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쇄골하동맥과 원위부 내경동맥의 혈전을 동반한 흉곽출구 증후군 1예
안호정 ( Ho Jung An ),성미숙 ( Mi Sook Sung ),민준기 ( Jun Ki Min ) 대한내과학회 2008 대한내과학회지 Vol.75 No.5
Thoracic outlet syndrome (TOS) manifests as a spectrum of symptoms that are produced by compression of neurovascular bundles as they pass through the scalene muscles, clavicle, and the first rib. When a vascular structure like subclavian artery is involved, TOS may result in serious complications, such as thromboembolism at distal extremities or, more rarely, the brain. Here, we present a case of 25-year-old male presenting with Raynaud`s phenomenon, finger tip necrosis, and left-sided hemiplegia secondary to thromboembolism associated with arterial TOS. Radiologic studies, including simple X-ray, neck computed tomography (CT) angiography, thoracic aortography, and cerebral angiography, revealed anomalous articulation of the right first rib to the second rib, right subclavian artery stenosis with poststenotic dilatation and intramural thrombus, and thromoboembolism of the right distal internal carotid artery (ICA). The patient successfully underwent resection of the anterior scalene muscle and embolectomy. (Korean J Med 75:602-606, 2008)
신경섬유종증의 동반이 없는 총상 신경초종 - 2 례 보고 -
이기행,김윤수,정창훈,성미숙,김진아,최승욱,김형민,Lee, Kee-Haeng,Kim, Youn-Soo,Jeong, Chang-Hoon,Sung, Mi-Sook,Kim, Jean-A,Choi, Seung-Woog,Kim, Hyoung-Min 대한근골격종양학회 2005 대한골관절종양학회지 Vol.11 No.1
신경초 세포에서 기원하는 양성 종양에는 신경초종과 신경섬유종이 있다. 이 중 총상의 형태를 가지는 경우는 대부분 신경섬유종이며, 신경초종의 경우는 매우 드물다. 총상 신경초종은 신경섬유종증을 동반하지 않고, 악성화하지 않는다는 점에서 반드시 신경섬유종과 감별이 필요하다. 저자들은 각 각 좌측 상완부와 우측 족부에 발생한 총상 신경초종 2례를 치험하였기에 보고하는 바이다. Both neurilemmoma and neurofibroma are originated from Schwann cell. Plexiform tumor was mostly neurofibroma but Neurilemmoma which has plexiform is extremely rare. So it is important to differentiate plexiform neurilemmoma from plexiform neurofibroma, because plexiform neurilemmoma appears to have neither a significant association with neurofibromatosis nor a propensity for malignant transformation. We report two cases of plexiform neurilemmoma involving the left arm and right foot.
민준기 ( Jun Ki Min ),곽승기 ( Seung Ki Kwak ),한지아 ( Zee A Han ),성미숙 ( Mi Sook Sung ) 대한류마티스학회 2008 대한류마티스학회지 Vol.15 No.3
목적: 장딴지 부위의 통증, 종창, 종괴 등은 류마티스 질환을 비롯한 다양한 원인에 의해서 발생하며 합병 슬와낭(파열 또는 절개)은 심부 정맥 혈전증과 증상이 유사하여 정확한 진단이 요구된다. 본 연구는 장딴지 증상을 호소하는 환자에서 원인 질환과 함께 합병 슬와낭의 빈도와 특성을 알아보고자 하였다. 방법: 2002년 1월부터 2006년 12월 까지 장딴지 증상을 호소하여 근골격계 초음파, 도플러 초음파, 자기공명영상 촬영을 시행한 197명의 환자를 대상으로 의무 기록을 후향적으로 조사하였다. 결과: 대상 환자 197명은 102건의 도플러 초음파, 49건의 근골격계 초음파, 46건의 자기공명영상 검사를 시행 받았다. 장딴지 증상의 원인 질환으로는 혈전증(58/197, 29.4%) 봉와직염(14/197, 7.1%), 합병 슬와낭(12/197, 6.1%), 종양(12/197, 6.1%), 아킬레스건 파열(11/197, 5.6%), 안쪽 갈래장딴지 근육 파열(10/197, 5.1%), 근육 탈출(3/197, 1.5%)등이 진단되었다. 12명의 합병 슬와낭 중 6명은 종괴를 호소하였으며 나머지 6명은 통증을 동반한 종창을 호소하였다. 12명 중 3명은 심부정맥 혈전증 의심하에 도플러 초음파를 우선적으로 시행하였다. 합병 슬와낭은 안쪽 갈래 장딴지근육과 얕은 근막 사이(12/12. 100%), 피하 지방 내부(3/12, 25%), 안쪽 장딴지 근육 내부(2/12, 17%)에 위치하였다. 합병 슬와낭 12 명 중 3명은 류마티스관절염을 앓고 있었다. 결론: 본 연구를 통해 장딴지 증상을 호소하는 환자에서 합병 슬와낭의 빈도가 6.1%로 조사되었으며 장딴지 증상을 호소하는 환자에서 합병 슬와낭과 이외에 다양한 원인 질환을 고려해야 함을 알 수 있었다.
