뇌실로 파열되어 있는 뇌농양에 대한 뇌정위적 내시경하 제거술 - 증례보고 -

Stereotactic Endoscopic Treatment of Brain Abscess Ruptured into Ventricle - Case Report -

  • 손병철 (가톨릭대학교 의과대학 신경외과학교실, 강남성모병원) ;
  • 김문찬 (가톨릭대학교 의과대학 신경외과학교실, 강남성모병원) ;
  • 강준기 (가톨릭대학교 의과대학 신경외과학교실, 강남성모병원)
  • Son, Byung-Chul (Department of Neurosurgery, Kangnam St. Mary's Hospital The Catholic University of Korea) ;
  • Kim, Moon-Chan (Department of Neurosurgery, Kangnam St. Mary's Hospital The Catholic University of Korea) ;
  • Kang, Joon-Ki (Department of Neurosurgery, Kangnam St. Mary's Hospital The Catholic University of Korea)
  • 투고 : 1999.10.05
  • 심사 : 1999.12.18
  • 발행 : 2000.06.28

초록

The major indication of endoscope in neurosurgical field is intraventricular procedures. Recently, it can be used selectively in the intraaxial mass lesion associated cavity. For example, cystic mass, with liquefied necrosis, and blood clot can be approached with this technique. The authors present its usage in brain abscess ruptured into lateral ventricle. The neuroendoscope was introduced into abscess cavity through stereotactic guidance, the pus was then removed through continuous irrigation and suction under direct video visualization. The intraventricular pus was also cleaned through gentle, direct endoscopic irrigation and suction. The postoperative clinical course was uneventful. Brief overview is given for this intraaxial neuroendoscopic procedure.

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