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황장희,이재수,하영수,최창락,송진언 대한신경외과학회 1986 Journal of Korean neurosurgical society Vol.15 No.4
Cerebral cavernous hemangioma is very rare disease in the cerebral vascular malformations. We experienced a case of this vascular malformations at the left frontal lobe near the cortex which had symptoms and signs of abrupt generalized tonicclonic seizure. This malformation is encountered more commonly in adult in the third to fifth decade, and is found most frequently in the white matter of the cerebral hemisphere. The value of computerized tomography (C-T) in the detection of such malformations is stressed. Good result was obtained by the microsurgical approach to these malformations.
양지호,유도성,조경근,황장희,강준기,최창락 대한신경외과학회 1994 Journal of Korean neurosurgical society Vol.23 No.2
We experienced a case of falcine mesenchymd chondrosarcoma in a 22-year-old pregnant woman. Cartilage cell tumors within the cranium are very rare, only less than 02% of all intracranial tumors. Because a few examples of mesenchymal chondrosarcoma in this location have been reported, we reviewed previous reports cases, to determine the natural history of intracranial chondrosarcomas The distinguishing features of this rare rumor are compared with previous cases of itracranial tumors derived from cartilage.
최종훈,김상규,이종인,조용준,황장희,안명수 대한신경외과학회 2002 Journal of Korean neurosurgical society Vol.31 No.1
Osteomas are benign neoplasms consisting of mature normal osseous tissue. They are common on the long bones of the extremities and found in the sinuses, facial bones, skull and madible in the head and neck region. Much rarer, however, are osteomas arising from subdural space with displacement of the underlying brain. A 42-year-old woman presented with a history of intermittent left frontal headache that was proved to be due to an intracranial lesion. After surgical removal, it was found to be an subdural osteoma. We report this case with pertinent literatual reviews. Key words:Osteoma;Subdural.
개방성 분쇄 함몰 두개골절 환자의 수술결과 및 임상양상
김성민,김상규,안명수,신동훈,조용준,김영옥,송준호,한영민,황우철,안무업,황장희,오세문 대한외상학회 1999 大韓外傷學會誌 Vol.12 No.2
Background : Compound comminuted depressed skull fractures(CCDsF) are common results of forceful blows to the head, especially when the applied force is focal. These lesions are relatively common injuries, and the management constitutes a significant portion of emergency surgery in any neurosurgical unit. To improve the surgical outcomes and to prevent the complications of these lesions, the authors retrospectively analyzed the clinical manifestations, the surgical results, and the prognostic factors related to the outcome. Materials and Methods: We reviewed retrospectively the 102 of 104 patients with CCDsF, who underwent emergency operations at the Neurosurgical Department of Hallym University Hospital from January 1992 to December 1998, with a mean follow-up period of 7.6 months. We evaluated the common clinical manifestations, the surgical methods and results, the complications, and the outcome. Hospital data were obtained from medical records and X-ray films. The χ2 -test and the Fisher-test were used for statistics and p <0.05 was taken as the measure of statistical significance. Results: The ages of the patients varied from 2 to 80 years(mean=26.5 ±19.0), and the peak age of incidence was the third decade in 23.6%; there were 88(86.3%) males and 14(13.7%) females. Motor vehicle accident was the leading cause of injury(61.8%). The initial Glasgow Coma Scale(GCS) on admission was 13-15 in 74.6% of the cases, 9-12 in 12.7%, and 3-8 in 12.7%; initial pupil responses were normal in 88.2%. The frontal area was the most common site(60.8%), followed by the parietal region(20.6%). Of the 102 patients, 50(49%) had dural lacerations, and 71(69.6%) had intracranial hematomas. A total resection of the fragmented depressed skull bones and foreign materials was the most common operative procedure(78.4%), while the others were surgically treated using primary repair of the fractured fragments. The outcome was favorable in 88.2% of the cases and the mortality rate was 8.8%. The outcome was correlated with the initial degree of GCS(p <0.05) and with the initial pupil response(p <0.05), but associated intracranial hematoma did not correlate with the final outcome(p >0.05). The most common postoperative complication was infection in 6.8% of the cases, followed by seizure in 5.8%. Conclusion : Compound comminuted depressed skull fracture should be managed urgently with surgical therapy. Therefore, the adequate initial management and proper application of surgica methods are essential in order to improve the outcome and to achieve the better surgical results.$quot;