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Unusual Suicide with Chainsaw: An Autopsy Case Report

Jung Y, Jang S, Park H, Lee S

In autopsy practice, we encounter case of suicide or murder using various methods or tools. Damage caused by tools such as a knife or hammer is commonly encountered, but a...
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Cervical Spondylotic Amyotrophy: Case Series and Review of the Literature

Takahashi , Hanakita J, Minami M, Tomita Y, Sasagasako T, Kanematsu

OBJECTIVE: Cervical spondylotic amyotrophy (CSA) is a relatively rare entity caused by cervical degenerative spinal diseases and characterized by motor weakness accompanied by remarkable muscle atrophy in the upper extremities...
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Dynamic Cord Compression Causing Cervical Myelopathy

Joaquim AF, Baum GR, Tan LA, Riew KD

Due to the highly mobile nature of the cervical spine, and the fact that most magnetic resonance imagings (MRIs) and computed tomography scans are obtained only in one single position,...
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Unilateral loss of thoracic motion after blunt trauma: a sign of acute Brown-Séquard syndrome

Sato M, Kuriyama A, Ohtomo R

Late-onset Brown-Séquard syndrome (BSS) is a rare condition resulting from a spinal cord injury that develops weeks to years after a blunt trauma. Acute-onset BSS after a blunt injury has...
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Subacute Combined Degeneration Caused by Nitrous Oxide Intoxication: A Report of Two Cases

Choi C, Kim T, Park KD, Lim OK, Lee JK

We report two cases of subacute combined degeneration (SCD) caused by nitrous oxide (Nâ‚‚O) gas intoxication, which is rarely reported in Korea. Two patients recreationally inhaled Nâ‚‚O gas daily for...
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Comparison of Magnetic Resonance Imaging and Operation Waiting Times in Patients Having Traumatic Cervical Spinal Cord Injury; with or without Bony Lesions

Heo J, Min WK, Oh CW, Kim JW, Park KH, Seo I, Park EK

PURPOSE: To compare the time intervals to magnetic resonance imaging (MRI) and surgical treatment in patients having traumatic cervical spinal cord injury (SCI) with and without bony lesions. METHODS: Retrospectively analyzed...
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Primary central nervous system lymphoma with intramedullary spinal cord involvement mimicking inflammatory demyelinating disease

Kim H, Nam TS, Levy M, Lee KH, Kim J, Lee SJ

BACKGROUND: Spinal cord involvement of primary central nervous system lymphoma (PCNSL) is rare in a young immunocompetent patient and can be misdiagnosed as an inflammatory demyelinating disease (IDD) of the...
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Role of neuron and non-neuronal cell communication in persistent orofacial pain

Iwata K, Shinoda M

It is well known that trigeminal nerve injury causes hyperexcitability in trigeminal ganglion neurons, which become sensitized. Long after trigeminal nerve damage, trigeminal spinal subnucleus caudalis and upper cervical spinal...
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Trigeminal Neuralgia Resulting from Delayed Cervical Cord Compression after Acute Traumatic Fracture of Odontoid Process

Shim YW, Paeng SH, Lee KS, Kim ST, Lee WH

Trigeminal neuralgia is caused by compression of trigeminal nerve root and it leads to demyelination gradually. It was almost idiopathic and occurred unexpected. The upper cervical spinal cord contains the...
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Vertebral Artery Dissection Presenting with Acute Infarction in Cervical Spinal Cord and Cerebellum

Rhee HY, Kim JS, Shin YY

We describe a case of vertebral artery dissection (VAD) presenting with acute infarctions in cervical spinal cord and cerebellum in a 78-year-old man. Diffusion-weighted magnetic resonance (MR) imaging of the...
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Significance of Sufficient Neck Flexion During Magnetic Resonance Imaging in the Diagnosis of Hirayama Disease: Report of Two Cases

