• Journal of Medicine and Life Science
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• 제15권1호
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• pp.12-15
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• 2018

Digastric and stylohyoid muscles are located in the suprahyoid region. There have been few studies about the general morphology of stylohyoid muscle and its relationship with digastric muscle. During routine educational dissection, unusual insertion of bilateral stylohyoid muscle was found in the cadaver of a 92-year-old Korean male, whose cause of death was 'aspiration pneumonia'. Stylohyoid muscle arose from the styloid process, and inserted onto the intermediate tendon of digastric muscle and the hyoid bone on both sides. Each digastric muscle normally consists of an anterior belly, intermediate tendon and a posterior belly. In this cadaver, there were two anterior bellies on right side while one anterior belly was found on left side. Stylohyoid muscle ran medial to the intermediate tendon of digastric muscle on both sides. The anatomical relationship between stylohyoid and digastric muscles was reviewed based on morphological and embryological point of view.

• Anatomy and Cell Biology
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• 제56권2호
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• pp.280-284
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• 2023

Upper limb muscle variations can be encountered on imaging or at surgery. We report an unusual muscle and band found during routine dissection of the arm in a cadaver. This case is described and salient literature reviewed. A band was found that traveled from the insertion of the pectoralis major tendon distally and obliquely toward the medial intermuscular septum and medical epicondyle. Fibers of the brachialis were found to interdigitate into the band. A tunnel was formed that carried the median nerve and brachial vessels. Evidence of median nerve compression was observed. We considered this an example of a pectorobrachioepicondylaris muscle. However, some can lead to clinical presentations. Although the significance of the case reported herein is not certain, signs of median nerve compression were identified. We believe that the term pectorobrachioepicondylaris bests describes the muscle reported herein and that our case represents a previously unreported variant of this muscle.

• 대한관절경학회지
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• 제13권1호
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• pp.77-81
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• 2009

회전근 개의 전층 파열에서 건은 대결절 또는 소결절의 골 부착부에서 주로 분리된다. 저자들은 상완골 대결절에 1cm 이상의 잔여부가 부착된 회전근 개 건실질 부위에서 발생한 완전 파열을 가진 드문 2예의 회전근 개 파열을 경험하였다. 두 예에서 모두 잔여건을 제거하지 않고 관절경적 건 대 건 봉합술을 시행하였으나 술 후 6개월에 시행한 자기 공명 영상에서 이전 파열 부위에서 회전근 개의 재파열을 보였다. 회전근 개 건실질부 파열에서의 건 대 건 봉합술의 유용성을 증명하기 위해서는 더 많은 증례 검토와 생역학적 연구가 필요할 것으로 사료된다.

• Journal of Digestive Cancer Research
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• 제6권1호
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• pp.32-35
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• 2018

Non-Hodgkin's lymphoma is known to be a rare and unusual cause of biliary obstruction. We report a case of biliary obstruction that a 25-year-old male showed icteric sclera and yellow discoloration of his skin caused by metastasis of non-Hodgkin lymphoma. Initial imaging & endoscopic work-up led us to an impression of either cholangiocarcinoma or IgG4-related disease, yet the pathological results weren't diagnostic. Through our thorough re-examination, we found a 5cm sized round, fixed, non-tender sternal mass, and additional imaging studies were suggestive of lymphoma, which was also consistent with the results of incisional chest wall biopsy. Biliary obstruction by lymphoma was successfully treated by endoscopic plastic stent insertion procedure and chemotherapy. Although it is widely accepted that lymphoma accounts for very few portion of malignant biliary obstruction, due to the fact that lymphoma and cholangiocarcinoma are often indistinguishable, careful diagnostic approach should be done.

