Kosin Medical Journal

Intracranial aneurysms in autosomal dominant polycystic kidney disease: Jung Hyun Park; Kosin Med J. 2024;39(4):281-289. Published online December 6, 2024; DOI: https://doi.org/10.7180/kmj.24.138

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Abstract PDF PubReader ePub: Background
The incidence of intracranial aneurysms (ICA) is high in patients with autosomal dominant polycystic kidney disease (ADPKD). However, little is known regarding the optimal screening and treatment methods for ICA.
Methods
This study investigated the characteristics of ADPKD patients with ICA, analyzing each variable according to whether the ICA ruptured, and examined the outcomes according to the treatment method. Specifically, a retrospective study was conducted on the treatment of ICA patients with ADPKD at a single institution for 10 years, from 2013 to 2022.
Results
The mean age of the 17 enrolled ADPKD patients with ICA was 57.4 years. Surgical and endovascular treatment methods were used in four and 13 patients. Eleven patients had unruptured ICAs, and the remaining six patients had suffered subarachnoid hemorrhage (SAH). Two patients experienced neurological deficits after discharge. All patients with unruptured ICAs were discharged without any complications, although one of them underwent additional treatment 5 years later. Four patients with SAH had known ADPKD at the time of diagnosis (67%). As for the treatment method, 13 patients were treated with coiling. In a comparison of variables between unruptured ICA and SAH patients, the location of the ICA showed a statistically significant difference (p<0.05).
Conclusions
In ADPKD patients, diagnostic screening for the detection of ICA is essential, and with appropriate management, interventional endovascular treatment may be a good treatment option.

Diagnostic significance of transcranial Doppler ultrasonography in patients with subarachnoid hemorrhage and cerebral vasospasm: Jung Hyun Park; Kosin Med J. 2024;39(4):265-271. Published online December 2, 2024; DOI: https://doi.org/10.7180/kmj.24.139

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Abstract PDF PubReader ePub: Background
This study investigated the accuracy and usefulness of transcranial Doppler (TCD) ultrasonography as a diagnostic method in patients with subarachnoid hemorrhage (SAH) and cerebral vasospasm.
Methods
This retrospective study collected data from January 2022 to December 2023 at our institution, targeting patients with SAH caused by rupture of a cerebral aneurysm. TCD and brain computed tomographic angiography (CTA) were performed to diagnose cerebral vasospasm. The vessel diameters on CTA at the time of SAH occurrence and CTA 1 to 2 weeks after the occurrence were compared, and TCD was performed on a daily basis from 3 to 14 days after the occurrence of ictus.
Results
Among 152 patients with non-traumatic SAH over a 2-year period, 143 patients with SAH caused by ruptured cerebral aneurysms were enrolled. The mean age was 59.28±13.27 years. The modified Fisher grade was a statistically significant predictor of cerebral vasospasm (p<0.05). In addition, the Hunt-Hess grade also showed statistical significance (p<0.05). TCD showed high accuracy in predicting vasospasm. The sensitivity was 0.93 (95% confidence interval [CI], 0.87–0.97), specificity was 0.89 (95% CI, 0.81–0.96), positive predictive value was 0.92 (95% CI, 0.85–0.96), and negative predictive value was 0.92 (95% CI, 0.84–0.95).
Conclusions
TCD showed high accuracy in predicting the diagnosis of cerebral vasospasm. TCD is considered an essential diagnostic tool in the neurological management of cerebral vasospasm, which is a potentially fatal complication in SAH patients.

Fat embolism syndrome: a review in cosmetic surgery: Hongil Kim, Bommie Florence Seo, Gregory Randolph Dean Evans; Kosin Med J. 2024;39(3):169-178. Published online September 25, 2024; DOI: https://doi.org/10.7180/kmj.24.126

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The growing popularity of cosmetic procedures such as liposuction and fat grafting has been accompanied by a rise in associated side effects. Among these, fat embolism syndrome stands out as a potential complication that sometimes has critical consequences. It is important to recognize that fat embolism affects organs through distinct mechanisms from those involved with other types of embolisms. Early diagnosis is crucial. Unfortunately, no effective treatments have been established for this condition. Therefore, starting with a more detailed categorization of diagnoses, developing new treatment methods for each subtype is essential.

