• Journal of Korean Neurosurgical Society
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• 제60권3호
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• pp.327-334
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• 2017

To review recent advances in endoscopic techniques for treating intraventricular lesions via transcortical passage. Articles in PubMed published since 2000 were searched using the keywords 'endoscopy,' 'endoscopic,' and 'neuroendoscopic.' Of these articles, those describing intraventricular lesions were reviewed. Suprasellar arachnoid cysts (SACs) can be treated with ventriculo-cystostomy (VC) or ventriculo-cysto-cisternostomy (VCC). VCC showed better results compared to VC. Procedure type, fenestration size, stent placement, and aqueductal patency may affect SAC prognosis. Colloid cysts can be managed using a transforaminal approach (TA) or a transforaminal-transchoroidal approach (TTA). However, TTA may result in better exposure compared to TA. Intraventricular cysticercosis can be cured with an endoscopic procedure alone, but if pericystic inflammation and/or ependymal reaction are seen, third ventriculostomy may be recommended. Tumor biopsies have yielded successful diagnosis rates of up to 100%, but tumor location, total specimen size, endoscope type, and vigorous coagulation on the tumor surface may affect diagnostic accuracy. An ideal indication for tumor excision is a small tumor with friable consistency and little vascularity. Tumor size, composition, and vascularity may influence a complete resection. SACs and intraventricular cysticercosis can be treated successfully using endoscopic procedures. Endoscopic procedures may represent an alternative to surgical options for colloid cyst removal. Solid tumors can be safely biopsied using endoscopic techniques, but endoscopy for tumor resection still results in considerable challenges.

• 농촌의학ㆍ지역보건
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• 제16권1호
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• pp.79-89
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• 1991

A systematic study was conducted to identify and isolate a serologically pertinent antigen with high specific activity and low cross reactivity from Cysticercus parenchymal antigen. Differential centrifugation of the homogenate yield three particulate and one soluble fractions ; the $480{\times}G$ pellets($CyL_2$), the $7650{\times}G$ pellet($CyL_3$), the $100000{\times}G$ pellet($CyL_4$), and $100000{\times}G$ supernatant($CyL_6$). We compared antigenicity of these antigens to that or cystic fluid antigens($CyF_1$), saline extract of cystic wall($CyL_1$), and n-butanol treated $GyL_4$ antigen ($CyL_6$) based on SDS-PAGE and immunoblot techniques. The data obtained were as follows : 1) The ratio of O.D. value of ELISA against cysticercosis positive pool sera to that of negative pool sera was highest when using $CyF_1$ as antigen. However the ratio was relatively low in case of $CyL_{3.4}$ and $CyL_5$. 2) We have noted in previous paper that most strong antigenic activities are present in 63Kd band with low cross reactivities. An effective serologic reagent must contain components that are recognized by most infected sera. 63Kd band met this criteria and could be considered as a reliable band for the diagnosis of cysticercosis. As far as 63Kd band concern, $CyL_5$ showed most strong activities without disturbance of cross reaction by EITB in spite of low applicability to microplate ELISA. 3) $CyL_5$ could detect the serum antibody of cysticercosis even in very low titers, around cut-off values of microplate ELISA, by immunoblot. It also could detect the cross reactivities of Echinococcus species, which showed high absorbance value in micro plate ELISA and some sparganosis cases. Further purification of this antigen will be able to represents a antigen that can be used in the diagnosis of cysticercosis.

• 대한세포병리학회지
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• 제6권1호
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• pp.36-40
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• 1995

In the past, parasitic diseases were a major problem in public health in Korea. In recent years, however, nematodiasis that used be prevalent are no longer a serious problem. Instead some cestodiasis, particularly cysticercosis and sparganosis have become comparatively more important in recent years. Parasitic infestation of soft tissue is presented as a subcutaneous nodule or mass with nonspecific clinical manifestations. We experienced 4 cases of parasitic infestation in the soft tissue diagnosed by fine needle aspiration (FNA). Three out of four cases were histologically confirmed, two out of four cases were cysticercosis and one case was confirmed as sparganosis. FNA may be useful in providing a diagnosis in cases of parasitic infestation.

