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서승근,이종오,김대환,성기원,김창진,이종출 대한신경외과학회 1988 Journal of Korean neurosurgical society Vol.17 No.3
During the three years from March, 1983 to Feb, 1986, 159 case of head injury surgically treated in the department of neurosurgery, Capital Armed Forces General Hospital were clinicostatistically analysed and discussed with the reivew of the literature. The following results were obtained. 1) Due to the army distinctiveness, all cases were male and the age incidence was becomming maximal at the third decade. 2) Traffic accidents form by far the largest Group(38.4%), and next are, in order of incidence, accidents due to fall from height, simple fall(19%), exercise(12.6%), gun shot wound or explosive injury(9.4%) and assault(9.4%). 3) Skull fracture were seen in115 cases(72.3%), and nearly half of thoes 55 cases, were linear fracture. 4) Of the 133 patients with intracranial hematoma or subdural hygroma, 88 cases(66.7%) were accompanied by skull fracture. 93% of epidural hematomas were associated with skull fracture and the most common site of hematoma was temporoparietal area. 5) Of all cases of subdural hematoma, acute type was prevalent(59.4%) and its main site involved was temporoparietal area. 6) the associated injuries were found in 22.6% of patients. The frequent ones were facial bone fracture, upper extremity fracture, clavicle fracture, and chest injury, in order. 7) The minor head injury of Glasgow coma scale score(GCS) of 13 to 15 was 68 cases(42.8%). The moderated head injury of 9 to 12 was 28 cases(17.6) and the serve head injury of 3 to 8, 63 cases(39.1%). 8) The operation mortality was 26.8% and the good recovery was achieved 55.4% of patients. The remaining 18.8% resulted in disabled or vegetative state. 9) In the accidents of gun shot wound or explosive injury, operation mortality rate was 60%, but 5 cases(33.3%) were seen good recovery.
서승근,어환,주인욱,송준호,박세혁,정봉섭,권병덕,이규호 대한신경외과학회 1988 Journal of Korean neurosurgical society Vol.17 No.5
Selective arterial embolization can reduce the size and pressure within the nidus of the arteriovenous malformations (AVMS) and diminish the number of feeding pedicles, making subsequent surgical excision technically easier and safer, especially in those AVM patients whose lesions are judged to be inoperable or resectable with major risk. Authors have successfully and repeatedly performed selective arterial embolizations with polyvinly alcoholfoam(PVA foam) and isobuty1-2-cyanoacrylate (IBCA) to a large AVM at the left basal ganglia, thalamus and lateral ventricles, and a large cortical AVM near right motor strip.
이강일,성기원,서승근,이종오,김창진,김대환,이종출 대한신경외과학회 1988 Journal of Korean neurosurgical society Vol.17 No.1
The authors report a case of oligodendroglioma in the septum pellucidum. A 22-year-old male presented with symptoms of headache and decreased visual acuity. Simple skull series showed calcified density near the midline. Brain C-T scan revealed huge calcified mass involving right lateral ventricle, 3rd ventricle and obstructive hydrocephalus. The authors diagnosed oligodendroglioma in finding operative and pathologic examination.
오명수,성기원,서승근,김대환,이종오,김창진,김선호,이종출 대한신경외과학회 1988 Journal of Korean neurosurgical society Vol.17 No.2
A compression of spinal cord or nerve roots is commonly seen sequale of acquired of congenital stenosis of the cervical or lumbar portions of the spine. The authors have treated a case of thoracic myelopathy asociated with thoracic canal stenosis, which was diagnosed with thoracic myelography and thoracic C-T scan. The pathological findings was thickened ligament flavum, hypertrophied articular processes, narrow spinal canal and compression of spinal cord. It is suggested that the syndrome should be considered in any patient who has a thoracic myelopathy.
강원봉,성기원,서승근,김대환,이종오,김창진,김선호,이종출 대한신경외과학회 1988 Journal of Korean neurosurgical society Vol.17 No.3
A series of 24 cases of gun shot and explosive injuried patients of the brain is analyzed according to causes, types, operability, the relation between glasgow coma scale(GCS) and operative mortality, associated injuries, complications and sequelae. The authors notice that gun shot and explosive injury of the brain are more worse than blunt head trauma because of injury mechanism by itself.
두피의 만상동맥류 : 증례 보고 Report of Three Cases
임영호,심기범,신형식,문재곤,서승근,강원봉,임창수,김하영,심형진 대한신경외과학회 1992 Journal of Korean neurosurgical society Vol.21 No.5
The arteriovenous fistula and cirsoid aneurysm, characterised by abnormal arterial and venous connections with grossly dilated and expansile mass of vessels, may predispose to dramatic complications. Cirsoid aneurysms of the scalp have been reported to be difficult to remove. Multiple treatment schemes have been described and, as yet, no standard form of therapy exists. Three cases of cirsoid aneurysms of the scalp are presented. Each of them was treated with embolization and total excision after ligation of the feeding arteries. All of them were well cured.