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Giant Serpentine Intracranial Aneurysm: A Case Report

  • Jae Seong Park;Myeong Sub Lee;Myung Soon Kim;Dong Jin Kim;Joong Wha Park;Kum Whang
    • Korean Journal of Radiology
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    • v.2 no.3
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    • pp.179-182
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    • 2001
  • The authors present a case of giant serpentine aneurysm (a partially thrombosed aneurysm containing tortuous vascular channels with a separate entrance and outflow pathway). Giant serpentine aneurysms form a subgroup of giant intracranial aneurysms, distinct from saccular and fusiform varieties, and in this case, too, the clinical presentation and radiographic features of CT, MR imaging and angiography were distinct.

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Ectopic pleomorphic adenoma on subcutaneous plane of the cheek

  • Kim, Yong Hun;Yoon, Hyung Woo;Kim, Jiye;Kim, Sug Won
    • Archives of Craniofacial Surgery
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    • v.20 no.1
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    • pp.55-57
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    • 2019
  • Pleomorphic adenoma is the most common benign tumor of the salivary gland. Pleomorphic adenoma occurs most commonly in the parotid gland but it may involve other salivary gland such as submandible or lingual. We report an ectopic pleomorphic adenoma in the subcutaneous layer of the face. A woman presented with a mass of the nasolabial fold. After excision of the mass, it was revealed as an pleomorphic adenoma pathologically. An ectopic pleomorphic adenoma which was located in the subcutaneous layer of the face is very rare in medical literature.

Influence of different boost techniques on radiation dose to the left anterior descending coronary artery

  • Park, Kawngwoo;Lee, Yongha;Cha, Jihye;You, Sei Hwan;Kim, Sunghyun;Lee, Jong Young
    • Radiation Oncology Journal
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    • v.33 no.3
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    • pp.242-249
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    • 2015
  • Purpose: The purpose of this study is to compare the dosimetry of electron beam (EB) plans and three-dimensional helical tomotherapy (3DHT) plans for the patients with left-sided breast cancer, who underwent breast conserving surgery. Materials and Methods: We selected total of 15 patients based on the location of tumor, as following subsite: subareolar, upper outer, upper inner, lower lateral, and lower medial quadrants. The clinical target volume (CTV) was defined as the area of architectural distortion surrounded by surgical clip plus 1 cm margin. The conformity index (CI), homogeneity index (HI), quality of coverage (QC) and dose-volume parameters for the CTV, and organ at risk (OAR) were calculated. The following treatment techniques were assessed: single conformal EB plans; 3DHT plans with directional block of left anterior descending artery (LAD); and 3DHT plans with complete block of LAD. Results: 3DHT plans, regardless of type of LAD block, showed significantly better CI, HI, and QC for the CTVs, compared with the EB plans. However, 3DHT plans showed increase in the $V_{1Gy}$ at skin, left lung, and left breast. In terms of LAD, 3DHT plans with complete block of LAD showed extremely low dose, while dose increase in other OARs were observed, when compared with other plans. EB plans showed the worst conformity at upper outer quadrants of tumor bed site. Conclusion: 3DHT plans offer more favorable dose distributions to LAD, as well as improved target coverage in comparison with EB plans.

Urethroplasty of extensive penile urethral strictures with a longitudinal ventral tubed flap of penile skin (modified Orandi urethroplasty): 20 years of follow-up of two cases

  • Heo, Jae Won;Hong, Woo Taik;Kim, Yong Hun;Yang, Chae Eun;Kim, Jiye;Kim, Sug Won
    • Archives of Plastic Surgery
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    • v.47 no.6
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    • pp.613-618
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    • 2020
  • The surgical treatment of extensive urethral strictures remains a controversial topic; although techniques have evolved, there is still no definite method of choice. Since 1968, when Orandi presented an original technique for one-stage urethroplasty using a penile skin flap, the Orandi technique has become the most prevalently used one-stage procedure for anterior urethral strictures. We present a 20-year follow-up experience with one-stage reconstruction of long urethral strictures using a longitudinal ventral tubed flap of penile skin, with some important technical changes to Orandi's original technique to overcome the deficient vascularity caused by periurethral scar tissue. In 1997, a 55-year-old male patient complained of severe voiding difficulty and a weak urinary stream because of transurethral resection of the prostate due to benign prostatic hyperplasia. Another 47-year-old male patient had the same problem due to self-removal of a Foley catheter in 2002. In both patients, a urethrogram demonstrated extensive strictures involving the long segment of the anterior urethra. A rectangular skin flap on the ventral surface of the penis was used considering the appropriate length, diameter, and depth of the neourethra. The modified Orandi flap provided a pedicled strip of penile skin measuring an average of 8 cm. The mean duration of follow-up was 20.5 years. A long-term evaluation revealed stable performance characteristics without any complications.

