optic dysplasia, or de Morsier’s syndrome
Diagnosis
Short stature
GH deficiency due to hypopituitarism
septo-optic dysplasia
Plan
Eutropin 2U X 6 (weight: 15.7kg)
Regular F/U : height, weight, growth rate
CBC, SMA, fT4
Bone age
IGF-I, IGFBP-3 (monitoring)
2005-06-17 부터 HbA1c 검사 추가
2009-02-04
146.cm/33.2kg
Subjective
f/u GH deficiency
Objective
7.7 cm/12.5 mon(=7
3. Initial Brain Imaging
1) angio
2) CT
4. 향후 Plan & 보호자에게 말해 줄 수 있는 Complication
- 뇌혈관조영술, 절대안정, 코일 색전술, 결찰
- complication : 재출혈, 뇌연축, 수두증
- 수술에 대한 complication : vomitting, 경련, shock
5. 1st OP
1) OP date : 2010/02/24 수술예정
2) OP name :
지주막하출혈 & Aneurysm
[지주막하출혈]
1. 정의, 발생 빈도
뇌동맥의 파열에 의해 발생한 출혈이 지주막하강 내에서 csf의 경로를 따라 확산되어 출혈이 발생한 경우
여성>남성
뇌동맥류 파열은 대개 중년이상(40~60세)에서 가장 흔하다.
2. 원인
saccular aneurysm의 rupture
AVM
고혈압성
plan for ODI lens. ODI’s first goal is introducing lens in at least one region during spring in 1975, and the final objective is distributing it nation-widely by the end of 1977.
To achieve its objective, ODI has many important decisions to make: a region the firm going to serve first, the price level of the lens, and marketing strategies such as promotion. However, debeaking has been the maj