• Title/Summary/Keyword: Pain: acute

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Extensive Spinal Cord Infarction after Surgical Interruption of Thoracolumbar Dural Arteriovenous Fistula Presenting with Subarachnoid Hemorrhage

  • Lee, Sang-Hun;Kim, Ki-Tack;Kim, Sung-Min;Jo, Dae-Jean
    • Journal of Korean Neurosurgical Society
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    • v.46 no.1
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    • pp.60-64
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    • 2009
  • Nontraumatic intracranial subarachnoid hemorrhage (SAH) attributable to the thoracolumbar dural arteriovenous fistulas (DAVFs) has been extremely rare. A 41-year-old male patient was admitted with severe acute headache, neck stiffness, and pronounced low-back pain radiating to both legs. The T2-weighted MR imaging showed irregular signal void and enlarged, varix like pouch formation with spinal cord compression at the T11-12 level. The angiogram revealed a DAVF. We report a DAVF case with SAH that revealed an extensive infarction from C5 to the conus medullaris after undergoing operative treatment.

Case Reports of Periodontal Treatment Under Hypnoanesthesia (최면마취하의 치주처치 증례보고)

  • Kim, Jong-Eun;Kim, Young-Chul;Lee, Chung-Ho
    • The Journal of the Korean dental association
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    • v.11 no.10
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    • pp.667-670
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    • 1973
  • It has been studied over 500 cases of hypnotic susceptibility test and among them performed 15 cases of periodontal treatment under hypnoanesthesia. Conclusions were obtaines as following ; 1) The patients with chronic periodontal disease were surrendered more easily to the operator than those with acute periodontal disease. 2) bleeding was occurred much more than in drug anesthetic state and less in waking state. 3) The different depth of hypnotic state was needed to the different individual. 4) The post-operative pain did not occurred by the operators suggestion. 5. Those operation brought more rapid healing of wounds.

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Acute Gastric Necrosis Due to Gastric Outlet Obstruction Accompanied with Gastric Cancer and Trichophytobezoar

  • Lee, Do-Sang;Sung, Ki-Young;Lee, Jun-Hyun
    • Journal of Gastric Cancer
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    • v.11 no.3
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    • pp.185-188
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    • 2011
  • Gastric necrosis due to gastric outlet obstruction is a very rare condition, but it might be fatal if missed or if diagnosis is delayed. Our patient was a 73-year-old male complaining of abdominal pain, distension and dyspnea for 1 day. In plain radiography and computed tomography, a markedly distended stomach and decreased enhancement at the gastric wall were noted. He underwent explo-laparotomy, and near-total gastric mucosal necrosis accompanied by sludge from the soaked laver was noted. A total gastrectomy with esophagojejunostomy was performed, and he recovered without sequelae. Final pathologic examination revealed advanced gastric cancer at the antrum with near-total gastric mucosal necrosis.

RHINOCEREBRAL MUCORMYCOSIS ON MAXILLA : A CASE REPORT (상악골에 발생한 비뇌감염형 Mucormycosis 1례)

  • Huh, Won-Shil;Lee, Min-Jeong;Kang, Seung-Woo;Oh, Sang Yoon;Back, Gyung Sik;Choeh, Kyu-Chul
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.15 no.1
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    • pp.21-25
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    • 1993
  • We experienced a case of rhinocerebral form of mucormycosis in a 9-year-old male suffered from acute lymphocytic leukemia (FAB $L_2$). On 15th day of induction chemotherapy (Hospital day 23) pain, tenderness and swelling on left maxillary area of face were noticed. We confirmed mucormycosis by biopsy of mass in left maxillary sinus. He expired on Hospital day 47.

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Volleyball: Shoulder Injuries and Rehabilitation (배구: 견관절 손상과 재활)

  • Moon, Young-Lae;Han, Jae-Suk
    • Clinics in Shoulder and Elbow
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    • v.5 no.2
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    • pp.63-68
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    • 2002
  • Volleyball has become one of the world's most popular participatory sports in recent years. There are many dynamic skills and movements needed to play the game. As a result, many acute and overuse injuries to the shoulder may occur. This article addresses the common injuries and rehabilitation recommendations for the shoulder injuries in the volleyball players. The glenohumeral instability, primary or secondary impingement, internal impingement, labral injuries, and suprascapular nerve lesions are common problems in volleyball players. A basic knowledge of the biomechanics and volleyball maneuvers (blocking, serving, and spiking) can help in the development of appropriate trainging and reha- bilitation protocols. Special emphasis must be placed on the knowledge of muscular patterns involved in serving and spiking, because they typically require a strenuous unilateral action of the dominant shoulder. It is therefore impera- tive to include adequate stretching and muscular training programme for the prevention, as well as for therapy, of shoulder pain in volleyball players.