No SW, Sung DH, Kim DH

It is difficult to distinguish Hirayama disease (HD) from other mimicking disorders in adolescent patients with distal upper limb weakness. The prevailing theory of HD postulates that the lower cervical...
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Progressive Cervical Spondylotic Myelopathy Caused by Tic Disorders in a Young Adult with Tourette Syndrome

Kim J, Kim JY, Lee JM, Kang DH, Lee CH, Park IS, Lee YS

Involuntary movement of the cervical spine can cause damage to the cervical spinal cord. Cervical myelopathy may occur at an early age in involuntary movement disorders, such as tics. We...
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Presyrinx Associated with Post-Traumatic Hydrocephalus Successfully Treated by Ventriculoperitoneal Shunt

Ha JH, Hwang SC

Presyrinx consists of reversible spinal cord swelling without frank cavitation, as observed on T2 weighted magnetic resonance imaging (MRI). The condition may evolve into syringomyelia, but timely surgical interventions have...
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Isolated Tuberculoma Mimicking Foramen Magnum Meningioma in the Absence of Primary Tuberculosis: A Case Report

Kolakshyapati M, Takeda M, Mitsuhara , Yamaguchi , Abiko M, Matsuda S, Kurisu K

Central nervous system tuberculosis is a devastating complication of systemic tuberculosis. Intradural extramedullary (IDEM) tuberculoma at the foramen magnum is rare, and mimics en plaque meningioma. We report the case...
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Predictive Values of Magnetic Resonance Imaging Features for Tracheostomy in Traumatic Cervical Spinal Cord Injury

Jeong TS, Lee SG, Kim WK, Ahn Y, Son S

OBJECTIVE: To evaluate the magnetic resonance (MR) imaging features that have a statistically significant association with the need for a tracheostomy in patients with cervical spinal cord injury (SCI) during...
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Highly Accurate Analysis of the Cervical Neural Tract of the Elderly Using ZOOM DTI

Furuya S, Iwasaki M, Yokohama T, Ohura D, Okuaki T

BACKGROUND/AIMS: To investigate the fractional anisotropy (FA) values of the cervical spinal cord in elderly individuals using zonally magnified oblique multislice (ZOOM) diffusion tensor imaging (DTI). METHODS: Fourteen healthy elderly volunteers...
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Motor and Sensory Function as a Predictor of Respiratory Function Associated With Ventilator Weaning After High Cervical Cord Injury

Kim TW, Yang JH, Huh SC, Koo BI, Yoon JA, Lee JS, Ko HY, Shin YB

OBJECTIVE: To analyze the respiratory function of high cervical cord injury according to ventilator dependence and to examine the correlations between diaphragm movement found on fluoroscopy and sensory and motor...
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The Need for Early Tracheostomy in Patients with Traumatic Cervical Cord Injury

Beom JY, Seo HY

BACKGROUND: In patients who need sustained endotracheal intubation and mechanical ventilation due to respiratory failure after traumatic cervical spinal cord injury, tracheostomy can be performed to reduce the duration of...
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Morphological Patterns of the Anterior Median Fissure in the Cervical Spinal Cord Evaluated by Computed Tomography After Myelography

Oichi Y, Hanakita J, Takahashi , Minami M, Kawaoka T, Funakoshi , Kawauchi T, Ohtake Y

OBJECTIVE: Computed tomography following myelography (CTM) revealed an unusual flow of contrast dye into the anterior median fissure (AMF) in a patient with cervical spondylotic myelopathy. Since then, several AMF...
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Susceptibility Weighted Imaging of the Cervical Spinal Cord with Compensation of Respiratory-Induced Artifact

Lee H, Nam Y, Gho SM, Han D, Kim EY, Lee SW, Kim DH

PURPOSE: The objective of this study was to obtain improved susceptibility weighted images (SWI) of the cervical spinal cord using respiratory-induced artifact compensation. MATERIALS AND METHODS: The artifact from B0 fluctuations...
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