• Journal of Korean Neurosurgical Society
• /
• 제50권5호
• /
• pp.472-474
• /
• 2011

Cortical laminar necrosis appears as hyperinense lesions with a laminar pattern on T1 weighted magnetic resonance (MR) imaging, without signs of hemorrhage or calcification on T2 weighted MR imaging or computed tomography. It has been reported to be associated with hypoxia, metabolic disturbances, drugs, and infections. We present a 12 month-old male infant who suffered diffuse brain injuries following car accident and showed laminar necrosis of cortex.

• Archives of Plastic Surgery
• /
• 제44권4호
• /
• pp.340-343
• /
• 2017

Performing rhinoplasty using filler injections, which improve facial wrinkles or soft tissues, is relatively inexpensive. However, intravascular filler injections can cause severe complications, such as skin necrosis and visual loss. We describe a case of blepharoptosis and skin necrosis caused by augmentation rhinoplasty and we discuss the patient's clinical progress. We describe the case of a 25-year-old female patient who experienced severe pain, blepharoptosis, and decreased visual acuity immediately after receiving a filler injection. Our case suggests that surgeons should be aware of nasal vascularity before performing an operation, and that they should avoid injecting fillers at a high pressure and/or in excessive amounts. Additionally, filler injections should be stopped if the patient complains of severe pain, and appropriate measures should be taken to prevent complications caused by intravascular filler injections.

• Archives of Plastic Surgery
• /
• 제39권3호
• /
• pp.249-252
• /
• 2012

Nicolau syndrome is a rare complication of intramuscular injection consisting of ischemic necrosis of skin, soft tissue, and muscular tissue that arises locoregionally. The characteristic pattern is pain around the injection site, developing into erythema, a livedoid dermatitis patch, and necrosis of the skin, subcutaneous fat, and muscle tissue. Three patients were injected with drugs (diclofenac sodium, ketoprofen, meperidine) for pain relief. Three patients complained of pain, and a skin lesion was observed, after which necrosis developed on their buttocks. Each patient underwent debridement and coverage. The wound healed uneventfully. We report three cases of Nicolau syndrome in the buttocks following diclofenac intramuscular injection.

• Biomolecules & Therapeutics
• /
• 제22권3호
• /
• pp.167-175
• /
• 2014

Chemotherapy has long been considered as one of useful strategies for cancer treatment. It is primarily based on the apoptosis that can selectively kill cancer cells. However, cancer cells can progressively develop an acquired resistance to apoptotic cell death, rendering refractory to chemo- and radiotherapies. Although the mechanism by which cells attained resistance to drug remains to be clarified, it might be caused by either pumping out of them or interfering with apoptotic signal cascades in response to cancer drugs. In case that cancer cells are defective in some part of apoptotic machinery by repeated exposure to anticancer drugs, alternative cell death mechanistically distinct from apoptosis could be adopted to remove cancer cells refractory to apoptosis-inducing agents. This review will mainly deal with harnessing of necrotic cell death, specifically, programmed necrosis and practical uses. Here, we begin with various defects of apoptotic death machinery in cancer cells, and then provide new perspective on programmed necrosis as an alternative anticancer approach.

• Journal of Chest Surgery
• /
• 제56권5호
• /
• pp.362-366
• /
• 2023

The stomach has become the most commonly used site for grafts to replace the esophagus in esophageal cancer surgery because of its good blood supply and ability to enable single-reconstruction anastomosis. However, anastomotic failure is a serious complication after esophageal cancer surgery. Unlike anastomotic leakage due to local ischemia, gastric tube necrosis is a life-threatening condition with a high mortality rate. Gastric tube necrosis involves extensive ischemia due to a decreased blood supply, and an urgent operation is mandatory in most cases. Endoscopic vacuum therapy (EVT) has been used for anastomotic leakage after esophageal surgery. In recent years, it has been successfully used for more extensive disease, including large esophageal perforation as an indication for reoperation. Hence, we report a case of extensive gastric tube necrosis treated by EVT after an Ivor Lewis operation.

• 대한한약학회:학술대회논문집
• /
• 대한한약학회 2007년도 Autumn Conference
• /
• pp.145-160
• /
• 2007

• 한국어류학회지
• /
• 제27권3호
• /
• pp.183-188
• /
• 2015

본 연구에서는 무지개송어의 해수면 양식장으로의 이동에 따라 나타날 수 있는 어류 병원성 바이러스의 영향을 알아보기 위해, 담수 무지개송어 유래 병원체인 infectious hematopoietic necrosis virus (IHNV)와 infectious pancreatic necrosis virus (IPNV)를 사용하여 주요 해산 양식 어종인 넙치, 조피볼락, 돌돔, 참돔 및 능성어에 주사한 후 병원성 및 감염 여부를 조사하였으며, 또한 해산 양식 어종 유래 병원체인 marine birnavirus (MABV), hirame rhabdovirus (HIRRV) 및 nervous necrosis virus (NNV)를 사용하여 무지개송어에 대한 병원성 및 감염 여부를 조사하였다. IHNV와 IPNV는 주요 해산 양식 어종에 감염되는 것으로 확인되었으며, 또한 무지개송어는 해산 유래 위해 병원체인 MABV와 NNV에 감염되거나 HIRRV에 의해 폐사되는 것으로 확인되었다. 이상의 연구 결과, 해수사육 무지개송어는 어류 병원성 바이러스들에 의해 영향 받을 수 있을 것으로 사료되었다.

