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Painful legs and moving toes syndrome (PLMT) is a rare syndrome characterized by pain in the lower extremities and involuntary movements of single or multiple toes. A 29-year-old woman with lumbosacral intervertebral disc herniation complained of bilateral foot pain and involuntary toe movements for three months. This is the first case of PLMT in a young adult patient with a lumbosacral intervertebral disc herniation in Korea.
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Cerebral hyperperfusion syndrome is a major cause of morbidity and mortality following carotid artery stenting (CAS). We present a case of acute subdural hematoma (SDH) 2 hours after CAS. In this case, arterial origin of bleeding was verified during operation. To our knowledge, there is no prior case report of SDH without intraparenchymal nor subarachnoid hemorrhage subsequent to CAS. We postulate that SDH was caused by sudden rise in intracranial pressure due to the hyperperfusion which disrupted a corticodural bridging artery.
Sujets)
Artères , Artères carotides , Hématome subdural , Hématome subdural aigu , Hémorragie , Pression intracrânienne , Mortalité , Endoprothèses , Hémorragie meningéeRésumé
No abstract available.
Résumé
BACKGROUND AND OBJECTIVES: Radicular cysts, the most frequent cyst of the teeth bearing areas, occur commonly in the premaxillary region of young and middle aged persons. The lesion is usually silent, but large radicular cyst, especially in the maxilla, can make various symptoms and signs. The purpose of this study was to investigate the clinical characteristics and proper treatment of the radicular cyst in the maxilla. SUBJECTS AND METHOD: Ten radicular cysts in the maxilla, which were diagnosed and surgically treated between January, 2004 and June, 2006 at the Department of Otolaryngology, were included for this retrospective study. Clinical variables such as sex, age, frequency, symptoms, site of occurrence, histopathology, treatment and results of surgery were analyzed. RESULTS: From incisor to canaine, about 62.1% of the radicular cyst occurred around pre-maxillary region. The average age was 34.1 years and the most commonly occurring age fell between 20 and 30 years old. The most common symptoms were facial swelling or mass. All patients had preoperative dental check-up, and underwent root canal therapies in seven cases and dental extraction in one case. Complete enucleation was performed in all patients by Caldwell-Luc approach, sublabial approach and trans-palatal approach. CONCLUSION: Root canal therapy and complete surgical enucleation were both effective treatment methods for radicular cyst.
Sujets)
Adulte , Humains , Adulte d'âge moyen , Incisive , Maxillaire , Oto-rhino-laryngologie , Kyste radiculaire , Études rétrospectives , Traitement de canal radiculaire , DentRésumé
BACKGROUND AND OBJECTIVES: Cervical lymph node metastasis develops in approximately 30% to 80% of patients with papillary thyroid carcinoma. In papillary thyroid carcinoma, lymph node metastasis at presentation do not seem to adversely affect survival, but do increase the risk of loco-regional recurrence. The management of cervical metastasis in thyroid papillary carcinoma ranges from selective removal to a formal comprehensive neck dissection. In this study, we analyzed the pattern of cervical lymph node metastasis and the impact of prognostic variables in oder to plan how to manage the cervical lymph node metastasis in patients with papillary thyroid carcinoma. SUBJECTS AND METHOD: The clinical records and pathological reports of 114 patients who underwent surgery for thyroid papillary carcinoma at the Department of Otolaryngology-Head and Neck Surgery, Hanyang university from 1996 to 2002 were analyzed retrospectively. RESULTS: Cervical nodal metastasis was found in 57 (50.0%) patients. Occult metastasis was found in 26 (22.8%) patients. Cervical lymph node metastasis was most frequently noted in the level VI (38.6%). The size of primary tumor and extrathyroidal invasion were associated with cervical metastasis. CONCLUSION: Based on our results, it might be suggested that elective central neck dissection is needed for patients with papillary thyroid carcinoma which is larger than 35mm or has extrathyriodal extension.