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신경 섬유종증 제2형 환자에서의 Tc-99m DMSA 뇌 SPECT 영상 소견 1례
김성준,박소강,김욱년,어경윤 동국대학교 의학연구소 2000 東國醫學 Vol.7 No.-
신경 섬유종증 제 2 형은 상염색체 우성으로 유전되는 질환이며, 청신경초종과 다른 중추신경계의 신경피복과 연관된 종양(수막종, 상의세포종)을 특징으로 한다. 본 증례에서 저자들은 Tc-99m DMSA 뇌 SPECT 영상소견과 이에 상응하는 뇌MRI 영상소견을 보고하였으며, 신경 섬유종증과 연관된 종양들의 추적과 평가에 있어 방사성동위원소 추적자들의 유용성에 대하여 기술하였다. Neurofibromatosis type 2 (NF 2) is an autosomal dominant disorder characterized by a tendency for the development of vestibular schwannomas and other tumors of neural coverings(meningiomas, ependymomas) within central nervous system. In this case, we report the images of Tc-99m DMSA brain SPECT and corresponding brain MRI. Radionulide imaging with a tumor-seeking tracer, pentavalent Tc-99m DMSA is very useful to detect and evaluate tumors associated with neurofibromatosis.
만성 주관 증후군에서 전기신경학적 진단 및 수술적 치료
황정수,어경윤,문상호,김욱년,하정호,김범,김영성,박소강 동국대학교 경주대학 2000 東國論集 Vol.19 No.-
The results of various treatments for ulnar neuropathy secondary to the chronic cubital tunnel syndrome are some controversial. A prospective study was done to determine the clinical and electrophysiological results of our surgical method which is composed of in situ release, medial epicondylectomy and nerve transposition onto the bony surface on where medial epicondyle was after smoothening. Clinical result was evaluated by scoring system which was made by Adelaar et al, and short segment stimulation test which were designed to localize the more discrete region at elbow. Latency and amplitude changes were determined by stimulating the ulnar nerve at 2㎝ intervals across the elbow. The four patients with chronic ulnar nerve palsy at the elbow level were selected. Average follow-up duration is 11.25 months and the patients had symptoms for an average of 33 months before surgery. All patients had good clinical scores and significant latency changes compared to preoperative nerve conduction studies. According to this study, we think that our operative method is a good treatment for chronic cubital tunnel syndrome.