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

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Bilateral Pedicle Stress Fracture Accompanying Spondylolysis in a Patient with Ankylosing Spondylitis

  • Kim, Hyeun-Sung;Ju, Chang-Il;Kim, Seok-Won
    • Journal of Korean Neurosurgical Society
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    • v.48 no.1
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    • pp.70-72
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    • 2010
  • Bilateral pedicle stress fracture is a rare entity and few cases have been reported in the literature. Furthermore, the majority of these reports concern previous spine surgery or stress-related activities. Here, the authors report ankylosing spondylitis as a new cause of bilateral pedicle stress fractures accompanying spondylolysis. The reported case adds to the literature on bilateral pedicle stress fracture and spondylolysis by documenting that ankylosing spondylitis is another cause of this condition.

Supratentorial Cortical Ependymoma in a 21-Month-Old Boy

  • Lee, Sang-Kook;Lim, Dong-Jun;Kim, Sang-Dae
    • Journal of Korean Neurosurgical Society
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    • v.50 no.3
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    • pp.244-247
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    • 2011
  • Two-thirds of ependymomas arise in the infratentorial or intraventricles, whereas one-third are located supratentorially. But supratentorial "cortical" ependymomas are very rare. We report a case of a cortical ependymoma in a 21-month-old boy. The patient presented with simple partial seizures. This tumor was located in the postcentral gyrus and he had gross total excision. Microscopy and immunohistochemistry showed grade II differentiation ependymoma.

Malignant Ascites after Subduroperitoneal Shunt in a Patient with Leptomeningeal Metastasis

  • Lee, Min-Ho;Lee, Jung-Il
    • Journal of Korean Neurosurgical Society
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    • v.50 no.4
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    • pp.385-387
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    • 2011
  • Leptomeningeal metastasis is a devastating complication of advanced stage cancer. It is frequently accompanied by hydrocephalus and intracranial hypertension that must be treated by ventriculoperitoneal shunts. However, there are actual risks of peritoneal seeding or accumulation of malignant ascites after the cerebrospinal fluid diversion procedure, though it has not been reported. Here, we present the case of a patient with non-small cell lung cancer with leptomeningeal metastasis in whom malignant ascites developed after a subduroperitoneal shunt.

Multiple, Dissecting Giant Aneurysms in a Childhood - A Case Report - (소아에서의 다발성, 박리성 거대 동맥류)

  • Ahn, Jung Yong;Joo, Jin Yang
    • Journal of Korean Neurosurgical Society
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    • v.29 no.12
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    • pp.1668-1672
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    • 2000
  • Nontraumatic, incracranial giant aneurysm has rarely been reported as the cause of the spontaneous subarachnoid hemorrhage in childhood. Multiple, dissecting giant aneurysms on the left middle cerebral artery with sudden onset of headache in a 14-year-old girl were successfully clipped and followed by complete relief of symptoms. The rarity and characteristics of such lesion in childhood and its successful surgical treatment are discussed briefly.

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Symptomatic Epidural Pneumorrhachis : A Rare Entity

  • Kim, Seok Won;Seo, Hong Ju
    • Journal of Korean Neurosurgical Society
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    • v.54 no.1
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    • pp.65-67
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    • 2013
  • Pneumorrhachis, which involves the entrapment of air or gas within the spinal canal, is a rare clinical entity, and the pathogenesis and etiologies of this uncommon entity are various and can present a diagnostic challenge. Usually, pneumorrhachis represents an asymptomatic epiphenomenon but it can produce symptoms associated with its underlying pathology. Here, we report a rare case of symptomatic epidural pneumorrhachis accompanying pneumothorax. Possible pathogenic mechanisms are discussed and a review of the literature is included.

Intrasellar Schwannomas

  • Yoon, Wan-Soo;Park, Ik-Seong;Baik, Min-Woo
    • Journal of Korean Neurosurgical Society
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    • v.37 no.2
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    • pp.157-159
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    • 2005
  • The authors present two cases of intrasellar schwannoma, a condition rarely reported in the literature. The patients presented with symptoms of hypopituitarism. Sellar magnetic resonance imaging(MRI) revealed intrasellar masses extending into the suprasellar region, with the normal pituitary gland also identifiable in the imaging study. The tumors were removed via trans-sphenoidal route, and found to be very firm, unlike usual pituitary adenomas. Tissue diagnosis confirmed the tumors as schwannoma.

Direct Repair of a Dorsal Wall Aneurysm on Supraclinoid Internal Carotid Artery

  • Kim, Young-Gyun;Kim, Young-Don
    • Journal of Korean Neurosurgical Society
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    • v.37 no.2
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    • pp.160-162
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    • 2005
  • Aneurysms arising at locations other than arterial division are rare and the incidence of intraoperative bleeding is far higher in such aneurysms than in usual aneurysms. The authors report a case of intraoperative rupture and laceration on internal carotid artery(ICA) wall during dissecting a dorsal wall aneurysm on supraclinoid ICA and successful repair of the laceration on the parent ICA with microsuture and a Sundt clip-graft.

Endovascular Treatment of "Kissing Aneurysms" at the Anterior Communicating Artery

  • Suh, Sang-Jun;Kang, Dong-Gee;Ryu, Kee-Young;Cho, Jae-Hoon
    • Journal of Korean Neurosurgical Society
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    • v.44 no.3
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    • pp.163-165
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    • 2008
  • Kissing aneurysms are the rare type of multiple aneurysms. They are adjacent aneurysms of different origin arteries in the same region, which require great care in diagnosis and treatment. We report a case of kissing aneurysms at the anterior communicating artery (AcomA) which were treated by endovascular coil embolization.

Fibrous Dysplasia with Aneurysmal Bone Cyst Presenting as Painful Solitary Skull lesion

  • Lee, Jung-Won;Kim, Jae-Hoon;Han, Seung-Hoon;Kang, Hee-In
    • Journal of Korean Neurosurgical Society
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    • v.48 no.6
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    • pp.551-554
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    • 2010
  • We report a rare case of fibrous dysplasia with the development of a secondary aneurysmal bone cyst presenting as solitary tumor of calvarium. Although fibrous dysplasia with aneurysmal bone cyst is rare, it should be taken into account in differential diagnosis of the osteolytic solitary skull lesion.

Malignant Transformation of Fibrous Dysplasia on Anterior Skull Base

  • Lee, Chul-Jae;Kim, Seong-Min
    • Journal of Korean Neurosurgical Society
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    • v.37 no.5
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    • pp.383-385
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    • 2005
  • Malignant transformation of fibrous dysplasia is a rare condition and the incidence is estimated at 0.4% for fibrous dysplasia and 4% for Albright's syndrome. The authors did not find a reported case of malignant change at skull base around the orbit in the literature. We experienced a case of fibrous dysplasia, in which neurologic symptoms were aggravated due to malignant change around the orbit, and report its favorable outcome obtained with total surgical removal.