Journal of Yeungnam Medical Science

Case Report

Neurology
A Case of Scopolamine-Induced Central Anticholinergic Syndrome.: Dong Sung Shin, Ho Sun Lee, Se Jin Lee; Yeungnam Univ J Med. 2012;29(1):58-60. Published online June 30, 2012; DOI: https://doi.org/10.12701/yujm.2012.29.1.58

Abstract PDF: Central anticholinergic syndrome occurs when an anticholinergic substance works in vivo or as a result of the insufficient release of acetylcholine. Its symptoms include confusion, agitation, behavioral change, hallucination, blurred vision, and dysarthria. Occasionally, these symptoms occur with the use of a scopolamine patch. A 54-year-old female complained of behavioral change and confused mentality. She attached a scopolamine patch at the postauricular area in the morning of the day before her hospital visit. Neurological examination revealed bilateral symmetric mydriasis without light reflex. The brain MRI was normal, and electroencephalography showed nonspecific abnormalities. The patient recovered completely after the removal of the scopolamine patch.

Original Article

Thoracic and Cardiovascular Surgery
Surgical treatment of atrial septal defect in adult patients.: Dong Hyup Lee, Jung Cheul Lee, Sung Sae Han; Yeungnam Univ J Med. 1992;9(2):321-326. Published online December 31, 1992; DOI: https://doi.org/10.12701/yujm.1992.9.2.321

Abstract PDF: The study consisted of all patients over 35yerars old undergoing surgical repair of atrial septal defect for the period from June 1985, to August 1992. The following results were observed. 1. ASD was closed with patch in 11 (73%) patients. 2. The relationship of pulmonary artery systolic pressure to Qp/Qs ratio was not significant. 3. Before operation 6 patients were in NYHA functional class II. 8 were in class III, After operation 8 patients were in class I, 6 were in class II. 4. Atrial fibrillation has persisted in 3 patients and returned regular rhythm in 1 patient after surgery. 5. There was no operative mortality and we had good surgical results regardless of patient's age.

Case Report

Dermatology
A case of piroxicam-induced photosensitive dermatitis.: Ki Hong Kim, Jong Cheul Kim, Yong Myo Park, Dong Hoon Shin, Jong Soo Choi; Yeungnam Univ J Med. 1991;8(1):215-219. Published online June 30, 1991; DOI: https://doi.org/10.12701/yujm.1991.8.1.215

Abstract PDF: We report a case of piroxicam-induced photosensitive dermatitis in a 54-year-old female. She had taken oral piroxicam and was exposed to the sunlight on her way home for a few minutes. Several hours after the sun-exposure she developed well-defined, confluent, erythematous plaques and numerous vesicobullae with pruritus and prickling sensation on the sun-exposed areas. A phototest was done on her first visit. The minimal erythemogenic dose (2 J/cm²) of ultraviolet (UV) A was markedly decreased whereas that of UVB was within a normal limit. Visible light irradiation for 30 minutes did not cause skin lesions. Six months after the initial skin lesions, a photopatch test with 1% and 10% piroxicam solution followed by UVA (10 J/cm²) irradiation showed positive responses on both concentrations.

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