http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
혈관내 스텐트를 이용하여 경정맥구 게실에 의한 박동성 이명을 치료한 증례보고
노현영(Hyunyoung Noh),김영학(Younghac Kim),김건하(Keon-Ha Kim),조영상(Young Sang Cho) 대한두개저학회 2023 대한두개저학회지 Vol.18 No.1
Pulsatile tinnitus is a rare otologic symptom that presents a diagnostic and management dilemma for experienced otolaryngologists. Treatment options range from conservative management to surgery, but patients may not be able to tolerate symptoms with the former and the latter procedure may be associated with significant morbidity We describe the case of using a stent-assisted coil approach to treating a patient with jugular bulb diverticulum (JBD) and severe pulsatile tinnitus. We describe a 41-year-old woman who presented with disabling pulsatile tinnitus due to right JBD. Both surgical or endovascular approaches were possible, but we decided to treat the diverticulum with coil emboli-zation and stenting of the jugular bulb. Following the procedure, tinnitus presence and severity were self-reported or assessed using the tinnitus handicap inventory (THI) and tinnitus magnitude index (TMI). The total score of both THI and TMI improved in 6 months after surgery, and there was no complication. Therefore, we report this experience, which was resolved through successful endovas-cular coiling and stent procedure for severe pulsatile tinnitus with no complication.
방사선치료 후 비출혈로 나타난 추체내경동맥의 가성동맥류
이수진 ( Su Jin Lee ),안희경 ( Hee Kyung Ahn ),김수아 ( Su A Kim ),김건하 ( Keon Ha Kim ),안용찬 ( Young Chan Ahn ),박근칠 ( Keun Chil Park ),안명주 ( Myung Ju Ahn ) 대한내과학회 2010 대한내과학회지 Vol.78 No.2
Rupture of an internal carotid artery pseudoaneurysm is a rare but lethal complication in patients with nasopharyngeal cancer. Here, we report a case of severe nasal bleeding from a left petrous internal carotid artery aneurysm after chemoradiotherapy in a patient with nasopharyngeal cancer. A 76-year-old man who was being treated with concurrent chemoradiotherapy and who had achieved a complete response for 14 months developed massive epistaxis. A postnasal space computed tomography scan showed an enhanced nodular lesion at the left petrous internal carotid artery, and angiography revealed a pseudoaneurysm measuring 11.5×9.1 mm in the left internal carotid artery. Bleeding was well controlled with endovascular occlusion using a coil. The patient showed no recurrence of bleeding during follow-up. (Korean J Med 78:252-256, 2010)
경동맥 내막절제술 후 조기 합병증(<30일) 발생에 대한 고찰 및 술 후 뇌경색 발생 위험인자 분석
이경복(Kyung-Bok Lee),이광호(Kwang-Ho Lee),정진상(Chin-Sang Chung),김경문(Gyeong-Moon Kim),변홍식(Hong-Sik Byun),전평(Pyoung Jeon),김건하(Keon-Ha Kim),김동익(Dong-Ik Kim),김영욱(Young-Wook Kim) 대한외과학회 2009 Annals of Surgical Treatment and Research(ASRT) Vol.77 No.3
Purpose: We aimed to evaluate the early (<30 days) results and to analyze risk factors for the development of stroke and new brain infarction (NBI) after carotid endarterectomy (CEA). Methods: From September 2003 to August 2008, 233 CEAs were performed on 222 patients with critical internal carotid artery (ICA) stenosis in a single center. Patient characteristics, history of neurological symptoms, procedural details, and postoperative complications were examined based on the medical records. The incidence and risk factors for early postoperative stroke were evaluated. After excluding CEAs without performing diffusion-weighted brain MRI, 128 CEAs were investigated for frequency and the risk factors of NBI were analyzed. Chi-square test, Fisher’s exact test, Student T-test, and logistic regression model were used for statistical analysis. Results: Of a total of 233 CEAs, any and ipsilateral stroke rates were 1.3% and 0.4%, respectively. There was no early postoperative mortality. Early postoperative complications included 4.3% in transient cranial nerve injury, 1.7% in myocardial infarction, and 3.4% in hematoma. In univariate analysis, the significant risk factor for stroke was plaque ulceration (P=0.04). The frequency of NBI and ipsilateral NBI were 8.4% and 3.1%, respectively. The ulceration on ipsilateral ICA revealed statistically significant risk factors for the development of NBI (RR, 5.29; 95% CI, 1.024∼27.325; P=0.04). Conclusion: Our study showed a lower incidence of stroke and NBI after carotid endarterectomy and that it is safe procedure for the treatment of patients with severe (>70%) carotid stenosis. We also found that plaque with ulceration was a significant risk factor for the development of postoperative NBI.