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- 저자 : 정혜라(Hye Ra Jung) (검색결과 5 건)
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박정훈(Junghoon Park),정혜라(Hye Ra Jung),김일만(Ealmaan Kim) 대한두개저학회 2009 대한두개저학회지 Vol.4 No.2
When vestibular schwannomas (VSs) are found in younger age group, they are typically bilateral and associated with neurofibromatosis (NF). Unilateral VS in a child or adolescent without NF is rare. A 14-year old girl presented with hard of hearing and right facial weakness. Magnetic resonance images (MRI) with contrast demonstrated a unilateral extraaxial tumor containing solid and cystic component, extending out of the internal auditory meatus, and distorting the brain stem. The tumor was resected radically but subtotally via a retromastoid suboccipital craniotomy. Microscopic examination of the removed tumor confirmed a schwannoma. A small residual tumor around the meatal porus was stable on follow-up MR imagings serially performed over 4 years. The authors herein describe the clinical and radiographic features of VSs in children, with a special attention to the treatment outcome.
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김광렬(Kwang-Ryeol Kim),정혜라(Hye Ra Jung),김일만(Ealmaan Kim) 대한두개저학회 2013 대한두개저학회지 Vol.8 No.2
Meningoencephalocele is a herniation of meninges, cerebrospinal fluid and brain parenchyma from the skull. It is rare mass, usually occurring in childhood. It is classified as occipital, basal, sincipital on the basis of its anatomical location. Sincipital meninogoencephalocele with an internal cranial defect is localized between the frontal and ethmoid bones. The authors herein report on a 43-year-old woman presented with protruding mass on glabella area with naso-frontal deformity. The cranial end of the lesion was amputated by median frontal craniotomy and bony-dural defect was reconstructed by using autografts. The patient showed an uneventful recovery from anesthesia and skull base surgery.
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정윤교(Yoon-Gyo Jung),정혜라(Hye Ra Jung),김일만(Ealmaan Kim) 대한두개저학회 2013 대한두개저학회지 Vol.8 No.2
Osteomas mainly affect the frontal and ethmoid sinuses, and are usually asymptomatic. When enlarged, they can give rise to intracranial manifestations and life-threatening complications. A 41-year-old man presented with severe headache and drowsy mentality after blowing his nose. Computed tomography showed air bubbles in the cisterns and the ventricle and around the osteoma in the frontal sinus, suggesting that the mass was associated with entry of the air into the cranial cavity. Through a frontal sinusotomy, the cauliflower-like osteoma was found to be protruding intracranially through the frontal base and the overlying meninges. By using skull base technique, the osteoma was resected radically and the dural defect was repaired with autografts. This rare condition should be urgently treated in the event of acute deterioration. The literature will be reviewed regarding the management of cranial base osteomas and their complications.
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분만 중 자궁 외 치료 시술의 보조로 성공적으로분만한 선천성 혀낭종 1례
황일선 ( Il Seon Hwang ),정혜라 ( Hye Ra Jung ),배진곤 ( Jin Gon Bae ) 대한주산의학회 2014 Perinatology Vol.25 No.1
Congenital lingual cyst is rare and there has been no prior case report about prenatally detected lingual cyst in Korea. When a huge oral cyst is observed at prenatal period and can cause life-threatening airway obstruction at birth, ex utero intrapartum treatment (EXIT) procedure is needed to secure the airway. Herein we present a baby with a prenatally detected huge oral cyst. He was delivered safely assisting EXIT procedure and underwent an operation for resection of the cyst from his tongue. The oral cyst was diagnosed as a lingual cyst with rare histologic type consisting mixed gastrointestinal and respiratory epithelium.
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안재홍(Jae Hong An),정혜라(Hye Ra Jung),전종화(Jong Hwa Jun) 대한안과학회 2021 대한안과학회지 Vol.62 No.7
목적: 콩다래끼로 오인되었던 결막 합성섬유육아종 1예의 증례를 경험하고 치료하였기에 이에 대해 보고하고자 한다. 증례요약: 특별한 내과병력 및 외상력이 없는 8세 여아가 좌안 하안검 결막에 지속되는 종괴로 본원으로 의뢰되었다. 환아의 시력 및 안압은 정상이었고 평소 자주 인형 머리카락을 가위로 자르며 놀았다고 하였다. 결막종괴는 개인의원 내원 1주일 전에 처음 발생하여 콩다래끼 진단하에 안약 점안치료를 시행하였으나 호전이 없어 절개 및 소파술을 시행하였고, 그 이후에도 결막내 종괴가 지속되는 양상으로 조직검사를 위해 본원으로 전원되었다. 본원 내원 후 시행한 세극등현미경검사상 종괴 내부에 섬유 가닥의 엉김과 같은 양상이 관찰되었다. 전신마취하에 절제생검을 시행하였고 조직병리학적 검사상 복굴절의 섬유 이물과 그를 둘러싼 육아종성 염증이 관찰되어 합성섬유육아종이 진단되었다. 결론: 결막 합성섬유육아종은 콩다래끼로 오인되기 쉬우며 세극등현미경검사상 종괴 내부에 특이적인 섬유 가닥의 엉김이 관찰될 경우 임상적 의심하에 치료적 절제생검을 통한 진단 및 치료가 필요하다. Purpose: We report a case of conjunctival synthetic fiber granuloma, which was misdiagnosed as chalazion. Case summary: An 8-year-old female patient, without any previous medical illness or ocular trauma history, visited our hospital with a prolonged mass-like lesion in the left lower palpebral conjunctiva. In her detailed medical history, she said that she often played with her doll s hair. The conjunctival mass first occurred 1 week before her visit to the private clinic. At that time, eye drop treatment was initiated under the diagnosis of chalazion. The child showed no improvement; thus, incision and curettage were performed. The mass in the conjunctiva continued to persist, so she was transferred to the hospital for a biopsy. Slit-lamp examination revealed a patterned agglomeration of fiber strands inside the mass. Complete excisional biopsy was performed under general anesthesia. Histopathological examination revealed a fibrous foreign body in the birefringence, with granulomatous inflammation surrounding it. The patient was diagnosed with synthetic fiber granuloma. Conclusions: Conjunctival synthetic fiber granulomas are easily mistaken as chalazion. If specific fibrous strands are entangled inside the mass on slit-lamp examination, diagnosis and treatment through therapeutic excisional biopsy are required under clinical suspicion.
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