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

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Brain Metastasis of Renal Cell Carcinoma in Von Hippel-Lindau Disease - Case Report - (본 히펠 린다우병에서 발생한 신장암의 뇌전이 - 증례보고 -)

  • Yang, Seung Min;Park, Sang Woo;Suk, Jong Sik;Park, Jong Hyuk;Kwon, Jeong Taik;Min, Byung Kook
    • Journal of Korean Neurosurgical Society
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    • v.30 no.8
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    • pp.1019-1022
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    • 2001
  • Although brain metastasis of renal cell carcinoma is a major cause of death in Von Hippel-Lindau disease(VHL), it is not easy to distinguish local recurrence of hemangioblastoma from distant metastasis. In addition, hemangioblastoma has several characteristics suitable for recipient of "tumor-to-tumor metastasis". Authors report a case of Von Hippel-Lindau disease that had metastases of renal cell carcinomas.

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A Case of Intracardiac Migration of Distal Ventriculo-Peritonal(V-P) Shunt Catheter - Case Report - (뇌실-복강 단락 원위도관의 심장내전위 - 증례보고 -)

  • Kim, Byung Joo;Cha, Seung Heon;Park, Dong June;Song, Geun Sung;Choi, Chang Hwa;Lee, Young Woo
    • Journal of Korean Neurosurgical Society
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    • v.29 no.2
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    • pp.270-273
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    • 2000
  • Ventriculoperitoneal(V-P) shunt has been used as a popular method for surgical treatment of hydrocephalus. But complications such as infection, mechanical obstruction and failure of flow rate sometimes make painful stress to neurosurgeons and patients. Of particular, migration of distal V-P shunt catheter to extraperitoneal space has rarely been reported. Even rarer is intracardiac migration of distal V-P shunt catheter. Authors report a such case and discuss the possible mechanism and preventive method.

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Using Blood Donating Set for the Treatment of Subgaleal Hematoma - Technical Note - (헌혈 세트를 이용한 두피하 혈종의 치료 - 치료 수기 -)

  • Suh, Dong-Sang;Kim, Bum-Tae;Cho, Sung-Jin;Shin, Won-Han;Choi, Soon-Kwan;Byun, Bark-Jang
    • Journal of Korean Neurosurgical Society
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    • v.29 no.11
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    • pp.1519-1522
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    • 2000
  • Sugaleal hematoma usually develop one to eight days after minor head trauma or clotting disorders in children. The galeal aponeurosa in children is loosely attatched to the pericranium, allowing the collection of large quantity of blood. Most cases of subgaleal hematomas resolve spontaneously, however some cases require surgical intervention, aspiration of subgaleal hematoma often alleviate symptoms briefly and but do not shorten the time to resolution. Reaccumulation, infection following aspiration also had been reported. Here, we report the efficacy of using the blood donating set for the treatment of subgaleal hematoma in our series.

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Development of 'De novo' Aneurysm after Therapeutic Carotid Occlusion

  • Jin, Sung-Chul;Choi, Choong-Gon;Kwon, Do-Hoon
    • Journal of Korean Neurosurgical Society
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    • v.45 no.4
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    • pp.236-239
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    • 2009
  • Carotid occlusion is an inevitable therapeutic modality for the treatment of complex aneurysms such as giant, traumatic, and intracavernous aneurysms. Late complications of carotid occlusion include 'de novo' aneurysm formation at a distant site because of hemodynamic changes in the circle of Willis. We report a case of de novo aneurysm in a vessel that appeared to be normal on initial angiography. The patient developed an anterior communicating artery aneurysm and marked growth of a basilar bifurcation aneurysm 9 years after trapping of the left internal carotid artery for the treatment of a ruptured large saccular aneurysm involving ophthalmic and cavernous segments. We propose that patients who undergo therapeutic carotid occlusion should be periodically followed by magnetic resonance angiography or computed tomographic angiography to evaluate the possibility of de novo aneurysm formation; this advice is in line with previous reports.

Schwannoma of the Superficial Peroneal Nerve Presenting as Sciatica

  • Byun, Jae-Hoon;Hong, Jae-Taek;Son, Byung-Chul;Lee, Sang-Won
    • Journal of Korean Neurosurgical Society
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    • v.38 no.4
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    • pp.306-308
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    • 2005
  • Schwannomas are benign nerve sheath tumors that can present in various locations and they have variable symptoms. However, schwannoma of the superficial peroneal nerve is rare, and only a limited number of cases have been reported. The authors here describe a case of schwannoma of the superficial peroneal nerve, which was initially considered as a L5 radiculopathy because of its clinical similarity. In the differential diagnosis of nontraumatic and nonarthritic pain of the lower leg and foot, benign tumors, particularly schwannomas of the peroneal nerves should be considered. Treatment by excision can result in relief of the symptoms and maintenance of function.

