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JYMS : Journal of Yeungnam Medical Science

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El Kim 2 Articles
Shunt fracture as a sequela of cervical spine manipulation: a case report
El Kim
J Yeungnam Med Sci. 2023;40(Suppl):S109-S112.   Published online July 17, 2023
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  • 40 Download
AbstractAbstract PDF
Shunt disconnection is an unreported complication of spinal mobilization and manipulation. We present the case of a young adult who underwent cystoperitoneal (CP) shunt placement for an arachnoid cyst at the age of 6 years. The shunt remained functional during a follow-up period of 11 years. The patient was admitted with headache and diplopia that started after cervical manipulation by a chiropractor. Radiography revealed fracture of the distal catheter and resultant enlargement of the temporosylvian cyst. The patient required replacement of the disconnected tubing caudal to the shunt valve. The distal catheter ruptured immediately below the outlet connector of the valve. The symptoms and signs resolved completely after insertion of a new distal tube into the peritoneum. This case report demonstrates that chiropractic manipulation of the neck may be a cause of tubing breakage in patients with CP shunts.
Cushing syndrome in pregnancy, diagnosed after delivery
Han Byul Kim, Mi Kyung Kim, El Kim, Keun Soo Ahn, Hye Soon Kim, Nam Kyung Kim
Yeungnam Univ J Med. 2021;38(1):60-64.   Published online May 22, 2020
  • 5,551 View
  • 114 Download
  • 2 Crossref
AbstractAbstract PDF
Cushing syndrome (CS) is rare in pregnancy, and few cases have been reported to date. Women with untreated CS rarely become pregnant because of the ovulatory dysfunction induced by hypercortisolism. It is difficult to diagnose CS in pregnancy because of its very low incidence, the overlap between the clinical signs of hypercortisolism and the physiological changes that occur during pregnancy and the changes in hypothalamus-pituitary-adrenal axis activity that occur during pregnancy and limit the value of standard diagnostic testing. However, CS in pregnancy is associated with poor maternal and fetal outcomes; therefore, its early diagnosis and treatment are important. Here, we report two patients with CS that was not diagnosed during pregnancy, in whom maternal and fetal morbidity developed because of hypercortisolism.


Citations to this article as recorded by  
  • Endogenous Cushing’s syndrome during pregnancy
    Nada Younes, Matthieu St-Jean, Isabelle Bourdeau, André Lacroix
    Reviews in Endocrine and Metabolic Disorders.2023; 24(1): 23.     CrossRef
  • Cushing Syndrome in Pregnancy: A Case Presentation and Review of Literature
    HamidReza Samimagham, Ava Ziaei, Mohammad Tamaddondar, Mitra Kazemi Jahromi
    Journal of Kermanshah University of Medical Sciences.2023;[Epub]     CrossRef

JYMS : Journal of Yeungnam Medical Science