大孔腫瘍

千太上,許琨 대한신경외과학회 1972 Journal of Korean neurosurgical society Vol.1 No.1

Since 1970 to 1971, 3 cases of tumor of foramen magnum were experienced and treated surgically at neurosurgical department of N.M.C. So clinical manifestation of tumor of foramen magnum were analyzed and evaluated with our 3 case and 7 cases of Symonds which was reported in 1937. The sex ratio was equal. Age distribution was highest among the patients in 4th decade. Tumor were maningioma neurofibroma orderlly. Initial symptoms was neck or suboccipital pain. Chief complaints at time of admission were tetraplegia and paresis of limbs. The most commonly involved cranial nerves were 11th and 12th. The pattern of the muscle weakness of limbs was counter clockwise or clockwise. Sensory disturbances was subjective pain and paresthesia of the ipsilateral upper limb to lesion in early stage and objective sensory loss later. There were always pyramidal tract signs and increased pressure and protein in CSF. The plain cervical spine showed no pathological findings but revealed space occupying lesion on Pantopaque cervical myelgraphy through lumbar puncture. During operation and postoperative period, respiro-cardio-vascular function was carefully observed.

대뇌 혈관외피세포종 2예보고 : 2 Case report

최용교,천태상,김대조,옥영철,이규웅 대한신경외과학회 1975 Journal of Korean neurosurgical society Vol.4 No.1

Designation and classification of the vascular neoplasms of the brain and meninges have not been established to the satisfaction of all neuropathologists. Angioblastic meningioma, hemangioperiytoma, hemangioendothelioma, cerebellar hemangioblastoma and vascular sarcoma are all graded into each other as judged histologically, and somewhat it resembles some of vascular malformations. The application of electron miscrosccpe to the problem of distinguishing among the vascular tumors of the brain and meninges offers an additional source of information. These two cases of the brain tumors are malignant hemangiopericytoma, but rather one is more satisfactory to designate angioblastic meningioma. All of these tumors were located in the parieto-occipital lobe subcortically and also attached to the falx cerebri. In spite of surgical removal of these tumors, the tumor masses were regrowing very rapidly and needed surgical intervention again 3 months after previous operation.

뇌이양증(腦異養症)

朴忠緖,千太上 대한의학협회 1971 대한의학협회지 Vol.14 No.12

脊髓損傷의 臨床的 考察

許琨,千太上 최신의학사 1972 最新醫學 Vol.15 No.12

Trauma to the spine may produce symptoms and signs as result of injury to the nerve roots and substance of the spinal cord. Results of these injuries are very seriously affect the patient in carrying out thier activities. Therefore, many neurosurgeons had been tried to its evaluation for operative effects if indicated. In our clinic, 60 cases of spinal cord injury were collected for 4 years utill Aug. 1972. 44 patient are showed positive Queckenstedt's test. Among them 34 patients had complete loss of sensory functions and 24 patients had preservation of. The latter group had relatively good prognosis after decompressive laminectomy.

척수손상

허곤,천태상,이규웅,이화동 대한신경외과학회 1973 Journal of Korean neurosurgical society Vol.2 No.1

In our clinic, 60 cases of spinal cord injury were collected for 4 years until the end of August 1972. 44 Patients were decompressive laminectomy performed as soon as possible when these patients arrived to our hospital, only 10 cases were almost completely recovered of function, still the prognosis of spinal cord injury is very serious. The preservation of pain sensation in patients with motor paralysis and positive Queckenstedt's test following acut cord compression is a favorable prognostic sign.

한국인 기관지동맥에 관한 형태학적 연구

朴秀淵,千太上 최신의학사 1972 最新醫學 Vol.15 No.12

The bronchial arteries, which provide the nutrient supply to the lung, have been studied in the normal gross anatomy and the pathology as well. The present study was made to compare the Korean results of the morphology investigated by us with the results obtained by others. 114 Korean cadavers of both sexes consisting of 52 males and 62 females, which were arranged for dissection of the gross anatomy at Yonsei University College of Medicine, were used. The authers have selected the specimens carefully to eliminate any unsuitable dissections performed for this study. In the types of both bronchial arteries by number, the Type 2, which was one bronchial artery to each lung, was observed in 57 out of 114 cases (about 49.99% in the incidence) and the Type 2 showed the most frequent incidence in the Types of right and left bronchial arteries by number. A right bronchial artery frequently arised in common with an aortic posterior intercostal artery. One right bronchial artery arised in common with an aortic. posterior intercostal artery was found in 61 out of 114 cases (about 53.5% in the incidence). The occurrence of one right bronchial artery arised from the 1st aortic posterior intercostal artery was 50 out of 61 cases (about 81.96% In the incidence). In the mode of origins of bronchial arteries in each body, all bronchial arteries arised indepentently from the aorta or its branches, were found in 66 of 114 cases (about 57.86%). In the rest of 48 cases, 2 or more bronchial arteries arised from common stems. In the left sides of 114 cases 155 bronchial arteries were found by the authors. Among them 143 bronchial arteries arised from the thoracic aorta and its tributaries (about 92-26% in the incidence) and 12 bronchial arteries arised from the aortic arch (about 7. 74% in the incidence). In the right sides of 114 cases 150 bronchial arteries were observed. 79 out of 150 bronchial arteries arised from the stun of the thoracic aorta (about 52.66°' in the incidence) and 9 bronchial arteries arised from the aortic arch (about 6.0% in the incidence). From the first aortic posterior intercostal arteries of the right sides 5.2 bronchial arteries arised (about 34.66% in the incidence, which were

후두와 뇌경막 동정맥기형 : 증례보고 Case Report

전병찬,장영록,이규호,천태상,이화동 대한신경외과학회 1987 Journal of Korean neurosurgical society Vol.16 No.2

The authors report a case of posterior fossa dural arteriovenous malformation with increased intracranial pressure. It was fed by left occipital artery, posterior auricular artery, posterior meningeal branch of vertebral artery, and meningohypophyseal artery of left internal carotid artery. Treatment has been tried with transcatheter embolization using gelfoam and ivalon, intracranial clipping of feeders, ligation of external carotid artery, and radiation therapy. The unusual clinical manifestations such as visual disturbance and hearing impairment are discussed.

