• Title/Summary/Keyword: 강북삼성병원

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Anti-LGI1 Antibody Encephalitis (양극성장애로 오인된 LGI1 자가면역성뇌염)

  • Kim, Eun Soo;Lee, HeeJun;Jeon, Sang Won;Cho, Sung Joon
    • Korean Journal of Biological Psychiatry
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    • v.27 no.2
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    • pp.112-116
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    • 2020
  • Leucine rich glioma inactivated (LGI1) encephalitis is an uncommon neurological disorder rarely encountered in clinical practice. However, it is a potentially fatal autoimmune syndrome that can decrease the level of consciousness, possibly progressing to coma. Additionally, unless diagnosed and promptly treated, it can cause permanent cognitive impairment. Since LGI1 encephalitis can initially present with psychiatric symptoms, there can be delays in reaching a proper diagnosis. This report describes a case of a 47-year-old woman with LGI1 antibodies-associated limbic encephalitis who initially presented with psychosis. Her blood tests were normal and no MRI and EEG abnormalities were found. Cerebrospinal fluid analysis was negative for other possible infectious causes. Three months after admission, she was found to be LGI1 antibody positive. LGI1 encephalitis should be suspected in patients with symptoms such as memory loss, confusion, seizures, and psychiatric symptoms. Prompt diagnosis and treatment of LGI1 encephalitis are warranted because prognosis becomes worse when such actions are delayed.

A Case of Systemic Lupus Erythematosus Presenting as Cervical Lymphadenopathy (경부 림프병증으로 발현된 전신홍반루푸스 1예)

  • Hyun Seok, Kang;Jae Seon, Park;Tae Hwan, Kim;Sang Hyuk, Lee
    • Korean Journal of Head & Neck Oncology
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    • v.38 no.2
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    • pp.23-27
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    • 2022
  • Systemic lupus erythematosus(SLE) is a multisystemic disorder of autoimmune etiology. SLE can occur commonly in young women, and the early symptoms include fever, myalgia, arthralgia, weight loss, lymphadenopathy and these nonspecific symptoms develop into skin rash, splenomegaly, serositis and encephalopathy. Diagnosis of SLE requires clinical and serologic criteria, and treatment choices are hydroxyquinolone and NSAIDs for mild disease, corticosteroids and immunosuppressant for severe disease. In lupus patient, the prevalence of lymphadenopathy is 12~59%. Although lymphadenopathy is common finding in SLE, it is hard to distinguish in early phase of SLE. A 38-year-old woman visited our hospital for cervical lymphadenopathy with polyarthritis and malaise. Multiple cervical lymph nodes enlargement was found on Neck CT, and serologic laboratory test including ANA, antiphospholipid antibody, and anti-dsDNA was positive. For excluding lymphoma, PET-CT and excisional biopsy were performed. The patient finally diagnosed with SLE, and got regular follow-up without complication.

A Case of IgG4-Related Pseudotumor in Larynx (후두에서 기원한 IgG4 연관 가성 종양 1예)

  • Lee, Min Hyuk;Hong, Joon Pyo;Kim, Tae Hwan;Jin, Sung Min
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.33 no.2
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    • pp.110-114
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    • 2022
  • IgG4-related disease is a fibroinflammatory condition by infiltration of IgG4-positive plasma cells that often presents as a tumorous lesion. This disease can affect nearly every organ system. After the pancreas, the head and neck region is second most common site for presentation of IgG4-related disease such as Mikulicz's disease, Küttner tumor. The involvement of IgG4-related disease in laryngeal lesions is extremely rare. We have experienced a case of IgG4-related disease with pseudotumor formation in the larynx that is suggestive of malignancy in radiologic findings. But the pathology findings was finally confirmed as IgG4-related disease. Oral treatment with prednisolone was initiated, and the edematous mass reduced in size without permanent functional impairment of vocal fold mobility. We report our experience with a literature review.

