• Title/Summary/Keyword: Vertebral

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Giant Cauda Equina Schwannoma with Dystrophic Calcifications : Case Report and Review of the Literature

  • Hyun, Seung-Jae;Rhim, Seung-Chul
    • Journal of Korean Neurosurgical Society
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    • v.51 no.2
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    • pp.105-108
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    • 2012
  • Giant spinal schwannoma of the cauda equine involving many nerve roots is rare, and ossification is usually not observed in the schwannoma. A 21-year-old man presented with a 12-month history of urinary dysfunction and numbness below the buttocks. Plain radiography showed scalloping of the posterior surface of the vertebral bodies from L4 to the sacrum, and magnetic resonance imaging and computed tomography revealed a giant cauda equina tumor with dystrophic calcification. The tumor was completely removed, with intraoperative neurophysiologic monitoring. Histopathologic examination showed that the tumor was a schwannoma. The patient's postoperative course was uneventful, with urinary function and numbness gradually improving. Although a giant schwannoma accompanied by dystrophic calcification is extremely rare, such a tumor can be removed safely and completely by meticulous dissection and careful neuromonitoring of the cauda equina spinal nerves involved in the tumor.

Posterior C1-2 Stabilization Using Translaminar Screw Fixation of the Axis

  • Hong, Jae-Taek;Lee, Sang-Won;Son, Byung-Chul;Park, Chun-Kun
    • Journal of Korean Neurosurgical Society
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    • v.40 no.5
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    • pp.387-390
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    • 2006
  • We report a case of C1-2 instability with a bilateral high-riding transverse foramen that was treated with rod-screw fixation using a technique of translaminar rigid screw fixation of the axis. It is believed that a C1-2 fixation with bilateral C-2 translaminar screws has an important advantage over previously reported techniques of C1-2 fixation by eliminating the risk of injury to the vertebral artery during C2 screw placement.

Lumbar Periradicular Abscess Mimicking a Fragmented Lumbar Disc Herniation : An Unusual Case

  • Bakar, Bulent;Tekkok, Ismail Hakki
    • Journal of Korean Neurosurgical Society
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    • v.44 no.6
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    • pp.385-388
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    • 2008
  • We herein describe the case of a focal spontaneous spinal epidural abscess who was initially diagnosed to have a free fragment of a lumbar disc. A 71-year-old woman presented with history of low back and right leg pain. Magnetic resonance imaging suggested a peripherally enhancing free fragment extending down from S1 nerve root axilla. Preoperative laboratory investigation showed elevation of c-reactive protein (CRP), erythrocyte sedimentation rate (ESR) levels. She was taken for surgery and a fluctuating mass at the axilla of S1 nerve was found. When the mass was probed with a dissector, a dark yellow, thick pus drained out. Pus cultures were negative. Patients who present with extreme low back plus leg pain and increased leucocyte count, ESR and CRP levels should raise the suspicion of an infection of a vertebral body or spinal epidural space.

Infiltrating Spinal Angiolipoma

  • Han, Seong-Rok;Yee, Gi-Taek;Choi, Chan-Young;Lee, Chae-Heuck
    • Journal of Korean Neurosurgical Society
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    • v.52 no.2
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    • pp.161-163
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    • 2012
  • Spinal angiolipomas are rare lesions usually found in the epidural space of the thoracic spine. The infiltrating type of spinal angiolipomas is extremely rare. This report presents the case and reviews the related literature. A 58-year-old man was presented with a 7-month history of progressive weakness and sensory change of lower extremities. Magnetic resonance images showed a well-enhanced mass infiltrating the vertebral foramen at the T4-5 level. Resection of the tumor was performed. Histological study revealed the tumor as an angiolipoma. The patient was relieved from symptoms after tumor resection.

Spinal Dural Arteriovenous Fistula with Supply from the Lateral Sacral Artery-Case Report and Review of Literature-

  • Park, Kwan-Woong;Park, Sung-Il;Im, Soo-Bin;Kim, Bum-Tae
    • Journal of Korean Neurosurgical Society
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    • v.45 no.2
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    • pp.115-117
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    • 2009
  • The authors report a case of spinal dural arteriovenous fistula (SDAVF) that is supplied by a lateral sacral artery. A 73-year-old male presented with gait disturbance that had developed 3 years ago. Spinal magnetic resonance imaging suggested a possible SDAVF. Selective spinal angiography including the vertebral arteries and pelvic vessels showed the SDAVF fed by left lateral sacral artery. The patient was subsequently treated with glue embolization. Three days after the embolization procedure, his gait disturbance was much improved.

