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자발성 뇌실질내 혈종에 대한 Hematome과 Urokinase를 이용한 뇌정위적 혈종 흡인술에 대한 임상적 분석
노재섭,변진수,허철,홍순기,김헌주,한용표 대한신경외과학회 1995 Journal of Korean neurosurgical society Vol.24 No.4
We had tried to perform mechanical aspiration using Hematome and fibrinolytic drainage with Urokinase for treatment of spontaneous intracerebral hematoma(SICH) in 24 patients. Mean initial volume of SICH was 53.65 26.34㎖, mean evacuated amount of SICH after Hematome procedure was 46.25 23.64%, and mean evacuated amount of SICH after fibrinolytic drainage after Urokinase was 74.15 20.89%, compared with pre-operative status. We could aspirate more than 50% of hematoma if the Hematome procedure had been performed within 18 hours after ictus(p=0.0306). The rebleeding rate after Hematome procedure was 8.3%, and overall mortality rate was 12.5%. These results seem to indicate mechanical aspiration using Hematome and fibrinolytic drainage with Urokinase might be one of the useful method for treatment of SICH.
신경피부멜라닌증 환자의 두개강내에 발생한 원발성 악성 흑색종 : Case Report
노재섭,황금,한용표,김헌주,홍순기,허철,변진수 대한신경외과학회 1992 Journal of Korean neurosurgical society Vol.21 No.10
An unusual case of neurocutaneous melanosis is presented. The patient had congenital dermal nevi, and displayed multicentric malignant cerebral melanoma associated with hydrocephalus and seizure in adult life. This suggests that a patient with congenital dermal nevus or marked generalized cutaneous pigmentation should be closely observed for the development of malignant melanoma of the nervous system.