Aneurysm at the Origin of the Accessory Middle Cerebral Artery - A Case Report - (부중대뇌동맥 기시부의 동맥류 - 증례보고 -)

  • Ahn, Jung Yong;Joo, Jin Yang
    • Journal of Korean Neurosurgical Society
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    • v.29 no.6
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    • pp.832-835
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    • 2000
  • A case of unruptured cerebral aneurysm at the junction of accessory middle cerebral artery and the distal portion of the $A_1$ segment of the anterior cerebral artery is reported. To the authors' knowledge, this is the first reported case of cerebral aneurysm developed at the junction of accessory middle cerebral artery, demonstrated on magnetic resonance angiography(MRA). The accessory middle cerebral artery is a rare vascular variant of middle cerebral artery. Furthermore, it is extremely rare for an aneurysm to be developed at the origin of the accessory middle cerebral artery. The development of the accessory middle cerebral artery is very important in surgery of cerebral aneurysm and collateral circulation of cerebral infarction. Review of the literature regarding the genesis and anatomical variation of the accessory middle cerebral artery is also presented.

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Ruptured Aneurysm of the Ophthalmic Artery

  • Seo, Won-Duck;Hong, Dae-Young;Kim, Young-Don;Yeo, Hyung-Tae
    • Journal of Korean Neurosurgical Society
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    • v.40 no.2
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    • pp.128-130
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    • 2006
  • Aneurysms arising from the ophthalmic artery itself are very rare compared with aneurysms originating from the bifurcation of the ophthalmic artery and carotid artery. There was only one reported case of a ruptured aneurysm of the ophthalmic artery itself. We discuss clinical significance of an aneurysm at this site, as well as the role of three dimentional image of multislice computed tomography angiogram[3D-image of MCTA] in determining the cause of subarachnoid hemorrhage[SAH].

Endovascular Treatment of Blood Blister-Like Aneurysms Using Multiple Self-Expanding Stents

  • Kim, Young-Woo;Park, Ik-Seong;Baik, Min-Woo;Jo, Kwang-Wook
    • Journal of Korean Neurosurgical Society
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    • v.49 no.2
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    • pp.116-119
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    • 2011
  • The surgical as well as endovascular treatment of blood-blister-like aneursysms (BBAs) is extremely difficult because of these pathological natures, such as small and the fragile necks. The optimal treatment of BBAs has remained uncertain. Stents are known to divert blood flow and induce thrombosis of intracranial aneurysms. We report 3 cases of successful obliteration of BBAs after multiple stents placement.

A Rare Case of Spontaneous True Aneurysm of the Occipital Artery

  • Kim, Hyung-Seok;Son, Byung-Chul;Lee, Sang-Won;Kim, Il-Sup
    • Journal of Korean Neurosurgical Society
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    • v.47 no.4
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    • pp.310-312
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    • 2010
  • A 51-year-old man presented with a pulsatile scalp mass over the right occipital region, which had increased in size over the previous 1 month. He had no previous history of head trauma. Three-dimensional computed tomography (3D-CT) angiography of the brain revealed a $3.0{\times}1.5\;cm$ occipital artery aneurysm arising from the occipital artery. The occipital artery aneurysm was removed following the ligation of the proximal and distal portion of the occipital artery aneurysm. The histological diagnosis was true aneurysm. To the best of our knowledge, this is the first reported case in the literature.

Anomalous Variations of the Origin and Course of Vertebral Arteries in Patients with Retroesophageal Right Subclavian Artery

  • Kim, Young-Don;Yeo, Hyung-Tae;Cho, Young-Dae
    • Journal of Korean Neurosurgical Society
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    • v.45 no.5
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    • pp.297-299
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    • 2009
  • We present two rare cases of anomalous vertebral artery (VA) with retroesophaqeal right subclavian artery. One patient had a right VA arising from the right common carotid artery (CCA), and a left VA originating from the third branch off the aorta. Both VAs ascended anteriorly to the transverse foramen of C5 to C6 vertebra and entered the transverse foramen of C4. The other patient had a right VA arising from the right CCA and entering the transverse foramen of C5. The presence of anomalous variations of the oriqin and course of vertebral artery might have serious implications in anqioqraphic and surgical procedures, and it is of great importance to be aware of such a possibility.