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전산단층촬영 (Computed Tomography)으로 진단된 결절성 뇌경화증 1예 보고
정희원,심보성 대한신경외과학회 1978 Journal of Korean neurosurgical society Vol.7 No.2
Tuberous sclerosis is a rare heredofamilial disease involving multiple organs, classically associated with the clinical triad of adenoma sebaceum, epilepsy, and mental retardation. We have recently experienced a case of tuberous sclerosis, 18-year-old male patient, who had typical adenoma sebaceum and generalized epileptic seizure. Plain skull film showed multiple calcified paraventricular subependymal nodules and brain CT scan disclosed, characteristic calcified tubers adjacent to the frontal horn and body of the lateral ventricle.
정희원,왕규창,김하영,이선호,한대희,지제근,심보성,최길수 대한신경외과학회 1987 Journal of Korean neurosurgical society Vol.16 No.3
The authors have studied six patients with histologically proven primary malignant lymphoma of the brain which is still a rare primary brain tumor. The clinical, radiological and pathological findings with results of the treatment are presented. All cases showed a good response to radiation therapy. Therefore, the early diagnosis by computerized tomography scan followed by biopsy or excision is considered to be very important for the BEST results in the treatment. Related reports are discussed briefly.
정희원,최길수 대한신경외과학회 1987 Journal of Korean neurosurgical society Vol.16 No.3
Pituitary apoplexy is defined as a complex series of clinical events occurring as a consequence of the fulminant expansion of the pituitary tumor by infarction, hemorrhage, or hemorrhagic infarction of the tumor and the adjacent pituitary tissue. It is one of the entities which need neurosurgical emergency care. Its incidence was, however, reported variously in many literatures due to different diagnostic criteria. We reviewed 150 histologically proven pituitary adenoma cases, operated from January 1980 to September 1986, to select 30 cases which showed clinical or operative findings compatible with pituitary apoplexy ('pituitary apoplexy in a broad sense'). Authors analyzed their incidence, predisposing factor, clinical feature, diagnosis and treatment, especially in those who showed major attack with evident neurologic deficits ('pituitary apoplexy in a strict sense'). The conclusions are as follow; 1) Among the 150 cases of pituitary tumor, 30 cases (20.0%) were diagnosed as pituitary apoplexy in a broad sense. Eleven cases (7.3%) out of them showed major attack. 2) The symptoms and signs of the 11 cases with major attack were sudden headache (11 cases), visual impairment (9 cases), cavernous sinus compression signs (7 cases), nausea and vomiting (6 cases), depressed consciousness (4 cases), and meningismus (3 cases). 3) In the clinical diagnosis of pituitary apoplexy, findings of plain skull radiologic view were very helpful. 4) With the medical treatment and surgery, good results were achieved in all cases except one patient showing visual impairment. 5) As the method of surgical treatment, the transsphenoidal approach is highly recommended.
청신경초종의 수술에서 골미로를 통한 접근법 : 후하골을 통한 접근법과의 비교 Comparison with the Suboccipital Approach
정희원,이정일,김종수,오창완,정영섭,장선오,김종선,최길수 대한신경외과학회 1994 Journal of Korean neurosurgical society Vol.23 No.10
The results of a series of thirteen translabyrinthine removals of acoustic neurinomas are reported From 1990 March to 1993 May, thirteen patients with acoustic neummas underwent translabyrinthine removal at Seoul National University Hospital with cooperation of Department of Neurosurgery and Otolaryngology. In four patients with the medium-sized(ll-20mm) tumors, complete removal with preservation of the facial nerve was possible. In nine patients with the large(21-4Omm) tumors, complete removal of the tumor was possible in seven. Preservation of the facial nerve was possible in all but one, whose facial nerve was incidentally transected at the distal intracanalicular portion and was anastomosed end-to-endly. In one, postoperative leakage of cerebrospinal fluid required reoperation. The results of translabyrinthine approaches were compared With those of suboccipital approaches performed during the same period. In medium-sized or large acoustic tumors, translabyrinthine approach was comparable with suboccipital approach in the rate of total tumor removal, preservation of the facial nerves, and complication.
정희원,권병덕,최길수,지제근 대한신경외과학회 1979 Journal of Korean neurosurgical society Vol.8 No.2
The ability of CT scan to differentiate and accurately localize cystic, solid, and calcified portions of craniopharyngioma with the ventricular size as well now makes it a very valuable method of investigating this congenital tumor. The authors report a case of huge, mainly cystic craniopharyngima which unusually occupied entire middle cranial fossae, presenting as an isodense area with suprasellar calcification in brain CT scan.