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검색결과 506건 처리시간 0.03초

하퇴부에 발생한 고립성 퇴행성 신경초종 -증례 보고- (Solitary Ancient Schwannoma in Lower leg -Case Report-)

  • 김택선;김학준;김완태;김윤정;윤재은
    • 대한골관절종양학회지
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    • 제12권1호
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    • pp.89-94
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    • 2006
  • 신경초종이 오래되어서 퇴행성 변화를 일으키면 이를 퇴행성 신경초종이라고 명칭하며, 드물게 보고되고 있다. 혈관주변의 초자화, 출혈, 석회화, 낭성 괴사, Antoni A 구역의 축소, 핵의 변형 등의 퇴행성 변화가 나타날 수 있으며, 이러한 퇴행성 변화로 인해 육종 등으로 잘못 진단되기 쉽다. 본원에서는 75세 남자 환자의 하퇴부에서 광범위한 출혈과 혈종, 낭성 변화, 석회화, Antoni A 구역의 축소 등의 퇴행성 변화가 진행된 퇴행성 신경초종을 경험하였기에 문헌적 고찰과 함께 이를 보고하는 바이다.

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$^{99m}Tc-DISIDA$ 간담도 스캔상 담도폐쇄로 진단된 환자의 임상적 특성 -초음파 검사상 정상 소견을 보인 9예를 중심으로- (Clinical Characteristics in Patients with Biliary Obstruction Diagnosed by $^{99m}Tc-DISIDA$ Scan -In 9 Cases with Normal Ultrasonographic Findings-)

  • 박봉철;양수현;채동호;박성기;변종훈
    • 대한핵의학회지
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    • 제26권1호
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    • pp.82-85
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    • 1992
  • To evaluate the role of hepatobiliary (DISIDA) scan in the diagnosis of biliary obstruction, we studied the clinical characteristics of 9 cases with biliary obstructuon, whose hepatobiliary scans and ultrasonography were not concordant (normal ultrasonography and abnormal hepatobiliary scan). The results were as follows; 1) The main chief complaints (89%) were abdominal pain, especially in RUQ area. The levels of serum bilirubin were elevated in 67% of patients $(normal\sim5.9mg/dl)$ and those of alkaline phosphatase were elevated in 78% of patients $(normal\sim724U/L)$. 2) The final diagnoses were CBD stones (67%), tumor (22%) and 3 cases were associated with C. sinensis. 3) The major obstruction sites were in distal CBD (89%). From the above results we concluded that hepatobiliary scan is a useful diagnostic method of biliary obstruction, especially in distal CBD lesion and early stage, in spite of normal ultrasonography.

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슬관절 전내측 반월대퇴 인대 - 증례 보고 - (Anteromedial Meniscofemoral Ligament - A Case Report -)

  • 윤정로;김택선;양재혁;이우승;오치헌
    • 대한관절경학회지
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    • 제14권1호
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    • pp.41-44
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    • 2010
  • 저자들은 대퇴과간 후외측벽과 내측 반월상 연골 전각부에 부착되는 전내측 반월대퇴 인대(AMMFL) 증례에 대해 보고하고자 한다. 본 증례는 수술 중 관절경에 의해서 확진 되었다. 저자들은 전내측 반월대퇴 인대의 발생 가능성에 대한 인식을 높이고자 하였으며, 추가적으로 이 구조물의 이상 소견과 임상적 의미에 대해 문헌 고찰과 함께 보고하고자 한다.

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결핵성 삼각근하 점액낭염 - 증례 보고 - (Tuberculous Subdeltoid Bursitis - A Case Report -)

  • 이우승;윤정로;강규복;양재혁;임형태
    • 대한관절경학회지
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    • 제14권1호
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    • pp.45-48
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    • 2010
  • 85세 여자 환자에서 발생한 결핵성 삼각근하 점액낭염을 경험하였기에 보고하고자 한다. 인접 관절의 침범 없이 발생하는 결핵성 점액낭염은 드물며 외상을 받기 쉬운 대전자, 슬개전 및 주두 점액낭 등에 주로 발생하지만 어느 곳에나 발생 할 수 있다. 결핵성 삼각근하 점액낭염에서 견관절 전외측부 통증, 압통 및 충돌 징후 양성 등 임상 증상 및 이학적 검사는 회전근 개 질환과 유사하며 자기공명영상 검사 및 관절경 소견에서 관찰되는 활액막의 비후 및 다발성의 미립체의 소견등은 류마토이드 관절염 등과 같은 활액막 침범 질환과 유사한 소견을 보일 수 있으므로 이러한 질환들과 감별을 요한다.

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다발성 척추골절을 동반한 비분비형 다발성 골수종 1례 - 증례보고 - (Nonsecretory Multiple Myeloma with Multiple Spine Fracture - Case Report -)

  • 허용석;박관호;지문표;김재오;김정철
    • Journal of Korean Neurosurgical Society
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    • 제30권12호
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    • pp.1435-1438
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    • 2001
  • A case of nonsecretory multiple myeloma in a 66 year-old-woman is reported. At first, she complained severe neck pain and radiologic finding showed C2 pathologic fracture. She complained severe low back pain 4 month later and L1 compression fracture was found. The lumbar MRI showed a 1.4cm-sized round enhancing lesion in the body of T12. Bone marrow aspiration biopsy at L1 spine showed a few polymorphous and small nests of mononuclear cell. L1 lamina bone biopsy showed many abnormal plasma cells. Pathologic diagnosis was multiple myeloma. However, plasma electrophoresis and protein immunoelectrophoresis of serum and urine of patient were normal. So, it is a nonecretory multiple myeloma case and the incidence of nonsecretory multiple myeloma is known to about 1% of all multiple myeloma.

