• Title/Summary/Keyword: 수막

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A Case of Tuberculous Meningitis Combined with Acute Cervical Epidural Abscess and Cervical Spondylitis (급성 경추 경막외 농양 및 경추척추염과 동반된 결핵성 수막염 1예)

  • Lee, Dong Kuck
    • Annals of Clinical Neurophysiology
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    • v.4 no.2
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    • pp.140-145
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    • 2002
  • Neurologic sequelae of tuberculous meningitis include hemiparesis, paraparesis, quadriparesis, aphasia, developmental delay, dementia, blindness, visual field defect, deafness, cranial nerve palsies, epilepsy, and hypothalamic and pituitary dysfunction. But cervical epidural abscess and cervical spondylitis are rare. A 64-year-old woman who was diagnosed as tuberculous meningitis presented a severe neck pain and stiffness after 3 weeks of anti-tuberculous medication. Electromyography and cervical X-ray showed a cervical spondylosis with polyradiculopathy. But cervical MRI showed an acute cervical epidural abscess and mild cervical spondylitis. After continuous anti-tuberculous medication with supportive care, she showed a slow clinical improvement. But about 1 month of anti-tuberculous therapy, she presented a more aggravation of neck pain, neck stiffness, radicular pain, and neck motion limitation. Follow-up cervical MRI showed an more advanced cervical spondylitis. Afterthen she has recovered slowly by cervical laminectomy with posterior stabilization and continuous anti-tuberculous medication.

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Fine Needle Aspiration Cytology of Meningioma Presenting as a Neck Mass (경부 종괴로 나타난 수막종의 세침흡인 세포학적 소견)

  • Yim, Hyun-Ee;Park, Young-Nyun;Lee, Kwang-Gil
    • The Korean Journal of Cytopathology
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    • v.3 no.2
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    • pp.94-99
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    • 1992
  • Meningioma is the most common neoplasm of central nervous system which is hardly diagnosed by cytologic examination. However, preoperative cytologic diagnosis can be easily made in the case of extracranial meningioma, especially in head and neck lesion. We recently experienced a case of fine needle aspiration cytology of meningioma in sub-mandibular area of a 24 year-old male patient. The smear revealed high cellularity in the clean background. individual tumor cell of nests or syncytium had round or oval nuclei with fine chromatin and moderate amount of lightly stained cytoplasm with indistinct margin. Characteristic cellular whorls, intranuclear inclusions and scattered psammoma bodies made it easy to diagnose a meningioma.

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Experimental study of water membrane sprinkler in fire prevention block (방화구획과 수막설비 관한 연구)

  • Oh, Chang-Hui;Son, Jang-Yeol;Kim, Hwa-Jung;Kim, Sang-Uk;Choi, Jin
    • Fire Science and Engineering
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    • v.2 no.3
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    • pp.3-9
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    • 1988
  • This paper is study about establishment with water membrane sprinkler in fire prevention block of special Building. The testing program was directed toward investigating the temperature of fire and adjacent room. The results of fire test indicated that under the test conditions in this study, adjacent room temperature is very low in compare with fire room temperature at operating of water membrane sprinkler. Therefore, if exclusion of smoking can be soluted, substitution of water membrance sprinkler in fire resistance wall of fire prevention block is possible.

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Sacral Meningeal Cyst Detected during Caudal Epidural Block (미추 경막외차단 도중 발견된 천추 수막낭 -증례 보고-)

  • Kang, Mi-Suk;Lim, Young-Jin;Lee, Sang-Chul
    • The Korean Journal of Pain
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    • v.12 no.2
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    • pp.258-262
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    • 1999
  • Sacral meningeal cyst is usually asymtomatic, but may be responsible for sciatic pain syndromes and other clinical symptoms. Sacral meningeal cyst might be suspected when definite explanation for the clinical symptom, such as herniation of the intervertebral disc or spinal stenosis is not found. Plain films and CT may suggest the presence of sacral meningeal cyst, but MR is the current imaging study of choice. Evaluation of the correlation between the symptom and the cyst is as important as detection of it. We have experienced a case of sacral meningeal cyst detected during caudal epidural block. The patient complained of low back pain radiating to thigh. Plain films and lumbar spine CT showed no remarkable finding except disc bulging. During caudal epidural needle insertion, there was leakage of clear CSF, and intrasacral cystic shadow was visualized by dye injection. MR confirmed sacral meningeal cyst.

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Early Recurrence of a Lateral Ventricle Meningioma with Malignant Transformation - A Case Report - (악성형질변환으로 조기 재발한 측뇌실내 수막종 - 증 례 보 고 -)

  • Joo, Sung-Pil;Jung, Shin;Lee, Jung-Kil;Kim, Tae-Sun;Kim, Jae-Hyoo;Kim, Soo-Han;Kang, Sam-Suk;Lee, Je-Hyuk
    • Journal of Korean Neurosurgical Society
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    • v.30 no.4
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    • pp.514-517
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    • 2001
  • Although malignant transformation of meningiomas has been reported, it is extremely rare in meningiomas of ventricular system. Less than 2% of all meningiomas show malignant transformation from benign meningioma. We report a case of meningioma with early recurrence and malignant transformation and investigated possible underlying factors using immunohistochemistry for PCNA and p53 protein expression.

