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치상골로 인한 제 1~2경추탈구의 경구적 감압술 및 전방융합술 1례 : Case Report
이종출,김신태,김동규,리화룡 대한신경외과학회 1985 Journal of Korean neurosurgical society Vol.14 No.3
The Os odontoideum is a developmental anomaly of the axis in which the odontoid process is divided transversely. The Atlanto-axial dislocation due to Os odontoideum is presented. At first, we have performed the posterior atlanto-axial fusion with wire fixation. But the posterior fusion failed in realignment and did not adequately decompress the deformed cord by encroachment on its ventral surface. Next time, we have experienced further improvement following transoral decompression and anterior fusion.
이태섭,양대동,성기원,김재오,이원혁,리화룡 대한신경외과학회 1986 Journal of Korean neurosurgical society Vol.15 No.4
The authors managed forty cases of chronic subdural hematoma which were diagnosed by carotid angiography and computerized tomographic scanning. Within fortieth-day after onset, only two cases are absorbed without any specific treatment and clearly.
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.
이태성,이원혁,조시현,김재오,성기원,리화룡 대한신경외과학회 1986 Journal of Korean neurosurgical society Vol.15 No.4
Recently, the authors experienced the thirty - one cases of cervical fracture and dislocation. Among them, nineteen cases underwent surgical treatment and remained conservative treatment. There are three ways in operation; 1) anterior approach(Cloward, Smith-Robinson method). 2) posterior approach. 3) combined approach(modified Smith-Robinson and posterior fusion). We did a combined approach and the results were excellent.
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.