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

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Late Onset Postpartum Seizure and Magnetic Resonance Image Findings

  • Hwang, Sung-Nam;Park, Jae-Sung;Park, Seung-Won
    • Journal of Korean Neurosurgical Society
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    • v.37 no.6
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    • pp.453-455
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    • 2005
  • Two young women were brought to the Emergency room with generalized tonic and clonic seizures. Seizure developed seven and ten days after delivery respectively without the clinical signs of pre-eclampsia throughout the pregnancies. Magnetic resonance(MR) image of the brain showed characteristically symmetrical abnormal signals in the parietal and occipital regions. After several days of medical treatment, they were discharged without neurologic sequelae and follow-up MR images taken three months after discharge showed complete disappearance of the previous abnormal signals.

Sacral Intradural Cysticercosis Misdiagnosed as Brain Tumor Metastasis

  • Kim, Seok-Won;Lee, Seung-Myung
    • Journal of Korean Neurosurgical Society
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    • v.37 no.1
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    • pp.67-69
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    • 2005
  • Spinal intradural cysticercosis is a rare manifestation of neurocysticercosis that may present as an isolated lesion. We report a case of sacral intradural cysticercosis misdiagnosed as a metastasis through cerebrospinal fluid seeding in a 48-year-old patient who underwent ependymoma surgery 3 months ago. We performed S1-2 laminectomy with the total removal of intradural lesion. The cysticercosis was confirmed histologically. The patient was given albendazole with corticosteroid.

Fatal Rhabdomyolysis in a Patient with Head Injury

  • Park, Yong Jin;Kim, Seok Won
    • Journal of Korean Neurosurgical Society
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    • v.53 no.5
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    • pp.303-304
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    • 2013
  • Rhabdomyolysis is a rare but potentially life-threatening disorder caused by the release of injured skeletal muscle components into the circulation. The authors report a case of severe head injury, in which a hyperosmolar state and continuous seizure complicated by severe rhabdomyolysis and acute renal failure evolved during the course of treatment resulted in a fatal outcome despite intensive supportive treatment. Our bitter experience suggests that rhabdomyolysis should be born in mind in patients with severe head injury who may develop hyperosmolar state and continuous seizure.

Pituitary Stalk Hemangioblastoma in a von Hippel-Lindau Patient : Clinical Course Follow-Up Over a 20-Year Period

  • Lee, Kyung Mi;Kim, Eui Jong;Choi, Woo Suk;Kim, Tae Sung
    • Journal of Korean Neurosurgical Society
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    • v.53 no.5
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    • pp.297-299
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    • 2013
  • Supratentorial hemangioblastomas (HBs) are rare, and pituitary stalk HBs are extremely uncommon; therefore, pituitary stalk evaluation is often overlooked. Herein, we report the development of pituitary stalk HB over a 20-year period and the importance of regular long-term follow up for patients with HBs.

Dandy-Walker Malformation Associated with Neurocutaneous Melanosis

  • Cho, In-Yong;Hwang, Sung-Kyun;Kim, Sung-Hak
    • Journal of Korean Neurosurgical Society
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    • v.50 no.5
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    • pp.475-477
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    • 2011
  • Neurocutaneous melanosis associated with Dandy-Walker malformation is a rare dysmorphogenesis that is associated with single or multiple giant pigmented cutaneous nevi and diffuse involvement of the central nervous system. In this article, we present a 2-month-old patient with neurocutaneous melanosis associated with Dandy-Walker malformation. In addition, we reviewed the literature and discussed the pathogenesis based on the preferred hypotheses.

Pyogenic Spondylodiscitis after Percutaneous Endoscopic Lumbar Discectomy

  • Choi, Kyeong-Bo;Lee, Choon-Dae;Lee, Sang-Ho
    • Journal of Korean Neurosurgical Society
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    • v.48 no.5
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    • pp.455-460
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    • 2010
  • We reviewed 9 cases of pyogenic spondylodiscitis following percutaneous endoscopic lumbar discectomy (PELD). Microbiologic cultures revealed 6 causative organisms. Five patients were managed conservatively and four were treated surgically. The mean follow-up period was 20.6 months and the average length of hospitalization was 24 days. Radiological evidence of spinal fusion was noted and infection was resolved in all patients. Although PELD is a safe and effective procedure, the possibility of pyogenic spondylodiscitis should always be considered.

Gas-Filled Intradural Cyst within the Cauda Equine

  • Cho, Hyung-Lea;Lee, Sang-Ho;Kim, Jin-Sung
    • Journal of Korean Neurosurgical Society
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    • v.49 no.3
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    • pp.182-185
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    • 2011
  • A case of radicular pain that resulted from a gas-filled intradural cyst in an 80-year-old male is described. Temporary improvement of radicular pain was observed after CT-guided aspiration. However, recurrent radicular pain led to surgical treatment. In this report, the authors document the radiologic and intraoperative features of a gas-filled intradural cyst that migrated into the nerve root, and propose an optimal treatment plan based on a review of the literature.

Neonatal Cephalohematoma and Epidural Hematoma by Birth Trauma

  • Chung, Seok-Won;Park, Seong-Hyun;Hwang, Sung-Kyoo
    • Journal of Korean Neurosurgical Society
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    • v.39 no.6
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    • pp.464-466
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    • 2006
  • Cephalohematoma with epidural hematoma[EDH] is a known complication of birth trauma and is usually best managed by observation only. However, this complication may jeopardize a neonatal life because of cranial compromise and hemodynamic instability. It should also be recognized that surgical intervention confers undoubted benefits on patients in some cases. We report a case of massive EDH with cephalohematoma and linear skull fracture, successfully treated with a craniotomy and evacuation of the hematoma.

Management of Otogenic Brain Abscess Using the Transmastoid Approach

  • Choi, June;Choi, Jong Il;Kim, Sang-Dae
    • Journal of Korean Neurosurgical Society
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    • v.55 no.3
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    • pp.178-180
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    • 2014
  • Despite significant advances in the treatment of all forms of chronic otitis media (COM), complications still can and do occur, with intracranial complications representing the most life-threatening cases, often requiring immediate therapeutic intervention. Herein, we present a rare case of rapidly progressing facial paralysis with concomitant severe headache and ipsilateral hearing loss secondary to an otogenic brain abscess, treated with the transmastoid approach, drainage, and facial nerve decompression.

Ganglioglioma in Brainstem : Case Report and a Review of Literatures

  • Kim, Sung-Duk;Kim, Jong Hyun;Lee, Cheol-Young;Kim, Hyun-Woo
    • Journal of Korean Neurosurgical Society
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    • v.55 no.3
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    • pp.164-166
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    • 2014
  • Ganglioglioma is an infrequent tumor of the central nervous system (CNS); mostly supratentorial region. But, they can occur anywhere in the central nervous system such as brainstem, cerebellopontine angle (CPA), thalamus, optic nerve and spinal cord. Although it occurs rarely, ganglioglioma should be included in the differential diagnosis of a posterior fossa mass because early recognition is important for treatment and patient counseling.