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Clinical characteristics of febrile young infants with serious bacterial infection in the emergency departments in Korea and validation of Philadelphia criteria and modified Philadelphia criteria: retrospective multicenter study

Lee HJ, Lee DW, Jang HY, Noh H, Lim H, Park JS, Song JH

OBJECTIVE: This study examined the characteristics of febrile young infants with a serious bacterial infection (SBI) who visited emergency centers in Korea and validated the Philadelphia criteria and modified Philadelphia...
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Spontaneous Spinal Subdural and Subarachnoid Hemorrhage with Concomitant Intracerebral Hemorrhage: A Case Report

Lee Y, Lim J, Han S, Choi SW, Youm JY, Koh HS

Most cases of spinal subdural hematoma are very rare and result from iatrogenic causes, such as coagulopathy or a spinal puncture. Cases of non-traumatic spinal subdural hematoma accompanied by intracranial...
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The efficacy of lumbar puncture in febrile early infants with urinary tract infection in pediatric emergency department

Byun SC, Lee HJ

OBJECTIVE: This study was conducted to identify the characteristics of early infants with urinary tract infection (UTI) who visited the pediatric emergency department (PED) and to investigate the characteristics of...
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Spontaneous Intracranial and Spinal Subdural Hematoma: A Case Report

Kim DG, Cho YS, Wang HS, Kim SW

Spinal subdural hematoma (SDH) is rarely reported, and their simultaneous occurrence with intracranial SDH is even more rare. A 67-year-old male patient with a history of posterolateral fusion to treat...
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A Case of Leber Hereditary Optic Neuropathy Showing Optic Disc Hyperfluorescence

Park YJ, Lim HT

PURPOSE: We report an unusual case of Leber hereditary optic neuropathy presenting with optic disc hyperfluorescence. CASE SUMMARY: A 17-year-old male with sequential painless visual loss 3 weeks apart affecting first...
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Reconsideration of Diagnostic Lumbar Puncture in Childhood Enteroviral Meningitis

Nam JW, Kim TS, Kim JY, Kim JS

PURPOSE: Despite the fact that enteroviral meningitis is the most common cause of meningitis in children with signs of meningeal irritation and has benign course, most clinicians routinely perform an...
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Spinal Epidermoid Tumors: Case Report and Review of the Literature

Beechar VB, Zinn PO, Heck KA, Fuller GN, Han I, Patel AJ, Ropper AE

Spinal epidermoid tumors are rare, benign tumors that are either acquired from trauma, surgery, or lumbar puncture or arise as congenital lesions, particularly spinal dysraphisms. We report a case of...
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A Comparison of Sedation with Ketamine-Midazolam versus Ketamine-Propofol for the Lumbar Puncture in Children

Ko YR, Jeon W, Kwak JR, Lee JS

PURPOSE: This study was conducted to compare the safety and effectiveness of intravenous ketamine-midazolam (KM) and ketamine-propofol (KP) combination for the lumbar puncture (LP) procedure in children. METHODS: This was a...
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Comparative study between an intensive small group teaching and a 1-year clinical practice on OSCE

Kim S, Park M, Seo JH, Woo HO, Youn HS, Park JJ, Jeon SY, Hwa JS, Mullan P, Gruppen LD

OBJECTIVES: Our school introduced a new curriculum based on faculty-directed, intensive, small-group teaching of clinical skills in the third-year medical students. To examine its effects, we compared the mean scores...
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Clinical Characteristics of Enteroviral Meningitis without Cerebrospinal Fluid Pleocytosis in Children

Kim NR, Ku JK, Lee BL

PURPOSE: The purpose of this study was to investigate the clinical features and laboratory findings of enteroviral meningitis according to the presence of cerebrospinal fluid (CSF) pleocytosis, and to investigate...
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A Single Center Study of the Necessity for Routine Lumbar Puncture in Young Infants with Urinary Tract Infection

Lee CH, Lee KH

PURPOSE: Urinary tract infection (UTI) is the most common serious bacterial infection in infants younger than 3 months of age. Lumbar puncture is routinely performed to evaluate febrile young infants...
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Hematologic parameters to predict negative cerebrospinal fluid examination results among neurologically intact patients who underwent lumbar puncture on suspicion of central nervous system infection

Kim JH, Kim HJ, Na JU, Han SK, Choi PC, Shin DH

OBJECTIVE: Cerebrospinal fluid (CSF) examination is mandatory whenever central nervous system (CNS) infection is suspected. However, pleocytosis is not detected in a substantial number of suspected patients who undergo CSF...
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Post lumbar puncture headache: Case report of a serious adverse event in first-in-human study

Shin W, Kim MK, Kim J, Woo MH, Cho DY, Lim KS

A lumbar puncture can be used to measure the concentrations of drugs and/or pharmacodynamic biomarkers during clinical trials of central nervous system drugs. We report a case of a post...
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Iatrogenic Spinal Subarachnoid Hematoma after Diagnostic Lumbar Puncture

Park JH, Kim JY

Spinal subarachnoid hematoma (SSH) following diagnostic lumbar puncture is very rare. Generally, SSH is more likely to occur when the patient has coagulopathy or is undergoing anticoagulant therapy. Unlike the...
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Discussion of Lumbar Puncture in Infants Aged Less than 3 Months Who Visited Emergency Department

Lee SY, Lee HJ, Kim JW, Moon HJ, Lee DW, Lee JW, Choi JH, Park JS

PURPOSE: This study was conducted to confirm the necessity of lumbar puncture to identify the cause of fever in febrile infants aged less than 3 months who visited an emergency...
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Retrospective validation of the Step-by-Step approach for febrile infants younger than 90 days in the emergency department

Park JS, Kim JH, Kim WY

PURPOSE: To retrospectively validate the Step-by-Step approach, a sequential algorithm for prediction of serious bacterial infections (SBI) using the appearance, age, and inflammatory markers, in febrile infants younger than 90...
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Clinical Characteristics of Fever without Localizing Sign in Infants Younger than 100 Days of Age in a Single Center

Lee HS, Lee KH

PURPOSE: This study was done to define clinical characteristics of fever without localizing signs (FWLS) in infants younger than 100 days of age with a goal of providing baseline data...
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A Case of Isolated Leptomeningeal Carcinomatosis from Advanced Gastric Cancer

Ji JG, Chung JW, Nam SW, Choi SK, Lee DW, Kim DI, Jeon BG, Shin YJ

Leptomeningeal carcinomatosis (LMC) is rare metastatic form of gastric cancer. Most cases are diagnosed in the final stage after multiple distant metastasis. An 84-year-old woman was admitted with melena, headache...
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Analysis of Cisternal Puncture Results during a Postmortem Examination

Na JY, Park JH, Oh YH, Oh SM, Kim HS, Park JT

Examination of cerebrospinal fluid (CSF) samples is important in postmortem examinations. CSF samples can be collected by performing lumbar or cisternal punctures. Additionally, if bloody fluid is aspirated during a...
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Comparison of spinal anesthesia between the non-elderly and elderly patients

Park SY, Kim JH, Rim JC, Kim JA, Lee JH, Choi SR, Lee SC, Lee JH, Chung CJ

BACKGROUND: The clinical features of spinal anesthesia may differ between young and old patients because of the anatomical and physiological changes that occur with an increase in age. This study...
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