• Title/Summary/Keyword: Department of Neurosurgery

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Osteochondroma of the Lumbar Spines without Clear Demarcation from Surrounding Normal bone Tissues - Report of A Case - (정상 골조직과 경계가 불명확한 요추 골연골종 - 증례보고 -)

  • Kim, Joo-Han;Oh, Woo-Suk;Chung, Hung-Seob;Lee, Ki-Chan;Suh, Jung-Keun
    • Journal of Korean Neurosurgical Society
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    • v.30 no.6
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    • pp.790-794
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    • 2001
  • Spinal osteochondroms are very rare, and are thought to arise through a process of progressive endochondral ossification of aberrant cartilage of a growth plate, as a consequence of congenital defect or trauma. A case of diffuse type osteochondroma involving the posterior elements of L1-L5 that progressed after laminectomy in a 33-year-old man is reported. Usually, the spinal osteochondroma shows clear demarcation between tumor margin and normal spine elements, and can be exised completely. However, there was no clear demarcation between tumor and normal spine element in our case and therefore it was not possible to removal completely.

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Two Separate Episodes of Intramedullary Spinal Cord Metastasis in a Single Patient with Breast Cancer

  • Choi, Hyun-Chul;Yoon, Do-Heum;Kim, Seung-Chul;Cho, Ki-Hong;Kim, Sang-Hyun
    • Journal of Korean Neurosurgical Society
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    • v.48 no.2
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    • pp.162-165
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    • 2010
  • Intramedullary spinal cord metastases are very rare. Patients with breast cancer as the primary source of intramedullary spinal cord metastases tend to do better than other types of cancer. We report the very unusual case of a woman with breast cancer who had two separate episodes of intramedullary spinal cord metastasis.

Complete Cord Injury after Minimal Trauma in a Patient with Forestier's Disease Accompanying Ossification of the Posterior Longitudinal Ligament

  • Oh, Gun-Seok;Ju, Chang-Il;Kim, Seok-Won;Lee, Seung-Myung;Shin, Ho
    • Journal of Korean Neurosurgical Society
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    • v.42 no.6
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    • pp.487-489
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    • 2007
  • Forestier's disease is a systemic rheumatological abnormality in which exuberant ossification occurs along ligaments throughout the body, but most notably the anterior longitudinal ligament of the spine. This disease is usually asymptomatic; however dysphagia, dyspnea, and peripheral nerve entrapment have all been documented in association with the disorder. We report a rare case of catastrophic neurologic damage caused by Forestier's disease accompanying ossification of the posterior longitudinal ligament.

A BRW Stereotaxic Biopsy of Brain Stem Glioma (BRW Stereotaxic System을 이용한 뇌간신경교종의 정위수술적 생검술)

  • Baek, Seoung-Chan;Choi, Byung-Yearn;Moon, Choong-Bae;Chi, Young-Chul;Cho, Soo-Ho
    • Journal of Yeungnam Medical Science
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    • v.3 no.1
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    • pp.343-349
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    • 1986
  • Histopathological diagnosis of brain stem glioma should be performed for the purpose of the determination of its management and clinical course, but its surgical biopsy has been followed by high mortality and morbidity. We performed the tissue sampling for histological examination with BRW stereotaxic system under local anesthesia successfully.

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Percutaneous Tunnel Ventriculostomy for the Hydrocephalus Complicated with Ventriculitis - Case Report - (뇌실염이 합병된 수두증환자에서 피하터널 조루술 - 증례보고 -)

  • Hwang, Sung-Nam;Cho, Jae-Young;Park, Seung-Won;Kim, Young-Baeg;Choi, Duck-Young
    • Journal of Korean Neurosurgical Society
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    • v.30 no.7
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    • pp.939-942
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    • 2001
  • Thirty nine-year-old man who required urgent shunt operation due to rapidly deteriorating visual acuity suffered from ventriculitis after aneurysmal operation. Daily dose of 20mg of vancomycin and amikyn were given intraventricularly via external ventricular catheter after failure of various kinds of systemic antibiotics. The exit of the catheter was made on the upper chest wall to prevent superinfection. External ventricular drainage could finally be switched to ventriculo-peritoneal shunt and he was discharged with clinical improvement.