전이성 척추종양에 대한 임상적 고찰

김창수,정석원,장영록,박용구,천태상,이화동 대한신경외과학회 1989 Journal of Korean neurosurgical society Vol.18 No.1

The authors analysed 27 cases of metastatic spine tumor in regard to diagnostic procedures, effects of radiation and their average survival time. Technetium-99m radiolabeled polyphosphate bone scans were superior to any other diagnostic procedures as a screening test for the early detection of spine metastases. Spinal CT scans with myelogram were useful to define the anatomic extent of destruction and cord comprssion. To prevent myelopathy, early radiation therapy was certainly helpful. The decompressive laminectomy alone have contributed little to the patients in regard to the prolongation of lie and the correction of neurological deteriorations. The authors concluded that the one-stage laminectomy and adequate posterior stabilization with the use of internal fixation devices were the choice of treatment for control of pain and prevention of the complications from spinal instability in the following patients 1) with early progressive myelopathy 2) who were unable to move due to the pain evoked by motion ; and 3) who showed the evidence of spinal instability radiologdly and/or clinically.

The Role of Decompressive Craniectomy in The Developement of Shunt-Dependent Hydrocephalus : Clinical Article

Jeon, Byung-Chan,Seung, Won-Bae,Kim, Young-Soo,Lee, Chang-Sik,Chun, Tae-Sang,Kim, Nam-Kyu 고신대학교 의학부 2005 高神大學校 醫學部 論文集 Vol.20 No.1

The Role of Decompressive Cranictomy in The Development of Shunt-Dependent Hydrocephalus. Objective: Decompressive craniectomy is well known method of surgical treatment for excessive increment of intracranial pressure by intracerebral lesion. It has been reported that craniectomy after head trauma contributes to the development of hydorcephalus. But, there are no reports about it's role in intracranial aneurysm and brain tumor. This study is designed to evaluate the role of decompressive craniectomy in the development of hydrocephalus in trauma, aneurysm, and tumor surgery. Methods: Study of the 1264 patients with head trauma, aneurysm, and tumor between Jan. 1997 and Dec. 2001 was made retrospectively by reviewing their medical record. The incidence of shunt dependent hydrocephalus was evaluated in trauma, aneurysm, and tumor patients with or without decompressive craniectomy, and anlysed it with statistically. Results: Shunt-dependent hydrocephalus was developed in 10 (2.7%) fo 359 patients with trauma, 24 (6.9%) of 347 with subarachnoid hemorrhage by aneurysaml rupture, and 9 (1.6%) of 558 with brain tumor. After decompressive craniectomy, it was developed in 6 (185) of 33 patients (p<0.01), 7 (63.6%) of 11 (p<0.01), and 3 (42.8%) of 7 (p<0.01), respectively. Conclusion: These results suggest that decompressive craniectomy act as a facilitating factor, not a causing factor in the development of shunt-dependent hydrocephalus. Scalp sagging and hydrodynamic change of cerebrospinal fluid circulation may play a primary role.

감압성 두개골 절제수술이 뇌수두증의 발생에 미치는 영향

전병찬,승원배,김영수,이창식,천태상,김남규 고신대학교(의대) 고신대학교 의과대학 학술지 2005 고신대학교 의과대학 학술지 Vol.20 No.1

Objective : Decompressive craniectomy is well knwon method of surgical treatment for excessive increment of intracranial pressure by intracerebral lesion. It has been reported that craniectomy after head trauma contributes to the development of hydrocephalus. But, there are no reports about it's role in intracranial aneurysm and brain tumor. This study is designed to evaluate the role of decompressive craniectomy in the development of hydrocephalus in trauma, aneurysm, and tumor surgery. Methods : Study of the 1264 patients with head trauma, aneurysm, and tumor between Jan.1997 and Dec.2001 was made retrospectively by reviewing their medical record. The incidence of shunt dependent hydrocephalus was evaluated in trauma, aneurysm, and tumor patients with or without decompressive craniectomy, and analysed it with statistically.. Results : Shunt-dependent hydrocephalus was developed in 10 (2.7%) of 359 patients with trauma,24 (6.9%) of 347 with subarachnoid hemorrhage by aneurysmal rupture, and 9 (1.6%) of 558 with brain tumor. After decompressive craniectomy, it was developed in 6 (18%) of 33 patients (p<0.01), 7 (63.6%) of 11 (p<0.01), and 3 (42.8%) of 7 (p<0.01), respectively. Conclusion : These results suggest that decompressive craniectomy act as a facilitating factor , not a causing factor in the development of shunt-dependent hydrocephalus. Scalp sagging and hydrodynamic change of cerebrospinal fluid circulation may play a primary role.