민준기 ( Jun Ki Min ),김진아 ( Jin A Kim ),성미숙 ( Mi Sook Sung ) 대한류마티스학회 2002 대한류마티스학회지 Vol.9 No.2
We report a case of rapidly destructive arthrosis of hip joint (RDA) associated with a subchondral insufficiency fracture (SIF) in a 77-year-old female patient. She complained of left hip joint pain which became progressively worse. Findings on radiographs obtained shortly after the onset of hip pain were unremarkable except for osteopenia. However, within 9 months after onset of pain, joint space narrowing rapidly progressed with collapse. She was diagnosed clinically as RDA related to osteonecrosis. She was treated by total hip replacement. The evidence of SIF was confirmed histologically by the presence of a unique granulomatous lesion in the marrow space, which consisted of amorphous debris and fragmented bone surrounded by giant cells. There was no evidence of antecedent osteonecrosis. Osteopenia and overweight were considered as predisposing factors of SIF and rapid joint destruction in this case.
정수교(Soo Kyo Chung),신경섭(Kyung Sub Shinn),양동헌(Dong Hunn Yang),성미숙(Mi Sook Sung),이정휘(Jung Whee Lee) 대한핵의학회 1997 핵의학 분자영상 Vol.31 No.3
N/A Temporomandibular (TM) joint pain results from many etiologic factors. The aim of this study was to evaluate the utility of Bone SPECT in patients with TM joint pain. The subjects were 34 patients with TM joint pain. All patients underwent plain radiography, planar bone scan, and Bone SPECT. The intensity of radioisotope uptake at TM joint was graded into three; no increased uptake above three background activity as grade 0, uptake similar to occipital bone as grade I, and uptake similar to maxillary sinus as grade II. Clinical findings and therapeutic methods were reviewed. Twenty-seven patients (80%) out of 34 patients with TM joint pain had increased uptake in bone SPECT. Twenty-one (78%) out of 27 patients had increased uptake in the mandibular condyle and remaining six patients (22%) had uptake in the mandibular and maxillary arch, which proved to be dental problem. Seven patients out of 34 were grade as 0, four (12%) were grade I, 23 (68%) were grade II. Four patients with grade I had clicking sound and symptoms which were subsided with medication in all cases. Among 23 patients with grade II, 7 patients had clicking sound and 14 patients underwent medication and decompression therapy. With Planar bone scan, 11 cases (32%) had increased uptake in TM joint area. Plain radiography revealed narrowing, distension, erosion and limitation of TM joint in 16 cases (47%). Bone SPECT can be valuable for screening and managing the patients with TM joint pain. Patients with grade II needed intensive treatment such as joint aspiration. However degree of the radioisotope uptake did not well correlated with clinical symptoms.
김정표 ( Jeong Pyo Kim ),김성훈 ( Seong Hun Kim ),이해규 ( Hae Giu Lee ),성미숙 ( Mi Sook Sung ),김영실 ( Young Sil Kim ),김형민 ( Hyoung Min Kim ),민준기 ( Jun Ki Min ) 대한류마티스학회 2003 대한류마티스학회지 Vol.10 No.1
Sarcoidosis is a multisystemic granulomatous disease of unknown cause. Lung, skin, eye, liver and lymph nodes are commonly affected. But the nodular type of muscular sarcoidosis is rare. The nodular type can be presented with a soft tissue mass that may be confused with a tumor. Magnetic resonance imaging and muscle biopsy are useful methods for early diagnosis. Optimal management of nodular sarcoidosis is not well known, but surgical excision or corticosteroid may be considered as an initial management. We report a case of nodular muscular sarcoidosis as an initial manifestation of sarcoidosis in a 56-year-old woman who was treated with corticosteroid therapy after surgical excision.
골스캔상 신장의 미만성 방사능집적 증가소견의 임상적 의의
박용휘(Yong Whee Bahk),신경섭(Kyung Sub Shinn),양우진(Woo Jin Yang),변재영(Jae Young Byun),성미숙(Mi Sook Sung),박정미(Jung Mi Park) 대한핵의학회 1990 핵의학 분자영상 Vol.24 No.1
N/A Unexpected renal abnormality can be detected on bone scan using Tc-99m-MDP. The purpose of the study is to evaluate the diagnostic significance of diffusely increased bliateral renal uptake on bone scan. 1,500 bone scan were reviewed and 43 scans which showed diffusely increased bliateral renal uptake were selected for analysis. Laboratory findings for renal and liver function tests including routine urinalysis were reviewed in 43 patients. 26 of 43 case showed abnormality in urinalysis and renal function study. 20 of 43 cases showed abnormal liver function study and 3 of these cases were diagnosed as hepatorenal syndrome later. 13 of those 20 cases had liver cirrhosis with or without hepatoma. 12 of 43 cases showed abnormality both in renal and liver function studies. 2 of 43 cases showed diffusely increased bilateral renal uptake after chemotherapy for cancer but not on previous scans before chemotherapy. 2 of 43 cases showed hypercalcemia and 8 of 43 cases had multifocal bone uptake due to metastasis or benign bone lesion. but the latter showed no hypercalcemia at all. There was no significant correlation between increased renal uptake and MDP uptake in soft tissue other than kidneys. This study raised the possibility that the impaired liver and/or renal function may result in diffuse increase of bliateral renal uptake of MDP of unknown mechaninsm. It seems to need further study on this correlation.