http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
백일서 건국대학교 의과학연구소 2000 건국의과학학술지 Vol.10 No.-
A patient is reported who had spontaneous resolution of an acute traumatic subdural hematoma within 24 hours. In this period, clinical signs improved and computed topography suggested disappearance of hematoma. It is thought that the mechanism of resorption is co-existence of hematoma mingling with CSF and hematoma redistribution.
우측 뇌실 삼각부에 거대한 수막종 1례 : 증례보고 Case Report
백일서,정환영,오석전,김광명,김남규,함창곡,이승로,박문향 대한신경외과학회 1988 Journal of Korean neurosurgical society Vol.17 No.5
The authors present a case of huge intraventricular meningioma on the trigone of the right lateral ventricle of a 42-year old female. The mass was a huge multilobulated yellowish gray tumor, which was relatively rubberry hard. Intratumoral removal was performed by ultrasonic aspirator at ease. Later thin outer surface of the tumor was retracted and extirpated. Microscopic examination revealed transitional type of meningioma consisted of concentric whorls of elongated tumor cells and psammoma bodies. Occasionally the center of whorls contained capillary blood vessels. Postoperative cource was uneventful. Extremely minimal visual field defect was detected without the patient's subjective complaint.
초음파 수술 흡인기 (CUSA)를 이용한 두개강내 종양 제거에 관한 임상적 고찰
백일서,오석전,김광명,김남규,정환영 대한신경외과학회 1988 Journal of Korean neurosurgical society Vol.17 No.2
The Cavitron Ultrasonic Surgical Aspirator has been used clinically in 79 cases for removal of intracranial tumors. Ultrasonic aspiration of intracranial tumors has definite advantage in comparison with the previous conventional technique. The results were summarized as follows ; 1) Ultrasonic aspirator provides a method of removing intracranial tumors that are not of a consistency to allow removal with suction and cautery alone. 2) There is a good proprioceptive feedback for the surgeon while using the ultrasonic aspirator. So the blood vessels were selectively exposed, operation was performed without severe bleeding. 3) Ultrasonic aspirator obviates the need for the cautery cutting loop. This is particularly advantageous when dealing with tumors in the cerebellopontine angle or close to important structures, such as the optic nerve or carotid artery. 4) Ultrasonic aspirator allows direct visualization of the tissue being removed.
Pleomorphic Xanthoastrocytoma 1례
백일서,오석전,김광명,김남규,정환영 대한신경외과학회 1987 Journal of Korean neurosurgical society Vol.16 No.2
Pleomorphic xanthoastrocytoma는 조직학적 특성이 세포의 다형성과 다핵거대세포를 갖는 등 일부 악성의 소견을 갖지만 예후가 비교적 좋은 신경교종의 한 특수한 아군으로 문헌에 보고된 바가 적은 희귀한 원발성 뇌종양이다. 최근 본 교실에서 pleomorphic xanthoastrocytoma 1례를 경험하였기에 문헌고찰과 함께 보고한다. A case of pleomorphic xanthoastrocytoma that occured in a 27-year-old woman is reported. Despite of cellular pleomorphism and presence of bizarre giant cells in the microscopic picture, the relatively favourable prognosis is the most important characteristic.
외상성 지주막하출혈의 예후에 영향을 미치는 인자에 대한 임상 분석
백일서 건국대학교 의과학연구소 1999 건국의과학학술지 Vol.9 No.-
The presence of traumatic subarachnoid hemorrhage on the initial brain computerized tomographic scans are associated with diverse results. Between January 1992 and December 1997, 1857 patients were admitted to our department of neurosurgery due to head injury. Among them, 71 patients had a traumatic subarachnoid hemorrhage on initial brain computed tomography. We analyzed various brain computed tomographic findings, such as thickness and location of subarachnoid hemorrhage, evidence of mass lesion, midline shift, obliteration of the basal cistern, and cortical sulcal effacement in order to know the relationship to their final outcomes. Additionally age, sex, causes of trauma, initial Glasgow Coma Scale(GCS) score, arterial gas study, systemic blood pressure and prothrombin time, pupillary light reflex and secondary complication were also analyzed for the same purpose. All the patients were treated with calcium channel blocker and lowering intracranial pressure. All these data were compared to Glasgow outcome scale on discharge, and arbitrarily these were divided into good(good recovery and moderate disability) and bad(severe disability, vegetative state and death). The author concluded that the contributing factors to outcome at discharge were as follows: lower GCS score, loss of pupillary light reflex, severe multiple injury, various initial brain computed tomographic finding(subdural hemorrhage, midline shift, obliteration of the basal cistern, cortical sulcal effacement, diffuse subarachnoid hemorrhage, low density in brain stem) and prolongation of prothrombin time were shown to statistically significant.