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뇌하수체 졸증 후에 자발적으로 소멸된 뇌하수체 종양 -증례보고-
조광욱 ( Kwang Wook Jo ),박성만 ( Sung Man Park ),박익성 ( Ik Seong Park ) 대한뇌종양학회·대한신경종양학회·대한소아뇌종양학회 2009 대한뇌종양학회지 Vol.8 No.2
Pituitary apoplexy refers to a clinical syndrome caused by the sudden expansion of a pituitary tumor that compresses nearby structures. In spite of much debate, if there is a neurolo-ophthalmic problem, emergent surgical decompression has been known as the ideal treatment. However, we experienced a rare case in which a pituitary tumor showed spontaneous regression after apoplexy. The tumor was only given conservative care. Thus, the authors will report on the case with a brief literature review.
임상 : 앞머리쪽우묵 및 안장옆 부위의 종양에 대한 눈썹절개를 통한 눈확위 접근법
백병석 ( Byung Suck Baik ),조광욱 ( Kwang Wook Jo ),김영우 ( Young Woo Kim ),김상돈 ( Sang Don Kim ),박익성 ( Ik Seong Park ),백민우 ( Min Woo Baik ) 대한뇌종양학회 2008 대한뇌종양학회지 Vol.7 No.2
Objectives:Keyhole surgery through supraorbital route with eyebrow incision is minimal invasive technique for anterior cranial fossa pathology. Traditional method need to remove supraorbital rim, result in postoperative ecchymosis around eye. The authors performed surgery without removal of supraorbital rim and want to introduce the surgical technique and results. Methods:Among the patients who were found to have the tumor in the anterior cranial fossa and parasellar area, 9 patients were operated by supraorbital approach. There are 2 tuberculum sellar meningiomas, 3 anterior skull base meningiomas, 1 parasellar cavernous hemangioma, 1 Rathke`s cleft cyst, 1 metastatic tumor and 1 optic glioma. Skin incision was made along lateral two third of eyebrow. Small size craniotomy was made just upper part of supraorbital rim. The opening size was 1.5×2.5 cm. Next technique is almost same with traditional supraorbral approach. The surgical results were studied retrospectively. Results:Largest tumor was 4×5×5 cm in size. Gross total removal was possible in all the patients. There was no surgical mortality and imaging study showed no surgical complication without one case. One patient suffered from hypothalamic dysfunction and sustained moderately disabled state for 6 months but the others showed excellent outcome(modified Rankin Score 0 to 1). The average postoperative hospital day was 9.6 days except 1 patient. All patients were satisfied with cosmetic results. Short Form-36® health survey showed excellent self estimation after surgery. Conclusion:Minimal invasive approach through eyebrow incision can achieve same results like conventional craniotomy in selected case. Supraorbital rim removal is not an obligation during this procedure.
례부재성 안장증후군 양상의 터어키안 내부 지주막 낭종으로 인한 범뇌하수체 기능저하증의 수술적 치료 -증례보고-
박준상 ( Jun Sang Park ),박익성 ( Ik Seong Park ),조광욱 ( Kwang Wook Jo ) 대한뇌종양학회·대한신경종양학회·대한소아뇌종양학회 2012 대한뇌종양학회지 Vol.11 No.1
Differentiating between empty sella syndrome (ESS) and isolated intrasellar arachnoid cysts (ISAC) in cases of panhypopituitarism is critical for determining appropriate treatment strategies. However, the radiological properties of these lesions are quite similar on computed tomography (CT) and magnetic resonance imaging (MRI). CT cisternography using radiopaque dye is a useful modality for identifying symptomatic ISAC without para- or suprasellar extension. We present a successful case of surgically treated symptomatic ISAC, which had been previously diagnosed and treated medically without improvement.
뇌기저부 종양제거 수술후 발생한 척추동맥의 거대가성동맥류 -증례보고-
홍현진 ( Hyun Jin Hong ),박익성 ( Ik Seong Park ),백민우 ( Min Woo Baik ),조광욱 ( Kwang Wook Jo ) 대한뇌종양학회·대한신경종양학회·대한소아뇌종양학회 2011 대한뇌종양학회지 Vol.10 No.2
A 33-year-old man initially presented with posterior neck swelling. He subsequently underwent removal of a brain stem tumor via a far lateral transcondylar approach four weeks prior to representation due to complications. A giant aneurysm originating from the extracranial vertebral artery was identified via digital subtraction angiography (DSA). Due to subsequent surgical exploration on the high cervical area, a pseudoaneurysm was found in it. In this paper, we describe the clinical presentation and treatment of this post-operative complication of a posterior fossa skull base approach.