phrenic Nerve Palsy Following Blunt Chest Trauma: A Case Report
노충희,원유희 대한근전도전기진단의학회 2021 대한근전도 전기진단의학회지 Vol.23 No.3
Phrenic nerve (PN) injury without a direct injury is unusual and difficult to diagnose. This case report is the first to describe the diagnosis of unilateral PN palsy following blunt chest trauma by fluoroscopic diaphragmatic movement testing (FDT) and electrodiagnostic testing. A 68-yearold man was admitted to the emergency department after a motorcycle accident. Chest radiography showed an elevated right hemidiaphragm. More than 7 months later, he experienced dyspnea on exertion and orthopnea, prompting him to visit the Department of Physical Medicine and Rehabilitation. FDT showed no movement in the right diaphragm during maximum inspiration and expiration, but the left diaphragm was intact. Electrodiagnostic testing showed absent compound motor action potential (CMAP) in the right diaphragm, but normal CMAP in the left diaphragm. We hypothesize that in patients with orthopnea symptoms after blunt chest trauma, electrodiagnostic testing paired with FDT may be useful for diagnosing diaphragm palsy.
인영호,유지형,성락희,정재용,노충희 인제대학교 2008 仁濟醫學 Vol.29 No.-
Emphysematous cystitis (EC) is a rare complicated lower urinary tract infection (UTI)characterized by air within the bladder wall and lumen. The disease is most common in middle-aged diabetic women. Patients with chronic UTI, indwelling urethral catheters, urinary tract outlet obstruction or neurogenic bladders are predisposed to complicated UTI such as EC. Most patients can be managed by adequate bladder drainage and appropriate antibiotics coverage and operation is needed very rarely. We report a diabetic women with EC who underwent partial cystectomy.
정재현;황인성;유지형;성락희;노충희;정재용 인제대학교 2011 仁濟醫學 Vol.32 No.-
Renal cell carcinoma is the third most common neoplasia of the genitourinary tract. Its most common type, representing 60% of the cases, is the clear cell carcinoma, with an incidence peak between 50 and 70 years. Metastases are present at the time of diagnosis in approximately 30% of the patients, the major sites being lungs, bones, skin, liver, and brain. But distant metastasis of malignant neoplasm to the masseter muscle is extremely rare. We report a case of renal cell carcinoma (RCC) metastasizing to the masseter muscle.
황인성;정재현;유지형;성락희;노충희;정재용;김현정 인제대학교 2011 仁濟醫學 Vol.32 No.-
Collecting duct renal cell carcinoma (CDRCC) or Bellini duct carcinoma is a rare type of renal cell carcinoma (RCC), accounting for 0.4% to 1.8% of all RCC. CDRCC is considered to originate from the collecting duct of the kidney and it has a poor prognosis. However, the clinical features of CDRCC remain poorly understood, mainly because only studies with a small series or case reports have been published to date. We experienced a case of CDRCC of kidney.