Small Bowel Injury as a Complication of Lumbar Microdiscectomy : Case Report and Literature Review

  • Kim, Duk-Sung;Lee, Jung-Kil;Moon, Kyung-Sub;Ju, Jae-Kyun;Kim, Soo-Han
    • Journal of Korean Neurosurgical Society
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    • v.47 no.3
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    • pp.224-227
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    • 2010
  • Small bowel injury resulting from unforeseen penetration of the anterior annulus fibrosus and longitudinal ligament is a rare complication of lumbar microdiscectomy. The patient complained of abdominal tenderness and distention immediately after microdiscectomy for L4-5 and L5-S1 disc herniation. Using abdominal computed tomography, we found several foci of air overlying the anterior aspect of the vertebral body at the L5-S1 level. Segmental resection of the small bowel including small tears and primary anastomosis of the jejunum were performed. Here, we present a case of intestinal perforation after lumbar microdiscectomy and discuss technical methods to prevent this complication with a review of literature.

The Study on acupuncture for osteoarthritis - In PubMed - (골관절염(骨關節炎)의 침구치료(鍼灸治療)에 대한 최신연구경향(最新硏究傾向) - Pubmed 검색을 중심으로 -)

  • Kang, Mi-kyeong;Nam, Sang-su;Lee, Yun-ho
    • Journal of Acupuncture Research
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    • v.20 no.2
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    • pp.18-28
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    • 2003
  • Objective : To research the trends of study related to osteoarthritis with acupuncture in PubMed, and to establish he hereafter direction of acupuncture for osteoarthritis. Methods : We searthed in PubMed, with osteoarthritis and acupuncture limited by abstract, human, English. Results : 1. The pattern of study was as follow: Review article(2), Clinical Trials(13), randomized controlled trials(13). bee venom acupuncture(1), electroacupuncture(1). We further estimated 15 articles. 2. The lesion of osteoarthritis & kinds of acupuncture were as follows: knee(12), hip(2), cervical vertebral(1), bee venom acupuncture(1), electroacupuncture(1). 3. Most clinical trials are related to decrease of pain, functional improvement. 4. 10 of clinical studies provide affirmative result. And they recommend acupuncture for osteoarthritis. 5. 4 of clinical studies provide negative result. And these studies are designed by sham acupuncture method.

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Taxonomic Research of the Gobioid Fishes (Perciformes: Gobioidei) in China (중국 망둑어아목 어류의 분류학적 연구)

  • Wu, Han-Lin;Zhong, Jun-Sheng;Chen, I-Shiung
    • Korean Journal of Ichthyology
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    • v.21 no.sup1
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    • pp.63-72
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    • 2009
  • The taxonomic research based on extensive investigations and specimen collections throughout all varieties of freshwater and marine habitats of Chinese waters, including mainland China, Hong Kong and Taiwan, which involved accounting the vast number of collected specimens, data and literature (both within and outside China) were carried out over the last 40 years. There are totally 361 recorded species of gobioid fishes belonging to 113 genera, 5 subfamilies, and 9 families. This gobioid fauna of China comprises 16.2% of 2211 known living gobioid species of the world. This report represents a summary of previous researches on the suborder Gobioidei. A recently diagnosed subfamily, Polyspondylogobiinae, were assigned from the type genus and type species: Polyspondylogobius sinensis Kimura & Wu, 1994 which collected around the Pearl River Delta with high extremity of vertebral count up to 52-54. The undated comprehensive checklist of gobioid fishes in China will be provided in this paper.

Diagnosis of Subclavian Steal: Contrast Enhanced 3D MR Angiography vs 2D TOF

  • 이호규;김건언;최중곤;서대철
    • Proceedings of the KSMRM Conference
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    • 2001.11a
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    • pp.136-136
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    • 2001
  • Purpose: Subclavian steal refers to the retrograde flow of blood in a vertebral artery that supplies t ipsilateral shoulder and arm caused by proximal subclavian artery stenosis or occlusion. T purpose of this exhibit is to demonstrate MR findings of subclavian steal on contrast-enhanc 3D (CE 3DMRA) and 2D TOF MR angiography. Method: Four patients(men 3 and women 1, age: 28-78years) with subclavian steal obtained both CE 3DMRA and digital subtraction angiography(DSA) including subclavian arterie Sequential imaging was undertaken during first pass after double dose of Gd-DTPA (0 mM/kg) Injected by a power injector. Coronal source images were obtained with coronal D-fast low angle shot sequence(TR/TE/flip angle=3.8/l.3/35, acquisition time= 10sec/one measurement). Precontrast imaging was subtracted from enhanced images and maximu intensity projection was done. 2D time-of-flight MR angiography(2D TOF) of the carot bifurcation was added in all cases with post-saturation. All studies were review retrospectively.

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