• 제목/요약/키워드: Department of Neurosurgery

검색결과 3,974건 처리시간 0.031초

Characteristics and Treatment Outcome of Intracranial Aneurysms in Children and Adolescents

  • Nam, Sun Mo;Jang, Donghwan;Wang, Kyu-Chang;Kim, Seung-Ki;Phi, Ji Hoon;Lee, Ji Yeoun;Cho, Won-Sang;Kim, Jeong Eun;Kang, Hyun-Seung
    • Journal of Korean Neurosurgical Society
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    • 제62권5호
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    • pp.551-560
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    • 2019
  • Objective : Intracranial aneurysms are not common in young age patients. We sought to find the characteristics of the intracranial aneurysms in patients under 20 years of age. Methods : We reviewed 23 consecutive patients ${\leq}20$ years of age treated for their intracranial aneurysms during the period from 1995 to 2017. From medical records and imaging studies, we gathered data on age, sex, presentation, associated medical condition, location and characteristics of aneurysms, treatment and clinical outcomes. Results : The patients' ages ranged from 13 months to 20 years (median, 14 years). There were 16 males and seven females (male to female ratio, 2.3 : 1) with 31 aneurysms. Clinical presentations included sudden severe headache in 61%, followed by altered mentality in 17% and seizure in 17%. More than one-fourth patients had specific medical conditions related to the development of the cerebral aneurysms. The majority of aneurysms occurred in the anterior circulation (71%), and were saccular (71%). There were each three patients with false aneurysms (13%) and giant aneurysms (13%), and only one patient with multiple aneurysms (4%). We treated 22 patients : 21 aneurysms with the endovascular methods, three with open surgery, and one with combined treatment. Good functional outcome could be achieved in 86% during the follow-up period. Conclusion : In this series, the young-age patients with intracranial aneurysms were characterized by male predominance, related specific medical conditions, low incidence of multiple aneurysms, high incidence of giant aneurysms and good functional outcome after treatment.

결합조직형성성 영아 신경절교종 (A Case of Desmoplastic Infantile Ganglioglioma)

  • 송광철;김성호;배장호;김오룡;최병연;조수호;김동석
    • Journal of Yeungnam Medical Science
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    • 제14권2호
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    • pp.451-458
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    • 1997
  • The desmoplastic infantile ganglioglioma is very rare cerebral tumor. It has been known to be characterized by its voluminious size, intense desmoplasia and the frequent presence of astrocytic and ganglioglionic differentiation. Also, It is usually presented in infantile period and predilected in the frontal and parietal lobes. We treated a huge desmoplastic infantile ganglioglioma($8{\times}7{\times}6cm$) on the right frontotemporo-parietal areas of with only gross total resection. It includes solid mass & several cysts and shows the areas of the proliferation of spindle cells exhibiting storiform pattern in dense desmoplastic stroma and the areas composed of spindle shaped glial component.

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선천성 몬로공 폐쇄증에 의한 일측성 수두증 (Unilateral Hydrocephalus in Congenital Atresia of the Foramen of Monro)

  • 김종현;정용구;이남준;김세훈;이훈갑;이기찬;서중근
    • Journal of Korean Neurosurgical Society
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    • 제29권3호
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    • pp.434-437
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    • 2000
  • 일측성 수두증은 여러가지 원인에 의해 발생될 수 있으나 주로 종양이나 감염등에 의한 후천적인 몬로공 폐쇄의 경우가 대부분이고 선천성 몬로공 폐쇄에 의한 일측성 수두증은 그 예가 많지 않다. 산전초음파 검사로 태아의 선천성 일측성 수두증을 진단했고 출산 후 수술적 방법을 통해 치료한 예는 국내에 아직 보고된 바가 없어 이를 문헌고찰과 함께 보고한다.

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뇌실내 지주막 낭종 - 증례보고 - (Two Cases of Intraventricular Arachnoid Cysts - Case Report -)

  • 방재승;오창완;김명수;최기영;조병규;홍승관;한대희
    • Journal of Korean Neurosurgical Society
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    • 제30권7호
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    • pp.928-933
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    • 2001
  • Intraventricular arachnoid cyst has been rarely reported. Here we present two cases of symptomatic intraventricular arachnoid cysts in the fourth ventricle and right lateral ventricle. The first patient was a 38-year-old female who complained of headache and left facial hypesthesia. Computed tomography and MR scan revealed large cystic lesion in the fourth ventricle. After cyst wall removal, facial hypesthesia disappeared immediately and headache improved slowly. The second patient was a 9-year-old girl who complained of headache, vomiting and paresthesia in her right low extremity. Cystic lesion in the right lateral ventricle was detected in the CT and MR scan. The symptoms improved after cyst wall removal. Surgical findings of these two cases showed that the cyst walls were attached firmly to the choroid plexus. Symptomatic intraventricular arachnoid cyst must be treated appropriately and we recommend complete cyst wall removal.

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척수에 발생한 상피양 혈관내피종 1예 - 증례보고 - (Epithelioid Hemangioendothelioma of the Spinal Cord - A Case Report -)

  • 김기태;원유삼;이승민;양재영;최천식;주문배;금주섭
    • Journal of Korean Neurosurgical Society
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    • 제30권5호
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    • pp.627-632
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    • 2001
  • Hemangioendotheliomas are vascular neoplasms characterized by histologic appearance that are intermediate between hemangiomas and angiosarcomas first described by Weiss and Enzinger in 1982. They are classified into at least 3 subgroups, including epithelioid hemangioendothelioma, spindle cell hemangioendothelioma, and malignant endovascular angioendothelioma, and have been reported principally in soft tissues of the extremities, lung, liver, and bone. The cases involving the central nervous system reported are very rare. We report an intraspinal epithelioid hemangioendothelioma occurring in a 52-year-old man. To our knowledge, it is first case of spinal hemangioendothelioma in Korea.

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