前頭窩腔內 占有性疾患의 腦血管撮影像의 特徵

玉永喆,韓允善,李憲梓 대한신경외과학회 1972 Journal of Korean neurosurgical society Vol.1 No.1

Although reports have been assessed to locate lesions in the frontal lobe or anterior cranial fossa, the exact localization of the lesion is invariably difficult in neurological examination. However angiographic pattern is one of the most significant clue to the diagnosis of this area. For the past 2 years, from May in 1968 to December in 1970, we have analyzed angiographic patterns of space occupying lesion in the frontal lobe and anterior cranial fossa in a total of subsequent 100 cases. It is suggested that these lesions be classified into four groups according to their characteristic patterns and, for accurate localization and practical feasibility, their surgical approach. The characteristic angiographic patterns of each group are summarized as follows:

Broiler종계 육성시 선발과 체중조절의 중요성

옥영철 대한양계협회 1976 월간 양계 Vol.8 No.7

체육실제학습시간(ALT-PE)의 이론적 고찰

김영명,이종목,옥영철 東亞大學校 附設 스포츠科學硏究所 1997 스포츠科學硏究論文集 Vol.15 No.-

I've researched on the method of learning time; considering the concept of learning time. AT has the property of learning opportunity. TOT and ALT can't clarify cognitive processes although they contain it. We can get an efficiency in learning time by concentrating on cognitive efforts. So the extension of learning time should not only represent the extension of learning opportunity but also the efficiency of learning time. The extension of learning time can be accomplished by increasing the proportion of the learning time, that students participate voluntarily within allowed time, and reducing the managing time that is needed for learning. In conclusion ALT is the most condensed concept in respect of quality. However, the students can's accomplish the efficiency of learning unless they don't have ALT. So we have to extend ALT in direction of AT in physical education.

비척수액비루를 동반한 외상성 전두엽 뇌실질내뇌기종 : case report

옥영철 최신의학사 1982 最新醫學 Vol.25 No.10

두뇌손상과 혈장내 CPK(creatine phosphokinase) 수치와의 관계

옥영철,심성보,박중겸,이규웅,조명준 中央醫學社 1977 中央醫學 Vol.33 No.6

Acute tissue damage usually releases intracellular enzymes into the circulat-ion. The serum level of CPK is a sensitive indicator of muscle cell damage12). Recent publications have shown that its estimation is useful in the diagnosis and prognosis of primary muscle disease and myocardial infarction22)32). Since brain tissue contains high concentrations of CPK, acute brain damage is followed by increased CPK activity in the serum2)31)25)37) We here present some observations on the levels of CPK in the sera of pati-ents with acute brain damage, who were admitted to the department of neuro-surgery in the National Medical Center. Of 36 patients with acute brain damage, 13 had raised serum, CPK value. Especially of 12 patients with cerebral contusion, 7 had raised serum CPK value and 2 patients were expired. Total serum CPK activity was pathological in 3 of 12 patients with cerebral concuss-ion and subarachnoid hemorrhage respectively and these value was lower than that of cerebral contusion. So that we may consider as there is some correlation’s between the increased serum CPK value and the degree of brain damage. In other neuromuscular disorders, we found increased serum CPK value in one of 4 cerebrovascular occlusive diseases, all of 2 meningitis and one progressive muscular dystrophy. 5 patients of brain tumor had normal serum CPK activity. We measured the total serum CPK activity by means of Sigma Technic Procedure No. 661 (colorimetric) with a Beckman spectrophotometer (620-700 nm).

Cloward방법을 이용한 요추간 수핵탈출증 수술 경험

옥영철,김대조,이규웅 대한신경외과학회 1975 Journal of Korean neurosurgical society Vol.4 No.2

The surgical technique for removal of ruptured lumbar intervertebral disc has changed very little since it was introduced by Mixter and Barr in 1934. The technique of the interlaminar operation used by most neurogurgeons was used successfully in early cases to relieve the sciatica, but many patients were unable to return to heavy work because of low back pain. Cloward described a different surgical technique for removal of a ruptured lumbar intervertebral disc. The operation utilizes a transverse skin incision and a wide bilateral stlipping and retraction of fascia and muscles. The ligamentum flavum is not removed but detached and reflected medially in a flap. Only the bone margins of the adjacent facets are removed. A complete laminectomy is never done except for spondylolisthesis when the separate neural arch is disarticulated and removed. Using a "Vertebral Spreader", an interlaminar exposure is developed two to three times larger than that obtained by the "standard" technique. The advantages are obvious: 1. Both operations were done through a single transverse incision. A wider lateral exposure for the skin wound, being made parallel to the lumbar operation was possible and the normal skin lines, heals better with less scar. 2. The entire ligament is preserved, by separating its attachments from the lamina and reflecting in a flap, a larger opening into the spinal canal is obtained and the replaced flap protects the dura and prevents scarring. 3. Cloward recommends the use of a narrrow, sharp chisel and hammer, but we used the spinal rongeurs including the Kerrison punch to remove part of the laminal edge. We leave the articular facets of the lumbar disc surgery because the articular facets are considered important major elements in the articulation of the vertebral joints, and as an essential bony surface to be used in posterior spinal fusion operation. 4. The routine use of intrathecal cortisone after lumbar disc operation has not been used in our cases because of increased pressure of the cerebrospinal fluid in modified prone position of the patient.

