http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
Encephalo-duro-arterio-synangiosis(EDAS) using Occipital Artery in Children with Moyamoya Disease
Choi, In-Jae,Hong, Seok-Ho,Cho, Byung-Kyu,Wang, Kyu-Chang,Kim, Seung-Ki The Korean Neurosurgical Society 2005 Journal of Korean neurosurgical society Vol.38 No.6
Objective : Although an encephaloduroarteriosynangiosis procedure using the superficial temporal artery [STA-EDAS] is an effective indirect bypass method in children with moyamoya disease[MMD], there is still a need for an additional bypass operation that can cover the area of the posterior circulation. The goal of this study is to evaluate the efficacy of the EDAS procedure using the occipital arteries [OA-EDAS]. Methods : From August 2003 to April 2004, We performed OA-EDAS in sixteen patients with MMD who have a circulatory insufficiency in the territory of the posterior cerebral artery[PCA]. The medical records were reviewed retrospectively. The surgical outcomes, including the changes in neurological status and imaging studies, with the degree of neovascularization on the cerebral angiogram, and the hemodynamic changes on single-photon emission computed tomography[SPECT], were analyzed. Results : These 16 children consisted of 5 boys and 11 girls aged 2 to 9 years. The clinical outcome of their PCA symptoms, such as visual transient ischemic attacks[TIAs] or visual field defect, was favorable in 14 patients of 16. Nine patients of 11 who underwent follow up magnetic resonance imaging[MRI] showed favorable MRI changes. On angiogram most of the patients exhibited good or fair revascularization of the PCA territory [7 of 8]. The hemodynamic changes on SPECT in the PCA territory after surgery showed improved vascular reserve in 13 of the 16 territories. Conclusion : OA-EDAS is a safe and efficacious revascularization procedure in patients with MMD who have compromised cerebral perfusion in PCA territory, or with visual TIAs.
Jeon, Jin Sue,Ahn, Jun Hyong,Moon, Youn-joo,Cho, Won-Sang,Son, Young-Je,Kim, Seung-Ki,Wang, Kyu-Chang,Bang, Jae Seung,Kang, Hyun-Seung,Kim, Jeong Eun,Oh, Chang Wan BMJ Publishing Group Ltd 2014 Journal of neurology, neurosurgery and psychiatry Vol.85 No.7
<P><B>Objective</B></P><P>The elevation of cellular retinoic acid-binding protein-I (CRABP-I) has been suggested as a candidate in the pathogenesis of paediatric moyamoya disease (MMD). However, few studies have addressed CRABP-I in adult onset MMD. The aim of this study was to examine the expression of CRABP-I in the cerebrospinal fluid (CSF) of adult onset MMD, and to evaluate its association with clinical presentation and postoperative haemodynamic change.</P><P><B>Methods</B></P><P>This study examined the CSF from 103 patients: bilateral MMD, n=58 (56.3%); unilateral MMD, n=19 (18.4%); atherosclerotic cerebrovascular disease (ACVD), n=21 (20.4%); and control group, n=5 (4.9%). The intensity of CRABP-I was confirmed by western blotting and expressed as the median (25th–75th percentile). The differences in CRABP-I expression according to disease entity (unilateral MMD vs bilateral MMD vs ACVD), initial presenting symptoms (haemorrhage vs ischaemia) and postoperative haemodynamic change (vascular reserve in single photon emission CT and basal collateral vessels in digital subtraction angiography) were analysed.</P><P><B>Results</B></P><P>CRABP-I intensities in bilateral MMD (1.45(0.86–2.52)) were significantly higher than in unilateral MMD (0.91(0.78–1.20)) (p=0.044) or ACVD (0.85(0.66–1.11)) (p=0.004). No significant differences were noted based on the initial presenting symptoms (p=0.687). CRABP-I was not associated with improvement in vascular reserve (p=0.327), but with decrease in basal collateral vessels (p=0.023) postoperatively.</P><P><B>Conclusions</B></P><P>Higher CRABP-I in the CSF can be associated with typical bilateral MMD pathogenesis in adults. Additionally, postoperative basal collateral change may be related to the degree of CRABP-I expression.</P>