Acute Osteomyelitis in the Proximal Humerus Caused by Pyogenic Glenohumeral Arthritis in an Elderly Patient - A Case Report

  • Hyun, Yoon-Suk;Kwon, Jae-Woo;Hong, Sung-Yup;Han, Kyeol
    • Clinics in Shoulder and Elbow
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    • v.17 no.4
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    • pp.197-200
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    • 2014
  • Reports of osteomyelitis in the proximal humerus with pyogenic glenohumeral arthritis of adjacent joints mostly involve pediatric patients. Nowadays, osteomyelitis that is secondary to adjacent pyogenic glenohumeral arthritis is extremely rare, even more so in adults than in pediatrics. We report a rare case of the pyogenic glenohumeral arthritis followed by osteomyelitis of the proximal humerus in an elderly patient. Initially, we diagnosed a case of pyogenic glenohumeral arthritis only, which, despite arthroscopic synovectomy, did not resolve and severe pain continued. Subsequent radiological imaging, performed after our suspicion of a secondary involvement, allowed us to diagnose osteomyelitis combined with the pyogenic glenohumeral arthritis, which we had overlooked because of the extreme rarity of the condition in adults since the antibiotic era began.

Diagnosis and resolution of pancreatic pseudocysts with percutaneous ultrasound-guided aspiration in two dogs (개 췌장 위낭종에서 초음파 유도 흡인 생검을 통한 진단 및 치료 2례)

  • Choi, Jihye;Kim, Hyunwook;Seo, Jeemin;Lee, Minjung;Kim, Junyoung;Yoon, Junghee
    • Korean Journal of Veterinary Research
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    • v.47 no.3
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    • pp.341-347
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    • 2007
  • Pancreatic pseudocyst is one of the most common pancreatic mass lesions developed following acute or chronic pancreatitis. Two dogs were presented with nonspecific clinical signs such as abdominal pain, vomiting and depression and diagnosed as pancreatic pseudocysts through percutaneous ultrasound-guided aspiration. Pancreatic pseudocyst may contain pancreatic juice, so leads the deteriorate state of patient through pertinent inflammation and autodigestion of pancreas. In this study, the clinical signs and pancreatic lesion were improved after aspiration. Percutaneous ultrasound-guided aspiration can provide the diagnostic information through cytology and lipase and amylase concentration, and be selected as the first choice for treatment.

Isolated Distal leg Weakness due to a Small Cerebral Infarction Masquerading as a Spinal Lesion

  • Han, In-Bo;Ahn, Jung-Yang;Chung, Young-Sun;Chung, Sang-Sup
    • Journal of Korean Neurosurgical Society
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    • v.41 no.3
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    • pp.182-185
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    • 2007
  • Acute stroke with isolated monoparesis manifesting as distal weakness of a single lower extremity has rarely been described. We report two patients with small cortical infarction who had distal weakness of a single lower extremity. In both cases, diffusion-weighted image [DWI] was used to detect small lesions in the contralateral cortex. These cases illustrate that small cortical infarction can cause isolated monoparesis limited to distal part of the leg and it may be misdiagnosed as spinal lesions, especially when lower back pain and transient sensory symptoms are accompanied. In case of the abrupt onset of weakness limited to one lower limb, the possibility of stroke should be considered and careful attention to identify cortical lesions using magnetic resonance imaging, especially DWI is required.

Spinal Subdural Hematoma Associated with Intracranial Subdural Hematoma

  • Kim, Myoung Soo;Sim, Sook Young
    • Journal of Korean Neurosurgical Society
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    • v.58 no.4
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    • pp.397-400
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    • 2015
  • The simultaneous occurrence of an intracranial and a spinal subdural hematoma (SDH) is rare. We describe a case of cranial SDH with a simultaneous spinal SDH. An 82-year-old woman visited the emergency room because of drowsiness and not being able to walk 6 weeks after falling down. A neurological examination showed a drowsy mentality. Brain computed tomography showed bilateral chronic SDH with an acute component. The patient underwent an emergency burr-hole trephination and hematoma removal. She exhibited good recovery after the operation. On the fourth postoperative day, she complained of low-back pain radiating to both lower limbs, and subjective weakness of the lower limbs. Spine magnetic resonance imaging revealed a thoracolumbosacral SDH. A follow-up spinal magnetic resonance imaging study that was performed 16 days later showed a significant decrease in the size of the spinal SDH. We discuss the pathogenesis of this simultaneous occurrence of spinal and cranial SDH.

Radiculopathy as Delayed Presentations of Retained Spinal Bullet

  • Ryu, Bang;Kim, Sung Bum;Choi, Man Kyu;Kim, Kee D
    • Journal of Korean Neurosurgical Society
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    • v.58 no.4
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    • pp.393-396
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    • 2015
  • Bullet injuries to the spine may cause injury to the anatomical structures with or without neurologic deterioration. Most bullet injuries are acute, resulting from direct injury. However, in rare cases, delayed injury may occur, resulting in claudication. We report a case of intradural bullet at the L3-4 level with radiculopathy in a 30-year-old male. After surgical removal, radicular and claudicating pain were improved significantly, and motor power of the right leg also improved. We report the case of intradural bullet, which resulted in delayed radiculopathy.