뇌종양 100예의 임상적 고찰

옥영철,김형동,이규웅 中央醫學社 1976 中央醫學 Vol.31 No.6

Tumors of the central nervous system are not rare. Brain tumors cannot be intelligently discussed as a homogeneous entity. Their manner of presentation, their management and their prognosis depend upon their malignancy and the area of brain involved. They are more common than tumors of the stomach and less common than tumors of the breast. Because of their rather high incidence and dismal prognosis much effort has been devoted to controlling these tumors. We analyzed 100 cases of brain tumor which was histologically verified after operation at the National Medical Center from Jan. 1972 to Sep. 1976. The brain tumors are included 39 cases of glioma, 15 ,cases of meningioma, 12 cases of pituitary adenoma, 9 cases of acoustic neurinoma, 6 cases of craniopharyngioma, 3 cases of metastatic Iesion, 3 cases of blood vessel tumor and 13 cases of miscellaneous tumor. The tumors are occupied on the supratentorial region in 71 cases and infratentorial region in 29 cases, and occurred in midline region in 34 cases, right and left side in each 31 cases and both side in 4 cases. 100 cases comprised 69 Males and 31 females with a ratio of 2.2 to 1. The age ranged from 3 years to 59 years with the highest incidence at second deca des, but the age incidence was evenly distributed at different age groups. They complained of headache (94 cases), nausea and vomiting (58 cases) and papilledema (58 cases), so called _symptoms trail of the brain tumor, and other eye complaints (56 cases) with 6 month-to 3 year-duration of symptoms in about half cases of the brain tumors. Calcification was showed on the plain skull x-ray films in 10 cases; craniopharyngioma 3/6 cases, glioma 3/39 cases, meningioma 3/6 cases, pinealoma and choroid plexus papilloma in each one case. After question of the brain-tumors, the symptoms are much irnptoved in'I 1 cases, more improved in 34 cases, equivocal in 30 cases and more aggravated in 13 cases, and 11 cases are fatal and 14 cases are recurrent. - 35 cases are received radiation therapy and/or chemotherapy after operation.

외상성 경막하수종

옥영철 최신의학사 1982 最新醫學 Vol.25 No.7

여자 수영 및 유도선수의 골밀도에 관한 연구

옥영철,김영준 東亞大學校 附設 스포츠科學硏究所 1997 스포츠科學硏究論文集 Vol.15 No.-

It is has been suggested that physical activity may increase bone mineral density in female, thereby prevent development of osteoporosis later in life. The test subjects was 23 students of university women, consisted of non-athlete group(n=8), and swimmers(N=7), judo players(n=8). Measurements of bone mineral density were performed with SQCT(Spiral quantitative computed tomography) at the lumbar(L1-3),femur(femur neck ward's triangle, grate trochanter) parts. The results from this study are as follows. 1. There was significant difference between swimmers, judo players, and non-athletes in lumbar bone density. 2. There was significant difference between swimmers, judo players, and non-athletes in femur(ward's traingle and grate trochanter) parts bone mineral density.(p<0.05) 3. Bone mineral in Swimmers were lower than judo players.

추간판탈출증 환자의 수술예 에서 수용성 종여제의 진단적 가치

이규웅,옥영철,박흥길,손경애 中央醫學社 1975 中央醫學 Vol.28 No.1

All the patients in this investigation had symptoms suggestive of prolapsed lumbar intervertebral disc disease and had been evaluated neurologically prior to there referal. The use of Myelotrast in the radiological investigation of 86 patients with symptoms of low backache and sciatica at the National Medical Center is described. The radiological quality of films obtained was good and the results correlated well with the surgical findings. We have found this contrast medium to be outstanding in the evaluation of the lower thecal space and a definite advance in the ' radiographic evaluation of the cauda equina nerve roots and sheaths. Myelotrast is suitable for use in lumbar myelography, but partly because of the possibility of using larger doses, calculated as grams of iodine, and partly because of immediate locally irritant effect, which render spinal anesthesia necessary.