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Indian Journal of Plastic Surgery.2025;[Epub] CrossRef
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Beáta Ágnes Borsay, Barbara Dóra Halasi, Zoltán Hendrik, Róbert Kristóf Róbert, Katalin Károlyi, Teodóra Tóth, Péter Attila Gergely
Diseases.2025; 13(6): 174. CrossRef

A Case of Henoch Schönlein Purpura with Gastrointestinal Bleeding Due to Jejunal Ulcer by Capsule Endoscopy: Yong Kang Lee, Tak Keun Oh, Ara Choi, Ji Hoon Lee, Mi Na Kim, Sung Pil Hong; Kosin Med J. 2012;27(1):45-49. Published online June 11, 2012; DOI: https://doi.org/10.7180/kmj.2012.27.1.45

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Henoch-Schönlein purpura (HSP) is the most common form of systemic vasculitis in children. Palpable purpura, arthralgia, arthritis, abdominal pain and renal involvement are the major clinical manifestations. Gastrointestinal involvement is related with abdominal pain and bleeding.

We described a 71 year-old female experienced acute exacerbation of HSP presented with gastrointestinal bleeding. She was hospitalized for hematemesis and diagnosed duodenitis by esophagogastroduonenoscopy (EGD). Duodenitis was improved at EGD checked in 7 days. She still complained of melena and abdominal pain. There were no abnormal findings at sigmoidoscopy. Jejunal ulcer and purpura were diagnosed by capsule endoscopy. Symptoms were relieved after administration of systemic steroid. But she needed renal replacement therapy for 3 months.

Small bowel ulcer diagnosed by capsule endoscopy in patients with HSP was rarely described in Korean literature. This case suggests that capsule endoscopy have a role in diagnosis of small bowel ulcer and its severity in HSP with gastrointestinal symptom.

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A practical approach for small bowel bleeding
Sung Eun Kim, Hyun Jin Kim, Myeongseok Koh, Min Cheol Kim, Joon Sung Kim, Ji Hyung Nam, Young Kwan Cho, A Reum Choe
Clinical Endoscopy.2023; 56(3): 283. CrossRef

Fatal Intracranial Hemorrhage after Carotid Angioplasty and Stenting: Kwang Soo Kim, Gyoo Sik Jung; Kosin Med J. 2010;25(2):177-182. Published online December 31, 2010

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Pontine Tegmental Hemorrhage Presenting with Isolated Hypesthesia in V1 and V2 Dermatomes: Ju Young Na, Meyung Kug Kim, Bong Goo Yoo; Kosin Med J. 2010;25(2):221-223. Published online December 31, 2010

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Acute Pancreatitis Developed after Histoacryl Injection Theraphy in Acute Duodenal Ulcer Bleeding: Jae Hoon Yu, Won Moon, Ji Hun Roh, Dong Yeong Gu, Yeong Hwa Jo, Ki Su Kim, Jun Mo Yoon; Kosin Med J. 2010;25(1):102-105. Published online June 30, 2010

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Intracranial Hemorrhage after Mild Head Injury in Patients Receiving Low-dose Aspirin Prophylaxis: Dae Yong Kim; Kosin Med J. 2009;24(2):218-224. Published online December 31, 2009

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Pseudoaneurysm of Proximal Splenic Artery Following Total Gastrectomy : A Case Report: Kyung Won Seo, Yeon Myeong Shin; Kosin Med J. 2009;24(2):257-260. Published online December 31, 2009

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Management of Suprachoroidal Hemorrhage under the Guidance of Ultrasonography: Gi Heon Lee, Jae Ho Yoo, Tae Won Kim, Sang Joon Lee, Shin Dong Kim; Kosin Med J. 2009;24(1):106-109. Published online June 30, 2009

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Acute Subdural Hemorrhage During Treatment of Spontaneous Intracranial Hypotension: Soo Bong Yu; Kosin Med J. 2008;23(4):224-226. Published online December 31, 2008

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Clinical Analysis of Postoperative Hemorrhage after Tonsillectomy: Jae Gyu Oh, Sun Ju Park, Tai Hyun Yu; Kosin Med J. 2008;23(3):32-36. Published online September 30, 2008

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A Case of Retinal Hemorrhages After Taking Healthy Foods in Diabetic Retinopathy: Sang Joon Lee, Jung Joo Lee, Soo Young Kim, Shin Dong Kim; Kosin Med J. 2008;23(2):119-121. Published online June 30, 2008

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A Case of Gastric Angiodysplasia with Bleeding Treated by Endoscopic Band Ligation: Kab Sik Kim, Jong Hyun Hur, Yong Wan Sung, Young Hwa Jo, Dong Young Goo, Jae Hoon Yoo, Ji Hun Roh, Won Moon; Kosin Med J. 2008;23(2):122-125. Published online June 30, 2008

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Predicting Factors Associated with Shunt Dependent Hydrocephalus after Aneurysmal Subarachnoid Hemorrhage: Yong Sook Park, Keum Whang, Yong Pyo Han; Kosin Med J. 2007;22(1):104-113. Published online June 30, 2007

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