• Asian Pacific Journal of Cancer Prevention
• /
• 제15권14호
• /
• pp.5799-5804
• /
• 2014

Background: Radiofrequency ablation (RFA) is the most widely used and studied method internationally for the local treatment of liver tumors. However, the extension of coagulation necrosis in one RFA procedure is limited and incomplete coverage of the damaged area can lead to a high local recurrence rate. Objective: In this study, we compared the effects of different solutions in enhancing hepatic radiofrequency by establishing a rabbit VX2 liver cancer model. We also determined the optimal solution to maximise effects on the extent of RFA-induced coagulation necrosis. Methods: Thirty VX2 tumor rabbits were randomly assigned to five groups: group A, RFA alone; group B, RFA with anhydrous ethanol injection; group C, RFA with 5% hypertonic saline injection; group D, RFA with lidocaine injection; and group E, RFA with a mixed solution. Routine ultrasound examinations and contrast-enhanced ultrasound (CEUS) of the ablation areas were performed after RFA. Then, we measured the major axis and transverse diameter and compared the areas of coagulation necrosis induced by RFA. Results: The mean ablation area range increased in groups B, C and especially E, and the scopes were greater compared with group A. Preoperative application of anhydrous ethanol, hypertonic saline, lidocaine and the mixed solution (groups B, C, D and E, respectively) resulted in larger coagulation necrosis areas than in group A (p<0.05). Among the groups, the coagulation necrosis areas in group E was largest, and the difference was statistically significant compared with other groups (p<0.05). Pathological findings were consistent with imaging results. Conclusions: A mixture of dehydrated alcohol, hypertonic saline and lidocaine injected with RFA increases the extent of coagulation necrosis in the liver with a single application, and the mixed solution is more effective than any other injection alone.

• Archives of Plastic Surgery
• /
• 제36권1호
• /
• pp.75-79
• /
• 2009

Purpose: The transverse rectus abdominis musculocutaneous(TRAM) flap is the most commonly used autogenous tissue flap for breast reconstruction. Postoperatively, partial flap loss or fat necrosis are relatively common and it may result in a smaller breast volume with marked contour irregularities. These defects are not easy to reconstruct with local tissue rearrangement or with breast implants. The current authors present the results of 2 patients who underwent Latissimus dorsi(LD) flap reconstruction to correct partial flap or fat necrosis that developed after TRAM flap breast reconstruction. Method: Case1: A 50 - year - old woman with left breast cancer visited for breast reconstruction after radical mastectomy. Initially, breast reconstruction with pedicled TRAM was performed. Postoperatively partial flap necrosis was developed. Secondary breast reconstruction using LD flap was done. Case2: A 51 - year - old woman with left breast cancer visited for breast reconstruction after radical mastectomy. Initially, breast reconstruction with pedicled TRAM was performed. Postoperatively fat necrosis was developed. Secondary breast reconstruction using LD flap was done. Results: Secondary breast reconstruction using LD flap survived completely and produce successful reconstruction. There was no significant complication in both patients. Conclusion: LD flap provides sufficient, vascularized skin and soft tissue. The flap can be molded easily to replace deficient tissue in all areas of the breast. These attributes make it an ideal candidate for salvage of the partially failed TRAM flap breast reconstructio.

• 한국어병학회지
• /
• 제25권2호
• /
• pp.111-116
• /
• 2012

본 연구에서는 2006-2008년 남해안 일대의 해상가두리에서 사육중인 능성어에서 발생하는 viral nervous necrosis (VNN)의 발생양상을 조사하였다. VNN은 사육 수온이 $24-26^{\circ}C$ 범위인 8월부터 발생하기 시작하여 수온이 $20-25^{\circ}C$ 범위인 9-10월까지 지속되었고, 성어보다는 치어에서 폐사율이 높게 나타나는 것으로 확인되었다. 폐사되는 패턴으로는 급성으로 인한 대량폐사와 소량으로 지속적으로 폐사되는 경우가 확인되었다. 능성어로부터 분리된 NNV 분리주들의 coat protein gene을 계통분석한 결과, 분리주들은 모두 RGNNV 유전자형에 속하였다. 이상의 결과로 능성어 양식장에서의 VNN은 RGNNV type의 NNV에 의해 여름철 7-9월(사육수온: 약 $24^{\circ}C$)에 치어뿐만 아니라 성어에서 발생하는 것으로 확인되었다.