• Title/Summary/Keyword: Journal of Korean neurosurgical society

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Clinical Experience and Management of Cervico-Thoracic Epidural Hematoma

  • Ahn, Sang-Soak;Song, Young-Jin
    • Journal of Korean Neurosurgical Society
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    • v.47 no.5
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    • pp.381-384
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    • 2010
  • Spinal epidural hematoma (SEH) causing acute myelopathy is rare. The usual clinical presentation of a SEH is sudden severe neck or back pain that progresses toward paraparesis or quadriparesis, depending on the level of the lesion. Recent studies have shown that early decompressive surgery is very important for patient's recovery. We experienced five patients of cervico-thoracic epidural hematomas associated with neurologic deficits that were treated successfully with surgical intervention.

Lumbar Schwannoma Associated with Hydrocephalus

  • Kim, Young-Don;Kim, Dae-Hyun
    • Journal of Korean Neurosurgical Society
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    • v.37 no.3
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    • pp.228-231
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    • 2005
  • We describe a rare case of 52-year-old woman with lumbar schwannoma associated with hydrocephalus. In our case, the signs and symptoms of intracranial hypertension were not resolved even after the complete removal of the lumbar schwannoma. We also reviewed the literature on the association of hydrocephalus with spinal cord tumor.

A Rathke's Cleft Cyst Presenting with Apoplexy

  • Kim, Ealmaan
    • Journal of Korean Neurosurgical Society
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    • v.52 no.4
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    • pp.404-406
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    • 2012
  • The occurrence of symptomatic pituitary hemorrhage into a Rathke's cleft cyst (RCC) is extremely rare. The author reports an interesting case of intra- and suprasellar RCC presented with features of pituitary apoplexy. This 62-year-old woman suffered acute headache, mental confusion, and partial hypopituitarism. The characteristics of the magnetic resonance imaging seemed most compatible with a hemorrhagic pituitary adenoma. Transsphenoidal drainage of the cyst contents confirmed the diagnosis of hemorrhagic RCC and resolved the symptoms. All published data on this rare clinical entity are extracted and reviewed.

Subdural Hemorrhage Mimicking Peripheral Neuropathy

  • Kim, Hye Ihn;Oh, Yeo Jin;Cho, Yu Na;Choi, Young-Chul
    • Journal of Korean Neurosurgical Society
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    • v.56 no.2
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    • pp.166-167
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    • 2014
  • Subdural hemorrhage (SDH) can manifest various neurologic symptoms. However, SDH presenting with only hand weakness has rarely been reported. We report two SDH cases with only hand weakness mimicking peripheral neuropathy. Since SDH can present with hand weakness only, we suggest the clinicians to do a careful history taking and recommend a CT scan in the elderly patients.

Pontomedullary Laceration, a Fatal Consequence of Skull Base Ring Fracture

  • Jang, Ji Hwan;Kim, Jung Soo
    • Journal of Korean Neurosurgical Society
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    • v.56 no.6
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    • pp.534-536
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    • 2014
  • Due to improvements in emergency resuscitation provided by rescue teams, more trauma victims who could have died due to sudden heart failure at the scene are brought to the hospital following resuscitation. Most of these patients present with major organ injuries and hypovolemic shock at the time of trauma. However, head trauma associated with sudden heart arrest is rare. Here, we report a case of ring fracture with pontomedullary laceration that led to sudden heart arrest.

Syringomyelia in the Tethered Spinal Cords

  • Lee, Ji Yeoun;Kim, Kyung Hyun;Wang, Kyu-Chang
    • Journal of Korean Neurosurgical Society
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    • v.63 no.3
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    • pp.338-341
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    • 2020
  • Cases of syringomyelia associated with spinal dysraphism are distinct from those associated with hindbrain herniation or arachnoiditis in terms of the suspected pathogenetic mechanism. The symptoms of terminal syringomyelia are difficult to differentiate from the symptoms caused by spinal dysraphism. Nonetheless, syringomyelia has important clinical implications, as it is an important sign of cord tethering. The postoperative assessment of syringomyelia should be performed with caution.

Rapid Progression of Unilateral Moyamoya Disease

  • Kim, Tae-Wan;Seo, Bo-Ra;Kim, Jae-Hyoo;Kim, Young-Ok
    • Journal of Korean Neurosurgical Society
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    • v.49 no.1
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    • pp.65-67
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    • 2011
  • The detailed clinical characteristics of unilateral moyamoya disease (MMD) have not been fully elucidated. It has been reported that some patients with unilateral MMD progress to bilateral involvement, while others remain with the unilateral variant In this series, we present a case of unilateral MMD that progressed to bilateral involvement over the course of just one month.

Thrombosis and Recanalization of Small Saccular Cerebral Aneurysm : Two Case Reports and a Suggestion for Possible Mechanism

  • Kim, Hyung Jun;Kim, Jae Hoon;Kim, Duk Ryung;Kang, Hee In
    • Journal of Korean Neurosurgical Society
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    • v.55 no.5
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    • pp.280-283
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    • 2014
  • Reports of thrombosis and recanalization of cerebral aneurysm are rare. We report two cases of small, saccular aneurysms in which spontaneous thrombosis had occurred during the preparation for endovascular coiling. Also, we review reported cases and propose the presumed pathogenesis.

Cervical Spondylodiscitis Caused by Candida Albicans in Non-Immunocompromised Patient

  • Moon, Hyung-Ho;Kim, Jae-Hoon;Moon, Byung-Gwan;Kim, Joo-Seung
    • Journal of Korean Neurosurgical Society
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    • v.43 no.1
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    • pp.45-47
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    • 2008
  • Fungal infections of the spine are relatively uncommon. Moreover, cervical spondylodiscitis due to Candida albicans in non-immunocompromised patient is very rare. We report a case of Candida spondylodiscitis in a 64-year-old woman who complained of neck pain. The clinical feature and treatment option are presented with a review of pertinent literatures.

A Case of Spondylodiscitis with Spinal Epidural Abscess Due to Brucella

  • Kim, Dae-Hyun;Cho, Young-Dae
    • Journal of Korean Neurosurgical Society
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    • v.43 no.1
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    • pp.37-40
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    • 2008
  • Brucellosis, a zoonosis with worldwide distribution, is a systemic infection caused by facultative intracellular bacteria of the genus Brucella, which can involve multiple organs and tissues. We report an uncommon case of spondylodiscitis with epidural abscess due to Brucella in a male stockbreeder. Diagnosis was based on clinical history, and supported by Brucella serology and magnetic resonance imaging. Clinical and radiological improvement were observed with a combined antimicrobial therapy of doxycycline, rifampicin, and gentamycin.