超音波診斷裝置의 歷史

沈輔星,朴孝一 現代醫學社 1969 現代醫學 Vol.10 No.1

韓國人 正常髓液의 酸-鹽基 平衡 및 電解質에 關한 硏究

崔炳權,沈輔星,高光昱 최신의학사 1970 最新醫學 Vol.13 No.11

The purpose of this study is to determine the normal acid-base status and electrolytes composition of the cerebro-spinal fluid in Korean adults. The acid-base status are measured in 53 cases and the electrolytes in 52 cases. All of the .results, with exception of magnesium concentration, agreed essentially with values obtained by western authors. The composition of the cerebro-spinal fluid in normal Korean is as follows; 1) pH is ranged from 7.271 to 7.375 with an average of 7.318, S. D. 0.023. 2) Total CO2 concentration lies between 21. 1 and 26. 1 mM/L with an average 24. 1 mM/L, S. D. 1.1. 3) An average value of pCO2 is. 47. 3 mmHg, S. D. 3. 1 with a range of 42.2 to 56.0 mmHg. 4) Bicarbonate concentration is 22.6 mM/L, S. D. 1. 1 in an average value with a range of 19. 8 and 24.7 mM/L. 5) Sodium concentration is ranged from 140 mEq/L. to 152 mEq/L, with an average of 146 mEq/L, S. D. 3. 6) A range of potassium content is from 2.7 to 4.4 mEq/L, with an average value of 3.0 mEq/L, S. D. 0.3. 7) Chloride content lies between 106 and 132 mEq/L, with an average of 121 mEq/L, S. D. 4. 8) An average value of calcium is 2.0 mllq/L, S. D. 0.4, with h range of 1.4 to 15 friIq/L. 9) Magnesium content is 0.96 mEq/L, S. D. 0. 16 in an average value with a range of 0.74 and 1.57 mEq/L. 10) Phosphorus is ranged from 1. 1 to 1.7 mg per 100 ml with an average of 1.4 mg/100m1, S. D. 0.1.

神經外科領域에 있어서의 Lucidril의 使用經驗

蔡進,朴孝一,崔德永,沈輔星 최신의학사 1969 最新醫學 Vol.12 No.2

This study is intended to investigate the effect of Lucidril (Meclofenoxate,. hydrochloride) on the neurosurgical patients. Lucidril was given intravenously, in a dose of 250-125 mg daily for about 7-14 days, to 20 cases of severe craniocerebral injury, 3 cases of cerebral infarction, 2 cases of intracerebral hematorna, one case of meningioma and one severe cerebral hypoxia case due to hemorrhagic shock. The results were as follows: In craniocerebral injury group Lucidril was seemed to be has excellent effect in improvement of unconsciousness except in 15% who had diffuse severe contusion. In cerebral infarction group Lucidril was effective in improving consciousness, mental state, speech disturbance and other neurological deficit in all cases. For postoperative unconsciousness in 2 cases of intracerebral hematoma and one case of meningima, and for an unconsciousness case due to severe hemorrhagic shock Lucidril had dramatic effect. Electroencephalographic study was performed in all cases and fopnd in 12 cases of these excellent improvement in 59% and moderate improvement in 33% following the treatment of Lucidril

腦膿瘍에 對한 臨床的 觀察

李東明,朴孝一,崔德永,沈輔星 최신의학사 1968 最新醫學 Vol.11 No.12

1. Twenty-one cases of brain abscess treated at the Department of Neurosurgery, Seoul National University Hospital during the past 10 years from 1958 through 1967 were studied clinically. 2. Fifty-seven percents of the cases studied were under the age of 20. The ratio between male and female was 2:1. 3. The most important of the known sources of the infection was the infection of the middle ear which was responsible for 57% of total cases. Among others paranasal sinusitis, subacute bacterial endocarditis, cellulitis in face, osteomyelitis in skull, and head trauma were included. 4. Bacterial culture was performed in 12 cases. In 4 cases staphylococci were isolated; iri other 2, streptococci; and in still other 2, proteus. 5. Temporal abscess was found in 13 cases; cerebellar in 2, occipital, in. 2, parietal in 2, and frontal in 1 One case had temporal epidural abscess. 6. Headache was by far the most constant and common symptom and was found in 90%. Among .others fever, vomiting, L-A nausea were included. As sings 14 patients had stIffneek; 5, hemiparesis; 5, convul- sion; 4, hemiplegia and 2, homonymous helnianopsia. Papilledema was found in 9 cases. 7. Level of consciousness was comatous in 3, cloudy in 6, and alert in 12. 8. The mortality in this study was 28.6 % and the operative mortality 22.2 %. All comatous patients expired.

