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강동기 ( Dong Gee Kang ),석경식 ( Kyung Sik Seok ),류기영 ( Kee Young Ryu ),김상철 ( Sang Chul Kim ),손경락 ( Kyung Rak Sohn ) 대한뇌종양학회 2002 대한뇌종양학회지 Vol.1 No.1
A congenital neoplasm arising in the central nervous system is rarely encountered, 2-9% of them are accounted for by glioblastomas We report a rare case of congenital glioblastoma multiforme in a three day-old female infant who presented with bulging fontanelle since birth and the cerebral tumor was diagnosed by magnetic resonance imaging and sonography. The tumor was removed subtotally with craniotomy, followed by chemotherapy
두개강내로 침윤을 보인 안와 해면상 림프관종 - 증 례 보 고 -
김기현,이성락,조재훈,강동기,김상철,Kim, Gi Hyune,Lee, Sung Lak,Cho, Jae Hoon,Kang, Dong Gee,Kim, Sang Chul 대한신경외과학회 2001 Journal of Korean neurosurgical society Vol.30 No.1
Lymphangioma is a rare benign developmental vascular tumor that may be found in orbit, skull and elsewhere in head and neck. Few cases of extension of this benign but insidious tumor posteriorly out of the bony orbital cavity have been reported. The patient was 40-year-old man complaining of proptosis of right eye for one month. Physical examination revealed severe right exophthalmus, impairment of eyeball movement in all directions. Visual acuity was much impaired and he could percept only light with right eye. CT and MRI scans showed intraconal and extraconal involvement of ill-defined, heterogenous mass with extension of the tumor posteriorly beyond the orbital cavity involving right frontal and temporal lobe, skull and subcutaneous tissue. The tumor was subtotally removed via orbito-frontal approach without damaging vital neural and orbital component. Then, orbital roof reconstruction and cranioplasty were done with resin. Successful surgical removal of lymphangioma is very difficult due to its severe infiltration to surrounding tissue and tendency to bleed during debulking. We report a rare case of orbital cavernous lymphangioma with intracranial extension treated with surgical decompression, with review of literatures.
Willis환 내 뇌동맥류 진단시 전산화단층촬영 뇌혈관 조영술의 유용성
이혁기,조재훈,이성락,강동기,김상철,Lee, Hyuk Gi,Cho, Jae Hoon,Lee, Sung Lak,Kang, Dong Gee,Kim, Sang Chul 대한신경외과학회 2000 Journal of Korean neurosurgical society Vol.29 No.3
Objective : The purpose of this study was to compare computed tomographic angiography(CTA) with conventional cerebral angiography(CCA) and to assess usefulness of CTA in detection and anatomic definition of intracranial aneurysms of the circle of Willis in subarachnoid hemorrhage. Patients and Methods : Fifty consecutive patients with known or suspected intracranial saccular aneurysms underwent CTA with preoperative CCA from 1997 to 1999. Using surface shaded display post-processing technique, CTA was interpreted for the presence, location of aneurysms and anatomic features. The image obtained with CTA was then compared with CCA image. Results : In 47 patients, CCA revealed 57 cerebral aneurysms and CTA revealed 54 aneurysms. Two of the 57 cerebral aneurysms were located outside of the imaging volume of CTA and one case was misdiagnosed. The sensitivity of CTA was 94.7% and the specificity was 100%. The results obtained with CTA were, compared with the results obtained with CCA, equal in determining dome shape, direction and lobularity. However, CTA provided a 3-dimensional representation of aneurysmal lesion very useful for surgical planning. Moreover, CTA was useful for rapid and relatively noninvasive detection of aneurysms in the circle of Willis. Conclusion : CTA can be a diagnostic tool for the patients with acute subarachnoid hemorrhage due to a ruptured aneurysm of the circle of Willis and provides adequate anatomic detail for surgical planning, especially to complex cerebral aneurysms. However, we think CCA is necessary because of CTA limitations including its difficulty in detecting unusually located aneurysms(including those in cavernous sinus or distal artery) and combined vascular lesion (including arteriovenous malformation) and acquiring dynamic flow information.
요추간 수핵탈출증에서 경피적 내시경 수핵절제술의 장기 임상 결과
김기현,이성락,조재훈,강동기,김상철,Kim, Gi Hyune,Lee, Sung Lak,Cho, Jae Hoon,Kang, Dong Gee,Kim, Sang Chul 대한신경외과학회 2001 Journal of Korean neurosurgical society Vol.30 No.2
Between January 1995 and May 1998, 177 patients with proven lumbar disc herniation were treated by microdiscectomy or by percutaneous endoscopic discectomy(PED). Among them, 43(24.2%) patients underwent PED and were followed for long term outcome. We included only those patients who were followed up more than 13 months. Three patients who did not improved immediately after PED and underwent microdiscectomy were excluded for this study. Of remaining 40 patients, there were 22 men and 18 women who ranged in age from 23 to 68 years (mean 38.1 years). The disc herniations were located at L1-2(1), L2-3(1), L3-4(1), L4-5(26) and L5-S1(11). Three patients were treated by biportal approach. The mean follow up period was 34.7 months(range 13-47 months). Overall, excellent and good results were achieved in 12(30%) and 19(47.5%) patients, and fair and poor results in 7(17.5%) and 2(5%) patients, respectively. Thirty-eight(95%) patients returned to their previous works and the mean duration was 5.7 months. Thirty-three(82.5%) patients answered that they would recommend this procedure to others. There was no complication except for one patient who suffered from discitis. The indication of PED is restricted to contained or small subligamentous lumbar disc herniation without stenosis, spondylolisthesis and sequestration. PED can be performed under local anesthesia and tissue trauma, risk of epidural scarring, hospitalization time and postoperative morbidity are minimal. The result of the present study justify the assumption that PED can be a surgical alternative for patients suitable for its indications.
