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이진영,조주성 대한척추외과학회 2012 대한척추외과학회지 Vol.19 No.2
Study Design: Case report. Objectives: We report an adult patient with diastematomyelia. Summary of Literature Review: Diastematomyelia is an uncommon congenital malformation of the vertebral axis, characterized by a separation of the spinal cord with an interposed bony, cartilaginous or fibrous septum. Most of the patients present this condition in childhood. The cases in adulthood are extremely rare. Materials and Methods: The authors experienced a 46-year old female patient with diastematomyelia presenting a gradual onset of neurologic claudication. We treated with decompressive laminectomy, septum removal and posterior instrumentation. Results: We had satisfactory surgical results. Conclusions: We report an extremely rare case of diastematomyelia in adulthood. 연구 계획: 증례보고목적: 본 논문의 목적은 성인에서 발견된 척수이분증에 대해 보고하고자 함이다. 선행문헌의 요약: 척수이분증은 척수가 골성, 연골성 혹은 섬유성 조직 등의 격막에 의해 2가닥으로 분리되는 선천성 기형으로 대부분 소아기에 증상이발현하며 성인기에 발현하는 경우는 극히 드물다. 대상 및 방법: 저자들은 46세 여자 환자에서 점진적으로 발현된 신경학적 파행이 동반된 척수 이분증을 감압적 척추궁 절제술, 중격 제거술 및 후방기기 고정술로 치료하였다. 결과: 수술적인 치료로 만족할 만한 결과를 얻을 수 있었다. 결론: 척수이분증은 성인에서는 드문 질환으로 수술적 치료로 만족할 만한 결과를 얻었다.
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초음파를 이용한 임신초기 태아의 두개내투명대 표준치 제시
양성희(Sung-Hee Yang),김창수(Changsoo Kim) 한국방사선학회 2021 한국방사선학회 논문지 Vol.15 No.2
본 연구는 임신초기 초음파 선별검사에서 태아의 후뇌 정중면을 이용하여 태아의 두개내투명대 기준 값을 제시하고 임상적인 의의를 찾고자 하였다. 2018년 8월부터 2020년 2월까지 I 병원 정기검진을 받는 산모들 중 머리엉덩길이 40.6 mm에서 78.3 mm에 해당되는 단태아 1529명의 두개내투명대를 측정하여 후향적으로 분석하였다. 회귀분석에서 머리엉덩길이가 증가할수록 두개내투명대는 54.3%의 설명력을 보이며 증가하는 경향을 보였다(P<0.001). 또한 빈도분석을 통해 임신주수별 두개내투명대의 백분위수 기준치를 산출하였다. 결과적으로 태아 두개내투명대의 한국인 기준치를 마련할 수 있었으며 임신초기 태아 후뇌의 평가에 있어서 척추이분증의 보조적 선별검사로 유용하게 적용될 것이다. The purpose of this study was to present the reference value of the intracranial translucency(IT) of the fetus using the mid sagittal plane of the post brain in the early pregnancy ultrasound screening test and to find the clinical significance. From August 2018 to February 2020, the IT of 1529 singleton fetus whose crown lump length were 40.6 mm to 78.3 mm in length among the mothers undergoing regular checkups at Hospital I were measured and analyzed retrospectively. As the crown lump length increased, the IT showed a 54.3% explanatory power and tended to increase(p<0.001). In addition, through frequency analysis, the standard value for the percentile of the IT by gestational weeks was calculated. As a result, it was possible to establish a standard value for Koreans with an IT, and it will be usefully applied as an auxiliary screening test for spina bifida in the evaluation of fetal post brain in early pregnancy.
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김성(Sung Kim),이동민(Dong Min Lee),김호영(Ho Young Kim),김재연(Jae Yun Kim),최영렬(Young Ryoul Choi),유재경(Jae Kyoung Yoo),윤길중(Gil Jung Yoon),황인수(In Su Hwang) 대한산부인과학회 1999 Obstetrics & Gynecology Science Vol.42 No.11
The prenatal diagnosis of spine bifida include the combined use of maternal serum α-fetoprotein (MSAFP) screening and fetal sonography. Sonographically, spina bifida is characterized by direct signs of the visualization of the spinal defect, and indirect signs of the cranial markers : the lemon sign, the banana sign, and ventriculomegaly. These ultrasonographic signs are more accurate in defining the cranial malformations associated with spina bifida than evaluation of the spine. Recently, three cases of spina bifida which was diagnosed as splaying of the posterior ossification centers, meningomyelocele sac at the lumbosacral area, lemon sign, banana sign and ventriculomegaly by ultrasonography at 21+2 gestational weeks in a 32 years old nullipara, at 21+2 gestational weeks in a 26 years old nullipara, at 23+6 gestational weeks in a 26 years old multipara were experienced at our department. We present this cases with a brief review of literatures
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김문정 ( Kim Mun Jeong ),김미경 ( Kim Mi Gyeong ),박현주 ( Park Hyeon Ju ),설현주 ( Seol Hyeon Ju ),신지혜 ( Shin Ji Hye ),강문정 ( Kang Mun Jeong ),안현숙 ( An Hyeon Sug ) 대한산부인과학회 2003 Obstetrics & Gynecology Science Vol.46 No.7
The prenatal diagnosis of spina bifida includes the combined use of maternal serum α-fetoprotein (MSAFP) screening and fetal sonography. On ultrasonogram, spina bifida is characterized by visualization of the spinal defect and associated cranial abnomalities: the Lemon sign, the Banana sign, ventriculomegaly, small biparietal diameter, and obliteration of the cistema magna. We should now be able to rely on ultrasound as the main technique for diagnosis of spina bifida when MSAFP is elcvated. Recently, we have experienced three cases of spina bifida diagnosed with meningomyelocele, lemon sign, banana sign and ventriculomegaly on ultrasonogram at respectively 18^+3, 18, and 18^+6 weeks of gestation. We present these cases with a brief review of literatures.
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이상희 ( Lee Sang Hui ),김종석 ( Kim Jong Seog ),김청미 ( Kim Cheong Mi ),김보욱 ( Kim Bo Ug ),황주연 ( Hwang Ju Yeon ),조희영 ( Jo Hui Yeong ),김두표 ( Kim Du Pyo ),이윤호 ( Lee Yun Ho ) 대한산부인과학회 2004 Obstetrics & Gynecology Science Vol.47 No.5
In prenatal diagnosis of neural tube defects, maternal serum α-fetoprotein (MSAFP) level in second trimester is used as a screening test. However, it shows low sensitivity with high false positive rate. Also, α-fetoprotein and acetylcholinesterase in amniotic fluid through amniocentesis is used, but it is an invasive technique with low sensitivity. Recently, due to improved prenatal sonography, typical sonographic findings of spina bifida are reported and contributed to early diagnosis and detection of possible co-existing abnormalities. We report a case of spina bifida detected at 21 weeks of pregnancy by prenatal sonograph at our institution with a brief review of literature.
ScienceON
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