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술중 풍선 확장을 이용한 일시적 근위부 결찰과 흡입, 감압술을 실시한 내경동맥의 거대동맥류 결찰 - 증례보고 -
원근수,신용삼,박한준,이성운,윤수한,조기홍,조경기,Weon, Keun Soo,Shin, Yong Sam,Park, Han Jun,Lee, Seung Un,Yun, Su Han,Cho, Ki Hong,Cho, Kyung Gi 대한신경외과학회 2001 Journal of Korean neurosurgical society Vol.30 No.1
Apatient, 51 years old woman, had suffered form headache and decrease of visual acuity. She had $3{\times}3cm$ sized giant aneurysm originated in cavernous and clinoid portion of left ICA(C4,C5) in the cerebral angiography. Before craniotomy, left CCA was exposed and 6F double lumen catheter was inserted in left ICA through the sheath. Pre-operative angiography was done. balloon catheter was positioned at the petrous portion of ICA. Eyebrow approach was done and giant aneurysm was exposed. The proximal blood flow was controlled with balloon dilatation and suction and decompression was tried, then multiple clips were applied. The loss of distal blood flow under intra-operative angiography was notified after clipping. The position of clips were repositioned to preserve blood flow & the rich flow was confirmed at distal part of clipping. In the post-operative cerebral angiography, the same finding was shown.
수두증을 동반한 거대두개증 환아에서 격자술을 이용한 One Stage Reduction Cranioplasty - 증례보고 -
원근수,윤수한,신용삼,조기홍,조경기,Weon, Keun Soo,Yoon, Soo Han,Shin, Yong Sam,Cho, Ki Hong,Cho, Kyung Gi 대한신경외과학회 2001 Journal of Korean neurosurgical society Vol.30 No.1
Reduction cranioplasty is one of the treatment modality among many treatment options for macrocephaly with hydrocephalus. The most previous techniques of reduction cranioplasty have some disadvantages such as difficult airway maintenance, pressure sore due to modified prone position, severe venous infarct due to obstruction of venous blood flow and large amount of bleeding from the dissection of superior sagittal sinus to obtain bone fragment needed. A 28-month-old girl had extreme macrocephaly. She couldn't control head rotation and keep sitting position. The operation was performed at supine position with adequate exposure of entire calvarium and the hinge was made in occipital bone fragment that covered posterior part of superior sagittal sinus. Bleeding volume and the other complications were decreased and acceptable reduction was achieved with this method.