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다형성 황색성상세포종의 치험 3예 : Report of Three Cases
차영조,김성호,송시헌,김관태,송규상,김윤 대한신경외과학회 1993 Journal of Korean neurosurgical society Vol.22 No.12
Pleomorphic xanthoastrocytoma is known as a rare specialized type of cerebral astrocytoma, which occurs mainly in the temporal lobe of the brain in young ages in spite of marked pleomorphism with multinucleated giant cells, lipid-laden xantomatous cells, rich reticulin networks, and the demonstration of glial fibrillary acidic protein, the prognosis is usually favorable. The authors report three cases of pleomorphic xanthoastrocytoma which were presented with headache and review the past literature.
원외부 후하소뇌 동맥류에 의한 뇌실내 출혈 : 증례 보고 Case Report
차영조,김성호,송시헌,김관태,김윤 대한신경외과학회 1992 Journal of Korean neurosurgical society Vol.21 No.9
A case of ruptured aneurysm of the distal PICA presenting with isolated intraventricular hemorrhage is presented. The diagnosis of distal PICA aneurysm should be considered if isolated intraventricular hematoma is found without obvious parenchymal hemorrhage or subarachnoid blood in the basal cisterns. Complete vertebral arteriography is a requiste for the recognition of this condition. The outcome in patients with these aneurysms should be good if surgical repair is performed before rebleeding occurs.
두개골 결손시 경막 대체물질 삽입에 의한 연부조직 유착 방지의 실험적 연구
차영조,송시헌,김성호,김관태,김윤 대한신경외과학회 1993 Journal of Korean neurosurgical society Vol.22 No.11
In a series of rabbits, two craniectomies were made in both side of the parietal hone. Each lesion was filled with gelfoam, lyodura, fat and dural film. Five rabbits were left empty as a control group. The animals were killed in one month after the operation. The degree of adhesion between the soft tissue of the scalp and various dural substitute was evaluated at the time of operative dissection and studied histopathologically. The results were as follows. 1) The insertion of dural substitued substances can prevent the adhesion between the scalp and dura mater. 2) The dural film was most effective in prevention of adhesion. 3) The dural film inserted group exhibited inflammatory reaction. 4) The gelfoam, lyodura and fat inserted groups were though to have had a moderate prevention effect of adhesion. With these results, we could conclude that the insertion of material between the dura and scalp can prevent adhesion. However the ideal inserted material which can pevent inflammatory reaction and adhesion has not been determined. At this point we have not found and ideal substitute. To get an ideal material for prevention of adhesion, further intensive study is required.
김윤,차영조 충남대학교 의과대학 지역사회의학연구소 1991 충남의대잡지 Vol.18 No.2
The author analyzed pediatric(under 15-year of age)neurosurgical disease patients admitted to the Department of Neurosurgery of the Chungnam National University Hospital during the 7-year period from January 1985 to September 1991. The results were as follows : 1) Among the total 3, 163 neurosurgical admission cases during this period, pediatric cases were 436(13.78%)in number. 2) The male to female ratio was 2.05 : 1. 3) The total pediatric cases consisted of traumatic(76.83%), tumorous(11.47%), congenital(6.88%), vascular(2.06%), infectious(1.83%), and other(0.92%) lesions. 4) The most common age of trauma were 6 to 10 years and monthly peak of accidents were at April and May. 5) The most frequent cause of the trauma was traffic accident. 6) The mortality in trauma was 4.86%.