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Malignant Peripheral Nerve Sheath Tumor in the Cervical Spinal Canal - Case Report - (경추 척추강내의 악성신경피막종 - 증 례 보 고 -)

  • Kim, Hyeok Joon;Cho, Ki Hong;Shin, Yong Sam;Yoon, Soo Han;Cho, Kyung Gi
    • Journal of Korean Neurosurgical Society
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    • v.30 no.sup2
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    • pp.356-360
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    • 2001
  • Malignant peripheral nerve sheath tumor(MPNST, primary malignant schwannoma) within the spinal canal is very rare. The prognosis of MPNST in the spinal canal is very poor due to the tendency of perineural spread, dissemination throughout subarachnoid space and local recurrance. This report details the authors' experience on the case of primary malignant spinal schwannoma with review of the literatures and other studies.

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Spontaneous Regression of Pineal Germinoma - Case Report - (자연 소실된 송과체 배아종 - 증례보고 -)

  • Cheong, Jin Hwan;Kim, Jae Min;Bak, Koang Hum;Kim, Choong Hyun;Oh, Suck Jun
    • Journal of Korean Neurosurgical Society
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    • v.30 no.10
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    • pp.1224-1228
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    • 2001
  • Germinoma is a rare central nervous system neoplasm in children and young adults. It is well known that a malignant primary neoplasm can be cured by conventional radiation therapy alone or reduced-volume and field irradiation in combination with chemotherapy. The authors report a very rare case of a pineal germinoma, which was completely disappeared after repeated diagnostic brain computed tomography(CT) with review of pertinent literature. There has been neither tumor recurrence nor metastasis during follow-up period.

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Hemorrhagic Complications of Intracranial Arachnoid Cyst Following Minor Head Injury : Report of 5 Cases

  • Kim, Jae-Hoon;Kim, Choong-Hyun;Cheong, Jin-Hwan;Bak, Koang-Hum;Kim, Jae-Min
    • Journal of Korean Neurosurgical Society
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    • v.39 no.6
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    • pp.443-446
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    • 2006
  • Intracranial arachnoid cyst is presumed to be a developmental anomaly and its natural history is not well defined. Often it is detected incidentally in a asymptomatic patient and hemorrhagic events of arachnoid cyst following head injury are rarely reported. We report hemorrhagic complications including two intracystic hemorrhages, two subdural hematomas, and an epidural hematoma in 5 patients with intracranial arachnoid cyst after minor head injury and review pertinent literatures.

Melanotic Schwannoma in Cervical Spine - A Case Report - (경추에 발생한 멜라닌 신경초종 - 증례보고 -)

  • Yi, Seong;Chin, Dong Kyu;Jin, Byung Ho;Cho, Yong Eun;Kim, Young Soo
    • Journal of Korean Neurosurgical Society
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    • v.30 no.7
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    • pp.916-920
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    • 2001
  • Primary melanotic schwannoma in spinal cord is a very uncommon disorder, eight cases of melanotic schwannoma in spinal cord have been found in the literature. We present a case report of a patient with an intradural, extramadullary melanotic schwannoma in cervical spine and the literature on melanotic schwannoma is reviewed. The proposed theories on the origin of these tumors and treatment are discussed.

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Surgical Complication and Its Management in Ischemic Stroke (허혈성뇌졸중의 수술치료시 동반되는 합병증과 관리)

  • Kim, Dal Soo;Yoo, Do Sung;Huh, Pil Woo;Cho, Kyoung Suok;Kang, Joon Ki
    • Journal of Korean Neurosurgical Society
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    • v.29 no.8
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    • pp.1107-1112
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    • 2000
  • Recently various operative procedures including microsurgery or endovascular surgery have been increasing for the management of ischemic cerebrovascular diseases. Carotid endarterectomy(CEA), extracranial-intracranial(EC-IC) arterial bypass, embolectomy, decompressive craniectomy, arterial transposition, intravascular thrombolysis, and percutaneous transarterial angioplasty and stenting (PTAS) are available surgical modalities for ischemic stroke. This article focuses the complications and perioperative management of patients treated with CEA and carotid PTAS among various surgical managements for ischemic stroke.

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