• Title/Summary/Keyword: Department of Neurosurgery

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Intradural Extramedullary Spinal Metastasis - A Case Report - (경막하 수외로 전이된 척수암 1례 - 증 례 보 고 -)

  • Shin, Il-Young;Doh, Jae-Won;Yoon, Seok-Mann;Lee, Kyeong-Seok;Bae, Hack-Gun;Yun, Il-Gyu;Choi, Soon-Kwan;Byun, Bark-Jang
    • Journal of Korean Neurosurgical Society
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    • v.29 no.8
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    • pp.1085-1088
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    • 2000
  • Spinal intradural extramedullary metastasis are very rare. The authors report a case of spinal metastasis at the T5 level in the intradural extramedullary space in a 76-year-old man who presented with paraparesis and sciatica. Preoper-ative neuroradiologic imaging studies were highly suggestive of intradural mass lesion with compressive myelopathy. Pathology revealed metastatic squamous cell carcinoma. We describle the mechanism of tumor spread in intradural spinal metastasis.

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Intradural Lumbar Disc Rupture - Case Report - (경막내 요추 추간반 탈출증 - 증례보고 -)

  • Jeong, Ju-Ho;Lee, Sang-Gu;Yoo, Chan-Jong;Han, Ki-Soo;Kim, Woo-Kyung;Kim, Young-Bo;Park, Cheol-Wan;Lee, Uhn
    • Journal of Korean Neurosurgical Society
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    • v.30 no.10
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    • pp.1233-1236
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    • 2001
  • The intradural lumbar disc herniation which was first described by Dandy in 1942 is unusual. The pathogenesis is obscure and preoperative diagnosis is not easy. The patient usually have more severe neurologic deficits than those found in the much more common extradural disc herniations. We experienced two cases of the intradural lumbar disc herniation who had previous disc operations and the symptoms and neurologic signs were improved after removal of the intradural sequestration of disc fragments.

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Intraabdominal Aortic Obstruction with Severe Low Back Pain and Acute Paraplegia - Case Report - (심한 요통과 급성 양하지 마비증상으로 나타난 복부 대동맥 폐쇄증 - 증 례 보 고 -)

  • Kim, Rae Sang;Han, Ki Soo;Lee, Uhn;Park, Chol Wan;Kim, Young Bo;Lee, Sang Gu;Kim, Woo Kyung;Yoo, Chan Jong
    • Journal of Korean Neurosurgical Society
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    • v.30 no.1
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    • pp.95-98
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    • 2001
  • Acute intraabdominal aortic obstruction ends in progressive fatal course or severe permanent disability unless it is diagnosed and treated promptly. However, the incidence of such disease is very rare, so there is very little chance for a neurosurgeon to encounter a patient with acute intraabdominal aortic obstruction. The authors present a case of 62-year-old man with severe low back pain and acute paraplegia caused by acute intraabdominal aortic obstruction.

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Artificial Intelligence for Neurosurgery : Current State and Future Directions

  • Sung Hyun Noh;Pyung Goo Cho;Keung Nyun Kim;Sang Hyun Kim;Dong Ah Shin
    • Journal of Korean Neurosurgical Society
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    • v.66 no.2
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    • pp.113-120
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    • 2023
  • Artificial intelligence (AI) is a field of computer science that equips machines with human-like intelligence and enables them to learn, reason, and solve problems when presented with data in various formats. Neurosurgery is often at the forefront of innovative and disruptive technologies, which have similarly altered the course of acute and chronic diseases. In diagnostic imaging, such as X-rays, computed tomography, and magnetic resonance imaging, AI is used to analyze images. The use of robots in the field of neurosurgery is also increasing. In neurointensive care units, AI is used to analyze data and provide care to critically ill patients. Moreover, AI can be used to predict a patient's prognosis. Several AI applications have already been introduced in the field of neurosurgery, and many more are expected in the near future. Ultimately, it is our responsibility to keep pace with this evolution to provide meaningful outcomes and personalize each patient's care. Rather than blindly relying on AI in the future, neurosurgeons should gain a thorough understanding of it and use it to enhance their patient care.

Pineal Germinoma Associated with Chronic Granulomatous Inflammation - Case Report - (육아종성 염증을 동반한 송과체 배아종 - 증례보고 -)

  • Moon, Kyung Sub;Jung, Shin;Kang, Sam Suk;Kim, In Young;Kim, Hyun Woo;Lee, Jung Kil;Kim, Tae Sun;Kim, Jae Hyoo;Kim, Soo Han;Lee, Je Hyuk
    • Journal of Korean Neurosurgical Society
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    • v.30 no.sup1
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    • pp.170-173
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    • 2001
  • Germinoma associated with chronic granulomatous inflammation of pineal gland has been rarely reported in the literature. The mechanism of chronic granulomatous inflammation is not understood well. We report a case of chronic granulomatous inflammation in pineal germinoma. In a 17 year-old male who suffered from headache and diplopia for six months, the mass of pineal gland was detected by brain MRI and removed through occipital transtentorial approach. The pathological specimen revealed the mass was predominantly composed of chronic granulomatous inflammation associated with small portion of germ cell tumor nests In the pathological interpretation of chronic granulomatous inflammation of pineal mass, it would be obliged to search for the presence of germ cell component.

