• Title/Summary/Keyword: progressive patient

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Pulmonary Lymphangiomyomatosis - A Case Report - (폐림프관근종증 치험 1례)

  • 정수상;박병률;이종수;양석숭
    • Journal of Chest Surgery
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    • v.26 no.2
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    • pp.160-162
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    • 1993
  • Pulmonary lymphangiomyomatosis is rare but extremely interesting condition caused by progressive widespread smooth muscle proliferation in the perilymphatic regions throughout the lungs. The patient was a 25-year-old female. She had angiofibromas in the face, and angiomyolipoma in the left kidney which was removed 5 years earlier. Three years ago she started having severe dyspnea with bilateral pneumothoraces. Treatment was initiated with bilateral closed thoracotomies followed by open thoracotomy through median sternotomy and lung biopsy, which revealed the diagnosis of pulmonary lymphangiomyomatosis. Recurrence of pneumothorax was treated by repeated chemical pleurodesis with tetracycline. She has been in good condition during medroxyprogesterone administration for 3 years.

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Cervical Radiculopathy due to Cervical Degenerative Diseases : Anatomy, Diagnosis and Treatment

  • Kim, Kyoung-Tae;Kim, Young-Baeg
    • Journal of Korean Neurosurgical Society
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    • v.48 no.6
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    • pp.473-479
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    • 2010
  • A cervical radiculopathy is the most common symptom of cervical degenerative disease and its natural course is generally favorable. With a precise diagnosis using appropriate tools, the majority of patients will respond well to conservative treatment. Cervical radiculopathy with persistent radicular pain after conservative treatment and progressive or profound motor weakness may require surgery. Options for surgical management are extensive. Each technique has strengths and weaknesses, so the choice will depend on the patient's clinical profile and the surgeon's judgment.

치주 질환을 동반한 상악 정중이개(diastema)환자에 있어 치주-교정-보철 치료의 치험 증례 보고

  • Kim, Tae-Hun;Lee, Seung-Hui
    • The Journal of the Korean dental association
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    • v.36 no.11 s.354
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    • pp.794-799
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    • 1998
  • Many references report that abnormal diastema except temporary diastema existing in mixed dentition period is caused by maxilary heavy labial frenum, malocclusion, progressive periodontal disease, and loss of posterior teeth. We can diagnose patient as diastema caused by periodontal disease, especially, in case of accompanying progressively destructed anterior maxillary alveolar bone defect, and interseptal bone defect. We report Multiple disciplinary approach for diastema associated with periodontal disease. Periodontal treatment(Guided Tissue -Regeneration, alveoloplasty, bone graft), or thodontic treatment (space closure, redistribution), and the final proshodontic restoration for retention were used.

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Pulmonary Involvement in Behcet's Disease -A Case Report- (폐동맥류를 동반한 Behcet's Disease)

  • 백효채
    • Journal of Chest Surgery
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    • v.27 no.5
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    • pp.402-406
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    • 1994
  • Behcet`s disease is a rare systemic disease of unknown cause and it is a progressive disorder with episodes of activity and remission. The major features are oral and genital ulceration and skin and eye lesions. Pulmonary involvement is rare, and we have experienced a 38 year old female patient who had undergone right lower lobe lobectomy due to extensive, rapidly growing pulmonary thromboemboli and pseudoaneurysm in pulmonary artery.

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A case of Guillain-Barr$\acute{e}$ Syndrome Complicated with Reversible Cardiomyopathy (길랑-바레 증후군에 합병된 가역적 심근병증 1예)

  • Kim, Sung-Hyouk;Kim, Su-Hyun;Lee, Yeong-Bae
    • Annals of Clinical Neurophysiology
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    • v.12 no.2
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    • pp.66-69
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    • 2010
  • A 73-year-old man with progressive quadriparesis was diagnosed as Guillain-Barr$\acute{e}$ syndrome. On the 6th hospital day, the patient complained of sudden chest discomfort. The blood test and echocardiography suggested myocardial injury, and acute myocardial infarction was considered. However, coronary angiography displayed no vascular lesion, and the electrocardiography and echocardiogram showed marked improvement 14 days later. We concluded the patient had a reversible cardiomyopathy which is a rare complication of Guillain-Barr$\acute{e}$ syndrome.

