• Title/Summary/Keyword: Inferior

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An Unusual Case of a Thrombosed Giant Distal PICA Aneurysm Simulating a Large Cavernous Angioma

  • Lim, Dong-Ho;Jung, Shin;Jung, Tae-Young;Kim, Tae-Sun
    • Journal of Korean Neurosurgical Society
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    • v.43 no.3
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    • pp.155-158
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    • 2008
  • A 64-year-old woman was referred to our hospital with a one-month history of progressive headache. Magnetic resonance imaging (MRI) showed a hemorrhagic mass adjacent to the left inferior cerebellar hemisphere associated with a peripheral rim of signal void. Angiography demonstrated an avascular mass and the provisional diagnosis was a large cavernous angioma in the cerebellum. Intraoperative findings revealed a thrombosed giant aneurysm of the left distal posterior inferior cerebellar artery (PICA). We report an unusual case of a completely thrombosed giant aneurysm simulating a large cavernous angioma in the cerebellum. The cerebellar cisternal location of the mass may be a clue for the pre-operative diagnosis of an aneurysm.

The Dissecting Aneurysm of the Posterior Inferior Cerebellar Artery with Unusual Clinical Course

  • Lee, Hyoung-Soo;Lee, Sang-Youl;Rhee, Woo-Tack;Jang, Yeon-Gyu
    • Journal of Korean Neurosurgical Society
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    • v.40 no.5
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    • pp.369-372
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    • 2006
  • The dissecting aneurysms of the posterior cerebral circulation arise most commonly from the vertebral artery and occasionally extend to the posterior inferior cerebellar artery[PICA]. The dissecting aneurysm localized in the PICA without involving the vertebral artery is rare. We present a PICA dissecting aneurysm that had kaleidoscopic clinical course of bleeding, occlusion, and recanalization before the surgery. The patient had serial follow-up angiograms based on significant changes of clinical status. The patient successfully underwent microsurgical trapping with clips for the dissecting aneurysm and showed neurological improvement.

Hemifacial Spasm Caused by Fusiform Aneurysm at Vertebral Artery-Posterior Inferior Cerebellar Artery Junction

  • Choi, Seok-Keun;Rhee, Bong-Arm;Park, Bong-Jin;Lim, Young-Jin
    • Journal of Korean Neurosurgical Society
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    • v.44 no.6
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    • pp.399-400
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    • 2008
  • Hemifacial spasm induced by intracranial aneurysm is a rare clinical condition. A 45-year-old male patient presented with a 3-year history of progressive involuntary twitching movement on right face. On radiological study, a dilated vascular lesion compressing the brain stem was found at the junction of vertebral artery and posterior inferior cerebellar artery. On operative field, we found the posterior inferior cerebellar artery and the fusiform aneurysm compressing root exit zone of facial nerve. Microvascular decompression was performed and the facial symptom was relieved without complications.

Research for Defect Detection Using Pressing Sound of Vehicle Plate (자동차용 판재의 프레스 가공시 방출되는 음향을 이용한 결함 검출에 관한 연구)

  • 하성윤;최환도;이대훈;전언찬;김중완
    • Proceedings of the Korean Society of Precision Engineering Conference
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    • 2003.06a
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    • pp.1113-1116
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    • 2003
  • In this paper, it is suggested that the technology sound measurement which is to search the inferiority of the plate during the pressing. We evaluate whether there is a inferiority by analysing and comparing the satisfactory and inferior plate with the method of a spectrum analysis by measuring the sound which is emitted during pressing. We designed the analysis algorithm to detect inferior plate throughout comparison of measured sound data using FFT, DFT and DASYLab S/W. In addition to these, we suggest the way to compare both inferior and satisfactory signal statistically.

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Repair of Inferior Sternal Cleft Using Bilateral Sternal Bar Turnover Flaps in a Patient with Pentalogy of Cantrell

  • Chia, Hui-Ling;Yeow, Vincent Kok-Leng
    • Archives of Plastic Surgery
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    • v.41 no.1
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    • pp.77-80
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    • 2014
  • We report a case of sternal reconstruction using bilateral sternal bar turnover flaps in a 4-year-old boy with an inferior sternal cleft, as part of Cantrell's pentad. When the patient was 10 months old, he underwent sternal reconstruction using a resorbable poly-L-lactic-polyglycolic acid plate in the first stage when there was insufficient autogenous tissue to provide a reliable reconstruction. Bilateral sternal bar turnover was performed in the second stage at 4 years of age. This operative technique is described in this report. This novel technique provides a robust, dynamic, and reliable reconstruction for inferior sternal defects.