• 대한두개안면성형외과학회지
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• 제11권1호
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• pp.28-32
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• 2010

Purpose: In accordance with the increasing number of accidents caused by various reasons and recently developed fine diagnostic skills, the incidence of orbital blow-out fracture cases is increasing. As it causes complications, such as diplopia and enophthalmos, surgical reduction is commonly required. This article reports a retrospective series of 5 blow-out fracture cases that had unusual nerve injuries after reduction operations. We represents the clinical experiences about treatment process and follow-up. Methods: From January 2000 to August 2009, we treated total 705 blow-out fracture patients. Among them, there were 5 patients (0.71%) who suffered from postoperative neurologic complications. In all patients, the surgery was performed with open reduction with insertion of $Medpor^{(R)}$. Clinical symptoms and signs were a little different from each other. Results: In case 1, the diagnosis was oculomotor nerve palsy. The diagnosis of the case 2 was superior orbital fissure syndrome, case 3 was abducens nerve palsy, and case 4 was idiopathic supraorbital nerve injury. The last case 5 was diagnosed as optic neuropathy. Most of the causes were extended fracture, especially accompanied with medial and inferomedial orbital blow-out fracture. Extensive dissection and eyeball swelling, and over-retraction by assistants were also one of the causes. Immediately, we performed reexploration procedure to remove hematomas, decompress and check the incarceration. After that, we checked VEP (visual evoked potential), visual field test, electromyogram. With ophthalmologic test and followup CT, we can rule out the orbital apex syndrome. We gave $Salon^{(R)}$ (methylprednisolone, Hanlim pharmaceuticals) 500 mg twice a day for 3 days and let them bed rest. After that, we were tapering the high dose steroid with $Methylon^{(R)}$ (methylprednisolon 4 mg, Kunwha pharmaceuticals) 20 mg three times a day. Usually, it takes 1.2 months to recover from the nerve injury. Conclusion: According to the extent of nerve injury after the surgery of orbital blow-out fracture, the clinical symptoms were different. The most important point is to decide quickly whether the optic nerve injury occurred or not. Therefore, it is necess is to diagnose the nerve injury immediately, perform reexploration for decompression and use corticosteroid adequately. In other words, the early diagnosis and treatment is most important.

• Journal of Plant Biotechnology
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• 제38권1호
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• pp.15-21
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• 2011

Agrobacterium tumefaciens와 운반체 416을 이용하여 cryIAc1 유전자가 형질전환된 배추 14개체를 선발하였다. Southern blot을 통하여 분석한 결과 1 사본 유전자가 도입된 개체가 6개이었으며 backbone 염기서열이 포함되지 않은 경우는 4개체이었다. LB 인접서열 분석 결과, 416-2과 416-3은 23 bp의 LB 부위가 남아있는 동일한 염기서열을 보였고, 416-9 경우 15 bp가 남았으며, 416-17 경우 LB를 포함하여 안쪽의 염기서열의 최대 36 bp의 결실이 확인되었다. T-DNA의 염기서열을 제외한 배추 gDNA의 499 bp의 LB 인접염기서열은 B. oleracea의 염기서열과 96% 상동성을 가진 유전자로 확인되었다. RB border 인접서열 분석용 primer를 제작하여 PCR을 수행한 결과 모두 834 bp의 염기서열을 확인하였고, vector의 구성 요소 중 cryIAc1의 3' 말단 부위, nos-terminator 부위와 52 bp 및 배추 gDNA RB 인접염기서열로 확인되었다. RB 염기서열은 확인할 수 없었으며 nos-terminator 3' 말단의 21개의 염기를 포함하여 모두 58개의 염기서열이 결실된 것을 확인하였다. 형질전환식물체를 제작할 경우 발생하는 전이유전자나 식물의 염색체에 염기 결실은 매우 다양한 형태로 나타난다. 이번 실험의 경우, 전이유전자가 삽입된 위치에서 약 10 bp의 배추의 gDNA 염기가 결실된 것이나 삽입된 전이유전자의 RB 말단부분이 결실된 것은 예상할 수 있는 결과였지만, 특히 전이유전자의 말단인 nos-terminator 3' 끝에 65 bp 정도의 배추의 다른 유전자가 삽입되어 있다는 것을 확인하였고 이는 기대하지 않았던 결과였다. 삽입된 다른 배추유전자의 절편은 앞으로 더 많은 연구를 통하여 위치와 기능확인이 필요할 것이다.