• Parasites, Hosts and Diseases
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• 제51권1호
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• pp.43-49
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• 2013

Three species of tapeworms infect humans in their adult stage (Taenia solium, Taenia saginata and Taenia asiatica). The 3 are flat, opaque white or yellowish, and exceptional long segmented parasites, measuring 1 to 12 m in their adult stage. In this review, the development of the knowledge regarding the first species, mainly focused on understanding how the larval stage or cysticercus is transmitted to humans, is described. The second species is a cosmopolitan parasite that only causes taeniosis and not cysticercosis; therefore, it will not be included. Information on the third species, which is presently being produced, since this species was recognized as such only at the end of the 20th century, will be discussed at the end of this review.

• Parasites, Hosts and Diseases
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• 제31권2호
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• pp.149-156
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• 1993

유구낭미충 항원에 대한 단세포군항체를 제조하여 그 특성을 분석하고, 이를 효소면역억제측정법 (ELISA-inhibition test)에 응용함으로써 통상적인 효소면역측정법(ELISA)의 특이도를 더욱 높이고자 하였다. 유구낭미충의 두절항원으로 면역한 BALB/c 마우스의 비장세포와 형질세포종세포를 융합하여 림프잡종세포를 만들고, 이 중에서 유구낭미충 항원에 대한 특이 단세포군 항체를 생성하는 4개의 림프잡종세포군을 선택하였다. EITB상 Cya-1 단세포군항체는 25.5 kDa, Cya-7은 28 kDa, Cya-28은 87.5 kDa, Cya-31은 12.5 kDa 항원대에 각각 반응하는 것을 알 수 있었다. 간접면역 형광항체법으로 Cya-1는 칼슘소체에, Cya-7은 실질조직에, Cya- 28과 Cya-31은 충체 표피에 주된 반응을 나타내고 있었다. 유구낭미충 항원을 사용한 효소면 역측정법으로는 유구낭미충 감염자 28명의 혈청 중 23명 (82. l%)이 양성 반응을 보였으며 폐흡충 감염자 31명 중 6명(19.4%), 스파르가눔 감염자 9명 중 1명(11. l%)이 교차 반응을 보였다 반면, 특이 단세포군항체 Cya-7를 이용한 효소면역 억제측정법으로는 유구낭미충 감염자는 28명 중 19명 (67.9%)이 양성반응을 보였고, 다른 기생충 감염자 혈청과의 교차 반응은 관찰되지 않았다.

• Parasites, Hosts and Diseases
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• 제26권4호
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• pp.245-254
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• 1988

유구낭미충(이하 낭미충)(Cysticercus cellulosae)에서 추출한 조항원으로 낭미충증(cysticercosis), 스파르가눔중(sparganosis) 및 포충중(hydatidosis) 환자 및 정상인 혈청내 IgG 항체와의 혈청학적 반응을 ELISA 및 EITB 방법으로 추적하였다. ELISA에서 낭미충의 조항원 단백은 스파르가눔중 환자 혈청과의 교차 반응도 보였고, 포충증 환자 혈청에 대해서는 낭미충 환자 혈청보다 오히려 높은 흡광도(O.D.)를 보였다. 낭미충 조항원을 SDS-PAGE로 전기영동한 결과 260 KDa∼22 KDa 범위에서 31개의 polypeptide band를 얻었으며 이 중 11개의 분획이 강한 염색성을 나타내었다. 낭미충 조항원과 낭미충중 환자 혈청과의 EITB 반응에서 22개의 항원대가 관찰되었으며 이 중 104 KDa, 82 KDa, 78 KDa 및 59 KDa는 모든 검사 혈청에서 인지되었다. 또 22개의 항원대 중 12개는 정상인 혈청에서도 반응이 관찰되어 교차반응하는 비특이성 항원 성분으로 해석되었다. 낭미충 조항원과 스파르가눔증 환자 혈청과의 반응에서 11개의 항원대가 인지되었으며 이 중 낭미충증 환자 혈청과 교차반응하는 9개의 항원대가 인지되었다. 나머지 163 KDa 및 131 KDa 항원대는 스파르가눔 환자에서만 동정되었다. 낭미충 조항원과 포충증 환자 혈청과의 반응에서는 21개의 항원대가 인지되었는데, 이 중 63 KDa는 포충증 환자에서만 인지되었고 나머지는 낭미충증 환자 혈청과 교차반응하는 항원대이었다. 한편 낭미충 조항원 중 104 KDa, 82 KDa, 72 KDa, 59 KDa및 34 KDa는 낭미충증, 스파르가눔증 및 포충중 환자와 정상인의 혈청에서도 모두 교차반응을 일으키는 항원이었다.

