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김갑득,김흥식,김영철,조맹기,황도윤 대한신경외과학회 1983 Journal of Korean neurosurgical society Vol.12 No.1
We experienced 150 caese of spontaneous intracerebral hematoma which were confirmed by CT scan in Gang Nam Sacred Heart Hospital from November 1980 to October 1982. The analysis is based on 110 patients with primary intracerbral hematoma on whom operation was performed in 44 cases and conservative treatment was done in 66 cases. The CT scan of brain allows the clinical diagnosis of intracerebra1 hematoma, and size, location, extension, ventricular penetration and evolution of hemorrhage are accurately portrayed. The results of the treatment were affected by conscious level, location and volume of hematome, ventricular penetration and blood pressure; The operative treatment was better than conservative management in followings: 1. semicomatose and drowsy mental state, 2. subcortical hemorrhage, 3. more than 20 cc in volume, 4. progressively deteriorating neurological function and consciousness. We have obtained the best results in operating cases between 4th and 7th day after the stroke.
김갑득,김영철,조맹기,황도윤 대한신경외과학회 1982 Journal of Korean neurosurgical society Vol.11 No.3
The traumatic false aneurysm of the vertebral artery, as distinct from arteriovenous fistula, is rare condition. The aneurysm of the extracranial vertebral artery is most frequently related to penetrating or perforating injury, such as gunshot or stab injury, and it is not true aneurysm but false aneurysm. We experienced a case of false aneurysm in 52 years old man who had taken penetrating neck trauma by sharp steel rod at work. The vertebral angiogram disclosed an aneurysmal shadow and occlusion of the vertebral artery at the level of the axis and successfully treated by clipping of the artery and resection of the aneursmal mass.