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RISS 인기검색어
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- 저자 : Dong-WooPark (검색결과 2 건)
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Hyun-KooKang,Seung-RhoLee,Dong-WooPark,Chang-KokHahm 대한영상의학회 2002 대한영상의학회지 Vol.47 No.4
Human tail is a rare congenital anomaly in which a lesion protrudes from the lumbosacrococcygeal region. We encountered a case of human tail involving an intradural lipoma and tethered cord, occurring in a 1-day -old female who presented with an 8cm-sized tail shown by MRI to arise from the S3-4 level. The cauda equina and film terminale were entrapped by the lipoma, but there were no bony abnormalities. 인체 꼬리는 요추, 천추, 미추부위에 발생하는 매우 드문 선천성 기형이다. 최근 요추 부위의 경막내 지방종과 계류척수가 동반된 인체 꼬리 1예를 경험하여 이를 보고하고자 한다. 환자는 생후 1일의 여아로 8 cm 길이의 인체 꼬리를 주소로 내원하였다. 자기공명영상소견상 인체 꼬리는 제 3번, 4번 천추부위에서 시작되어 있었고, 마미와 종사는 지방종에 의해 고정되어 있었다. 그 외 다른 골격 기형은 관찰되지 않았다.
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Respiratory syncytial virus-associated seizures in Korean children, 2011–2016
Tea-hyen Cha,Young Jin Choi,Jae-WonOh,김창렬,Dong-WooPark,In Joon Seol,Jin-Hwa Moon 대한소아청소년과학회 2019 Clinical and Experimental Pediatrics (CEP) Vol.62 No.4
Purpose: Respiratory syncytial virus (RSV) infection can cause various neurological complications. This study aimed to investigate the RSV-associated neurologic manifestations that present with seizures. Methods: We retrospectively reviewed the medical records of patients aged less than 15 years with laboratory-confirmed RSV infections and seizures between January 2011 and December 2016 in a regional hospital in South Korea. Results: During this period, 1,193 patients with laboratory-confirmed RSV infection were identified. Of these, 35 (35 of 1,193, 2.93%; boys, 19; girls, 16; mean age: 20.8±16.6 months) presented with seizure. Febrile seizure was the most common diagnosis (27 of 35, 77.1%); simple febrile seizures in 13 patients (13 of 27, 48.1%) and complex febrile seizures in 14 (14 of 27, 51.9%). Afebrile seizures without meningitis or encephalopathy were observed in 5 patients (5 of 35, 14.3%), seizures with meningitis in 2 (2 of 35, 5.7%), and seizure with encephalopathy in 1 (1 of 35, 2.9%) patient. Lower respiratory symptoms were not observed in 8 patients. In a patient with encephalopathy, brain diffusion-weighted magnetic resonance imaging revealed transient changes in white matter, suggesting cytotoxic edema as the mechanism underlying encephalopathy. Most patients recovered with general management, and progression to epilepsy was noted in only 1 patient. Conclusion: Although febrile seizures are the most common type of seizure associated with RSV infection, the proportion of patients with complex febrile seizures was higher than that of those with general febrile seizures. Transient cytotoxic edema may be a pathogenic mechanism in RSV-related encephalopathy with seizures.
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