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Nonsurgical Management of Parasagittal Epidural Hematoma Report of 4 Cases (상시정맥동 주위의 뇌경막외 혈종의 비 수술적 치료 -4례 보고-)

  • Nam, Dong-Soo;Kim, Seong-Ho;Kim, Bum-Dae;Bae, Jang-Ho;Doh, Eun-Sig;Kim, Oh-Lyong;Chi, Yong-Chul;Choi, Byung-Yearn;Cho, Soo-Ho;Ihm, Jow-Hyuk
    • Journal of Yeungnam Medical Science
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    • v.7 no.2
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    • pp.173-179
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    • 1990
  • Nonsurgical management of four cases of the parasagittal epidural hematoma were experienced. Patients were mildly symptomatic or minimal neurological disturbances on admission. Patients were treated conservatively because of stable neurologic sign. All patients had who diastatic fracture and/or suture have become a complete neurological recovery with satisfactory absorption of EDH over a period of 5 to 12 weeks.

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Development of Cloud-Based Telemedicine Platform for Acute Intracerebral Hemorrhage in Gangwon-do : Concept and Protocol

  • Hyo Sub Jun;Kuhyun Yang;Jongyeon Kim;Jin Pyeong Jeon;Jun Hyong Ahn;Seung Jin Lee;Hyuk Jai Choi;Jong Wook Choi;Sung Min Cho;Jong-Kook Rhim
    • Journal of Korean Neurosurgical Society
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    • v.66 no.5
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    • pp.488-493
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    • 2023
  • We aimed to develop a cloud-based telemedicine platform for patients with intracerebral hemorrhage (ICH) at local hospitals in rural and underserved areas in Gangwon-do using artificial intelligence and non-face-to-face collaboration treatment technology. This is a prospective and multi-center development project in which neurosurgeons from four university hospitals in Gangwon-do will participate. Information technology experts will verify and improve the performance of the cloud-based telemedicine collaboration platform while treating ICH patients in the actual medical field. Problems identified will be resolved, and the function, performance, security, and safety of the telemedicine platform will be checked through an accredited certification authority. The project will be carried out over 4 years and consists of two phases. The first phase will be from April 2022 to December 2023, and the second phase will be from April 2024 to December 2025. The platform will be developed by dividing the work of the neurosurgeons and information technology experts by setting the order of items through mutual feedback. This article provides information on a project to develop a cloud-based telemedicine platform for acute ICH patients in Gangwon-do.

Standards for Endovascular Neurosurgical Training and Certification of the Society of Korean Endovascular Neurosurgeons 2013

  • Shin, Dong-Seong;Park, Sukh-Que;Kang, Hyun-Seung;Yoon, Seok-Mann;Cho, Jae-Hoon;Lim, Dong-Jun;Baik, Min-Woo;Kwon, O Ki;Kim, Bum-Tae
    • Journal of Korean Neurosurgical Society
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    • v.55 no.3
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    • pp.117-124
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    • 2014
  • The need for standard endovascular neurosurgical (ENS) training programs and certification in Korea cannot be overlooked due to the increasing number of ENS specialists and the expanding ENS field. The Society of Korean Endovascular Neurosurgeons (SKEN) Certification Committee has prepared training programs and certification since 2010, and the first certificates were issued in 2013. A task force team (TFT) was organized in August 2010 to develop training programs and certification. TFT members researched programs and systems in other countries to develop a program that best suited Korea. After 2 years, a rough draft of the ENS training and certification regulations were prepared, and the standard training program title was decided. The SKEN Certification Committee made an official announcement about the certification program in March 2013. The final certification regulations comprised three major parts: certified endovascular neurosurgeons (EN), certified ENS institutions, and certified ENS training institutions. Applications have been evaluated and the results were announced in June 2013 as follows: 126 members received EN certification and 55 hospitals became ENS-certified institutions. The SKEN has established standard ENS training programs together with a certification system, and it is expected that they will advance the field of ENS to enhance public health and safety in Korea.

The Treatment of Giant Middle Cerebral Artery Aneurysm with MDS Coil - Case Report - (기계적 분리코일(MDS coil)을 이용한 소아 거대 중대뇌동맥류의 치료)

  • Choi, Gwang-Shik;Kim, Sung-Ho;Bae, Jang-Ho;Kim, O-Lyong;Choi, Byung-Youn;Cho, Soo-Ho;Byun, Woo-Mok
    • Journal of Yeungnam Medical Science
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    • v.14 no.1
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    • pp.237-244
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    • 1997
  • A 14-year old boy was admitted with stuporous mentality. CT scan, MRI and cerebral angiogram revealed SAH and a giant aneurysm of right middle cerebral artery($4{\times}5{\times}5.3cm$). To minimize surgical risk, endovascular treatment was done with MDS(mechanical detachable system)-spiral coil. Follow up MRI showed intraluminal thrombus formation of the aneurysm.

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