Renal Carcinoma in a Dog (개에서 신암종 발생례)

  • 장인호;장광호;장환수;송창현;강원모;박기대;이재현
    • Journal of Veterinary Clinics
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    • v.17 no.1
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    • pp.270-274
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    • 2000
  • A seven-year-old female Jindo-dog was presented with a history of progressive abdominal distension. Except for severe bilateral abdominal swelling, other abnormal signs were not detected. The patient showed normal appetite and defecation. In the radiographic examination, the abdomen was filled with large masses. Suspected a certain neoplastic disease, laparotomy was taken through the cranial abdominal midline. Large pale-yellow masses were proliferated to fill the abdomen. In the masses, grey-brown or black portion presumed hemorrhagic or necrotic spots were found. Even though neoplastic tissues were not detected in the right kidney, they were infiltrated in the left kidney except for a part of the cortex. Obtaining the owner's consent, the patient was euthanized and samples were collecte for further study. In microscopic examination, the parenchyma of the medulla was substituted with tumor cells and the cortex was impressed by the expansive proliferation of the neoplastic tissues. This neoplasm was estimated as renal carcinoma originated from tubular epithelium, being based upon that tumor cells were largely cuboidal cells and they had obscure tubular forms.

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Redo AVR: One Case Report (대동맥판막 재이식술 -1예 보고-)

  • Seong, Sang-Hyeon;Seong, Suk-Hwan;Lee, Yeong-Gyun
    • Journal of Chest Surgery
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    • v.15 no.2
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    • pp.254-258
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    • 1982
  • We have experienced one case of Redo AVR which was performed 13 months after initial operation. The patient had received AVR [Bjork-Shiley disc valve] and MVR [Ionescu-Shiley tissue valve] because of ASI and MSI at March, 1981. During follow up through the OPD, he complained exertional dyspnea and progressive jaundice with hemolytic anemia was also noticed since 1 month prior to readmission. Cardiac catheterization and angiography revealed periaortic valvular leakage due to partial detachment of previously replaced prosthetic aortic valve. Re-replacement of prosthetic aortic valve with Ionescu-Shiley valve was performed and the patient was discharged at 17th POD without any complications.

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Chylous Ascites After Aorto-Bifemoral bypass Graft (대동맥-양측대퇴동맥 우회술 후 발생한 유미 복수)

  • Jo, Gyu-Cheol;Kim, Dong-Won;Yu, Se-Yeong
    • Journal of Chest Surgery
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    • v.27 no.9
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    • pp.798-800
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    • 1994
  • Chyloascities is an extravasation of milky chyle into the peritoneal cavity due to tumor , inflammation or rarely postoperative lymphatic trauma.It is an unusual complication that can lead to significant immunologic and nutritional consequences.We experienced one case of chyloascites after aorto-bifemoral bypass graft in a patient with aorto-iliac occlusive disease.The patient was a 62-year-old male, who suffered from severe progressive claudication for 5 months. A 16$\times$ 8mm gelsealed Dacron-Y shaped graft was used in arterial reconstruction. A bloody-milky fluid was drained through the operative wound from 3days after operation and evaluated biochemically.Diagnosis of chyloascites was made with repeated paracentesis and examination of the fluid.After Total parenteral nutrition[T.P.N] for 3 weeks from 6days after operation, chyloascites was controlled sufficiently and maintained a good graft-patency in abdominal sonogram.

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Leg Weakness in a Patient with Lumbar Stenosis and Adrenal Insufficiency

  • Kim, Kyoung-Tae;Ahn, Suk-Won;Kwon, Jeong-Taik;Kim, Young-Baeg
    • Journal of Korean Neurosurgical Society
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    • v.49 no.4
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    • pp.234-236
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    • 2011
  • Lumbar spinal stenosis (LSS) is a common spinal disease in the elderly. The cardinal symptom of LSS is neurogenic claudication, but not all patients present with such typical symptom. The clinical symptoms are often confused with symptoms of peripheral neuropathy, musculo-skeletal disease and other medical conditions in elderly patients. In particular, LSS presenting with rapid progression of leg weakness must be distinguished from other combined diseases. We report a case of rapid progressive leg weakness in a patient with LSS and iatrogenic adrenal insufficiency that was induced by obscure health supplement.

Delayed Bone Cement Displacement Following Balloon Kyphoplasty

  • Wang, Hee-Sun;Kim, Hyeun-Sung;Ju, Chang-Il;Kim, Seok-Won
    • Journal of Korean Neurosurgical Society
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    • v.43 no.4
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    • pp.212-214
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    • 2008
  • We report a rare case of delayed cement displacement after balloon kyphoplasty in patient with K$\ddot{u}$mmell's desease. A 78-year-old woman with K$\ddot{u}$mmell's desease at T12 level received percutaneous balloon kyphoplasty. Two months after surgery, the patient complained of progressive severe back pain. Computed tomographic scans revealed a breakdown of the anterior cortex and anterior displacement of bone cement. Although this complication is very rare, it is likely to occur in treatment of K$\ddot{u}$mmell's disease accompanying anterior cortical defect.