• Title/Summary/Keyword: Vertebral

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Thoracic teratoma in a laying hen (Deklb brown warren). A case report (산란계에서의 흉강내 기형종 발생보고)

  • 한규삼;이성효;서문정;오언평;채효석;유혜진;임채웅
    • Korean Journal of Veterinary Service
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    • v.20 no.2
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    • pp.183-189
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    • 1997
  • This article reports a spontaneous thoracic teratoma in a laying hen (Deklb brown warren). In this case, a 40 days old hen was submitted for necropsy as part of an investigation into a flock problem suspected Marek's disease to Chonbuk Veterinary Service Laboratory in 1983. On the gross finding, mass was In the cranial subpulmonary cavity and attached to the vertebral column. It contained fully developed contour feathers. Histologically, feathers were arised from feather follicles complete with arrector plumi muscle, nerve, vessel and mucous gland composed with simple tall columnar epithelium. The outer surface of mass was lined by keratinized or nonkeratinized stratified squamous epithelium. It converted to pseudostratified ciliated columnar epithelium in some area. There were lymphocyte infiltration around gland tissue and eosinophilic intranuclear inclusion bodies in nonkeratinized epithelium. This thoracic teratoma was composed of ectodermal origin, squamous epithelium and nerve, and endodermal origin, mucous gland. This case in laying hen has never been reported in the literature in the world.

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Cystic Echinococcosis of the Pelvic Bone with Recurrences: A Case Report

  • Jain, Sunila;Chopra, Prem
    • Parasites, Hosts and Diseases
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    • v.49 no.3
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    • pp.277-279
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    • 2011
  • Hydatid cysts commonly affect the liver and the lung. However, they rarely involve bones with vertebral column. We hereby report a case of a female patient with cystic echinococcosis of the hip bone and ilium. She presented with a long history of frequent recurrences highlighting the dismal prognosis at this rare site. Resection of the hydatid cyst from the sacroiliac region was done with allograft and autograft (rib graft) with lumbosacroiliac fixation. Follow-up of the patient at 6 months showed no detectable abnormality on radiology and the patient was doing well.

Atypical Presentation of Spinal Tuberculosis Misadiagnosed as Metastatic Spine Tumor

  • Kim, Dong-Woo;Choi, Hyu-Jin;Kim, Hyung-Dong;Song, Young-Jin
    • Journal of Korean Neurosurgical Society
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    • v.39 no.6
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    • pp.451-454
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    • 2006
  • We present a case of a 68-year-old female with an atypical form of spinal tuberculosis, which involved posterior elements with multiple foci in two noncontiguous vertebral levels. The lesions caused spastic paraparesis and urinary hesitation. There was no evidence of pulmonary or other extrapulmonary tuberculous disease. Based on clinical and radiographic findings, this atypical spinal tuberculosis was preoperatively misdiagnosed as metastatic spine tumor. The histopathologic finding confirmed tuberculosis and the patient was treated successfully with surgery and antituberculous therapy. In case of a spinal lesion of unknown origin, it is important to be aware that atypical spinal tuberculosis can mimic metastatic spine tumor and tuberculosis should always be considered.

A Case of Spinal Intradural Extramedullary Cavernous Angioma

  • Chung, Dae-Yeong;Shin, Yong-Hwan;Sung, Joo-Kyung
    • Journal of Korean Neurosurgical Society
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    • v.38 no.1
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    • pp.74-76
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    • 2005
  • Cavernous angiomas represent 5 to 12% of spinal vascular malformations and usually are located at the vertebral body level with possible extension into the extradural space. The intradural intramedullary cavernous angioma occurs in about 3% of cases, whereas extramedullary localization is extremely rare. We report a case of intradural extramedullary cavernous angioma in which the patient presented with low back pain and both leg pain. The magnetic resonance imaging study showed intraspinal mass lesion at L1-2. It was removed totally through laminectomy of L1-2 and confirmed as cavernous angioma. The postoperative course was uneventful without any neurologic deficit. We report this unusual spinal malformation.

Giant Cell Tumor of Upper Thoracic Spine

  • Lee, Chul Gab;Kim, Sung Hoon;Kim, Dong Min;Kim, Seok Won
    • Journal of Korean Neurosurgical Society
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    • v.55 no.3
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    • pp.167-169
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    • 2014
  • Giant cell tumor (GCT) of the spine is a rare benign tumor, but can be aggressive and can exhibit a high local recurrence rate. Furthermore, GCT of the upper thoracic spine may pose diagnostic and management difficulties. Here, we report a rare case of GCT of the upper thoracic spine with soft tissue extension to the spinal canal. The patient was managed by decompressive laminectomy and posterolateral fusion followed by an injection of polymethylmethacrylate into the vertebral lesion. The patient recovered clinically and showed radiological improvement after surgical treatment without tumor recurrence at his last follow-up of postoperative 7 years. We present this unusual case of GCT and include a review of the literature.