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Cerebral Arteriovenous Malformation Associated with Intracranial Meningioma and Aneurysm - Case Report - (두개강내 수막종과 동맥류를 동반한 뇌동정맥기형 - 증 례 보 고 -)

  • Kim, Jeong Hoon;Ha, Young Soo;Park, Chong Oon;Hyun, Dong Keun
    • Journal of Korean Neurosurgical Society
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    • v.30 no.1
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    • pp.110-113
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    • 2001
  • The cerebral arteriovenous malformation(AVM) rarely coexists with primary intracranial tumor. The authors experienced a patient with intracerebral hematoma due to AVM rupture in whom intracranial meningioma and intracranial aneurysms coexisted. The meningioma was located at convexity of right frontal lobe, and arteriovenous malformation at temporo-occipital lobe of same hemisphere with feeding from right middle cerebral artery, and three intracranial aneurysms exist at the cavernous portion of right internal carotid artery, AVM feeding artery, and intranidal of the AVM. The authors report a rare case of coexisted intracranial AVM, meningioma and aneurysms with review of literatures.

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An Intradural Extramedullary Hemangioblastoma of Distal Spinal Cord - A Case Report - (척수 원위부에 발생한 경막내수막외 혈관아세포종 - 증례보고 -)

  • Park, Sung-Ho;Cho, Joon;Youn, Seung-Whan;Chang, Sang-Keun
    • Journal of Korean Neurosurgical Society
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    • v.29 no.11
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    • pp.1523-1526
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    • 2000
  • It has been known that hemangioblastoma of spinal cord occurs about 4% of all the spinal tumors. The authors present a rare case of intradural extramedullary(IDEM) hemangioblastoma of distal spinal cord in 41-year-old male patient. This IDEM mass at the level of conus medullaris showed iso-signal intensities on T1-weighted image(T1-WI) and high-signal intensities on T2-WI, and was enhanced homogeneously on MRI. At surgery, T12- L1 total laminectomy and enbloc mass removal were performed. This IDEM hemangioblastoma was confirmed by histopathologic findings. For less postoperative complication in IDEM tumors, we suggest that precise preoperative evaluation and complete excision via proper surgical approach to distal conus should be reemphasized.

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Atypical Meningioma in the Fourth Ventricle - Case Report - (제4뇌실에서 발생한 비정형성 수막종)

  • Ahn, Jung Yong;Joo, Jin Yang
    • Journal of Korean Neurosurgical Society
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    • v.29 no.5
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    • pp.696-700
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    • 2000
  • The authors report a case of atypical meningioma in the fourth ventricle. Intraventricular meningioma is not uncommon intracranial neoplasm, especially that in the trigone of lateral ventricle, however, those in the third and fourth ventricle are very rare. There are only two cases of atypical meningiomas in the fourth ventricle among 29 cases of fourth ventricular meningiomas reported 17 literature. The clinical features, findings of magnetic resonance image and operation of our case, and review of literature are presented.

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Extradural Thoracic Spinal Meningioma Arising from a Nerve Root - Case Report - (신경근에서 발생한 흉추부 경막외 수막종 1례)

  • Jang, Woo-Young;Kim, Keun-Su;Lee, Jung-Chung;Xuan, Xiu-Nan;Han, Han-Dong
    • Journal of Korean Neurosurgical Society
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    • v.30 no.3
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    • pp.400-403
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    • 2001
  • Extradural meningiomas are relatively rare and those arising from spinal root are even rarer. Recently, a case of extradural meningioma arising from a spinal nerve root was surgically treated in our institution. This patient was a 19-year-old female presented with paraparesis and paresthesia. The mass was compressing the spinal cord at the level of fourth thoracic spine, and it was extended to the nerve root. At operation it was found to be originated from the fourth thoracic spinal nerve root. After removal of the tumor, the neurologic symptom and sign were recovered completely. Histoligic examination of tumor revealed as transitional type of meningioma.

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Solitary Fibrous Tumor of the Meninges - A Case Report - (수막의 고립성 섬유성 종양 - 1예 보고 -)

  • Kong, Tae Shik;Son, Hyun Jin;Choi, Ha Young;Moon, Woo Sung;Chung, Myoung Ja
    • Journal of Korean Neurosurgical Society
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    • v.30 no.12
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    • pp.1439-1442
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    • 2001
  • Solitary fibrous tumor(SFT) is a spindle cell neoplasm that usually arises in the pleura. Its involvement of the meninges is rare but increasingly being reported. Our case was a 33-year-old man who presented with clonic seizure around the right mouth angle and sensory disturbance at the right hand. Radiological studies showed a large extra-axial, dural-based mass in the left fronto-parietal region, typically isointense with gray matter and heterogeneous strong enhancement on T1-weighted images. Histologically, the tumor was composed of spindle-shaped cells growing in fascicles within the collagenous matrix. Immunohistochemical staining demonstrated diffuse CD34 positivity. Awareness of this neoplasm is necessary to accurate diagnosis.

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