Coil Embolization in Ruptured Inferior Thyroid Artery Aneurysm with Active Bleeding

  • Lee, Sung Ho;Choi, Hyuk Jai;Yang, Jin Seo;Cho, Yong Jun
    • Journal of Korean Neurosurgical Society
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    • v.56 no.4
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    • pp.353-355
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    • 2014
  • We present a unique experience of urgent parent arterial embolization for treatment of an aneurysm of the inferior thyroid artery (ITA) that bled during tracheostomy. The event happened to a 69-year-old female patient with subarachnoid hemorrhage and hospital-acquired pneumonia that required tracheostomy. Abrupt and massive bleeding developed during the procedure, and the source could not be identified. Under manual compression, angiography revealed an 8-mm aneurysm that arose from the inferior thyroid artery. The superselected parent artery of the aneurysm was successfully occluded with a single pushable coil. The patient's postoperative course was uneventful.

Extensive Inferior Vena Cava Injury Following Blunt Abdominal Trauma: A Case Report (복부 둔상 후에 발생한 광범위한 하대정맥 손상: 증례보고)

  • Yoo, Young Sun;Mun, Seong Pyo
    • Journal of Trauma and Injury
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    • v.27 no.4
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    • pp.219-223
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    • 2014
  • Traumatic injuries of the inferior vena cava (IVC) are the most challenging lesions in abdominal vascular injuries and are associated with a high mortality rate. Although endovascular treatment has been addressed in the management of vascular trauma, surgery is the mainstay in the treatment for IVC injury as an endovascular technique for the venous system has not been developed. We report a case of successful surgical repair of an extensive IVC laceration following a fall.

Balloon Angioplasty for Budd-Chiari Syndrome Resulting from Primary Repair of an Inferior Vena Cava Injury (하대정맥 손상후 일차봉합술로 인해 발생한 버드-키아리 증후군 환자를 혈관성형술로 치료한 증례보고)

  • Sim, Joohyun;Won, Je Hwan;Jung, Kyoungwon;Lee, Cook John;Kim, Young Hwan
    • Journal of Trauma and Injury
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    • v.27 no.4
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    • pp.196-200
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    • 2014
  • Budd-Chiari syndrome is an uncommon condition characterized by hepatic outflow obstruction. Direct suture of the injured Inferior vena cava in a patient with blunt hepatic trauma also may cause an equivalent condition. However, early diagnosis is possible with common symptoms and radiologic evaluation. Moreover, a transluminal approach with balloon angioplasty could prevent long-term complications of Budd-Chiari syndrome without repeated abdominal surgery.

Surgical Treatment for an Invasive Leiomyosarcoma of the Inferior Vena Cava

  • Lee, Hee Moon;Jeong, Dong Seop;Park, Pyo Won;Kim, Wook Sung;Sung, Kiick;Lee, Young Tak
    • Journal of Chest Surgery
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    • v.46 no.5
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    • pp.373-376
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    • 2013
  • A 49-year-old woman presented with right lumbar pain and edema in both legs. Computed tomography showed a large low attenuated mass around and in the S7 segment of the liver involving the right kidney and multiple enlarged mesenteric lymph nodes. There were multiple variably sized discrete nodules in both lungs. Cavography showed subtotal occlusion of the inferior vena cava (IVC). She was successfully treated by wide resection and IVC reconstruction with partial cardiopulmonary bypass and metastasectomy.

Removal of a fractured needle during inferior alveolar nerve block: two case reports

  • You, Jae-seek;Kim, Su-Gwan;Oh, Ji-Su;Choi, Hae-In;Jih, Myeong-Kwan
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.17 no.3
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    • pp.225-229
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    • 2017
  • The inferior alveolar nerve block is the most common method of local anesthesia for intraoral surgery at the posterior mandibular region. However, unexpected complications may occur when administering the local anesthesia. One of these uncommon complications is the fracture of the needle. If the injection needle is broken during the surgery, it should be removed immediately. However, this is one of the most difficult procedures. In this report, we present two cases of needle fracture during the procedure, and its successful removal under general/local anesthesia administration.