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술중 풍선 확장을 이용한 일시적 근위부 결찰과 흡입, 감압술을 실시한 내경동맥의 거대동맥류 결찰 - 증례보고 -
원근수,신용삼,박한준,이성운,윤수한,조기홍,조경기,Weon, Keun Soo,Shin, Yong Sam,Park, Han Jun,Lee, Seung Un,Yun, Su Han,Cho, Ki Hong,Cho, Kyung Gi 대한신경외과학회 2001 Journal of Korean neurosurgical society Vol.30 No.1
Apatient, 51 years old woman, had suffered form headache and decrease of visual acuity. She had $3{\times}3cm$ sized giant aneurysm originated in cavernous and clinoid portion of left ICA(C4,C5) in the cerebral angiography. Before craniotomy, left CCA was exposed and 6F double lumen catheter was inserted in left ICA through the sheath. Pre-operative angiography was done. balloon catheter was positioned at the petrous portion of ICA. Eyebrow approach was done and giant aneurysm was exposed. The proximal blood flow was controlled with balloon dilatation and suction and decompression was tried, then multiple clips were applied. The loss of distal blood flow under intra-operative angiography was notified after clipping. The position of clips were repositioned to preserve blood flow & the rich flow was confirmed at distal part of clipping. In the post-operative cerebral angiography, the same finding was shown.
수두증을 동반한 거대두개증 환아에서 격자술을 이용한 One Stage Reduction Cranioplasty - 증례보고 -
원근수,윤수한,신용삼,조기홍,조경기,Weon, Keun Soo,Yoon, Soo Han,Shin, Yong Sam,Cho, Ki Hong,Cho, Kyung Gi 대한신경외과학회 2001 Journal of Korean neurosurgical society Vol.30 No.1
Reduction cranioplasty is one of the treatment modality among many treatment options for macrocephaly with hydrocephalus. The most previous techniques of reduction cranioplasty have some disadvantages such as difficult airway maintenance, pressure sore due to modified prone position, severe venous infarct due to obstruction of venous blood flow and large amount of bleeding from the dissection of superior sagittal sinus to obtain bone fragment needed. A 28-month-old girl had extreme macrocephaly. She couldn't control head rotation and keep sitting position. The operation was performed at supine position with adequate exposure of entire calvarium and the hinge was made in occipital bone fragment that covered posterior part of superior sagittal sinus. Bleeding volume and the other complications were decreased and acceptable reduction was achieved with this method.
이정화,김진용,김상철,김요한,유준식,원근수,이우성 대한응급의학회 2014 大韓應急醫學會誌 Vol.25 No.1
Chylothorax, a relatively rare condition of pleural effusion, isdefined as an accumulation of chyle resulting from damageto the thoracic duct associated with chyle leakage from thelymphatic system into the pleural cavity. The etiologies ofthis condition are numerous, and the most importantapproach for management of chylothorax is to determinethe definite cause. We report on a case of an unusual complicationof chylothorax that occurred after central catheterizationand direct instillation of total parenteral nutrition intothe pleural cavity.
정영선,전영주,신동은,민경태,신유식,원근수,고영조,홍승호,김남근 한국유전학회 2012 Genes & Genomics Vol.34 No.3
Hyperhomocysteinemia is associated with the risk of skeletal health problems, such as osteoporosis, low body mineral density,and fracture. 5, 10-Methylenetetrahydrofolate reductase (MTHFR) and thymidylate synthase (TS) are involved in homocysteine metabolism. We hypothesized that certain genetic polymorphisms of MTHFR and TS that cause altered enzyme activity may lead to hyperhomocysteinemia and affect bone metabolism. Therefore, we determined whether MTHFR 677C>T, MTHFR 1298A>C, TS enhancer region (TSER), and TS 3'-UTR 6 bp insertion/deletion polymorphisms are associated with osteoporotic vertebral compression fracture (OVCF)in postmenopausal Korean women. A total of 308 postmenopausal Korean women were enrolled as study subjects. Among them, 84 were patients with OVCF and 224 were controls. The polymorphisms were analysed by PCR-RFLP methods. Single mutations of MTHFR or TS were not associated with the occurrence of OVCF. However, the combined genotypes 2R3R+2R2R/0bp6bp+6bp6bp (TSER/TS 3'-UTR)and AC+CC/0bp6bp+6bp6bp (MTHFR 1298A>C/TS 3'-UTR)were associated with decreased risk for OVCF. 2R-0bp and 2R-6bp haplotype frequencies of TS were significantly different between the cases and controls. In the present study, the combined genotype of TSER/TS 3'-UTR and MTHFR 1298A>C/TS 3'-UTR was associated with a decreased risk for OVCF in postmenopausal Korean women. However, due to the several limitations of our study including the moderately small sample size,our findings should be considered with caution and further research is needed to draw more definitive conclusions.
자동차 정면 충돌사고에서 안전벨트에 의한 복부 대동맥 손상 1예
김진용,김상철,이강현,이재완,김익희,원근수,백광제 대한응급의학회 2013 대한응급의학회지 Vol.24 No.3
In traffic accidents, wearing a seatbelt can cause abdominal aortic injury due to an abrupt deceleration. We report a case of abdominal aorta dissection caused by a seat belt in a frontal motor vehicle collision. The initial symptoms and signs were vague or uncertain. However, he complained severe abdominal pain with seat belt sign below the umbilicus. Abdominal computed tomography scans showed an initial flap of the abdominal aorta with hematoma and hazy stranding of the mesentery.