• 제목/요약/키워드: dura

검색결과 242건 처리시간 0.028초

A Taxonomic Study on the Korean Sponges: 6. Calcarea

  • Park, Boon-Jo;Sim, Chung-Ja
    • 한국동물학회지
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    • 제22권1호
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    • pp.11-18
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    • 1979
  • 著者들이 1970年부터 1978年까지 南韓의 三面 島嶼地方에서 채집된 石灰海綿類를 同定 分類한 결과 다음과 같은 4種의 韓國未紀錄種이 밝혀졌다: Leucandra sagamiana Hozawa, 1929, Leucandra multituba Hozawa, 1929, Leucandra foliata Hozawa, 1918, Leucandra dura Hozawa, 1929.

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Case of Langerhans Cell Histiocytosis That Mimics Meningioma in CT and MRI

  • Zhu, Ming;Yu, Bing-Bing;Zhai, Ji-Liang;Sun, Gang
    • Journal of Korean Neurosurgical Society
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    • 제59권2호
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    • pp.165-167
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    • 2016
  • Langerhans cell histiocytosis (LCH) is a rare disorder histologically characterized by the proliferation of Langerhans cells. Here we present the case of a 13-year-old girl with LCH wherein CT and MRI results led us to an initially incorrect diagnosis of meningioma. The diagnosis was corrected to LCH based on pathology findings. An intracranial mass was found mainly in the dura mater, with thickening of the surrounding dura. It appeared to be growing downward from the calvaria, pressing on underlying brain tissue, and had infiltrated the inner skull, causing a bone defect. The lesion was calcified with the typical dural tail sign. The dural origin of the lesion was verified upon surgical dissection. There are no previous reports in the literature describing LCH of dural origin presenting in young patients with typical dural tail signs and meningioma-like imaging findings. The current case report underscores the need for thorough histological and immunocytochemical examinations in LCH differential diagnosis.

Ultrasound-Guided Posterolateral Approach for Midline Calcified Thoracic Disc Herniation

  • Tan, Lee A.;Lopes, Demetrius K.;Fontes, Ricardo B.V.
    • Journal of Korean Neurosurgical Society
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    • 제55권6호
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    • pp.383-386
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    • 2014
  • Objective : Symptomatic thoracic disc herniation often requires prompt surgical treatment to prevent neurological deterioration and permanent deficits. Anterior approaches offer direct visualization and access to the herniated disc and anterior dura but require access surgeons and are often associated with considerable postoperative pain and pulmonary complications. A disadvantage with using posterior approaches in the setting of central calcified thoracic disc herniation however, has been the limited visualization of anterior dura and difficulty to accurately assess the extent of decompression. Methods : We report our experience with intraoperative ultrasound (US) guidance during a modified posterior transpedicular approach for removal of a central calcified thoracic disc herniation with a review of pertinent literature. Results : The herniated thoracic disc was successfully removed with posterior approach with the aid of intraoperative US. The patient had significant neurological improvement at three months follow-up. Conclusion : Intraoperative ultrasound is a simple yet valuable tool for real-time imaging during transpedicular thoracic discectomy. Visualization provided by intraoperative US increases the safety profile of posterior approaches and may make thoracotomy unnecessary in a selected group of patients, especially when a patient has existing pulmonary disease or is otherwise not medically fit for the transthoracic approach.

말기신장질환에서의 치과방사선학적 양상에 관한 연구 (A STUDY ON THE DENTAL RADIOGRAPHIC MANIFESTATIONS OF END-STAGE RENAL DISEASE)

  • 김은경;박태원
    • 치과방사선
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    • 제13권1호
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    • pp.97-105
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    • 1983
  • For the assessment of changes in the bone architecture of the maxilla and mandible in renal osteodystrophy, 31 chronic renal failure patients who were undergoing hemodialysis therapy were selected. They were evaluated through clinical oral examination, radiographic and biochemical examination. The results were as follows: 1. In 17 cases (54.8%), there were evidences of bony change in jawbone. 2. The most common dental radiographic finding was decreased bone density (14 cases, 45.2%). 3. The second most common dental radiographic finding was total or partial loss of lamina alveolar dura (11 cases, 35.5%). 4. The third most common dental radiographic finding was total or partial loss of inferior canal wall (8 cases, 25.8%). 5 cases showed evidences of bony change only in jawbone, and 5 cases only in hand, and 12 cases in both. 6. Serum creatinine, urea nitrogen and alkaline phosphatase values in hemodialysis group were much higher than in control group. 7. There were statistically significant correlation between bone density and lamina dura, and inferior alveolar canal wall.

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Reconstruction of Chronic Complicated Scalp and Dural Defects Using Acellular Human Dermis and Latissimus Dorsi Myocutaneous Free flap

  • Lee, Jun Hee;Choi, Seok Keun;Kang, Sang Yoon
    • 대한두개안면성형외과학회지
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    • 제16권2호
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    • pp.80-83
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    • 2015
  • We present reconstruction of a complicated scalp-dura defect using acellular human dermis and latissimus dorsi myocutaneous free flap. A 62-year-old female had previously undergone decompressive craniectomy for intracranial hemorrhage. The cranial bone flap was cryopreserved and restored to the original location subsequently, but necessitated removal for a methicillin-resistant Staphylococcal infection. However, the infectious nidus remained in a dermal substitute that was left over the cerebrum. Upon re-exploration, this material was removed, and frank pus was observed in the deep space just over the arachnoid layer. This was carefully irrigated, and the dural defect was closed with acellular dermal matrix in a watertight manner. The remaining scalp defect was covered using a free latissimus dorsi flap with anastomosis between the thoracodorsal and deep temporal arteries. The wound healed well without complications, and the scalp remained intact without any evidence of cerebrospinal fluid leak or continued infection.

