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문창택,최순관,변박장,이인수 대한신경외과학회 1986 Journal of Korean neurosurgical society Vol.15 No.1
Intracranial germinoma usually occurs in the pineal and suprasellar regions. It is relatively rare that germinoma occurs in the thalamus and basal ganglia. The authors report a case of germinoma involving the posterior part of thalamus and basal ganglia involving the posterior part of thalamus and basal ganglia. The patient was 20 years old male who complained left side hemiparesis for 2 months. A successful result was obtained through radiation therapy after partial removal of tumor mass.
Occipital Cervical Loop를 이용한 Type 3 Hangman's Fracture의 수술 치험 1예
문창택,윤승환,조준,장상근 건국대학교 의과학연구소 2000 건국의과학학술지 Vol.10 No.-
Hangman's fracture means bilateral axis ring fracture caused by hyperextension injury. According to Effendi's classification, type 2 or 3 fractures should be treated surgically because of instability. But the method of surgical fixation and fusion is controversial. Occipital cervical loop, a new fixation device, is made to support fusion so rigidly. We treated a type 3 Hangman's fracture case surgically by fusion and fixation with occipital cervical loop. We report this surgical technique with review of literatures about Hangman's fracture.
문창택,최순관,변박장,이인수 대한신경외과학회 1985 Journal of Korean neurosurgical society Vol.14 No.4
Spinal stenosis denoting a critical reduction of the A-P diameter of spinal canal, foramina and lateral recesses can be existed in both cervical and lumbar regions. But it is relatively rare that cervical and lumbar spinal stenosis are coexisted simulataneously. The authors report a case of coexisting cervical and lumbar spinal stenosis with historical background and discussion. The patient was 49 years old male who complained intermittent neurogenic claudication, paraparesis and voiding disturbance. A successful result was obtained through one stage decompressive laminectomies in cervical and lumbar reaions.
문창택,조준,손형권,이창명,윤승환,장상근 건국대학교 의과학연구소 1999 건국의과학학술지 Vol.8 No.-
Subdural empyema is a fulminating, purulent bacterial infection located between the dura and arachnoid membrane. It is a neurosurgical emergency and the mortality of which continues to be as high as 40% in mordern reported series. Early diagnosis, adequate antibiotic therapy and surgical treatment play important roles in the successful management of subdural empyema. Recently, we have experienced a case of a traumatic subdural empyema treated by craniotomy and ventriculo-peritoneal shunt operation and report this case with reviewing the literatures.
문창택,장상근 건국대학교 의과학연구소 1993 건국의과학학술지 Vol.3 No.-
Spinal epidural abscess is rare disease due to development of antibiotics. Because of its rarity, spinal epidural abscess is occasionally diagnosed lately and left many sequelae. Authors present a case of spinal epidural abscess caused by archipunture in herb medicine. After operation, the patient has no sequelae and recovered completely.
요추부 추간판탈출증에서 경피적 자동수핵제거술 치료의 예후 인자
이승호,문창택,장상근 대한신경외과학회 1994 Journal of Korean neurosurgical society Vol.23 No.12
Percutaneous automated lumbar discectomy as it is now practiced appears to be an extremely safe procedure. One hundred fourty eight patients with lumbar disc herniation were treated with automated percutaneous lumbar discectomy(A.PL.D.). The postoperative results in 118 patients were evaluated at more than 3 months after the operation. Total satisfactory result was 74% excellent 16%, good 58%, fair 22%, poor 4% by Macnab' s criteria. For further satisfactory result, more meticulous crteria is needed. The results indicated that several prognostic factors were considered : 1) less than 30 years of age, 2) more than 4ml of aspirated disc volumn, 3) L4-5 of disc level, 4) follow up X-ray change(59%), but no CT change and possible MRI change.
장상근,문창택 대한신경외과학회 1991 Journal of Korean neurosurgical society Vol.20 No.1-3
BOP is made of N-Vinyl pyrrolidone-Methylmethacrylate monomer, polyamide fibres, and calcium gluconate. BOP is biocompatible, biodegradable, and osteoconductive matrix. easy to use and quite safe. Authors have operated 14 patients who has bilateral herniated nucleus pulposus, multiple herniated nucleus pulposus, or herniated nucleus pulposus accompanied with spinal stenosis, spondylolysis or spondylolisthesis in lumbosacral portion from September. 1989 till August, 1990. The results were satisfactory. We analysed this patients and report the method of ligamentoplasty with the discussions about spinal fusion and spinal instability.
조준,문창택,장상근 건국대학교 1996 學術誌 Vol.40 No.2
In large pituitary tumors, especially suprasellar extended pituitary adenomas, its surgical treatment has been controversial. To discuss and evaluate the transsphenoidal operative effects in large suprasellar extended pituitary tumor, we respectively search out articles and do operations. Under the C-arm fluoroscopic guidance, well contrast enhanced tumor tissue was grossly total removed without diaphragm sellae perforation and was also fascilitated by the intratumoral metrizamide injection intraoperatively and the positive pressure air injection via lumbar subarachnoid catheter. Also, visual evoked potentials (VEP's) were monitored through the operative procedures. Even though thin or thick tumor capsule was adhesed to optic nerve, optic chiasm, Internal carotid artery and hypothalamus, with the help of double conrast and subarachnoidal air pressure, transsphenoidal tumor removal was done safely and less complicated for patient. Recently, in a case of large suprasellar extended ACTH secreting Cushing's syndrome, we achieved grossly total removal and good visual function recovery using the trans-sphenoidal approach with our technique. With a case presentation, the authors suggest that the double contrast method with VEP's monitoring during large suprasellar extended pituitary tumor removal via trans-sphenoidal approach would be safe and helpful. Key Words : large pituitary tumors, trans-sphenoidal approach, double contrast, VEP, Cushing's syndrome.
장상근,문창택 건국대학교 1991 學術誌 Vol.35 No.2
BOP is made of N-Vinyl pyrrloidone-Methylmethacrylate monomer, polyamide fibres, and calcium gluconate. BOP is biocompatible, biodegradable, and osteoconductive matrix, easy to use and quite safe. Authors have operated 14 patients who have bilateral herniated nucleus pulposus, multiple herniated nucleus pulposus, or herniated nucleus ulposus accompanied with spinal stenosis, spondylolysis or spondylolisthesis in lumbosacral portion from September, 1989 till August, 1990. The results were satisfactory. We analysed this patients and report the method of ligamentoplasty with the discussions about spinal fusion and spinal instability.