http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
CT-Guided U-Loop와 Leksell System을 이용한 고혈압성뇌출혈에 대한 뇌정위적흡인술
석경식,강동식,김상철 대한신경외과학회 1995 Journal of Korean neurosurgical society Vol.24 No.2
We reviewed 178 patients with hypertensive intracerebral hematoma(HICH), which were treated with computed tomography(CT) guided stereotactic aspiration from Aug. 1986 to Dec. 1993(166 CT guided U-loop and 12 Leksell system). Our series consisted of 82 males and 96 females. The hmorrhages were located in putamen in 67.4%, thalamus in 20.2%, subcortex in 9% and cerebellum in 3.4%. Mean removal rate of hematoma was 55.3%. The results for the 178 cases who underwent stereotactic aspiration were good recovery in 45.5%, moderate disability in 28.0%, severe disability in 9.0% and vegetative state in 4.0%. The infection rate and rebleeding rate of all cases were 1.7% and 6.8% respectively. The mortality rate of all cases was 13.5%. We analysed the factors affecting the prognosis in 178 patients. Factors affecting good prognosis were high initial GCS, less amount of initial hematoma and no presence of intraventricular hemorrhage. Stereotactic aspiration by CT-guided U-loop and Leksell system is simple, safe and can minimize the brain damage. This method can performed under local anesthesia.
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.
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.
박진열,석경식,조재훈,강동기,김상철 대한신경외과학회 2002 Journal of Korean neurosurgical society Vol.31 No.1
Objective:The aim of this study is the determination the value of early decompressive craniectomy in patients with severe cerebral edema. Methods:We prospectively studied 23 consecutive patients with severe cerebral edema received decompressive craniectomy from July 1999 to March 2001. The indication for decompression was the progressive therapy-resistant intracranial hypertension and edema in patients with clinically and radiologically poor condition. We analyzed the results(GCS score, GOS score) with the variables such as cause(trauma, aneurysmal rupture, infarction), dominant edema side, midline shift on CT scan(<10mm), dilating of pupils, preoperative GCS score(<8). Results:The overall rate of good recovery(GOS score 4 or 5) who underwent craniectomy was 48%(11 of 23 patients), poor recovery(GOS score 2 or 3) was 30%(7 of 23 patients), and mortality rate was 22%(5 of 23 patients). All of survived patients had improved GCS score(mean 12.61) compared with the preoperative GCS score(mean 7.89). The pupilary dilatation was the only statistically significant factor (p<0.05). Conclusion:Our results provide favorable evidence that early decompressive craniectomy with duraplasty is effective in patients with progressive therapy-resistant cerebral edema. Early decompression may have an effect in preventing this secondary adverse effect, thus is considered in early cerebral edema. Key words:Cerebral edema;Decompressive craniectomy;Duraplasty.
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