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Ewing's Sarcoma/Peripheral Primitive Neuroectodermal Tumor in the Cerebellopontine Angle : Diagnosis and Treatment

  • Choi, Ho-Yong;Kim, Yong-Hwy;Kim, Jee-Hyun;Kim, In-Ah;Choe, Ghee-Young;Kim, Chae-Yong
    • Journal of Korean Neurosurgical Society
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    • v.49 no.6
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    • pp.359-362
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    • 2011
  • Ewing's sarcoma/primitive neuroectodermal tumor (ES/PNET) is an unusual malignancy with aggressive behavior. ES/PNET in the cerebellopontine angle (CPA) is extremely uncommon, and we report on a rare case here. A 31-year-old man presented with one month history of left facial palsy, hearing loss, swallowing difficulty, and hoarseness. Magnetic resonance images showed a large mass in the left CPA and a small one in the right cerebellar hemisphere. The patient underwent a surgery for the CPA mass lesion, and the pathology was compatible with ES/PNET. Radiation therapy and chemotherapy were administered. In contrast to the initial radiologic findings resembling vestibular schwannoma or meningioma, ES/PNET had several distinct clinical features. A patient with a CPA mass and presenting unusual clinical features should be suspected of having a rare malignancy.

The Mental Health of Hospital Workers During the Initial Phase and Third Wave of the COVID-19 Pandemic: Exploring Risk and Protective Factors in the Prolonged Pandemic

  • Choi, Huiyoung;Lee, Wangjun;You, Myoungsoon;Chang, Jhin Goo;Hong, Minha;Kim, Hyun-Soo;Lee, Su Young
    • Anxiety and mood
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    • v.18 no.2
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    • pp.80-91
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    • 2022
  • Objective : Hospital workers' mental health has deteriorated because of the ongoing COVID-19 pandemic. The purpose of this study was to investigate the impact of the prolonged COVID-19 pandemic on the mental health of hospital workers and its determinants. Methods : Two surveys were conducted among employees working in a hospital that received COVID-19 patients from the early phase of the pandemic in South Korea. Data on demographics, perceived threat, workplace evaluation, resilience, and mental health status were collected using the Korean General Health Questionnaire-20 in the initial phase (February 2020) and during the third wave of COVID-19 (December 2020) for 467 and 545 workers, respectively. The mental health of hospital workers in the two phases was compared, and the risk and protective factors during the third wave were investigated. Results : The proportion of patients in the psychiatric high-risk group increased from 2.8% in the initial phase to 11.4% during the third wave. The perceived threat, workplace evaluation, and resilience of respondents deteriorated. Risk factors for mental health during the third wave included the perceived threat items of job stress, loss of control, and considering resignation. Protective factors included presence of children, workplace satisfaction, and hardiness in resilience. Conclusion : Hospital workers' mental health deteriorated as the pandemic progressed. General stress and tension such as job stress, loss of control, considering resignation rather than COVID-19-specific stress had negative effects on mental health of hospital workers. Therefore, care for work stress itself can be helpful to maintain the mental health of hospital workers. Also, governance to improve workplace satisfaction or hardiness in resilience can be a potential protective factor for hospital workers' mental health during the prolonged pandemic.

Intradural Extramedullary Spinal Metastasis - A Case Report - (경막하 수외로 전이된 척수암 1례 - 증 례 보 고 -)

  • Shin, Il-Young;Doh, Jae-Won;Yoon, Seok-Mann;Lee, Kyeong-Seok;Bae, Hack-Gun;Yun, Il-Gyu;Choi, Soon-Kwan;Byun, Bark-Jang
    • Journal of Korean Neurosurgical Society
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    • v.29 no.8
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    • pp.1085-1088
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    • 2000
  • Spinal intradural extramedullary metastasis are very rare. The authors report a case of spinal metastasis at the T5 level in the intradural extramedullary space in a 76-year-old man who presented with paraparesis and sciatica. Preoper-ative neuroradiologic imaging studies were highly suggestive of intradural mass lesion with compressive myelopathy. Pathology revealed metastatic squamous cell carcinoma. We describle the mechanism of tumor spread in intradural spinal metastasis.

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Septo-optic dysplasia plus diagnosed in a middle-aged woman

  • Oh, Seung Tae;Kang, Mi-Ri;Oh, Seong-il;Kim, Eung Gyu;Kim, Sang Jin;Seo, Jung Hwa;Chung, Eun Joo;Ji, Ki-Hwan
    • Annals of Clinical Neurophysiology
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    • v.20 no.2
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    • pp.85-88
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    • 2018
  • Septo-optic dysplasia is a congenital anomaly with diverse phenotypes from normal to mixtures of visual abnormality, endocrine dysfunction, psychomotor retardations and epileptic seizures. It is characterized by optic atrophy, pituitary dysfunction and midline structure abnormalities in corpus callosum or septum pellucidum. Diagnosis of septo-optic dysplasia plus is made when cortical malformations accompanied. Here we report a middle-aged woman with septo-optic dysplasia plus having unilateral optic atrophy, agenesis of septum pellucidum and cortical malformations.