前頭蓋窩에 局限된 腦硬膜外血腫의 經驗

崔德永,朴孝一,蔡進,沈輔星 최신의학사 1968 最新醫學 Vol.11 No.12

Epidural Hematoma Confined To The Anterior l; ossa. Duck Tung Choi, M.D., Hyo B Park, M.D., Jin Chae, M.D., and Bo Sung Sim, M.D. Department. of Neurosurgery, Seoul National University, College of Medicine, Seoul, Korea. Epidural hematomas confined to the anterior cranial fossa are rare lesions. There are only 24 reported -cases in the Iiterature. A. 47-year-old male patient was admitted to the Seoul National University Hospital on August 1, 1967. He suffered a blow on his head and lost his consciousness for about 10 minutes and about 4 hours later became lethalgic and confused. The left pupil became dilated and fixed, the deep tendon reflexes of both sides were increased and bilateral ankle clones and Babinskis sign were positive. The plain skull x-ray revealed linear fracture in the left frontal region. The left carotid angiogram showed posteriar shift of the left anterior carebral artery. Following removal of the huge epidural hematoma confined to the left anterior -cranial fossa, the patient was discharged on the 60 th postoperative day in excellent condition.

腦動脈瘤 및 腦動靜脈畸形에 對한 臨床的 考察

韓大熙,崔炳權,黃度允,沈輔星 現代醫學社 1968 現代醫學 Vol.9 No.6

Over a period of 11 years and 8 months, from January, 1957 to August, 1968, 29 patients with intracranial aneurysms and arteriovenous malformations had admitted in the neurosurgical department of Seoul National University Hospital. Of the 29 patients, 25 patients had intracranial aneurysms and 4 patients had arteriovenous malformations of the brain. In patients with aneurysms 14 were male and 11 were female. The age incidence was from 19 years to 62 years. The most frequent age was 30 to 50 in which 19 cases of 29 cases were present. With respect to aneurysms 15 cases of 25 occurred in the same age range. With respect to symptoms and signs, the most frequent symptom was headache and the most frequent sign was sitffness of the neck. Other symptoms and signs were contralateral motor weakness, pathological reflexes, and bruit in order. In arteriovenous malformations the incidence of convulsive seizure and intracerebral hematoma were more frequent than in aneurysms. A-11 cases were performed.angiographic study and proved as aneurysms or arteriovenous malformations. The hematoma was present 7%25 in aneurysms and 2/4 in AVM. The incidence of vasospasm were 12/29. In CSF study all cases showed bloody fluid except two unruptured cases. According to site the most frequent site was internal carotid-posterior communicating region. The frequent site in order middle crebral, posterior cerebral, anterior cerebral-anterior communicating region. The carotid-cavernous fistula was found in two cases. The arteriovenous malformations were present in cerebral hemisphere. The results of treatment were as follows: Mortality of conservative treatment was 37,0o, carotid ligation was 1750, cranitomy was 0% So total mortality was 00, 20%

海線靜脈洞內의 巨大한 內頸動脈瘤의 1例

李孝一,崔德永,表鶴培,沈輔星 現代醫學社 1968 現代醫學 Vol.9 No.6

A 40-year-old female was admitted to the hospital on January 18, 1968 because of headache, diplopia, ptosis and sensory change in the face on the right side. These symptoms had been progressive for about 3 months. Roentgenograms of the skull revealed erosion of the right sphenoidal ridge and widening of the right superior orbital fissure. Physical examination was ,normal. Neurological examination revealed complete paralysis of the right extraocular muscles, ptosis, dilated pupil and decreased sensation in the face on the right side. Right carotid angiograms revealed a huge intracavernous aneun-sm. Contralateral carotid angiogram and Matas tests showed an adequate circle of Willis and good cross-filling. A Selverstone clamp was placed on the right common carotid artery and gradually occluded for 18 days because the patient did not tolerate the procedure well. On 20th postoperative day performed complete ligation, and right carotid angiogram was repeated and disclosed complete occlusion of the aneurysm. The symptoms were recovered except for limited lateral .gaze until two months after surgery.