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이길송,강준기,송진언 대한신경외과학회 1975 Journal of Korean neurosurgical society Vol.4 No.1
We have experienced a rare case of leukemic 1esion (chloroma) in the lower spinal canal which was confirmed by the surgery and histologic examination of the tumor. A farmer, aged 39, was admitted to the Department of Neurosurgery, St. Paul Hospital in December 1974 with chief complaints of low back pain with radiating pain in the right lower extremity and voiding difficulty for one month. On admission, neurologically, the patient exhibited weakness of the right anterior tibialis, extensor hallucis longus and peroneus longus and brevis muscles and sensory involvement of the right third, fourth and fifth sacral dermatomes. He was disclosed the positive signs of the Naffziger's and Lasegue's and severe tenderness on the spinous process of the fifth lumbar and first sacral vertebrae. Lumbar myelogram demonstrated a total block at lower level of the fifth lumbar vertebra and a filling defect of the right fifth lumbar root area. Through the laminectomy of fourth lumbar to first sacral lamina, an extradural greenish soft mass located at the ventral aspect of the right fifth lumbar to upper sacral roots, and the mass was removed. The biopsy specimen disclosed chloroma with leukemic infiltration of the meninges.
흉추 및 상요추부 병변에 대한 Anterolateral Approach Combined with Modified Posterolateral Approach에 대하여
이길송,나형균,안명수,최창락,송진언 대한신경외과학회 1987 Journal of Korean neurosurgical society Vol.16 No.4
During recent 3 years, 10 patients with epidural cord compression from a lesion in the anterior portion of the thoracic or upper lumbar area have been treated surgically by an anterolateral approach combined with modified posterolateral approach for decompression. Of 10 patient-two cases of OPLL (ossification of posterior longitudinal ligament) with herniated disc, two cases of metastatic tumor, one case of neurilemmoma, one case of pyogenic osteomyelitis of the vertebral body, two cases of herniated disc, one case of traumatic fracture-dislocation, and one case of congenital hemivertebra-5 patients with mild paraparesis improved postoperatively and returned to normal neurologically, 4 patients with moderate gait disturbance were ambulatory without any device, and one completely paraplegic patient was able to walk with device at 1 year after the operation. This approach could be used for removal of disc material, transverse process, lamina, or pedicle through one stage operation. This point is an advantage of this method compared to postero-lateral approach, lateral approach, or anterolateral approach. Anterior decompression by a modified anterolateral approach should be considered for management of spinal cord compressions such as tumor, infective lesion, traumatic lesion, or congenital malformation.
뇌수종을 동반한 신생아 척수수막류의 조기복원 수술 및 동시 뇌실복강간 교통술
이일우,이길송,강준기,최창락 대한신경외과학회 1992 Journal of Korean neurosurgical society Vol.21 No.6
Simultaneous early repair of the myelomeningocele and ventriculoperitoneal shunt in patients with myelomenimgocele and hydrocephalus not only decreases further brain damage, but also eliminates dangers of wound break down, CSF leak, and secondary CSF infection. During the years 1975∼1990, we have experienced 45 patients with neural tube dysraphism which consist of 32 lipomyelomenigocele, 8 myelomeningocele, 3 meningocele and 2 encephalocele. Among those, 7 patients underwent simultaneous repair of myelomeningocele and insertion of ventriculoperitoneal shunt. 2 Patients developed wound infection, but none of the patients developed myelomeningocele repair break down or shunt infection in the follow up period of 1 to 4 years. All patients underwent neuropsychological testing during their follow up period and 5 patients were found to have their normal growth and developments, 1 patient developed low intelligence and moderate degree gait disturbance and the other 1 patient developed voiding difficulty. The authors suggest that this technique may be safe and helpful in some infants born with a myelomeningocele and hydrocephalus overt at birth.
Case Study of A Cauda Equina Meningioma : Case Report
Lee, Jae Soo,Lee, Gil Song,Park, Zoo Hyoung,Choi, Chang Rak 대한신경외과학회 1983 Journal of Korean neurosurgical society Vol.12 No.3
저자들의 치험한 예는 56세 된 여성으로서 요통, 양하지 중등도 운동마비, 배뇨장애 및 양하지의 이상 감각을 주소로 입원했으며 여러가지 이학적 검사 및 요흉척수강내 조영술상 마미총부위에 종양이 확진되어 별다른 합병증없이 수술로 완전 적출이 가능하였다. 종양의 조직병리학적 소견은 척수강내 드물게 발생되는 수막종으로 확진되었다. 저자들은 마미총 부위에 발생되는 드문 수막종에 대하여 약간의 문헌적 고찰과 더불어 보고하는 바이다. Spinal meningiomas are most commonly found in the thoracic sections while it is extremely rare in the cervical, lumbar and sacral regions. In Elsberg's series, there were 10 cervical, 59 thoracic and 4 lumbar ; none below the 3rd lumbar segment. Recently, we encountered a case of cauda equina miningioma and was completely extirpated with no remnants of any neurological deficits.