Objectives The correlation of optic nerve sheath diameter (ONSD) as seen on ultrasonography (US) and directly measured intracranial pressure (ICP) has been well described. Nevertheless, differences in ethnicity type ICP monitor used are obstacles to the interpretation. Therefore, we investigated direct between ONSD ventricular defined an optimal cut-off point for identifying increased (IICP) Korean adults with brain lesions. Methods This prospective study included patients who required...

Abstract In the medical field, various studies using artificial intelligence (AI) techniques have been attempted. Numerous attempts made to diagnose and classify diseases image data. However, different forms of fracture exist, inaccurate results confirmed depending on condition at time imaging, which is problematic. To overcome this limitation, we present an encoder-decoder structured neural network that utilizes radiology reports as ancillary information training. This a type meta-learning...

To report the results of high thoracic midline dorsal column myelotomy in eight consecutive patients who experienced severe visceral pain caused by advanced stomach cancer.Eight were transferred from department general surgery because failed control after an operation and chemotherapy for cancer. Preoperatively, was not controlled with strong opiates. The patients' neurological status normal. Their conditions varied 50 to 80 on Karnofsky scale. Under anesthesia, received myelotomies T1 or T2...

The biplane fluoroscopy guided robot system (BFRS) was developed for surgical robotic systems, minimally invasive surgeries, and cooperative as well enhanced planning navigation with preoperative intraoperative image data.To propose a novel percutaneous pedicle screw insertion.The BFRS consists of an O-shaped fluoroscope (O-arm), operating system, assistive robot. Each part the has role in conducting placements. To evaluate accuracy, each analyzed, to assess safety feasibility insertions...

To evaluate clinical results of two-stage revision using a modified articulating spacer for treatment infected total knee arthroplasty (TKA).We retrospectively reviewed 20 cases treated by under the diagnosis TKA from January 2006 to December 2011. The mean follow-up period was 22.3 months. first operation consisted debridement after removal prosthesis, reinsertion femoral component autoclaving, and implantation antibiotic-loaded cement with new polyethylene in proximal tibia.The between...

The objective of the study was to examine efficacy limited arthrotomy coupled with open reduction and internal fixation minimize potential complications vascular disruption capital femoral physis epiphysis. It a patient outcome study. Skeletally immature patients neck fractures were treated according protocol in which all underwent decompression intercapsular hematoma, fixation. Radiographic magnetic resonance imaging studies carried out on assess whether avascular necrosis developed...

Abstract Background An optimized pre‐operative planning framework for lumbar spinal fusion was proposed, which augmented a novel functionality of suggesting optimal insertion trajectories and the screw size, considering operational safety vertebra–screw interface strength, autonomously. Methods Based on an accurate 3D pedicle model with computed tomography (CT) data, begins margin estimation each potential trajectory, followed by procedures to collect set satisfying operation objective....

A 41-yr-old man was admitted with acute headache, neck stiffness, and febrile sensation. Cerebrospinal fluid examination showed pleocytosis, an increased protein level and, a decreased glucose concentration. No organisms were observed on culture study. An imaging study revealed pituitary macroadenoma hemorrhage. On the 7th day of attack, confusion, dysarthria, right-sided facial paralysis hemiparesis noted. Cerebral infarction left basal ganglia confirmed. Neurologic deficits gradually...

There are two main limitations in the conventional robot-assisted spinal fusion surgery. Since end effector state of art has a role guiding insertion pose screw only, i) convenience that can be obtained when robot intervenes surgery more actively could limited, ii) The provided by robots deteriorated surgeon's resisting force since he should insert with his own hand withstanding large reaction transmitted through drilling handle. To overcome those limitations, this paper proposes novel...

Cryptotia is one of the most common auricular anomalies among East Asians and it frequently associated with upper malformation. Various surgical techniques have been described in literature, such as V-Y plasty, Z-plasty, skin grafts, local flaps, so on. Although relatively favorable results were obtained by these techniques, some problems remain, conspicuous scars, undercorrected or noncorrected cartilage deformities, irregular contour, hair growth, shallow auriculocephalic sulcus. Because...

Critical limb ischemia has been identified as a risk factor for the incidence of postoperative delirium in elderly patients. Limb amputation is last option critical treatments. We investigated and predisposing factors patients undergoing major leg amputation.From January 2012 to December 2016, 121 aged over 60 years who had undergone were enrolled this study. Various related patients' outcomes assessed, including demographic, preoperative laboratory, anesthetic, surgical, indicators.Twenty...

A 57-year-old man complained of severe lower back pain and radicular in both legs for 1 week after falling from a ladder. Magnetic resonance imaging (MRI) the spine showed subdural hematoma (SDH), which was surgically removed. The patient had no or leg at 2 weeks post-surgery. However, he diffuse headaches upon follow-up. Brain computed tomography (CT) MRI revealed an intracranial SDH, immediately removed by surgery. During his 1-year follow-up, reported that resolved without recurrence....

The 2-stage methods of the total auricular reconstruction developed by Dr. Nagata have been widely used. In second stage ear reconstruction, implanted auricle is separated from underlying bed, and its posterior surface covered with a skin graft or flap. Many surgeons used various projection blocks, such as banked cartilage alloplastic materials, to provide constructed adequate projection. Banked costal most commonly block, but it may not be possible obtain in sufficient volume ensure an...

We recently treated two cases of chronic pancreatitis with obstructive jaundice due to compression the common bile duct by pancreatic pseudocyst. The were males admitted complaint icteric skin color. first, a 46-year-old male, He was operative cystojejunostomy after percutaneous drainage pseudocyst and transhepatic biliary drainage. other case 58 year-old male who had an infected in pancreas endoscopically treated. Both them discharged favorable clinical course normal laboratory findings...

We experienced an unusual complication of acute radial nerve palsy presenting as wrist drop after application automated cycled blood pressure monitoring for 3 hours.A 19-year-old ASA physical status 1 female was scheduled to undergo nail removal, had been operated internal transport over the lengthening fibular hemimelia.Blood cuff affixed her right upper arm and worked automatically every 5 minute during surgery.One day operation she complained pain lower lateral aspect examination revealed...

Summary: The objective of the study was to examine efficacy limited arthrotomy coupled with open reduction and internal fixation minimize potential complications vascular disruption capital femoral physis epiphysis. It a patient outcome study. Skeletally immature patients neck fractures were treated according protocol in which all underwent decompression intercapsular hematoma, fixation. Radiographic magnetic resonance imaging studies carried out on assess whether avascular necrosis...