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RISS 인기검색어
- 검색키워드
- 저자 : 蔡進 (검색결과 7 건)
- 무료
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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
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"Scintillation Camera"에 依한 頭蓋腔內 疾患의 診斷에 關한 硏究
蔡進,沈輔星,高昌舜 최신의학사 1971 最新醫學 Vol.14 No.5
The importance and difficulty of detecting and localizing intracranial lesions by neurological examination alone have led to the application of various supplemental procedures. The introduction of pneumoencephalo?graphy, ventriculography and arteriography has been of great assistance. However, these procedures are often unpleasant for the patient and are associated with some complications. Electroencephalography and echoencephalographv, which are safe and not unpleasant, have proved somewhat disappointing except as a coarse screening technique. In 1947 Moore reported that brain tumors appeared to exhibit a consistent special affinity for the absorption of previously injected fluorescein. On the next year Moore and his colleagues succeeded in the diagnosis and localization of brain tumors using radioactive diiodofluorescein by means of Geiger-Muller counter. Radioiodinated human serum albumin was first used for brain scanning in 1953 by Moore, et al. Thereafter, other substances, such as 1311, 1151, 74 As, 72 As, "Cu, 203Hg 19,Hg 99mTC 113-In, etc., have been used. Improvements have also been made in the detection instruments. Geiger-Muller detectors were gradually replaced by crystal scintillation counters, well type scintillation counter, positron-emitting radionuclides, collimators, and recently scintillation camera. The purpose of this report is to present the diagnostic value of scintillation camera (Anger type) in detecting and localizing various intracranial lesions with the use of `Tc-pertechnetate and 113- In-DTPA. A number of different views were taken in 10 normal persons as preliminary study. The increased uptake of RI was observed in the regions of the large venous sinuses, paranasal sinuses, temporal muscles, face and scalp. K ,.}T The results in fifty two patients with_ various intracranial lesions, including eighteen with intracranial, tumors, were analyzed. In eleven tumor cases accurate localization was obtained. In seven cases, who t had infratentorial tumors or pituitary tumors, the results were poor. This technique is more valuable with supratentorial tumors in about 80 per cent. Supratentorial gliomas and meningiomas give the, highest incidence of satisfactory results. Lesions other than tumors, such as brain abscess, subdural hematoma, intracerebral hematoma, cerebral contusion, and some cerebral infarction also gave positive results. Serial scannings were made following either direct injection of 113-in-DTPA into the lateral ventricle, or intravenous or intracarotid arterial injection of "I-In-DTPA. In hydrocephalic patient the size of ventricles and patency of cerebrospinal fluid flow were well visualized following intraventricular injection of RI. In one cerebral hemispherectomized patient, in whom the right anterior, posterior, and middle cerebral arteries were ligated at the bifurcations, ipsilateral side showed early increased uptake of RI then both sides became similar in late stage. In conclusion it might be mentioned that scintillation camera is very simple, painless and reliable in detection and localization of various intracranial lesions. The possibility of taking different views and serial scanning following a single dose of tracer, and dynamic analysis of the uptake pattern is the definite advantage as an supplementary diagnostic procedure.
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蔡進,朴孝一,崔德永,沈輔星 中央醫學社 1968 中央醫學 Vol.15 No.6
Two cases of non-filling phenomenon of the intracranial arteries during arteriography were presented. These patients, a 12 year old boy and 43 year old male, had sudden onset of severe subarachnoid hemorrhage and showed signs of rapidly increased intracranial pressure. The first case expired within three days and the latter within four days, two days later of evacuation of massive intraventricular hematoma. Autopsy was refused by their family. In these cases extracranial portion of the distal internal carotid and vertebral arteries were not visualized although external carotid system was well visualized. The shape of nonvisualized portion was quite differ from thrombosis or embolism,, its distal portion was oblique with relatively sharp edge. The causes and mechanisms of non-filling phenomenon were discussed.
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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.
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