Non-Dural-Based Spinal Meningioma : The First Case Report of a Fibrous Subtype and a Review of the Literature

  • Lee, Ji Hye;Moon, Hong Joo;Kim, Joo Han;Park, Youn-Kwan
    • Journal of Korean Neurosurgical Society
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    • 제56권1호
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    • pp.58-60
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    • 2014
  • Spinal meningiomas typically adhere to the dura matter. Non-dural based spinal meningiomas are rare and most are clear cell meningiomas. We report here the first case of a fibrous meningioma with non-dural attachment. The patient was a 49-year-old female, who complained of numbness in the legs and a gait disturbance. Magnetic resonance imaging revealed a $1.7{\times}1.4-cm$ mass in the C7-T1 intra-dural extramedullary space, showing peripheral gadolinium enhancement without a "dural tail sign". A complete microsurgical resection was performed. The mass was covered with a white membrane but was not adhered to the dura, and its appearance was consistent with a neurilemmoma. The histopathological diagnosis was fibrous-type meningioma. The recovery of the patient was uneventful. No surgical complications and no recurrence of the tumor had occurred at the 6-month follow-up.

모바일 관광을 위한 위치 기반 서비스 기술 (Technology of Location-Based Service for Mobile Tourism)

  • 이근상;김기정;김형준
    • 한국지리정보학회지
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    • 제16권3호
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    • pp.1-11
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    • 2013
  • 본 연구에서는 모바일 단말기를 이용하여 여행자에게 효과적인 관광 서비스를 제공하기 위한 위치 기반 서비스 알고리듬을 개발하여 전주시 한옥마을에 적용하였다. 먼저, 단일노선에서는 GPS 오차범위와 보행속도, 그리고 다중노선에서는 GPS 위치와 노선에 대한 최근린 기법을 조합한 알고리듬을 이용하여 위치 서비스를 개선하였다. 또한 본 연구에서는 노선의 Node와 Link의 위상관계를 자동으로 구축하기 위해 DuraMap-Xr 공간엔진을 이용한 프로그램을 개발하였으며, Blackpoint-Xr 모바일 앱 엔진을 기반으로 단일과 다중 노선상에서의 위치 서비스 기술을 구현함으로서 여행 편의성을 향상 시킬 수 있는 기반을 마련하였다.

Noncommunicating Spinal Extradural Meningeal Cyst in Thoracolumbar Spine

  • Kim, Il-Sup;Hong, Jae-Taek;Son, Byung-Chul;Lee, Sang-Won
    • Journal of Korean Neurosurgical Society
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    • 제48권6호
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    • pp.534-537
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    • 2010
  • Spinal extradural meningeal cyst has been rarely reported, whose etiologies are assumed to be the communication of cerebrospinal fluid (CSF) between intradural subarchnoid space and cyst due to the congenital defect in dura mater. Although the CSF communication due to this defect can be found, in most case, few cases in which there is a lack of the communication have also been reported. We report a case of the huge extradural meningeal cyst occurring in the thoracolumbar spine (from T10 to L2) where there was a lack of the communication between the intradural subarachnoid space and cyst in a 46-year-old man who presented with symptoms that were indicative of progressive paraparesis and leg pain. The patient underwent laminectomy and cyst excision. On intraoperative findings, the dura was intact and there was a lack of the communication with intradural subarachnoid space. Immediately after the surgery, weakness and leg pain disappeared shortly.

반복적인 두개내 감염에서 유리 대망피판을 이용한 경질막 재건 (Dural Reconstruction in Refractory Cranial Infection using Omental Free Flap)

  • 유지한;은석찬;한정호;백롱민
    • Archives of Plastic Surgery
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    • 제36권5호
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    • pp.670-673
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    • 2009
  • Purpose: Epidural abscesses and subdural empyemas after craniotomy are uncommon, potentially lethal, complications of neurosurgery. Patients with these complications may be difficult to manage and dural reconstruction in these patients are challenging. Methods: A 28 - year - old female patient showed recurrent intracranial infection after craniotomy for evacuation of a arachnoid cyst and subdural hematoma. Despite prolonged systemic antibiotic administration and a debridement of the subdural space, infection persisted, as evidenced by persistent fever, an elevated WBC count, CSF leakage, low CSF glucose level, and purulent wound discharge. The authors removed the previously applied lyophilized dura and transferred free omental flap to reconstruct the dura, obliterate the cyst and cover the cerebral hemisphere in the craniotomy defect. Microvascular anastomosis was between gastroepiploic and superficial temporal vessels. Results: The postoperative course was uneventful and flap survival was excellent. The infection - resistant omental tissue allowed sufficient blood circulation and dead space control. The patient was discharged 1 month after surgery and wound discharge or recurrence was absent during 13 months of follow up periods. Conclusion: The use of vascularized free omentum proved useful in cases of intractable cranial wound infection and cerebrospinal fluid leakages.