소아 뇌종양 365예의 나이, 성별, 부위 및 병리조직학적 진단별 발생양상
왕규창,조병규 대한신경외과학회 1994 Journal of Korean neurosurgical society Vol.23 No.5
To figure out the Occurrence pattern of pediatric brain tumors in the aspects of age, sex, location and histopathological diagnosis, 365 cases of pediatric (age Iess than 16 years) brain tumor which were operated upon at the Department of Neurosurgery, Seoul National University Hospital from January 1959 to June 1593, were reviewed. Only the tumors, of which the pathological specimens were taken, were included. Tumors of bone origin or purely extradural mass, non-tumorous cystic lesions and vascular malformations were excluded. The mean age of 365 cases was 8.1 years and the sex ratio (M F) was 1.3 : 1. Supratentorial tumors (56.2 % ) were more prevalent than infratentorial tumors (433 % ). Neuroepithelial tumors comprised of 64.4% of the 365 brain tumors. Forty three percent of the neuroepithelial tumors were embryonal origin such as medulloblastoma (MBL), primitive neuroectodermal tumor (PNET) and ependymoblastoma. Pathologically common tumors were astrocytic tumor (227I), MBL (20.01). craniopharyngioma (13.4%), germ cell tumor (GCT, 8.8%), PNET(6.6961, and ependymal tumor (63%) in the order of decreasing frequency. PNEX and ependymal tumors were frequent in early childhood while pituitary adenoma and non-teratomatous GCT were common in older children GCT, PNX and ependymoma were prevalent in male. The relative incidences of GCT, PNET, brain stem glioma, oligodendroglial tumor, pituitav adenoma and neuronal tumor increased in MFU era. In contrast, those of astrocytic tumor, MBL and ependymal tumor decreased.
뇌하수체경을 침범한 Histiocytosis X : 증례 보고 Case Report
조병규,왕규창,양세원,지제근,김인원,최길수 대한신경외과학회 1989 Journal of Korean neurosurgical society Vol.18 No.7-12
A case of histiocytosis X with the involvement of pituitary stalk in a 5 year old boy was described. He presented with diabetes insipidus and the endocrinological study showed growth hormone deficiency. On computerized tomography and magnetic resonance imaging, the pituitary stalk was abnormally thick. Overlooking of the skull lesion on plain X-ray film led to an erroneous diagnosis of 'germ cell tumor'. Gross total removal of the lesion and chemotherapy were performed. In the differential diagnosis of suprasellar masses, this disease entity should be included. The importance of histological diagnosis of the infundibular lesion in cases of central diabetes insipidus is also emphasized.
Ephedrine이 Motor Fitness에 미치는 영향
박장평,주왕기,이철규,한상준 江原大學校附設體力硏究所 1976 江原大學校附設體育科學硏究所論文集 Vol.- No.1
Twenty-five ㎎ of ephedrine of its matching placebo was administered to 200 male collegians for the study of the effects of ephedrine on motor fitness(10m shuttle-run, chinning, running broad jump and target throwing). Ephedrine improved motor fitness by 1% to 5% in the low group, but statistical analysis showed no significance in the high group. And in the case of target throwing the effect of placebo was a little more than ephedrine both in the low group and in the high group.
김일규,박형준,최진호,장금수,김왕식 대한악안면성형재건외과학회 2002 Maxillofacial Plastic Reconstructive Surgery Vol.24 No.1
Hemangiomas are benign tumors in blood vessels that occur by traumatic or congenital origin. Lesions are appeared early in life, with 73% present at birth and 85% developing by the end of the first year. Head & neck hamangiomas represent about 25%∼33% of all hemangiomas. Kaban & Mulliken divided vascular birthmarks into two major categories : hemangioma and vascular malformation. Case 1 was diagnosed as cavernous hemangioma and the mass was excised completely and defected space was reconstructed with fat tissue. Case 2 was diagnosed definitely as traumatic A-V malformation by post-op histopathological examination and the mass was excised completely. This report describes two cases that were successfully treated by complete surgical excision for hemangioma in maxillofacial region.