http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
핵상간 안근마비와 호너씨 증후군을 동반한 외상성 편측성 피개출혈 1예 : 증례보고 A Case Report
진태경,김재중,김영,박종운,하영수 대한신경외과학회 1996 Journal of Korean neurosurgical society Vol.25 No.9
Traumatic intracerebral hemorrhage associated with internuclear ophthalmoplegia is uncommon and usually presents itself in combination with diffuse axonal injury or cerebral contusion On a review of the literatures there have been 23 cases of post-traumatic internuclear ophthalmoplegia reported The authors are reporting a case of pure traumatic unilateral internuclear ophthalmoplegia with Hornor s syndrome caused by traumatic unilateral tegmental hemorrhage without diffuse axonal injury or cerebral contusion The lesion was diagnosed by magnetic resonance image(MR1) and computed tomography(CT). The clinical feature mechanism and prognosis are discussed together with a review of the literatures.
진태경,박종운,하영수,김영 대한신경외과학회 1996 Journal of Korean neurosurgical society Vol.25 No.6
We had reviewed the cases 8 thirteen patients with intracranial hemorrhage secondary to vitamine K deficiency, admitted between March 1990 at February 1994. The results were as follows : 1) The most common age of onset was under 2 months(12 cases, 92.3%). Sex ratio between male and female was 3.3:1(10:3). Premature was one of all cases. 2) In feeding history, breast feeding(7 cases, 53.8%) was most common, followed by mixed feeding(4 cases, 30.8%) and formular feeding(2 cases, 15.4%). Breast feeding, with or without formula, constituted 11 cases(84.6%) and intracraniai hemorrhage was developed in breast feeded babies often more than in formular feeded ones. 3) Clinical findings were variable : mental change(11 cases, 84%) was the most common feature, followed by irritability, poor sucking, vomiting, motor weakness and poor crying. 4) Subdural hemorrhage(9 cases, 69.2%) was most common and followed by intracerebral hemorrhage(7 cases, 53.9%) and intraventricular hemorrhage(3 cases, 23.1%), with or without other hemorrahge. 5) Prolongation of PT and vitamine K dependent coagulation factor deficiencies were noted in all cases. APTT was prolonged in 11 cases(84.6%), but it returned to normal in all cases after vitamine K administration. Vitamine K₁ level checked in 5 cases was lower than normal. 6) Treatment included vitamine K administration, subdural tap, burr hole drainage, EVD or craniotomy. Short term result was not good(grade Ⅳ+Ⅴ ; 8 cases(61.8%)), but long term outcome would be worse than short term outcome(normal ; 1 case). It is our believe that while not very common in Western nations. inter
Bolus Injection 방법을 이용해서 측정한 정상 성인의 뇌척수액 배출저항
김은영,박현선,정종권,진태경,김재중,박형천,Kim, Eun-Young,Park, Hyun Sun,Chung, Chong Kweon,Jin, Tae Kyoung,Kim, Jae Joong,Park, Hyung Chun 대한신경외과학회 2000 Journal of Korean neurosurgical society Vol.29 No.9
Objectives : The measurement of resistance to cerebrospinal fluid outflow($R_o$) can clearly delineate cerebrospinal fluid dynamics in patients with ventricular dilatation and can help in selecting patients to undergo shunt placement. With regards to type of infusion method, bolus injection is known to be more practical and safer than continuous infusion. The purpose of this study was to obtain $R_o$ of normal adults using lumbar bolus injection method. Material and Methods : Twenty adults aged 25 to 52 years were studied using lumbar bolus injection method. Fifteen patients with hemifacial spasm and five with cerebral concussion underwent $R_o$ measurement under propofol general anesthesia and local anesthesia, respectively. Results : The mean values of $R_o$ determined 1 minute and 2 minutes after bolus injection were $4.8{\pm}1.7$ and $4.4{\pm}1.6mmHg/ml/min$, respectively. There was no significant difference of $R_o$ between propofol general anesthesia group and local anesthesia group. Two patients showed $R_o$ greater than 6mmHg/ml/min. One patient revealed unexpectedly high level of $R_o$ due to severe spinal stenosis. Conclusion : Mean Ro in this study was higher than that of Shapiro's study. Borderline Ro near 6mmHg/ml/min should be regarded with caution and compared with clinical symptoms and results of other studies. Patients with severe spinal stenosis should be evaluated with caution.
전호규,하영수,박종운,김영,채권병,이상돈,김재중,진태경 대한신경외과학회 1994 Journal of Korean neurosurgical society Vol.23 No.8
Primitive neuroectodermal tumors(PNETs) are composed of undifferentiated cells resembling germinal matrix cells of the embryonic neural tube. The concept of the primitive neuroectodermal tumors is controversial due to indistinct clinicopathologic entities. While some neuropathologists believe that the PNET concept should be applied to all these tumors with the addition of qualifying terms, the opponents of this approach believe this concept to be too simplistic and that well-established diagnostic entities should not be grouped together as a single entity. Four patients with PNET were reviewed. Although the PNETs bear some differences to posterior fossa medulloblastomas, we should be grouped together as a single pathologic entity because of their primitive nature. The purpose of this study is to review the similarities and differences between two tumors from their histologic and embryologic features.