Influence of Antithrombotic Medication on the Risk of Chronic Subdural Hematoma Recurrence after Burr-Hole Surgery

  • Choi, Jongwook;Pyen, Jinsu;Cho, Sungmin;Kim, Jongyeon;Koo, Younmoo;Whang, Kum
    • Journal of Korean Neurosurgical Society
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    • v.63 no.4
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    • pp.513-518
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    • 2020
  • Objective : Chronic subdural hematoma (CSDH) is one of the most common intracranial hemorrhages. It can be managed with a simple surgical treatment such as burr-hole trephination and drainage. However, it has a relatively high recurrence rate. The mechanisms and risk factors for the recurrence have not yet been clearly identified and studies have reported varying results. Methods : We analyzed 230 patients with CSDH who were treated with burr-hole trephination and drainage at our institution from March 2011 to March 2016. The patients were divided into recurrence and non-recurrence groups and the medical records of each group were used to analyze the risk factors associated with CSDH recurrence. Results : After burr-hole trephination and drainage, CSDH recurrence was observed in 49 (21.3%) of the 230 patients. In univariate analysis, none of the factors showed statistical significance with respect to CSDH recurrence. In multivariate analysis, preoperative antithrombotic medication was the only independent risk factor for CSDH recurrence (odds ratio, 2.407; 95% confidence interval, 1.047-5.531). Conclusion : The present study found that preoperative antithrombotic medication was independently associated with CSDH recurrence.

Group A ${\beta}$-hemolytic Streptococcal Meningoencephalitis with Unilateral Hemiparesis (일측성 편마비를 동반한 A군 ${\beta}$-용혈성 사슬알균 수막뇌염 1례)

  • Kim, Ki-Won;Soon, Eu-Gene;Cha, Byung Ho;Lee, Hae Yong;Uh, Young;Kim, Sunjoo;Chun, Jin-Kyong
    • Pediatric Infection and Vaccine
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    • v.16 no.2
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    • pp.210-214
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    • 2009
  • Group A streptococcus (GAS) rarely causes meningoencephalitis in children without risk factors. A previously healthy 8 year-old child presented with lethargy, high fever, and vomiting. The clinical course was unusual including intractable seizures, disseminated intravascular coagulation (DIC), and left hemiparesis in spite of the appropriate and timely administration of antibiotics and corticosteroids. The microbiologic studies revealed that the pathogen was susceptible to penicillin and GAS M18 strains. This case showed the importance of the GAS vaccine in addition to appropriate antibiotics.

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CT and MR Imaging Findings of Structural Heart Diseases Associated with Sudden Cardiac Death (급성 심장사와 관련된 구조적 심질환의 전산화단층촬영과 자기공명영상 소견)

  • Jong Sun Lee;Sung Min Ko;Hee Jung Moon;Jhi Hyun Ahn;Hyun Jung Kim;Seung Whan Cha
    • Journal of the Korean Society of Radiology
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    • v.82 no.5
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    • pp.1163-1185
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    • 2021
  • Sudden cardiac death is an unexpected death originating from the heart that occurs within an hour of the onset of symptoms. The main cause of sudden cardiac death is arrhythmia; however, diagnosing underlying structural heart disease significantly contributes to predicting the long-term risk. Cardiovascular CT and MR provide important information for diagnosing and evaluating structural heart disease, enabling the prediction and preparation of the risk of sudden cardiac death. Therefore, we would like to focus on the various structural heart diseases that increase the risk of clinically-important sudden cardiac death and the importance of imaging findings.