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송관영,하영일,김충현,임홍재 대한신경외과학회 1992 Journal of Korean neurosurgical society Vol.21 No.12
Cerebral paragonimiasis is one of the most common parasitic infections of the brain in Korea evenif the incidence gradually decreases. The authors experienced two cases of cerebral paragonimiasis which were confirmed by serodiagnosis and surgical specimen. Special emphasis on radiographic manifestation including brain computerized tomography and MR imaging. diagnosis and surgical management are rewiewed with literatures.
송관영,하영일,김충현,조창성,박정하,한윤경 대한신경외과학회 1995 Journal of Korean neurosurgical society Vol.24 No.10
Anatomical information of the circle of Wilis is important in evaluating the various cerebrovascular diseases and surgical procedures. In this study, we present the anatomical structures of the circle of Willis in 54 Korean adults. The authors observed the morphologio characteristics of the vasculature, the incidence of deficiency or incompleteness in the circle and clinical considerations. Measurements of the outer diameter and the length of each arterial segments were performed. Number and the origin of pelforators from individual arteries were also observed. Results of this study were as followings. 1) Normal circles of Willis was observed in 35 cases(64.81%) and abnormal circles in 19 cases(35.19%). 2) Incidental direction of aneurysms occurred in 5 cases(9.26%). 3) Frequency of anomalies were most commonly observed in the anterior communicating arteries(N= 16, 29.63%). 4) A string-like artery was most frequently observed in the posterior communicating artery(N= 11, 20.37%). 5) Anomalous origin of the P₁ segment of the posterior cerebral artery was observed, fetal type was in 12 cases(22.22%) and transitional type was in 3 cases(5.55%) respectively. 6) The longest artery was the A₁ segment of the anterior cerebral artery ; the second, posterior communicating artery ; the third, P₁ segment of the posterior cerebral artery, and the shortest, anterior communicating artery. 7) Thr outer diameters of the basilar artery and internal carotid artery were almost equal, A₁segment was half of ICA, ACoA was two thirds of A₁ segment, PCoA was half of P₁ segment and P₁segment was two thirds of the basilar artery. There were difference between the anterior and posterior portion of the circle of Willis. In the anterior communicating arteries, duplicated structure were frequently found. And also, inequality in the outer diameter of both A₁ segments was observed. String-like arteries were often revealed in the posterior communicating arteries. Anomalous origin of P₁segments that may be persistant embryonic derivatives were frequently demonstrated in posterior cerebral arteries.
송관영,조창성,김충현,하영일 대한신경외과학회 1993 Journal of Korean neurosurgical society Vol.22 No.12
It is believed that differentiating tuberculoma, abscess, metastatic tumor and glioma is often difficult without exisional biopsy. The authers report two cases of tuberculoma in the cerebral hemisphere which were treated surgically. Differentiating characteristics of intracerebral tuberculoma in MR imaging and CT scans are also discussed. With the references reviewed, the MR imaging features of the trberculoma were found to be distinct from those of abscess, metastatic tumor, glioma and cysticercus granuloma.
송관영,김혁수,정명훈,안치성,최선욱,최일승,강동수,Song, Kwan Young,Kim, Hyug Soo,Jung, Myung Hoon,Ahn, Chi Sung,Choi, Sun Wook,Choe, Il Seung,Kang, Dong Soo 대한신경외과학회 2000 Journal of Korean neurosurgical society Vol.29 No.8
Spinal neurenteric cyst results from the persistence of an abnormal communication between endodermal and ne-uroectodermal layer. Embryologically, neurenteric cyst is derived from endoderm that is fused with the developing notochord during the third week of gestation. It is a rare malformation that lead to spinal cord compression. The patient is 19-year-old male presented with chest pain, paresthesia and progressive weakness in his low extremities(grade II/II). Preoperative MR imaging revealed intradural extramedullary cyst with intracystic hemorrhage in T1 and T2 level that is ventrally located and compressed the spinal cord. Involved vertebral bodies were scalloped and fused. The cystic tumor were totally removed through costotransversectomy approach. Postoperatively, motor weakness of the low extremities were improved to the level of grade IV/V. And chest pain and paresthesia were gradually disappeared. Postoperative MR imaging showed the decompression of the thoracic spinal cord. Histologic examination revealed a ciliated columnar epithelial neurenteric cyst. The pre- and postoperative clinical, radiological features of a case of upper thoracic neurenteric cyst is described with review of literature.
접형동에 발생한 점액성농류 : 증례보고 Case Report
송관영,조창성,김충현,하영일 대한신경외과학회 1994 Journal of Korean neurosurgical society Vol.23 No.6
A rare case of sphenoid sinus mucopyocele with visual impairment and opthalmoplegia is presented. clinical presentations including headache, opthalmoplegia, visual disturbance and ptosis are caused by local extension of the mucopyocele of the sphenoid sinus. The authors report a mucopyocele involving the sphenoid sinus with a brief review of the literature.
코로나19 가을철 재유행 대비 긴급점검 좌담회: 시립병원 대응 중심
임준,소예경,권영대,권용선,김병관,박찬병,송관영,윤상철,이병철,유창훈 서울시공공보건의료재단 2020 SEOUL HEALTH ON AIR 건강정책동향 Vol.1 No.7
서울시공공보건의료재단에서는 9월 24일 코로나19 가을철 재유행 대비 긴급 좌담회를 개최하였다. ‘시립병원’을 중심으로 현재까지의 경험을 평가하고 다가올 재유행에 대비하기 위해 (1) 코로나 시대 공공의료의 전략적 의미 (2) 코로나 시대 시립병원의 역할 및 발전방향에 대해 논의하였다. 임준 국립중앙의료원 공공보건의료센터장, 소예경 서울시공공보건의료재단 선임연구위원이 발표를, 권영대 가톨릭대학교 교수, 권용선 서울시 시립병원운영팀장, 김병관 서울특별시보라매병원장, 박찬병 서울특별시서북병원장, 송관영 서울특별시서울의료원장, 윤상철 갈렙앤컴퍼니대표, 이병철 서울특별시시립병원혁신센터 설립추진단 부단장이 함께 토론을 하였다. 본고는 논의된 핵심내용을 재정리한 것으로, 코로나 시대 서울시립병원은 병원별 실질적 협력체계 구축, 경증환자 대상 생활치료센터 확보, 경증환자 대상 새로운 치료방식의 도입 등의 과제를 제시하였다.