A Case of Malignant Peripheral Nerve Sheath Tumor in Parapharyngeal Space (부인두 공간에서 발생한 악성 말초 신경초 종양 1예)

  • Lee, Hyun Sub;Lee, Chang Hee;Jin, Sung Min;Lee, Sang Hyuk
    • Korean Journal of Otorhinolaryngology-Head and Neck Surgery
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    • v.55 no.3
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    • pp.181-184
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    • 2012
  • The malignant peripheral nerve sheath tumor is an extremely rare soft tissue sarcoma. It is a highly malignant sarcoma, which is locally invasive, frequently leading to multiple recurrences and eventual metastatic spread. The peak incidence of disease is known to occur sporadically between the age of 20s and 50s, and is usually associated with the neurofibromatosis type I. In human body, the trunk and extremities are the most commonly involved sites, with only 8-14% of all lesions appearing in the head and neck region. We present a case of malignant peripheral nerve sheath tumor involving the right parapharynx in a 48-year-old patient who complained of headaches in the right parietal area and of dysphagia that aggravated over a month. After surgery, tumor was finally diagnosed as malignant peripheral nerve sheath tumor by histopathologic examinations. The authors report a case of malignant peripheral nerve sheath tumor in the right parapharynx with a review of the literature.

Perioperative Medical Treatment to Improve Surgical Outcomes: Management of Osteoporosis (수술적 치료 결과 향상을 위한 수술 전후 약물요법: 골다공증의 치료)

  • Shin, Hun Kyu;Lee, Jae Wook;Song, Seung Cheol
    • Journal of the Korean Orthopaedic Association
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    • v.54 no.1
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    • pp.18-23
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    • 2019
  • As the population grows older and medical treatments are advancing, the number of spine surgeries in elderly patients has been increasing. To obtain a successful outcomes of spine surgery in elderly patients, surgeons should prepare meticulously because elderly patients can have osteoporosis and surgery can be more extensive than in younger patients. Therefore, this study reviewed the perioperative medical treatment, particularly for osteoporosis, to improve the surgical outcomes in elderly patients.

Sonographic and Strain Elastographic Findings of a Clear Cell Hidradenoma that Looked Like an Epidermoid Tumor: A Case Report (표피 종양처럼 보이는 투명 세포 열선 종의 초음파 및 변형 탄성 소견: 증례 보고)

  • Jin Hee Kim;Hee Jin Park;Ji Na Kim
    • Journal of the Korean Society of Radiology
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    • v.83 no.1
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    • pp.194-198
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    • 2022
  • Clear cell hidradenoma (CCH) is a rare tumor of the sweat glands of eccrine or apocrine differentiation. It can occur anywhere in the body, but common sites of involvement are the head, face, trunk, and extremities. Although several reports have described sonographic findings of CCH, only one study on the axilla mentioned its strain elastographic findings. Here, we present a case of CCH in the right calf with its sonographic and strain elastographic findings in a tumor that looked like an epidermoid tumor.

Effects of Music Therapy on Depression and Rehabilitation Motivation of Inpatients with Stroke (뇌졸중으로 입원한 환자에게 제공한 음악요법이 우울과 재활 동기에 미치는 영향)

  • Choi, Youn-Young;Lee, Mi-Joon;Kim, Eun-Sil;Lee, Ji-Won;Kwon, Young-In;Ha, Yu-Mi
    • Journal of Convergence for Information Technology
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    • v.11 no.4
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    • pp.220-229
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    • 2021
  • This study aimed to evaluate the effect of music therapy on depression and rehabilitation-motivation provided to stroke patients, thus achieving evidence-based music therapy as a nursing intervention method for patients. Thirty-three people who were hospitalized for stroke diagnosis at K-Hospital were required to listen to 10 pre-selected songs for three days before bedtime. According to the general characteristics, the proportion of male participants (25, 75.8%) was higher than female (8, 24.2%), and by age group, 6(18.2%) were in 40s, 19(57.6%) were in 50s and 8(24.2%) were aged 60 or older. The study data were analyzed using Wilcoxon-signed rank test. As a result, music therapy does not affect depression and rehabilitation-motivation. However, it was shown to be effective in reducing depression in MMSE group 1 (≤ 29) with low cognitive levels. It is expected that this study can be used as an evidence for music therapy which can be applied as a way to increase the effectiveness of nursing intervention.