뇌수막종과 역형성 성상세포종의 혼합종양 - 증 례 보 고 -
박진열,석경식,조재훈,강동기,김상철,Park, Jin Yell,Seok, Kyung Sik,Cho, Jae Hoon,Kang, Dong Gee,Kim, Sang Chul 대한신경외과학회 2001 Journal of Korean neurosurgical society Vol.30 No.11
Multiple primary brain tumors of different cell types are rare, accounting for 0.4% of all the primary brain tumors. Phakomatosis, irradiation, trauma and other factors have been associated with multiplicity of brain tumors. When these tumors are close or intermixed, the term "collision" has been used, and in these cases an explanation might be that one tumor stimulating the other. We report a patient with collision tumor of meningioma and anaplastic astrocytoma, who did not have a history of trauma, irradiation, or phakomatosis.
이혁기,조재훈,이성락,강동기,김상철,김용선,Lee, Hyuk Gi,Cho, Jae Hoon,Lee, Sung Lak,Kang, Dong Gee,Kim, Sang Chul,Kim, Yong Sun 대한신경외과학회 2000 Journal of Korean neurosurgical society Vol.29 No.2
Posterior transarticular screw fixation for atlantoaxial instability due to trauma or rheumatoid arthritis provides immediate rigid fixation of the C1-2 vertebral segment while preserving motion between the occiput and C1. This technique provides more resistance to translational and rotational forces than wiring technique. However, the technique of transarticular screw fixation is inherently demanding because of the complex anatomy of the occipitocervical region and vertebral artery(VA) at risk for arterial damage. VA injury may lead to serious subsequent neurological deficits and possibly death from bilateral VA injury. We report a case of a vertebral artery-to-epidural venous plexus fistula after posterior transarticular screw fixation which was treated with balloon occlusion.
박상익,강동기,김상철 대한신경외과학회 1993 Journal of Korean neurosurgical society Vol.22 No.10
A 18-month-old child admitted with neck pain, spasm and neck motion limitation after traffic accident. On C-spine lateral view, there was anterior angulation of odontoid process with anterior displacement of atlas. Neurologic examination showed no specific focal deficits. The patient was treated with Gardner-Wells tongs traction, skeletal traction with wiring. Halo vest for 2 months. Minerva cast for 2 months and cervial collar brace. Eight months after the trauma, follow up dynamic C-spine lateral view showed bone fusion without false movement of growth retardation.
조재훈,강동기,이충렬,김상철 대한신경외과학회 1992 Journal of Korean neurosurgical society Vol.21 No.9
The treatment of epidural hematoma is operative or conservative and sometimes, the choice of the method is somewhat controversial. Traditional operative method is craniotomy or craniectomy. 34 patients treated surgically with burr hole trephination and urokinase irrigation at Taegu Fatima Hospital between Jan 1989 and Mar 1991 are reviewed in point of clinical features, brain computerized tomography findings and outcomes. And we found several advantages in this method compared to conservative or traditional operative method. Advantages of this method were as follows : 1) It is simple. 2) It enabled us to operate under local anesthesia. 3) It was possible to reduce the rate of delayed intracranial hematoma and rebleeding. 4) It was possible to prevent air embolism. 5) Possible seizure focus was removed. But, there were disadvantages as follows : 1) There was difficulty in early ambulation. 2) Much effort to irrigate the hematoma was required.
유아에서 뇌막염후 양측성 뇌경막하삼출액을 동반한 뇌경막하축농 : 증례보고
석경식,강동기,김상철 대한신경외과학회 1995 Journal of Korean neurosurgical society Vol.24 No.1
Subdural empyema is a fulminating, purulent, bacterial infection located between the dura and arachnoidal membrane. Early diagnosis, adequate antibiotic therapy and surgical treatment played important roles in the successful management of subdural empyema. Subdural empyema can develop secondary to sinusitis, otitis media, meningitis, trauma or craniotomy. Subdural empyema in infants commonly develops secondary to infected subdural effusion associated with purulent meningitis. The incidence of this complication of meningitis in infants is approximately 2%. We report a case of subdural empyema concomitant with bilateral subdural effusion, effusion, which was successfully treated with surgical intervention and antibiotic therapy.
조재훈,강동기,이충렬,김상철,손경락,문세광 대한신경외과학회 1992 Journal of Korean neurosurgical society Vol.21 No.9
The authors report a case of 21-year-old, neurologically normal female who presented with a teratoma contained in a cervical meningocele. The concurrence of a congenital neoplasm within the spine associated with spina bifida cystica seems to be a very rare event. The radiographic studies, histological examinations, treatment and follow up findings in this case are presented with a review of the literature.