Atypical Thymic Carcinoid in a Patient with Zollinger-Ellison Syndrome

  • Lee, Jiyun;Hyun, Kwanyong;Moon, Mi Hyoung;Moon, Seok Whan;Park, Jae Kil;Choi, Si Young;Sa, Young Jo;Kim, Kyung Soo
    • Journal of Chest Surgery
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    • v.52 no.6
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    • pp.420-424
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    • 2019
  • Atypical thymic carcinoid is an extremely rare tumor with a poor prognosis. In addition to its known association with multiple endocrine neoplasia type 1, its hallmark characteristics include local invasion and early distant metastasis. In this report, we share our experience treating atypical thymic carcinoid in a patient with Zollinger-Ellison syndrome.

Two Cases of Primary Splenic Hydatid Cyst in Greece

  • Vezakis, Antonios;Dellaportas, Dionysios;Polymeneas, George;Tasoulis, Marios Konstantinos;Chondrogiannis, Constantinos;Melemeni, Aikaterini;Polydorou, Andreas;Fragulidis, George Panagiotis
    • Parasites, Hosts and Diseases
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    • v.50 no.2
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    • pp.147-150
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    • 2012
  • Cystic disease of the spleen is an uncommon entity in general population. Most cases result from parasitic infection by Echinococcus granulosus, a form called splenic hydatid disease (SHD), with a reported frequency of 0.5-6.0% within abdominal hydatidosis. On the contrary, an isolated splenic involvement of hydatid disease is very uncommon even in endemic regions. Two cases of primary SHD managed with open and laparoscopic radical surgery in our department are reported herein. Primary SHD is a rare entity with non-specific symptoms underlying clinical suspicion by the physician for prompt diagnosis. Surgical treatment is the mainstay therapy, while laparoscopic approach when feasible is safe, offering the advantages of laparoscopic surgery.

A Case Report of Korean Traditional Medical Therapy for Patient of Hemoptysis with Old Pulmonary Tuberculosis (객혈을 주소로 하는 폐결핵 환자의 치험 1례)

  • Chang, Mun-Won;Choi, Seong-Hwan;Kang, Ji-Sun;Moon, Seung-Hee;Kim, Min-Ji;Kim, Yoon-Sik;Seol, In-Chan;Jo, Hyun-Kyung
    • Herbal Formula Science
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    • v.16 no.2
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    • pp.255-261
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    • 2008
  • Hemoptysis is a common clinical symptom responsible for about 10% of the patients who has the pulmonary disease. In Korea, pulmonary tuberculosis is still the most common cause of the hemoptysis. This study is a chlinical report of Korean Traditional Medical Therapy for the patient of hemopysis with old pulmonary tuberculosis. The patient was suffering from hemoptysis, headache, sweating, feeling of uneasiness and fatigue. After administration of herbal medicines (Bokryungbosim-tang, Yukmijihwangwon-gagambang) and acupunture treatment for 34days, these symptoms of the patient were improved. Thus, we concluded that Oriental Medical Treatment can improve the symptoms of the patient who is suffering from hemoptysis.

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Two cases of female hydrocele of the canal of nuck

  • Choi, Yu-Mi;Lee, Gyu-Min;Yi, Jung-Bin;Yoon, Kyung-Lim;Shim, Kye-Shik;Bae, Chong-Woo;Choi, Sung-Il;Kim, Hyun-Cheol
    • Clinical and Experimental Pediatrics
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    • v.55 no.4
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    • pp.143-146
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    • 2012
  • The processus vaginalis within the inguinal canal forms the canal of Nuck, which is a homolog of the processus vaginalis in women. Incomplete obliteration of the processus vaginalis causes indirect inguinal hernia or hydrocele of the canal of Nuck, a very rare condition in women. Here, we report 2 cases of hydrocele of the canal of Nuck that were diagnosed with ultrasonography in both cases and magnetic resonance imaging in 1 case to confirm the sonographic diagnosis. High ligation and hydrocelectomy were conducted in both patients. In 1 patient, 14 months later, the occurrence of contralateral inguinal hernia was suspected, but did not require surgery. The other patient had a history of surgery for left inguinal hernia 11 months before the occurrence of right hydrocele of the canal of Nuck. In both cases, the occurrence of an inguinal hernia on the contralateral side was noted.

A Case of Syringomyelia with Back and Shoulder Pain

  • Choi, Hyun Young;Jeong, Jae Eun;Lee, Jae Sung;Park, Jang Mi;Lee, Cham Kyul;Lee, Eun Yong;Jo, Na Young;Roh, Jeong Du
    • Journal of Acupuncture Research
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    • v.36 no.1
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    • pp.45-49
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    • 2019
  • The purpose of this study was to describe the treatment of the clinical symptoms of syringomyelia using Korean medicine. A patient with syringomyelia complained of back and shoulder pain, numbness of the upper right limb, headaches and dyspnea. He was treated with herbal medicine, acupuncture, moxibustion, and physical therapy. The Visual analog scale (VAS) was used to score sensory symptoms (pain, numbness) and Modified Borg scale (mBorg) was used to score dyspnea. After the treatment, his symptoms were relieved. The patient's chief complaint was back and shoulder pain which was reduced greatly from a VAS score of 6 between 1-2. The results in this study may contribute to the development of the Korean medicine field of syringomyelia in the future.