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인공 슬관절 단일구획 치환술 후 폴리에틸렌 마모의 관절경적 진단 - 증례 보고 - (Arthroscopic Diagnosis of Polyethylene Wear of Meniscal Bearing in Unicompartmental Knee Arthroplasty - A Case Report -)

  • 강규복;윤정로;박성철;송승엽;양재혁
    • 대한관절경학회지
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    • 제16권2호
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    • pp.190-194
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    • 2012
  • 인공 슬관절 전치환술 후 발생한 폴리에틸렌 마모를 관절경을 통한 진단은 이전에 보고된 바 있다. 이번 논문에서 저자들은 인공 슬관절 단일구획 치환술 후 발생된 폴리에틸렌 마모와 재발성 아탈구를 관절경을 통해 진단하여 폴리에틸렌의 교환만으로 치료된 증례에 대해 보고하는 바이다. 인공 슬관절 단일구획 치환술 후 발생된 폴리에틸렌 마모와 탈구의 진단에 관절내시경이 도움이 되며 문제의 원인, 진단 및 치료 방침을 정하는데 유용한 것으로 사료된다.

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Taiwan Neurosurgical Spine Society: The New Shining Star

  • Kuo, Yi-Hsuan;Wu, Jau-Ching;Huang, Wen-Cheng;Huang, Ming-Chao;Lee, E-Jian;Cheng, Henrich
    • Neurospine
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    • 제15권4호
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    • pp.285-295
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    • 2018
  • As spine surgery flourished in Taiwan and neurosurgeons became more involved in spine surgery towards the end of the 20th century, the Taiwan Neurosurgical Spine Society (TNSS), earlier named the Taiwan Neurospinal Society, was established on March 11, 2001. As its main founder, Dr. Chun-I Huang was elected as the first president of the TNSS. The goals of the TNSS were to promote research, to hold academic seminars, to participate in international conferences, and to exchange clinical experiences. The mission of the TNSS was successful, and the profession of spine surgery in Taiwan advanced during the first decade of the 21st century, culminating in the TNSS joining ASIA SPINE in 2010. Since its establishment, the TNSS has always been supportive of collaboration and communication with the Korean Spinal Neurosurgery Society and the Neurospinal Society of Japan. Through periodical meetings, supported by the TNSS, surgeons worldwide have enjoyed a platform of sharing and mutual learning. To further promote academic research, the TNSS has officially supported the journal Neurospine since 2018. With extensive efforts from local and international surgeons, the TNSS will continue to adhere to its mission and to advance the profession of spine surgery.

재발한 족관절의 미만성 색소 융모 결절성 활액막염 (Recurred Diffuse Pigmented Villonodular Synovitis of Ankle Joint - Case Report -)

  • 김학준;김택선;서동훈;윤광섭;정국진;전승주
    • 대한족부족관절학회지
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    • 제9권2호
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    • pp.220-223
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    • 2005
  • Pigmented villonodular synovitis (PVNS) in ankle is relatively uncommon. This disorder results in increased proliferation of synovium causing villous or nodular changes containing histiocytes, fibroblasts, multinucleated giant cell, and hemosiderin. PVNS is classified into two different type : localized and diffuse. Diffuse type of PVNS in ankle is more common than localized type. Also, recurrence of diffuse type is more frequent. We report a case of diffuse type of PVNS which was recurred soon after the excision.

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Clear Cell Ependymoma Occurring in the Cauda Equina

  • Kim, Dong-Joon;Kim, Tae-Wan;Kim, Yoon-Jung;Park, Kwan-Ho
    • Journal of Korean Neurosurgical Society
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    • 제48권2호
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    • pp.153-156
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    • 2010
  • The authors present a rare case of clear cell ependymoma that developed in the cauda equina. A 54-year-old man was admitted to hospital with intermittent lower back pain. A neurological examination conducted on admission revealed no sensory or motor disturbance. Deep tendon reflexes in both lower extremities were normal. Magnetic resonance images demonstrated a 1.0 cm-sized intradural mass at the filum terminale. Gross total resection was performed via total laminectomy of L1 and L2. The tumor was confirmed to be clear cell ependymoma by histopathologic examination. His symptom was relieved after surgery.

구인두 종괴로 오인된 내경동맥 사행 1예 (Tortuous Internal Carotid Artery Presenting as an Oropharyngeal Mass : A Case Report)

  • 김일강;염동진;강재호;박성호
    • 대한두경부종양학회지
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    • 제23권2호
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    • pp.178-180
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    • 2007
  • Tortuosity of the internal carotid artery is not a rare condition. A 68-year-old woman presented with a 3 years' history of a pulsatile tinnitus and throat abnormal sensation. On physical examination, a soft pulsatile mass on the left posterior oropharyngeal wall was noted. By neck CT and neck MRI the tortuous internal carotd artery was visualized. Otolaryngologists should recognize this anomaly and the patient should be made aware of their condition, because it may cause a fatal or near-fatal hemorrhage during surgical procedures in the pharynx, especially tonsillectomy and adenoidectomy and drainage of peritonsillar abscess. We report a case of a left internal carotid artery tortuosity as an oropharyngeal mass.