Keimyung Medical Journal最新文献_第2页

Treatment of Primary Cerebral Ventricular Abscess: Use of Dual Catheters and Ommaya Reservoir 原发性脑室脓肿的治疗:双导尿管和Ommaya储液器的应用

Keimyung Medical Journal Pub Date : 2023-05-25 DOI: 10.46308/kmj.2023.00080

J. Byun, El Kim

{"title":"Treatment of Primary Cerebral Ventricular Abscess: Use of Dual Catheters and Ommaya Reservoir","authors":"J. Byun, El Kim","doi":"10.46308/kmj.2023.00080","DOIUrl":"https://doi.org/10.46308/kmj.2023.00080","url":null,"abstract":"An isolated ventricular abscess is a rare event, and its treatment is a real challenge. We report such case in a 52-year-old man that was successfully managed with aid of occipital approach and ventricular access device. This patient presented with the chief complaint of headache and fever of 3-day duration. Magnetic resonance imaging showed fluid-filled layering within the posterior horns of the lateral ventricle without contrast enhancement. Blood test and cerebrospinal fluid analysis was consistent with acute bacterial ventriculitis. Using stereotactic technique guided by electromagnetic navigation, the occipital horns were bilaterally targeted and catheter-ized, and then the abscess and debris was evacuated. The Ommaya reservoir implanted at the left entry was intermittently punctured for preventing the recollection. The pus culture was positive for Streptococcus pneumoniae . He received an antibiotic therapy and the reservoir aspiration leading to rapid recovery and remission of clinical manifestations. There was no evidence of the recurrence within the ventricles on follow-up scans after discharging. This modification, occipital approach and reservoir placement, is effective treatment for improving the cure rate in the selected cases with intraventricular cerebral empyema.","PeriodicalId":166951,"journal":{"name":"Keimyung Medical Journal","volume":"217 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134104839","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Pneumococcal Cerebrospinal Meningitis: A Rare Complication of Pediatric Temporal Bone Fracture 肺炎球菌性脑脊膜炎:儿童颞骨骨折的罕见并发症

Keimyung Medical Journal Pub Date : 2023-05-16 DOI: 10.46308/kmj.2023.00059

J. Byun, El Kim

引用次数: 0

Modifying NHL-BFM-90 and HLH-2004 Protocols for a Child with SPLTCL and HLH; Prompt Initiation of Dexamethasone and Etoposide 对儿童SPLTCL和HLH的NHL-BFM-90和HLH-2004协议的修改迅速启动地塞米松和依托泊苷

Keimyung Medical Journal Pub Date : 2023-05-16 DOI: 10.46308/kmj.2023.00073

Kwi Han Ko, Minsu Kim, J. Hah

{"title":"Modifying NHL-BFM-90 and HLH-2004 Protocols for a Child with SPLTCL and HLH; Prompt Initiation of Dexamethasone and Etoposide","authors":"Kwi Han Ko, Minsu Kim, J. Hah","doi":"10.46308/kmj.2023.00073","DOIUrl":"https://doi.org/10.46308/kmj.2023.00073","url":null,"abstract":"Subcutaneous panniculitis-like T-cell lymphoma (SPLTCL) which is similar to lobular panniculitis is a subtype of skin lymphoma that is characterized by pleomorphic T cells and benign macrophages. The simultaneous presence of hemophagocytic lymphohistiocytosis (HLH) is the most important and adverse prognostic factor in SPLTCL. SPLTCL is a rare disease with no well-established standard treatment. We report a child with SPLTCL and HLH, who were successfully treated with the modified NHL (non-Hodgkin lymphoma)-BFM(Berlin-Frankfurt-Münster)-90 and HLH-2004 protocols. Patient had persistent fever and subcutaneous masses. SPLT-CL with HLH was diagnosed by immunohistochemistry, radiology and laboratory results. SPLTCL with HLH has shown high mortality when treated with a combination of intensive anticancer drugs. Thus, we first administered dexamethasone and etoposide. After this, when we used the modified protocol of NHL-BFM-90 and HLH-2004, patient showed complete resolution of the subcutaneous masses and features of HLH, except for persistent hyperferritinemia. We tried etanercept to reduce high serum ferritin with some effects. In children with diagnosis of SPLTCL with HLH, initiation of immediate and appropriate treatment affects prognosis. Thus, prompt initiation of the agents that can simultaneously control underlying disease as well as secondary HLH could have lead to successful results.","PeriodicalId":166951,"journal":{"name":"Keimyung Medical Journal","volume":"249 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115633930","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Medical Humanities Course Development Experience in Medical School 医学院医学人文学科课程开发经验

