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황의장,홍승철,김문간,성우현,윤수한,장진우,이무섭,리화룡 대한신경외과학회 1990 Journal of Korean neurosurgical society Vol.19 No.7
The authors analyzed 11 cases of pineal region tumor in young male patients who had been treated at the Capital Armed Forces General Hospital. So, the following results were obtained. 1) Due to the army distinctiveness, all cases were young male patients. 2) An unusual large proportion of pineal region tumor(26.2%) was noted. 3) Headache and vomiting were main presenting symptoms and the duration of symptoms was short. 4) The tumors were mainly presented as a round well-enhancing masses with calcification. Also, nearly all were associated with hydrocephalus. 5) MRI was very useful for the demonstration of tumor extent. 6) Based on the classification of pineal tumor, the tumors of germ cell origin were predominant (81.9%). 7) The extrapineal metastasis was frequent 8) The tumor maker(α-FP or HCG) was positive in 4cases (36.4%). 9) Germinoma showed excellent prognosis for the irradiation following a drainage procedure.
만성 경막하 혈종을 동반한 중두개와 지주막낭종 4례에 대한 임상분석
황의장,홍승철,김문간,성우현,임창수,심기범,김하영 대한신경외과학회 1991 Journal of Korean neurosurgical society Vol.20 No.8
Since the arachnoid cyst was first described by Bright in 1831, its natural history and exact incidence of arachnoid cyst associated with chronic subdural hematoma were not well understood. Authors analyzed 4 cases of arachnoid cysts in middle cranial fossa, associated with chronic subdural hematoma. So, the following results were obtained : 1) Headche and vomiting were presenting symptoms and its symptoms were due to chronic subdural hematoma rather than that of arachnoid cyst 2) Trauma, though trivial, may have triggered the development of chronic subdural hematoma 3) All cases showed bony abnormality on plain skull X-ray. 4) CT scan is very useful for the demonstration of shape, extent of lesion, membrane enhancement, and communication between hematoma and arachnoid cyst. 5) Every case was type Ⅱ arachnoid cyst. 6) Chronic subdural hematoma was most frequent intracystic type, showing rupture into the arachnoid cyst. 7) Surgery treating both the chronic subdural hematoma and arachnoid cyst produced good result.
오명수,성우현,홍승철,김문간,김하영,이종오,김창진,성기원,이종출,리화룡 대한신경외과학회 1989 Journal of Korean neurosurgical society Vol.18 No.1
The authors represented a clinical analysis of 3rd decade male 47 patients with intracranial tumors who had been histologically confirmed after operation and biopsy at the department of neurosurgery of Capital Armed Forces General Hospital from Feb. 1985 to Jan. 1988. We classified the intracranial tumors according to Russell and Rubinstein s classification. The results were as follows : 1) Among the intracranial tumors, gliomas were found most frequently(40.4%), and followed by pituitary adenomas(l9.2%), pinealomas(10.6%), osteoid osteomas(6.4%), medulloblastomas(4.3%), craniopharyngiomas(4.3%), blood vessel tumors(4.3%). Pituitary adenomas occupied 19.2% of all intracranial tumors and as a single entity these were the highest incidence. 2) Tumors of the pineal region constitutes 10.6% of intracranial tumors, it was relatively high incidence compared with other reports. 3) Intracranial tumors occured more frequently in supratentorial region(85.1%). The most frequent location was sellar and parasellar region(23.4%), and followed by frontal(14.9%), parietal(12.7%), pineal gland(10.6%), temporal(8.5%), cerebellar region(8.5%) in order. 4) The most common duration of symptoms were within 3 months(42.6%). The main clinical symptoms and signs were headache(80.9%), nausea or/and vomiting(55.3%), papilledema(44.7%), so called symptoms traid of the brain tumor, and other ophthalmic symptoms, gait disturbance, motor dysfunction, cerebellar sign in order.