Journal of Korean Neurosurgical Society
- 제30권4호
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- Pages.463-471
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- 2001
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- 2005-3711(pISSN)
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- 1598-7876(eISSN)
대공부와 상위경추부 종양에 대한 수술적 치료
Surgical Treatment of Foramen Magnum & High Cervical Spinal Cord Tumor
- 윤도흠 (연세대학교 의과대학 신경외과학교실) ;
- 오성한 (연세대학교 의과대학 신경외과학교실) ;
- 조용은 (연세대학교 의과대학 신경외과학교실) ;
- 진병호 (연세대학교 의과대학 신경외과학교실) ;
- 진동규 (연세대학교 의과대학 신경외과학교실) ;
- 김영수 (연세대학교 의과대학 신경외과학교실)
- Yoon, Do Heum (Department of Neurosurgery, Yonsei University College of Medicine) ;
- Oh, Sung Han (Department of Neurosurgery, Yonsei University College of Medicine) ;
- Cho, Young Eun (Department of Neurosurgery, Yonsei University College of Medicine) ;
- Jin, Byung Ho (Department of Neurosurgery, Yonsei University College of Medicine) ;
- Jin, Dong Kyu (Department of Neurosurgery, Yonsei University College of Medicine) ;
- Kim, Young Soo (Department of Neurosurgery, Yonsei University College of Medicine)
- 투고 : 2000.10.19
- 심사 : 2001.03.03
- 발행 : 2001.04.28
초록
Objective : The authors reviewed 51 patients of spinal cord tumor located at the craniovertebral junction and high cervical area to determine which factors influenced resectability, complications, and postoperative outcomes. Methods : Radiological examinations, clinical data, and operation notes were evaluated, and additional follow-up information was obtained from outpatient examinations. The mean follow-up period was 3.5 years Results : The most common neurological findings were motor deficit(72.5%) and sensory change(47.1%). There was no clinical finding that is considered as pathognomic. Meningioma(18 cases, 35.3%) was the most common tumor in this region. Total removal was achieved in 45 patients. There was no surgical mortality. Immediate postoperative motor weakness were encounted in 11 cases(21.6%) which improved in long term followup except two patients. Conclusions : The location and relationship of the tumor to surrounding struncture determine its resectability. Postoperative results were related to the preoperative neurological status and pathological findings.