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본태성 다한증의 후흉추 접근법 및 내시경수술의 임상고찰
전효철,김재휴,이정길,김태선,정신,김수한,강삼석,이제혁,Cheon, Hyo Cheol,Kim, Jae Hyoo,Lee, Jung Kil,Kim, Tae Sun,Jung, Shin,Kim, Soo Han,Kang, Sam Suk,Lee, Je Hyuk 대한신경외과학회 2001 Journal of Korean neurosurgical society Vol.30 No.8
Objectives : Essential hyperhidrosis is a common condition characterized by excessive body sweating. Excessive sweating beyond what is necessary to maintain normal body temperature need not be considered pathological unless it interferes with one's occupation and/or life-style. The existing non-operative therapeutic options seldom give sufficient relief or show a transient effect. In this regard, the thoracic sympathectomy may provide a definitive cure. In the past, surgical procedures were highly invasive and caused significant morbidity, but the minimally invasive thoracoscopic procedure provided detailed visualization of sympathetic ganglia and is associated with minimally postoperative morbidity. Nowadays, thoracoscopic transthoracic sympathectomy is accepted as the treatment of choice for essential hyperhidrosis. In palmar hyperhidrosis, however, the level of sympathetic chain to be blocked has been somewhat obscure. It is assumed that the incidence of compensatory hyperhidrosis may closely related to the extent of thoracic sympathectomy. Material & Methods : To compare the results of posterior midline approach with endoscopic sympathectomy, and the results of T2 with T2, 3 sympathectomy or sympathicotomy, we retrospectively studied 62 patients treated for palmar hyperhidrosis between September 1993 and May 2000. We reviewed medical records and recently interviewed the patients by telephone calls. Results : The treatment effect of T2 sympathectomy is no different from T2, 3 sympathectomy. But, the incidence of compensatory hyperhidrosis is less in the T2 sympathectomy group than the T2, 3 sympathectomy group. Conclusion : Thoracoscopic sympathectomy is considered a simple, safe, and effective method for treating palmar hyperhidrosis, with a shorter operation time, fewer hospital days, and a better cosmetic result, as compared with the open approaches. However, sympathicotomy seems to provide the advantages of a limited extent of denervation and the resultant decrease of compensatory hyperhidrosis compared to sympathectomy.
전효철 ( Hyo Cheol Cheon ),신승렬 ( Seong Ryul Shin ),정신 ( Shin Jung ),강삼석 ( Sam Suk Kang ) 대한뇌종양학회 2002 대한뇌종양학회지 Vol.1 No.2
Hemorrhage is more likely with some types of brain tumor such as metastatic tumor, glioblastoma, or oligodendroglioma. The incidence of hemorrhage due to intracranial neoplasm ranges from 0.9 to 14.6%. We are to know their clinical features. Brain tumors associated hemorrhage were confirmed pathologically in 41 of 781 cases, and retrospective analysis was conducted about their incidence, histology, clinical symptoms and signs, type of hemorrhage and postoperative outcome. Hemorrhage rate for brain tumors was 5.2%(41/781). The highest rate for primary brain tumor was 14.4% for glioblastoma, while the second hemorrhage rate was 13.7% for metastatic tumor. The most common symptoms were headache and hemiparesis. Six cases had acute presentation. The proper neuroradiological and clinical work-up is important in patients with suspected tumor related intracerebral hemorrhage.
두개강외의 두피 종괴로 발현된 두개강내 골용해성 비정형 수막종
문경섭 ( Kyung Sub Moon ),정신 ( Shin Jung ),전효철 ( Hyo Cheol Cheon ),김인영 ( In Young Kim ),이정길 ( Jung Kil Lee ),김태선 ( Tae Sun Kim ),김재휴 ( Jae Hyoo Kim ),강삼석 ( Sam Suk Kang ),이제혁 ( Je Hyuk Lee ) 대한뇌종양학회 2002 대한뇌종양학회지 Vol.1 No.1
A rare case of intracranial osteolytic atypical meningioma appearing as extracranial soft tissue mass is presented. The patient was a 14-year-old girl with a forehead mass, and over several months this mass continued to grow, with progressive softness and tenderness. Computed tomographic scanning and magnetic resonance imaging findings showed the mass was enhanced heterogeneously and multilobulated in the right frontal area, and associated with overlying bony destruction. The tumor was removed gross totally without complication and diagnosed as atypical meningioma histopathologically.