Keimyung Medical Journal Pub Date : 2023-05-16 DOI: 10.46308/kmj.2023.00045

Seon-Kyoung Kim, J. Bae, Jae-Ho Lee

引用次数: 1

Characteristics of Pulmonary Nodules in Current Smoker 当前吸烟者肺结节的特点

Keimyung Medical Journal Pub Date : 2023-05-16 DOI: 10.46308/kmj.2023.00066

B. Youn, Seongwan Hong, Dae-Wook Kim, J. Ha, Insung Chung

引用次数: 0

Hemodynamic Improvement after Surgical Intervention for Pannus in Prosthetic Mitral Valve 人工二尖瓣潘窦手术后血流动力学的改善

Keimyung Medical Journal Pub Date : 2023-04-18 DOI: 10.46308/kmj.2023.00038

Kyung-Suk Song, Y. Kim, W. Jang

引用次数: 0

Initial Experiences of Left Bundle Branch Area Pacing in Daegu, South Korea – New Procedure with Familiar Tools 韩国大邱左束支区起搏的初步经验-熟悉工具的新程序

Keimyung Medical Journal Pub Date : 2023-04-11 DOI: 10.46308/kmj.2023.00052

引用次数: 0

Fluoroscopic Landmark to Optimize the View of the Foramen Ovale Using the Neighboring Structure 利用邻近结构优化卵圆孔视野的透视标记

Keimyung Medical Journal Pub Date : 2023-04-11 DOI: 10.46308/kmj.2023.00024

Ji-Hee Hong, Se Nyung Huh, Ki Beom Park

{"title":"Fluoroscopic Landmark to Optimize the View of the Foramen Ovale Using the Neighboring Structure","authors":"Ji-Hee Hong, Se Nyung Huh, Ki Beom Park","doi":"10.46308/kmj.2023.00024","DOIUrl":"https://doi.org/10.46308/kmj.2023.00024","url":null,"abstract":"Radiofrequency thermocoagulation (RFT) via trans-oval approach is effective treat-ment modalities for trigeminal neuralgia. Clear identification of the foramen ovale (FO) is the most important initial step for successful percutaneous procedures. The purpose of this study was to verify whether the medial end of the temporomandibular joint and the distance between the mandibular angle and the occipital inner line can be used as a fluoroscopic landmark to determine the proper angulation of the C-arm. Analysis of previously saved fluoroscopic FO images during RFT was performed. As a fluoroscopic landmark to guide a proper lateral and axial oblique rotation of the C-arm, the position of the medial end of the temporomandibular joint and the vertical distance between the mandibular angle and the occipital inner line were evaluated. When the FO was located at the most central point within the H-fig-ure, the medial end of TMJ was always located within the mandibular notch. The maximum view of the FO was defined when the FO showed maximal short axis to long axis ratio. The FO showed the best view when the vertical distance between the mandibular angle and occipital inner line was 20.04 (5.1) mm. This study demonstrated that the medial end of the temporomandibular joint and the vertical distance between the mandibular angle and occipital inner line as a fluoroscopic landmark for obtaining the optimal view of the FO.","PeriodicalId":166951,"journal":{"name":"Keimyung Medical Journal","volume":"93 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121120321","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Trajectory of Loneliness among Adolescent Game Players 青少年游戏玩家的孤独感轨迹

Keimyung Medical Journal Pub Date : 2023-04-11 DOI: 10.46308/kmj.2022.00185

引用次数: 0

The Effect of Intravitreal Bevacizumab Injection in Wet Age-Related Macular Degeneration Patients with Cataract Surgery 玻璃体内注射贝伐单抗在湿性年龄相关性黄斑变性白内障手术患者中的作用

Keimyung Medical Journal Pub Date : 2023-03-23 DOI: 10.46308/kmj.2022.00234

J. An, Y. Kim, K. T. Kang

引用次数: 0