Brainstem Congestion due to Dural Ateriovenous Fistula at the Craniocervical Junction

  • Wu, Qi;Wang, Han-Dong;Shin, Yong Sam;Zhang, Xin
    • Journal of Korean Neurosurgical Society
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    • v.55 no.3
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    • pp.152-155
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    • 2014
  • Dural ateriovenous fistula (DAVF) at the craniocervical junction is rare. We report a patient presenting with brainstem dysfunction as an uncommon onset. Brainstem lesion was suggested by magnetic resonance image study. Angiogram revealed a DAVF at a high cervical segment supplied by the meningeal branch of the right vertebral artery, with ascending and descending venous drainage. Complete obliteration of the fistula was achieved via transarterial Onyx embolization. Clinical cure was achieved in the follow-up period; meanwhile, imaging abnormalities of this case disappeared. Accordingly, we hypothesize that a brainstem lesion of this case was caused by craniocervical DAVF, which induced venous hypertension. Thus, venous drainage patterns should be paid attention to because they are important for diagnosis and theraputic strategy.

Modified Trajectory of C2 Laminar Screw-Double Bicortical Purchase of the Inferiorly Crossing Screw

  • Rhee, Woo-Tack;You, Seung-Hoon;Jang, Yeon-Gyu;Lee, Sang-Youl
    • Journal of Korean Neurosurgical Society
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    • v.43 no.2
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    • pp.119-122
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    • 2008
  • The crossing laminar screw fixation might be the most recently developed approach among various fixation techniques for C2. The new construct has stability comparable to transarticular or transpedicular screw fixation without risk of vertebral artery injury. Quantitative anatomical studies about C2 vertebra suggest significant variation in the thickness of C2 lamina as well as cross sectional area of junction of lamina and spinous process. We present an elderly patient who underwent an occipito-cervical stabilization incorporating crossed C2 laminar screw fixation. We preoperatively recognized that she had low profiles of C2 lamina, and thus made a modification of trajectory for the inferiorly crossing screw. We introduce a simple modification of crossing C2 laminar screw technique to improve stability in patients with low laminar profiles.

Primary Intracranial Malignant Melanoma with Extracranial Metastasis

  • Hirota, Kengo;Yoshimura, Chika;Kubo, Osami;Kasuya, Hidetoshi
    • Journal of Korean Neurosurgical Society
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    • v.60 no.1
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    • pp.98-101
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    • 2017
  • We report a case of primary intracranial malignant melanoma (PIMM) with extracranial metastases. The patient was an 82-year-old woman diagnosed with PIMM under the left cerebellar tentorium. We performed a tumor resection followed by gamma knife surgery. An magnetic resonance imaging at 11 months after surgery showed a local intracranial recurrence. At 12 months, vertebral metastasis was suspected, and 2-[fluorine-18]-fluoro-2-deoxy-D-glucose positron emission tomography/computed tomography (FDG-PET/CT) showed multiple extracranial metastases. She died at 13 months after surgery. Although extracranial metastases of PIMM are extremely rare, we should carefully follow up extracranial metastases together with intracranial ones, especially by FDG-PET/CT, even at an early asymptomatic stage.

Effect of Joint Movement on CVA in Forward Head Posture

  • Hong, Seong bum
    • Journal of International Academy of Physical Therapy Research
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    • v.9 no.2
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    • pp.1508-1512
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    • 2018
  • This study was conducted to examine the effect of joint mobilization on forward head posture and to propose an effective method to improve correct body posture and balance. A total of eight patients from a Maitland-applied group (n=8) received mobilization therapy to increase the mobility of the cervical joint, with Maitland's movement grade III intensity for 30 seconds of treatment and 30 seconds of rest, for ten intervals, three times a week for four weeks. The craniovertebral angle (CVA) changes before and after the intervention with the Maitland technique were measured as $56.85{\pm}2.31^{\circ}$ before, $63.23{\pm}2.23^{\circ}$ two weeks after, and $64.98{\pm}1.27^{\circ}$ four weeks after joint intervention. There were significant CVA changes before and after the Maitland technique (P <.05). The results of this study suggest that the Maitland technique is useful for improving the head vertebral angle in patients with forward head posture.

Bilateral Medial Medullary Infarction Demonstrated by Diffusion-Weighted Imaging : Case Report

  • Jang, Han-Won;Byun, Woo-Mok
    • Journal of Yeungnam Medical Science
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    • v.26 no.1
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    • pp.70-73
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    • 2009
  • A 78-year-old woman presented with weakness of the extremities, dysarthria, dizziness, and sensory impairment. Magnetic resonance imaging showed acute bilateral medial medullary infarction. Contrast enhanced magnetic resonance angiography demonstrated stenosis or occlusion of both intracranial vertebral arteries. We present a rare case of bilateral medullary infarction seen on diffusion-weighted imaging.

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