• Parasites, Hosts and Diseases
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• 제30권4호
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• pp.269-276
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• 1992

• Parasites, Hosts and Diseases
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• 제51권5호
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• pp.599-602
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• 2013

A male patient with neurocysticercosis was identified in Montai Village, Xay District, Oudomxay Province, Lao PDR in February 2004. He had a history of diagnosis for neurocysticercosis by a CT scan in Thailand after an onset of epileptic seizure in 1993. A pig in the same district was found to contain Taenia solium metacestodes (=cysticerci); the slaughtered pig body contained more than 2,000 cysticerci. In addition to morphological identification, molecular identification was also performed on the cysticerci by DNA sequencing analysis of the mitochondrial cox1 gene; they were confirmed as T. solium metacestodes. The patient is regarded as an indigenous case of neurocysticercosis infected in an endemic focus of T. solium taeniasis/cysticercosis in Oudomxay Province, Lao PDR.

• 대한수의학회지
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• 제25권1호
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• pp.77-89
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• 1985

The agar gel precipitation(AGP), indirect hemagglutination(IHA) and indirect enzyme immunoassay(IEIA) tests were used to detect antibodies in pigs naturally infected with Cysticercus cellulosae in Jeju. The results obtained were summarized as follows: 1. Sera collected from pigs naturally infected with Cysticcrcus cellulosae did not react in AGP test. 2. In the IHA test for swine cysticercosis, the peak titers observed were between 1:20 and 1:160 and non-specific reaction was recognized with a few samples among control sera. 3. In the IEIA test, optical density(OD) values were obtained the best results under the condition of OPD-substrats are reacted at room temperature for 5minutes. The OD values of greater than 0.2 were determined as positive and the high titers in positive sera ranged from 1:40 to 1:1,080. 4. Antibodies to swine cysticercosis were detected by IHA and IEIA tests but the latter was more sensitive and specific than the former. 5. In the preparation of Cystisercus antigens, saline extract which was prepared the precipitate of internal membrane treated ultrasonicator were better results than other antigens for serological tests. 6. Amounts of protein in antigens was not related in direct proportion to results of serological reaction.

• Parasites, Hosts and Diseases
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• 제59권4호
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• pp.369-376
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• 2021

Several factors presumed to facilitate the transmission of Taenia spp. were reported in Vietnam. We conducted a cross-sectional study taking questionnaires from 1,185 participants, and collecting 1,151 sera and 1,036 stool samples in northern Vietnam. Sera were examined for circulating antigens of Taenia solium cysticerci using ELISA, stools for Taenia eggs by Kato-Katz smear, and copro-antigens by ELISA. Ag-ELISA revealed 4.6% antigen positivity, indicating infection with viable cysticerci. Taenia eggs were detected in 1.5% of participants. Copro-antigens were found in 2.8% of participants. Eating raw meat and/or vegetables was significantly associated with the presence of copro-antigen (OR=8.6, 95% CI: 1.16-63.9, P=0.01). Considering the high taeniasis prevalence and the associated threat, public health attention should be given to treat the tapeworm carriers in the projected areas.